[quote]Headhunter wrote:
JOG wrote:
This looks like it has what it takes to become a good thread. Here are my blood results:
T total: 591 (ref range 241-827)
T free: 11.4 (ref range 5.5-42) ***
DHT: 30 (ref range 30-85) ***
Estradiol: 18
Total PSA: 1.35 (ref range 0-4)
SBGH: 18 (ref range 13-71)
DHEA: 232 (ref range 80-560)
Cortisol: 13.5 (ref range 6-30)
Thyroid T4: 7.4 (ref range 4-13.5)
T uptake: 38% (ref range 23-39%)
TSH: 1.06 (ref .4-4.0)
IGF-1: 242 (ref 132-333)
(I also found my blood numbers from two years ago. Total T was 280! I didn’t know the significance of that, and the doc made nothing of it. Needless to say, he is no longer my doc.)
My new doc is much more forward thinking and open. He prescribed Androgel due to low Free T and DHT numbers (without me asking for it.)
So, what causes low free test with decently normal total test?
SHBG is your body’s way of controlling how much of the Test in you is usable. When T becomes bound, it becomes useless.
That’s my understanding of it.
I had similar experiences as you, though my T was 169 (can we say ‘eunuch’? You seem to have pretty decent numbers now, though Oasis Longevity will get you higher. (BTW: I’m going with them very soon.)
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Before I got to the bottom of your post I was going to point out the low DHT. If you don’t mind me asking, have you had any sexual dysfunction? Low DHT and sexual dysfunction run hand in hand. The gels raise DHT more than the injections so starting with Androgel seems like the best place to start.
What time did you get your blood work done? If it’s in the morning, your cortisol should be around the top of the range. Anything lower may indicate some adrenal insufficiency.
Cortisol levels should be optimized before engaging thyroid and testosterone therapy. If you don’t get the desired effects from the TRT that you’re looking for I’d suggest checking out your cortisol levels next. If your blood work was done later in the day though I wouldn’t sweat it.