Lab T results.........

[Arbor]

Free T- 47
Total T- 439

I'm 54 years old. Am I correct in thinking these figures are low? Time to see a doc? My MD said they are in normal range.....

New results.......see below....

[JanSz]

Free T- 47
Total T- 439

I'm 54 years old. Am I correct in thinking these figures are low? Time to see a doc? My MD said they are in normal range.....

Just do not waste time going to endo.

Read the boards for at least 24 hours, get some education first.

http://anabolicminds.com/forum/male-...oodtest-2.html

[Frank Reynolds]

Free T- 47
Total T- 439

I'm 54 years old. Am I correct in thinking these figures are low? Time to see a doc? My MD said they are in normal range.....

52? damn i am 25 and have the same test numbers...LOL

I agree, skip the endo route..

[LeanGuy]

It could be better, but for some it would be ok. If you're having symptoms, get your estradiol tested (among other things). Rising estrogen levels are common as men age. You can have T of 1000 but if your estrogen is off, you will not feel right. Lots of good info on this board...

[jon671]

i'm 25 and your test levels look better than mine. the overall picture is what matters though get a more complete test.

[LeanGuy]

Also, post the ref range and units for each test... 47 seems really high for free-T based on the typical range of 10-30.

[Arbor]

Test, Total 439 Ref Range: 250-1100

Test Free 1.07 L Ref Range: 1.5-2.2

Test Free 47.0 pg/ml Ref Range: 35.0-155.0

This is straight from the Quest report, measured by LCMSMS. The LCMSMS method correlates well with our extraction/RIA method.

[Nemesis RR]

Test, Total 439 Ref Range: 250-1100

Test Free 1.07 L Ref Range: 1.5-2.2

Test Free 47.0 pg/ml Ref Range: 35.0-155.0

This is straight from the Quest report, measured by LCMSMS. The LCMSMS method correlates well with our extraction/RIA method.

But how are you feeling?

[Arbor]

I feel great. I have had many injuries (2 shoulder, knee, ruptured bicep surgeries, multiple fractures) but find it amazing that my body has always recovered from everything and comes back stronger than ever at my age. Not that it has been easy.

The problems I experience are some fluctuations in mood, libido and drive. My former MD told me my free test was low and we would watch/recheck it. I switched doctors shortly after that and he says the latest test is normal. Guess I am trying to revive the consistency of my youth.

[JanSz]

I feel great. I have had many injuries (2 shoulder, knee, ruptured bicep surgeries, multiple fractures) but find it amazing that my body has always recovered from everything and comes back stronger than ever at my age. Not that it has been easy.

The problems I experience are some fluctuations in mood, libido and drive. My former MD told me my free test was low and we would watch/recheck it. I switched doctors shortly after that and he says the latest test is normal. Guess I am trying to revive the consistency of my youth.

I had a surgery 3 weeks ago.
Broken distal biceps tendon.
No use of hand allowed untill further notice.

What was the problem with your biceps?
How did you get it fixed.
How long it took before you started using your biceps (for very light loads).
How long it took for say 75% recovery.
How long for 100% recovery.
Any supplements that would speed the process.
Any comments you want to offer.
Thank you.

[JanSz]

Test, Total 439 Ref Range: 250-1100

Test Free 1.07 L Ref Range: 1.5-2.2

Test Free 47.0 pg/ml Ref Range: 35.0-155.0

This is straight from the Quest report, measured by LCMSMS. The LCMSMS method correlates well with our extraction/RIA method.

You have had done WRONG Testosterone test.

In that test FreeT is assayed, you do not care for that.

You want this test at Quest:
Testosterone, Free, Bio/Total (LC/MS/MS)

http://cas2.questdiagnostics.com/scr...&tmradio=title

In this test FreeT and BioAvailableTestosterone are calculated,
just read description.

If you have SHBG and Albumin you can calculate and figure out FreeT by uself using chart or calculator.

Off hand TT=439 is in low range.

[Arbor]

Jan, I too had a distal bicep rupture. Weird injury as i wasn't exerting that much pressure/force. It just snapped and bicep rolled up my arm. The surgery involved one incision at inner elbow fold and one on opposite side of forearm. They fished out the tendon, drilled three holes (two is normal, but I told doc I needed it really strong) in the bone and anchored the tendon in the holes. P/T was brutal. Couldn't rotate my hand for weeks. Once I had range of motion back, the strength came pretty quick. I think it took 2 to 3 months. Stronger than ever now, I can knock out BB curls, sets of 8 X 95, no problem. Keep the pain meds handy for the rehab, I have had some major painful fractures and this was right up there with the worst.

Regarding the Quest tests, they were ordered up by my MD, I will inquire about the info you provided, thx.

[JanSz]

Jan, I too had a distal bicep rupture. Weird injury as i wasn't exerting that much pressure/force. It just snapped and bicep rolled up my arm. The surgery involved one incision at inner elbow fold and one on opposite side of forearm. They fished out the tendon, drilled three holes (two is normal, but I told doc I needed it really strong) in the bone and anchored the tendon in the holes. P/T was brutal. Couldn't rotate my hand for weeks. Once I had range of motion back, the strength came pretty quick. I think it took 2 to 3 months. Stronger than ever now, I can knock out BB curls, sets of 8 X 95, no problem. Keep the pain meds handy for the rehab, I have had some major painful fractures and this was right up there with the worst.

Regarding the Quest tests, they were ordered up by my MD, I will inquire about the info you provided, thx.

Exactly good description, weird injury.
Tendon snapped without pain and warning.
Looks like tendon is weaker than biceps muscle.
It is 3 weeks after surgery for me, now.
Doc told me to rotate hand after first week, so it is less painfull now.
Rotation is the only thing that creates pain.
How do you know how much weight to use if tendon is weaker than muscle and tendon gives no warning?
.
.
============================== ============================== ==
Your doc may knot know about nuances of FreeT, he may feel uncomfortable.
Suggest that for next test you just make sure that hi writes the whole description.
We want our doc to feel smart and write scripts when we need them.

Take a look at my list, if you have a time, post #44:
http://anabolicminds.com/forum/male-...oodtest-2.html

Once a year I do that whole list, leaving room on top, my doc's office worker xerox that list and put his office logo on top.
Doc signs it, 1 minute and I am out the door.

2-3 times a year I do the same but much shorter list, items picked from the big list.
.
.

[Arbor]

Are you in physical therapy? I couldn't have rotated my hand with a vise the first couple weeks after surgery. Needs P/T for sure. My hand was locked, like in a handshake position.

I don't believe weight is the main cause in this injury. Seems like a certain angle or position when lifting is the thing. I investigated it and discovered that it is fairly common with snowboarders when they extend their arm to break a fall. Strange.

I saw a 3-photo series years ago of a power lifter sustaining the injury during a heavy deadlift. That was how I knew what had happened when I felt it go. Felt like a big rubber band snapping, pain then numb. Good luck with your recovery.

[Arbor]

Jan....How is the arm doing? I reviewed your list, it is very extensive. Can you recommend a modified list of essential tests that I can just recommend to my MD so they will possibly be covered by insurance? I figure that will give me a starting point prior to paying out of pocket at the other doc. Thanks.

[Arbor]

I just got the results from new tests and requested some additional/different tests as advised here. Here are the results.....

Creatinine..................1. 18
Dihdrotestosterone......34
Estradiol....................2 0
DHEA........................12 1
Total Testosterone......436
Free Testosterone.......58.6
PSA........................... 0.6

How do these results look?

[JanSz]

Jan....How is the arm doing? I reviewed your list, it is very extensive. Can you recommend a modified list of essential tests that I can just recommend to my MD so they will possibly be covered by insurance? I figure that will give me a starting point prior to paying out of pocket at the other doc. Thanks.

Arm is good, thanks for asking.

Checking iron status:
17 • Iron and Iron Binding Capacity (7573X) - (356N)
18 • Iron, Total (571X) - (24984P)
19 • Ferritin (457X) - (22764P)
20 • Transferrin (891X) - (30346P)
21 • Folate, RBC & Hematocrit - (1768N)
22 • Hemoglobin A1c (496X) - (45484P)
23 • Hemoglobin, Plasma (514X) - (7211P)
============================== ==============

Checking thyroid:
7 • Iodine Panel - (2503)
8 Selenium
9 Copper, serum
10 Zinc
27 T3 Free
28 T4,Free
29 reverse T3 (rT3)
30 Ultrasensitive TSH
31 Thyroid Peroxidase and Thyroglobulin Antibodies (7260X)
============================== ===============

Checking adrenals:

37 Aldosterone
38 Cortisol AM/PM
39 DHEA sulfate
============================== ===============

Checking BAT, E2, DHT

45 Estradiol, Ultrasensitive, LC/MS/MS (30289X)
47 Testosterone, Free, Bio/Total (LC/MS/MS)
48 Dihydrotestosterone (204X)

============================== ================

Checking Growth Hormane

35 IGF Binding protein-3
36 IGF-1
============================== ================

Checking prostate:
33 PSA, Total
34 PSA, %, free
============================== ================

Panels:

1 Chemistry Screen
2 Hepatic Function Panel (10256X)
3 kidney panel
4 VAP TM Cholesterol Test (10270X)
5 Comprehensive Metabolic Panel w/EGFR
6 CBC w/ diff/PLT
============================== ================

Risk factors:

13 C-Reactive Protein (CRP), Highly Sensitive, CSF - (17401X)
14 Fibrinogen
15 Homocysteine, cardio
16 Lipoprotein (A) Lp(A)
============================== ================
Checking for (current) bone loss:

Collagen Cross-Linked N-Telopeptide (NTx), 24-Hour Urine (36421X)
bone loss (currrent)


============================== ================
Glucose/iodine tolerance test

0min
30min
1hr
1.5hr
2hr
2.5hr
3hr

============================== ================

The whole thing (once/2-3 years)

1 Chemistry Screen
2 Hepatic Function Panel (10256X)
3 kidney panel
4 VAP TM Cholesterol Test (10270X)
5 Comprehensive Metabolic Panel w/EGFR
6 CBC w/ diff/PLT
7 • Iodine Panel - (2503)
8 Selenium
9 Copper, serum
10 Zinc
11 Magnesium
12 Phosphate, serum
13 C-Reactive Protein (CRP), Highly Sensitive, CSF - (17401X)
14 Fibrinogen
15 Homocysteine, cardio
16 Lipoprotein (A) Lp(A)
17 • Iron and Iron Binding Capacity (7573X) - (356N)
18 • Iron, Total (571X) - (24984P)
19 • Ferritin (457X) - (22764P)
20 • Transferrin (891X) - (30346P)
21 • Folate, RBC & Hematocrit - (1768N)
22 • Hemoglobin A1c (496X) - (45484P)
23 • Hemoglobin, Plasma (514X) - (7211P)
24 VITAMIN SCREEN
25 VITAMIN B PANEL 2 - (9067)
26 VITAMIN D PANEL (5678X)
27 T3 Free
28 T4,Free
29 reverse T3 (rT3)
30 Ultrasensitive TSH
31 Thyroid Peroxidase and Thyroglobulin Antibodies (7260X)
32 Insuline, serum
33 PSA, Total
34 PSA, %, free
35 IGF Binding protein-3
36 IGF-1
37 Aldosterone
38 Cortisol AM/PM
39 DHEA sulfate
40 Prolactin
41 FSH
42 LH
43 Progesterone, LC/MS/MS
44 Pregnenolone
45 Estradiol, Ultrasensitive, LC/MS/MS (30289X)
46 Estrone, LC/MS/MS (23244X)
47 Testosterone, Free, Bio/Total (LC/MS/MS)
48 Dihydrotestosterone (204X)

[Arbor]

Jan....... How do my latest tests look? I got the other Testosterone test that you recommended.

[JanSz]

Jan....... How do my latest tests look? I got the other Testosterone test that you recommended.

They look lousy, possibly with exception of e2.

But each of those numbers is easily correctable.

--------------------------------------------------
Dihdrotestosterone......34
Estradiol....................2 0
DHEA........................12 1
Total Testosterone......436

[jinxie]

Test, Total 439 Ref Range: 250-1100

Test Free 1.07 L Ref Range: 1.5-2.2

Test Free 47.0 pg/ml Ref Range: 35.0-155.0

This is straight from the Quest report, measured by LCMSMS. The LCMSMS method correlates well with our extraction/RIA method.

I think that your Total T is very typical for your age. As Jan recommended, you need to check your free and bioavailable test, shbg, and E2, to complete the picture. Supplements and/or AI may be all you need. Your numbers are quite a bit better than mine were, and I am a fair bit younger.

Sounds like you are pretty strong, and overcame a tough injury.

I just had bilateral rotator-cuff/labrum repairs, bilateral distal clavicular excision (open mumford) and ulnar nerve transposition, all over the course of one three weeks! I'm healing well, in spite of my health challenges. I cant wait to sleep painlessly!

Good luck and hang in there.