Help Reading Labs

Hello, as 39 year old I was just curious to get some labs.
I don’t have any symptoms of low T as far as I know, just appreciate some help reading this as it’s like a foreign language to me.
Thanks to @studhammer for the info on labs as well.

Your total testosterone is low when considering your age, someone might want to inform your doctor he/she order the wrong E2 labs, men need the LS/MS/MS method, the ECLIA is for menopausal women and children. Any test other than the LS/MS/MS method overstates a man’s estrogen, your actual E2 is lower as the ECLIA just isn’t sensitive enough as state in the guidelines.

Lots of doctors will tell you you’re fine for the fact that you’re in range, if you’re told so you need to find a doctor who understands male hormones. You’re scoring at a level that is typically seen in healthy old people, President Trump even scores higher at 71 years old.

You free T is what matters more than Total T which is bound up and unavailable, free T is unbound and bioavailable. Your free T is barely in ranges at 7.94 ng/dL = 2.02 % when TT and SHBG are calc., 2-3% is considered normal. Free T is unreliable do to the short half life of free T, it’s released in micro pulses throughout the day and time of labs can be a problem as you could be caughting it when it’s low.

Do you have symptoms?

No I have no symptoms, I got it checked out of curiosity. I didn’t use a Dr. I ordered it online, went to lab for blood work.

If you can get erections without any problems and are able to have sex whenever you want, have tons of energy, then you don’t need TRT.


Yes T is low. Labs for LH/FSH would tell us something about why.

In the things that damage your hormones look for some things that might apply to you. Do not ignore thyroid issues, see “oral body temperatures” below.

Do not take your cholesterol lower, otherwise it is great.

RBC and hematocrit are a bit low but are in-line for your T levels.

Please read the stickies found here: About the T Replacement Category - #2 by KSman

  • advice for new guys - need more info about you
  • things that damage your hormones
  • protocol for injections
  • finding a TRT doc

Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.

KSman is simply a regular member on this site. Nothing more other than highly active.

I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.

The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.

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Thank you, I’ll get those labs and read up a bit more. Thank you for your time.

Here are my LH and FSH.
I have also been measuring my body temps, 96.1-96.9 first thing in the morning.
Midday upper 97’s low 98’s

Thanks in advance.

Looks good, perhaps lifestyle is to blame for lower levels. Poor sleep, diet isn’t right for you or maybe not enough exercise. We humans are built for extensive walking, exploring and hunting. We aren’t built for sedentary lifestyles.

So I took some more labs, and I redid my testosterone as well.
Looks good now, right?!
Is it normal for such a fluctuating numbers?

This is no way to determine an androgen deficiency, you’re missing some important labs. No E2 sensitive, no Free T3 and no Reverse T3. You definitely have something going on thyroid related and these tests would have shed light on the subject.

Have we discussed the use of iodized salts or oral body temperatures taken upon waking and afternoon per thyroid sticky? Hormones aren’t static, they fluctuate day to day, week to week. Get less sleep one week and see levels lower the next week, a pattern of bad sleep could see testosterone levels fall dramatically.

A poor diet compounds the problem.