I would like to fine tune my TRT for a Bio-Avail Testosterone level of about 575.
I have heard this test at Quest is preferred:
Testosterone, Free, Bio/Total (LC/MS/MS) Code: 14966X
My doc uses Labcorp. Do they have a suitable substitute test?
If not, is there any other way to measure or calculate BAT?
Thanks,
Rob
That is a good goal
BAT~575
I have refined this goal.
Step #1 SHBG(15-25)
At this point SHBG is more important than BAT.
Step #2 BAT~575
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When someone presently have
SHBG>25
goal for BAT~650
additional testosterone should put a pressure on SHBG and get it lowered
goal E2 slightly higher
definitely do not use
Danazol
or
Stanozolol (Winny)
-----------------------------------------------
When someone presently have
SHBG<15
goal for BAT~350
goal for E2 slightly lower
------------------------------------------------
Always, but specially when SHBG is out of good range it is important to have close control over
glucose/insulin
metabolism
digestion
adrenals
and
Thyroid
when everything is adjusted close to desirable
SHBG is sensitive to thyroid: TT3, FT3 & RT3
it should fall in right place (going up or down) when thyroid hormones are being manipulated.
============================================
============================================
When discussing BAT
one must strongly focus on the fact that it is BAT from this test at Quest Diagnostics.
Testosterone, Free, Bio/Total (LC/MS/MS) Code: 14966X
One also must be aware that there is more and more of imposters.
(deception under an assumed name or identity)
It is not enough to be a pain in the neck and making sure that doctor writes complete name on the script,
you have to make sure that you got what you should have got, read your test report.
Laboratories are switching.
Well, I know for sure that Quest Diagnostics switched on me and few others.
-----
Unfortunately, good thing we had with Quest Diagnostics hit a glitch.
Their testosterone tests discussed here is still very good, so are thier other tests.
Unfortunately when we run TRT we must monitor E2-Estradiol.
Quest dropped the ball with their E2 testing.
It is unacceptable.
Practically it returns random numbers.
My next testing I will do at LabCorp.
Their tests are just as good,
their estradiol test seems to work.
I am talking only about this tests:
Estradiol, sensitive 140244 (3-70)
What is left is our BAT.
When at LabCorp do not use thier BioAvailableTestosterone.
Look up imposters (above).
BAT can be approximated by testing at LabCorp (or anywhere else)
TotalT
SHBG
Albumin
and using dr Vermulen's chart to find out FreeT
this chart:
Invalid Link Removed
On that chart
BAT~575 corresponds to FreeT(300-350)
BAT~600 -------------->FreeT~400
BAT~350---------------.FreeT~200
====================================================
It would be ok to do all testing at Quest
and
do only Estradiol at LabCorp.
pain
.