OK, after a couple of months banging my head against a wall with Kaiser I found a local doc who has what he calls an anti-aging clinic and said he works with men who might be experiencing andropause.
So, had a 2 hour office visit and exam and then did the 24 hour urine sample and Fedex’d it off to an east coast lab called Genova Diagnostics. Got my results back and it’s in units of measure that I am unfamiliar with. Very extensive list of hormones and metabolites, many I have no idea what they do. I’ll list a few and see if they make sense to anyone else. (I guess they make sense to the doc; which I’ll get to in a bit.)
About me: 58yo firefighter. Complaints: crapping out in the afternoon and night sweats. Putting on more belly fat even though I really watch my diet. I’m in the gym about 5-7 hours a week and push things pretty hard.
17-Hydroxysteroids Total - 39.3 micromol/24hr
17 Ketosteroids Total 27.2 micromol/24hr
Ratio 0.7 (catabolic)
Pregnanediol 0.99 (0.50-2.70 micromol/24hr)
DHEA 0.19 ( <=3.00 micromol/24hr)
Testosterone 0.34 ( 0.30-1.07 micromol/24hr)
Androstanediol 0.36 ( <=0.35 micromol/24hr)
Estrone 2.2 ( 2.0-8.0 mcg/g Creat.)
Estradiol 0.6 ( 1.0-4.0 mcg/g Creat.)
Estriol 0.7 ( 2.0-19.0 mcg/g Creat.)
There’s a whole bunch of additional results but I think these are the ones of importance. (I can scan the four pages of results if anyone is interested. Neat color graphs and such.)
Interesting that when I had Estradiol tested with Kaiser the result was 44pg/mL and was high according to what I’ve been reading on this forum. That was a one time blood test. Now with the 24 hour urine test I’m showing way low.
I don’t see TT and FT mentioned specifically. Must be in one of the specific hormone results that I don’t understand.
My doc wants to put me on a bioidentical time release testosterone tablet of 75mg twice a day. I have a concern about oral testosterone and its effects on the liver and I also question “bioidentical” and wonder if it’s more a fad, expensive one at that, and the new in thing with the natural folks. This doc is an MD with about 40 years in medicine but I know he’s into herbal and natural remedy’s and such. He even asked me if I wanted a presciption for medical marijuana. Since I drive fire engines that’s just a big fat no-no. Besides, I tried that crap back in the 70’s. Fun then but just no way interested even if I wasn’t in the fire service.
Thanks in advance guys.