Am I A Candidate for TRT?

I don’t see free T on the lab snapshot.

If the number you posted, 6.58, is in ng/dL, then that converts to 65.8 pg/mL which is actually quite good, and even a bit high.

Yes they are low. Are you on SSRI, barbiturates, opiates, hair growth meds, and etc?

Yah true but that’s lab Corp I think and they screw ranges anyways.

Not sure I understand this comment. A lab range is a lab range, but I don’t care who’s range it is. If his Free T is 6.58 pg/mL, which I seriously doubt, then he’s worse than a 200 year old man. If it’s 6.58 ng/dL, then that’s WAY above a a normal pg/mL reading in ANY lab range. Normal is usually up to 26-28 pg/mL or so.

The point is moot until the op can provide the units for this Free T reading. Again, I don’t see Free T on the lab snapshot he posted.

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The Free T was calculated by the clinician at the TRT center. Here is what the clinician wrote in terms of interpreting my results:

I have your lab results ready and wanted to discuss the results.

Testosterone: 406

PSA: 0.5

Estradiol: 29.3

Hemoglobin: 14.7

SHBG (Sex Hormone Binding Globulin): 47.2

*The SHBG allows us to calculate your Free Testosterone level. *

Free Testosterone: 6.58

For testosterone levels that come back between 400-600, we still qualify clients with a free T of 11 or under, so you certainly qualify for TRT.

If you start on treatment, your protocol dose will be 150 mg of testosterone per week, for the first month. Before the 4th injection, we will draw labs again and then calculate a personalized dose for you. In addition to the testosterone, I will start you on an estrogen blocker because the estradiol is starting at 30 pg/mL.

Does this help clarify? Can anyone provide insights thanks!

This is the best answer. You went to a trt clinic. They are putting a 26 year old on trt without fully investigating.

They didn’t even take prolactin, LH , fsh.
You need to see an endocrinologist to do more testing. You need more labs. And after labs may need MRI of the pituitary.

I know you may be excited at the prospect of doing a cycle but you need to do this right.

And

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Yup I agree with this guy.
Find a good hormone specialist and find the root of your problem. You are young. If you were 40 or older there’s no point just go for trt. Think about it. At 20 if you start trt it’s usually for life. You could live into your 90s and be on TRT for 70 years. Do you really want to put yourself through that? Sure things might change and get better , but where are the guarantees.

Do you have symptoms? If you don’t and want to cycle for body building reasons your better off visiting the pharma section on this board.

Right sorry confusing comment. I asked if he even has low t symptoms. I think that’s the question that should be asked becusse withour it’s unnecessary :slight_smile:

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Not really sir. I’m not trying to be a dick, but I don’t understand how they can calculate free T based on total T and SHGB. I don’t see albumin in there anywhere and that is usually required for a free T calculation.

I have a feeling that this clinic is going to fuck you up because they want a client for life. You should go to a qualified hormonal specialist and get a FULL and comprehensive panel run.

There are WAY better options at your age and you should exhaust all possibilities before you decide to start injecting yourself for the rest of your life.

Interesting, two weeks ago I got my labs back because I was feeling unwell and scored a Total T 406 and Free T 16 (range 6.8-21.5) and felt like my T was low which is why I ran labs. Most would tell you a Free T of 16, well above midrange is good, but it wasn’t because I’m biochemically unique, my DNA is different and my optimal range is unique to me.

Be careful, these Low T Centers may not always offer you the best TRT protocols, a lot of them force weekly injections in at the clinic, they care not about your independence. You will likely feel unwell on weekly injections if you are sensitive to fluctuating testosterone levels.

Ok I’m going to a different clinic next week to hopefully get more thorough testing done and a second opinion. I don’t think I have severe low test symptoms but perhaps mild ones. Moderate sex drive, sometimes low mood etc.

I have an appointment at another men’s health/endoc center tomorrow. In addition to getting free test and general test levels checked, are there other specific testing measurements/things I should ask for?

Find a good doc. You are wasting your time walking into a trt clinic. All of the clinics are going to prescribe and give you a protocol. That includes defy.

Check thyroid levels. Maybe thyroid is causing some of your symptoms. Thyroid can cause low t and low t can cause thyroid issues. Thyroid and T symptoms are one in the same. Maybe you have a bad thyroid and fixing that will fix the balance your body is craving! Regardless test it and don’t go off tsh alone. Look up dr. Rouzier and thyroid in uoufube and watch his video.

There are stickies here on this board that tells you what labs to gets

You can get your own tests at discountedlabs.com

If this clinic forces weekly office visits for injections, simply get up and walk out! This would mean they want to inconvenience you 52 times a year for financial gain and care not for your independence or health for that matter because money is everything to them.

If they don’t believe in testing Free T, estrogen or SHBG, this is bad.

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Got my results from a recent visit. Attached below. Can anyone help me interpret? It looks like my test levels went up from a previous Test a year ago.

I can’t really tell you anything about your T status, your doctor has failed to test the active portion of testosterone. Total T is bound to SHBG and effects nothing within the body. This test could reflect an increase in SHBG which would then increase Total T, but this would also mean Free T decreases and now you may be worse off than before.

No interpretation is possible because you’re dealing with incompetent doctors, all we can do is guess. You just wasted money on a test that is basically useless.

Your numbers look good there but would like to see what your free T is with a blood test.

You need free t. This is what makes a man feel good or bad. Total means nothing if it’s not converting efficiently to high free t numbers.

Again tells us that the current doc or clinic is half asses and has no clue what they are doing.