T Nation

What are My Chances of Getting Prescribed TRT?


#1

Hi all,

I got some blood work done from Quest my free and total where 413ng/dl and 76.8pg/ml. I am 32 y/o, 5'9" and180lb. I've been having mood, concentration and energy symptoms. My body composition has also become a lot harder to maintain and would like to know my chances of getting TRT. I haven't done any cycles or prohormones in years and never abused them but the last time did Hdrol in 2009 it shut me down hard. I live in the Philadelphia area if anyone can recommend a doc. Thanks all!

TESTOSTERONE,FR(DIALYSIS) AMD
AND TOTAL(LC/MS/MS)
TESTOSTERONE, TOTAL,
LC/MS/MS 413 250-1100 ng/dL/

TotalTestosteroneLCMSMS
FREE TESTOSTERONE 76.8 35.0-155.0 pg/mL

                                  TSH
                                   

                                   2016-01-21
                                   

                                
                                
                                   TSH
                                   0.840
                                   

                                   0.450-4.500
                                
                                
                                   CBC With Differential/Platelet
                                   

                                   2016-01-21
                                   

                                
                                
                                   WBC
                                   5.4
                                   

                                   3.4-10.8
                                
                                
                                   RBC
                                   5.06
                                   

                                   4.14-5.80
                                
                                
                                   Hemoglobin
                                   14.8
                                   

                                   12.6-17.7
                                
                                
                                   Hematocrit
                                   45.5
                                   

                                   37.5-51.0
                                
                                
                                   MCV
                                   90
                                   

                                   79-97
                                
                                
                                   MCH
                                   29.2
                                   

                                   26.6-33.0
                                
                                
                                   MCHC
                                   32.5
                                   

                                   31.5-35.7
                                
                                
                                   RDW
                                   14.4
                                   

                                   12.3-15.4
                                
                                
                                   Platelets
                                   217
                                   

                                   150-379

                                   

                                
                                
                               
                                
                                
                                   Neutrophils (Absolute)
                                   3.1
                                   

                                   1.4-7.0
                                
                                
                                   Lymphs (Absolute)
                                   1.8
                                   

                                   0.7-3.1
                                
                                
                                   Monocytes(Absolute)
                                   0.3
                                   

                                   0.1-0.9
                                
                                
                                   Eos (Absolute)
                                   0.2
                                   

                                   0.0-0.4
                                
                                
                                   Baso (Absolute)
                                   0.0
                                   

                                   0.0-0.2
                                
                                
                                   Immature Granulocytes
                                   0
                                   

                                   

                                
                                
                                   Immature Grans (Abs)
                                   0.0
                                   

                                   0.0-0.1
                                
                                
                                   NRBC
                                    

                     
                                   Comprehensive Metabolic Panel (14)
                                   

                                   2016-01-21
                                   

                                
                                
                                   Glucose, Serum
                                   82
                                   

                                   65-99
                                
                                
                                   BUN
                                   11
                                   

                                   6-20
                                
                                
                                   Creatinine, Serum
                                   1.18
                                   

                                   0.76-1.27
                                
                                
                                   eGFR If NonAfricn Am
                                   82
                                   

                                       >59
                                
                                
                                   eGFR If Africn Am
                                   94
                                   

                                       >59
                                
                                
                                   BUN/Creatinine Ratio
                                   9
                                   

                                   8-19
                                
                                
                                   Sodium, Serum
                                   141
                                   

                                   134-144
                                
                                
                                   Potassium, Serum
                                   4.5
                                   

                                   3.5-5.2
                                
                                
                                   Chloride, Serum
                                   100
                                   

                                   97-108
                                
                                
                                   Carbon Dioxide, Total
                                   25
                                   

                                   18-29
                                
                                
                                   Calcium, Serum
                                   9.2
                                   

                                   8.7-10.2
                                
                                
                                   Protein, Total, Serum
                                   6.9
                                   

                                   6.0-8.5
                                
                                
                                   Albumin, Serum
                                   4.4
                                   

                                   3.5-5.5
                                
                                
                                   Globulin, Total
                                   2.5
                                   

                                   1.5-4.5
                                
                                
                                   A/G Ratio
                                   1.8
                                   

                                   1.1-2.5
                                
                                
                                   Bilirubin, Total
                                   1.6
                                   

                                   0.0-1.2
                                
                                
                                   Alkaline Phosphatase, S
                                   92
                                   

                                   39-117
                                
                                
                                   AST (SGOT)
                                   29
                                   

                                   0-40
                                
                                
                                   ALT (SGPT)
                                   25
                                   

                                   0-44
                                
                                
                                   Hemoglobin A1c
                                   

                                   2016-01-21
                                   

                                
                                
                                   Hemoglobin A1c
                                   5.2
                                   

                                   4.8-5.6
                                
                                
                                   Lipid Panel
                                   

                                   2016-01-21
                                   

                                
                                
                                   Cholesterol, Total
                                   172
                                   

                                   100-199
                                
                                
                                   Triglycerides
                                   68
                                   

                                   0-149
                                
                                
                                   HDL Cholesterol
                                   50
                                   

                                   >39
                                
                                
                                   VLDL Cholesterol Cal
                                   14
                                   

                                   5-40
                                
                                
                                   LDL Cholesterol Calc
                                   108
                                   

                                   0-99
                                
                              
                                
                                
                                   Vitamin B12
                                   

                                   2016-01-21
                                   

                                
                                
                                   Vitamin B12
                                   560
                                   

                                   211-946
                                
                                
                                   Vitamin D, 25-Hydroxy
                                   

                                   2016-01-21
                                   

                                
                                
                                   Vitamin D, 25-Hydroxy
                                   34.4
                                   

                                   30.0-100.0
                                
                                
                                   Methylmalonic Acid, Serum
                                   

                                   2016-01-21
                                   

                                
                                
                                   Methylmalonic Acid, Serum
                                   72
                                   

                                   0-378

#2

Bump. Can anyone chime in? I'm about 180 lbs 5'9. Trying to get back in the gum regularly but my energy levels are shot.


#3

I don't know your part of the country. But if you go to a low T clinic I would say pretty good. A standard doctor not good at all. You need to read the info at the top of this forum. It will get you started out right. And teach you what questions you should be asking and what everyone is going to need to know in order to help you


#4

Please read the stickies found here: https://forums.t-nation.com/t/about-the-t-replacement-category/38/2?u=ksman

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

At your age, we should be looking for a correctable cause. Low-T is the symptom. We need to know these lab results that impact T levels and energy:

  • LH/FSH
  • E2 - estradiol
  • prolactin
  • AM cortisol - at 8AM please
  • AST/ALT
  • CBC
  • hematocrit
  • fasting glucose
  • fasting cholesterol
  • TSH - these three if body temps are low
  • fT3
  • fT4
  • AM cortisol

Thyroid gland, using fT3, regulates your energy levels as part of the body temperature control loop. Check oral body temperatures to eval overall thyroid function as per thyroid basics sticky. Thyroid function can be low if not using iodized salt.

Symptoms of low T and low thyroid function are mostly the same.
If outer eyebrow are sparse, that is unique to thyroid. Also feeling cold easily.

Your T levels are in no-man's land.

Energy levels are more than your testosterone status. As well as thyroid, cortisol can be low and there can be adrenal and stress issues.

Look at the bigger picture.


#5

Many thanks, I found some more labs and posted them above. I'm in northeast so I'm trying to make an appt with Dr Overbeck. Hopefully he will get me back on track.


#6

Thanks for your reply. I found some more bloodwork and posted it above. I'm also trying to schedule an appt with Dr Overbeck.


#7

I do not know anything about Dr. Overbeck. But you still need to read up on the stickies in self defense as many doctors will do the wrong things. You cannot be passive.

Without the lab data I was seeking, I cannot steer this process.

You can still respond to the iodized salt issue and post your body temperatures.
More info about you is important as well, see the stickies.