I have been visiting a Urologist who has been slow playing TRT. Since my last visit with my urologist, he had me on clomid 50mg day. Absolutely no effect. Honestly, I think TRT would help but am a little hesitant so I have been working with him as he moves slowly.
He called me with the latest blood work today and gave me the results you see below. Then he said, “with that bioavailable T you probably aren’t a good candidate for TRT.” I was a little surprised. He wants me to keep my appt with him so he can discuss it in more depth.
Latest blood work shows (Quest)
TT = 294 (250-827)
FT = 37.4 (46-224)
Bioavailable T = 75.3 (110-575)
FSH = 13 (1.6-8)
LH = 3.1 (1.5-9.3)
IGF 1 = 164 (50-317)
Estradiol ultrasensitive = 13 (<=29)
DHEA = 232 (147- 1760)
Prolactin = 8.6 (2-18)
TSH = 1.3 (.4-4.5)
Symptomatically, over the last 3/4 months, ED and diminished libido are extremely real and prevalent. Morning erections are maybe 2x a month. Body composition is worsening Dad bod with fat depositing on breast and midsection. My energy level is 6/10 compared to 4 months ago of what I would say was 9/10. My weight has dropped, so I know I’m on a weight-loss track (10 lbs over the last 3 months). Unfortunately, I have also lost lean muscle mass. Recovery times are a concern as recovery from a lifting session takes 2-3 days and I’m not lifting anywhere near 70% of max. Likewise for an MTB ride of 5-7 miles, long recovery time. I know some of this may be age.
So my question is since I cannot find a bunch of info related to Bioavailable t and appropriateness of treatment (I have moderately good google-fu I think), Have any of you heard of this? If so why would I not be a candidate based on this number? Have any of you had good outcomes and experience with online providers?
At the end of the day, I don’t think he wants to deal with it and is attributing all of this to my age (55). But I feel significantly different than even 6 months ago.
Thanks for your feedback, guidance and info.