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My Lab Results Are In. Going to Urologist Next Week - LOW T 165pmol/L



52 year old at 6’1 205lbs presenting these terrible (Free Test 165 pmol/L) results to my urologist. I would like to get to at at 700 on the Free Test. How much weekly cyp should I request he prescribe me, fellahs?

Anything else in these results I should enquire about? Thank you for your time. :)))



You have secondary hypogonadism. Any pains in your testes?

E2, estradiol not tested, but with low FT, E2 will be low.

Low SHBG is sometimes seen with diabetes. Fasting glucose and A1C OK? Are you overweight?

Many guys who come here also have low thyroid function, see below to self evaluate.

Self inject 50mg T eth/cyp twice a week
To preserve testes: 250iu hCG subq EOD
Most will need 0.5mg anastrozole at time of T injections.
Total 100mg T and 1.0mg anastrozole per week.

Routine labs:
SHBG in your case
fasting glucose
fasting cholesterol
PSA !! - should have been done prior to TRT
If body temperatures are low:
fT4 [please not indexes etc or T3, T4]

Do not test LH/FSH again as these -->zero

Please read the stickies found here: About the T Replacement Category

  • 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.


Here are some of the results you were asking for @KSman. Thank you. :)))

Not overweight, 6’1 205lbs and no pain in testes. Fasting glucose normal.



TRT often will lower total cholesterol.

Your testes seem to be a weak link.

Other labs look good.

Please do not miss any points in my prior post. Do check your body temperatures.


Yup, that’s what I’m going to tell him, my testes aren’t providing me enough testosterone and other labs are okay. Thank you KSman, really appreciate your knowledge and time. Will update with his answer to my getting TRT.