I’ve gone through the process of getting a TRT prescription and have only done 1 injection so far. The doctor did a decent job walking me through certain things, but I was already well versed on most of it (Thanks T-Nation!)
The doctor explained that many of my symptoms may be due to low estrogen, which I hadn’t considered. How does one determine how much estradiol is bound by SHBG?
As for the diagnosis:
This was through a telemedicine clinic and the doctor tried to tell me that I have primary hypogonadism, which definitely shook my faith in him because I do not think my test results would imply that my issues are primary. For example:
Total T: 828 ng/dL (264-916)
Free T: 15.7 pg/mL (9.3-26.5)
Estradiol, Sensitive: 24.2 pg/ml (8.0-35.0)
SHBG: 71.9 nmol/L (16.5-55.9)
LH: 6.2mIU/mL (1.7-8.6)
I’ve made topics on my case before and am well versed on the SHBG/binding deal.
To me, that would be secondary - if there is an issue at all. It’s a shame that there are few people between what I view as overly liberal telemedicine clinics and overly conservative Endos/Uros.