Questions about Testosterone levels

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  1. Question Questions about Testosterone levels


    Hello all,

    I just had some bloodwork drawn, and my test levels are out of whack. I'm really not sure what is going on that could be causing this, as I've yet to get a full hormonal blood work up (hopefully Mon when I go see my doc), but it's really bothering me and I was hoping someone could shed some light on possible causes in the mean time.

    Here's a quick rundown of a background that may be pertinent. I'm 28 years old. 255lbs. The previous five years I was in very bad shape physically, and mentally. I was 350lb, smoked, binge drank, was on prescription narcotics for a back injury, and on depression and anxiety medications. Last Dec. I finally decided I needed to make changes in my life and did so. I lost 95lb, quit smoking, quit drinking, was able to get off all my medications, and starting lifting weights and working out again, which is what led me to this forum. I feel like a new man, except that I've been having some symptoms of low T for years now. I was told my psychiatrist had done tests on my T levels, as I had brought up low T as a possible cause of my depression, but they told me my T levels were normal...

    When I decided to get healthy and started losing weight, I tried to detox my body naturally, and only put things that are natural into it. I feel like I had great success with it. I had more energy, my libido went up (slightly), and I just felt healthy. The dietary changes and renewed energy encouraged me to start exercising, and doing research on how to properly eat and train. It also helped me to understand that muscle growth, and fat reduction is enhanced by testosterone. Since I learned that I have been trying different ways to boost my testosterone levels naturally, eg. zinc, boron, healthy fats, tribulus, DAA. I also came across some information on dhea, and it sounded like it could be beneficial, so I bought a bottle and took it for two months. 50mg, once daily. I was aware that it may have negative, or no effect on a younger man, but to my amazement when I took it I felt like superman. My energy went through the roof, my concentration was great, my libido was out of control, and I just felt great all around. Then towards the end of the two months, I just started to feel like complete crap. I had no energy, was rundown and tired all the time, and had no libido. I'm not sure what caused all of that, but I'm guessing possibly conversion into estrogen for my body to try and balance itself out. All the symptoms subsided within a week of stopping it, and I pretty much felt like myself again, but with noticeably lower libido than I have ever had.

    After about a month of just taking a multi, zinc, and boron supplement, I bought some tribulus (supposedly compounded with crysin), and noticed a slight increase in my libido while taking it. After taking it for about two weeks I bought some bulk DAA powder to stack it with, and it seemed like my test levels went up semi-noticeably. I noticed increased aggression, and a couple pimples on my shoulders. After taking the DAA for about two weeks however, I started feeling like I was retaining water, and losing muscle, and felt like my body might have been converting alot of test to estrogen. I stopped taking the daa after the two week mark, and the labs I had done were on the last day that I was taking the daa. Since I've been off it for about a week I don't really feel like I'm retaining as much water, but I still feel, weak, moody, and rundown. My strength has also taking a noticeable decrease on my lifts.

    My test levels were:
    Total: 242ng/dl
    Free: 39.2pg/ml

    Also, it might be worth noting that my liver enzymes came back elevated. I do take a cheap bulk creatine powder, and have heard that can cause elevated liver functions, but I can't be sure that is what caused them.

    ALT: 171
    AST: 58

    So my question is, can anyone shed some possible scenarios on why my test levels are that of a 90 yr old? I've been doing alot of research, and some possibilities I've come up with are that; 1.) Taking dhea either shutdown my normal test production, or caused adreanal fatigue? 2.)Since my bf was/is so high, that I'm converting most test to estro, lowering test levels?

    I'm not really sure what to think, I tried to call and get my medical records of the past blood tests testosterone levels that my psych said they checked, but the clerk said that they had no records of bloods with test levels, so I don't know if they actually checked them as I never asked to see the results for myself... I may have had low test levels for years now, and never known about it until now. As I said, I plan on telling my dr. monday that I want a full hormone panel drawn, and will go from there, but an insight would be appreciated. I also had a vasectomy this spring, which could be a possible cause, so I thought I'd throw that in as well. Thanks in advance for any input.


  2. I would be very specific, with your Dr,. and list all the tests that you want.
    E2, TT, FT, DHT, SHBG, LH, FSH, DHEAs, PROGESTERONE, PROLACTIN, TSH, FT3, FT4 to start with.

    Yes, vasectomys can cause TT problems, as can opiates, but, lets see the labs first.

    Congratulations on turning your life around, now getting a higher testosterone level should be the easy part.
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  3. Quote Originally Posted by Mr.TT View Post

    Congratulations on turning your life around, now getting a higher testosterone level should the easy part.
    Thank you, and I hope so! It seems like I've been having some hormone issues on and off for a few years now. I've had some thyroid functions tests come back suggesting hypo in the past, then further tests showed as normal. I've been under alot of stress the past few years, and I'm thinking it may have exhausted my adrenals. It's def possible, but I can't be sure until I get further testing. I just hope I can get my Doc on board with further testing and taking finding what is causing the low readings and treating them seriously.

  4. I was able to have some more detailed bloodwork done, although my doctor wouldn't order most of other tests I requested. Everything looks to be in normal ranges, except my total test, which is still way low for a guy my age, so I'm confused. I go to see an endo this coming week, but If anyone has any insight they could offer in the meantime I'd be very appreciative. My levels were as follows. Quick note, I had them tested in the afternoon because I couldn't get the lab work done in the morning. Around 3pm. The last test levels in the previous post were taken around noon. I know there's some fluctuation in T levels during the day, but I think I'd likely still be low for my age even if they were taking right as I woke up.

    Total Test: 274 ng/dl
    Free Test: 44.7 pg/ml
    DHEA: 380 ng/dl
    LH: 4 miu/ml
    FSH: 3 miu/ml
    Prolactin: 8 ng/ml

  5. Quote Originally Posted by Mr.TT View Post
    I would be very specific, with your Dr,. and list all the tests that you want.
    E2, TT, FT, DHT, SHBG, LH, FSH, DHEAs, PROGESTERONE, PROLACTIN, TSH, FT3, FT4 to start with.

    Yes, vasectomys can cause TT problems, as can opiates, but, lets see the labs first.

    Congratulations on turning your life around, now getting a higher testosterone level should be the easy part.
    +1.... congrats on making some changes.

    Mr. TT is right .... these labs are all important.

    The stuff you posted can tell you a lot, but not the full story.

    Your DHEA is decent, which indicates that you should be able to make testosterone. But, your total testosterone is really really low.

    Your BMI is 37.9: Do you still have lots of extra fat? In particular, do you have lots fat around your midsection? This is important because fat is the greatest source of aromatase in both males and females [1]; as you're aware, aromatase is what converts testosterone to estradiol (E2).

    It's also possible that you have low SHBG. Estrogen (estradiol/E2) lowers SHBG. This would raise your free testosterone (which is really really high) but also increase the likelihood that your testosterone gets converted to E2 or DHT.

    Thyroid function can also monkey with SHBG, not to mention fat loss, so you need to get that tested.

    Hypotheses:
    1) Extra fat is causing high aromatase activity -> high E2.
    2) Extra E2 is lowering SHBG -> increased free test and lower total test.

    Tests to run:
    -Sensitive Estradiol
    -TSH
    -Total T4 (this will indicate the total output of your thyroid; i.e., if it's working)
    -Free T4
    -Free T3







    [1] See Wikipedia: Adipose_tissue
    Difficulties strengthen the mind, as labor does the body.
    -Seneca
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  6. Note that in most states, you can get lab tests without a doctor's requisition now.

    Just google "labs without doctor order"
    Difficulties strengthen the mind, as labor does the body.
    -Seneca

  7. Quote Originally Posted by CaptnCaveman View Post
    Quick note, I had them tested in the afternoon because I couldn't get the lab work done in the morning. Around 3pm. The last test levels in the previous post were taken around noon.
    Timing could also have an effect. Testosterone levels will probably be higher in the morning. Ideally, you should get your labs done in the morning (before 9:30)....and in most cases, without taking supplements, etc.

    Quote Originally Posted by CaptnCaveman View Post
    DHEA: 380 ng/dl
    You're no longer taking DHEA, right? You stopped?
    Difficulties strengthen the mind, as labor does the body.
    -Seneca

  8. Quote Originally Posted by Ad Fortitudo View Post

    Your BMI is 37.9: Do you still have lots of extra fat? In particular, do you have lots fat around your midsection? This is important because fat is the greatest source of aromatase in both males and females [1]; as you're aware, aromatase is what converts testosterone to estradiol (E2).

    It's also possible that you have low SHBG. Estrogen (estradiol/E2) lowers SHBG. This would raise your free testosterone (which is really really high) but also increase the likelihood that your testosterone gets converted to E2 or DHT.

    Thyroid function can also monkey with SHBG, not to mention fat loss, so you need to get that tested.

    Hypotheses:
    1) Extra fat is causing high aromatase activity -> high E2.
    2) Extra E2 is lowering SHBG -> increased free test and lower total test.

    Thank you very much for your insight! I agree with your hypothesis 100%. I very much suspect high e2 may be to blame for most of my problems. I've asked my Dr. twice when he wrote the scripts for bloodwork to check my estradol levels, as I do have alot of body fat and seem to have plateaued in my weightloss and hanging onto excess fat despite being at aprox 500-1k calorie deficit. He told me it wasn't relevant the first time, and that if my endo wanted that test done they could order it the second time I asked him. I plan on finding a new pcp. I go to see an endo next week, so I'll wait and see if they will order further testing that includes e2, and shbg. If not, I'll just order the labs myself online so I can have a more detailed idea on what is happening. I bought some Erase a few weeks ago, to experiment with and see if it caused me to lose weight as well as relieve some symptoms of what I felt was an estro spike when I took DAA for two weeks, but have held off on using it since I got my blood results back, as I wanted to stop anything that would effect my hormones so I could get accurate test results.

    I have had problems in the past with my thyroid tests suggesting I might be hypo, but follow up tests would come back as normal. I did try to increase my thyroid function over the summer by increasing my iodine intake via kelp pills, but I stopped taking those months ago because they seemed to cause anxiousness (guess that means they were working). Both my mother, and her mother have thyroid problems, so I assume trouble is very likely in my genes, but will test to see where I stand now. Also, you mentioned that free T was high? The lab results I have from quest say that the average range is 35.0-155.0 pg/ml. Is mine still considered high for my age/total T levels?

    I did find some interesting information last night on a condition called hypogonadal-obesity cycle. It really sounds like what may have happened with me being so fat in the past and still having large amounts of body fat which I'm having trouble losing despite diet and exercise. If my E2 comes back as high, would a prescription strength SERM or AI correct this problem and allow my test levels to return to normal?

    ncbi.nlm.nih.gov/pubmed/10342671

  9. Quote Originally Posted by Ad Fortitudo View Post

    You're no longer taking DHEA, right? You stopped?
    Right, I have stopped. I took it for about two months over the summer. 50mg a day. I know typically a man my age shouldn't see any noticeable results, and it effects people differently, but when I took it, I felt GREAT! I had the most energy and was the happiest I have been since I was a child. I mean unreal energy and felt on top of the world. Also extreme libido, and erections all day long. Slept great, felt rested. Up until around the end of the two months when I just lost all my energy and felt sick and tired and extremely sad and couldn't sleep at night. Which from what I have read seems like it may have had something to do with e2 increasing tremendously to try and balance my body out. Short-term though, I felt amazing. I was thinking it could have been because if my T levels were low then, it may have increased them to normal levels?

  10. Quote Originally Posted by CaptnCaveman View Post
    Also, you mentioned that free T was high? The lab results I have from quest say that the average range is 35.0-155.0 pg/ml. Is mine still considered high for my age/total T levels?
    I spoke too soon....

    I definitely should have asked for a reference range.

    Quest is probably using a different methodology than my lab for free test, because your reference range is way different (mine is 8.7-25.1 pg/mL).

    CORRECTION: Your free testosterone is a little on the low side.

    That said, you might still be aromatizing a lot of your testosterone.
    Difficulties strengthen the mind, as labor does the body.
    -Seneca

  11. Some questions:

    What's your diet like?
    - Ratio of fat/protein/cabs?
    - Do you eat lots of junk food?

    What supplements do you take?

    What is your vitamin D level? Has that been tested?
    Difficulties strengthen the mind, as labor does the body.
    -Seneca

  12. If you decide to order your own blood tests, here is my favorite WEB site, privatemdlabs.com.
    Search the WEB for the 15% off code, or ask someone here.
    My favorite tests are

    Hormone Panel for Females $59.99
    or
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    As for CORTISOL tests... I use ZRT Labs saliva cortisol test, that tests 4 spit samples taken over a day.
    Order the ZRT test from .canaryclub.org for the best price.

  13. Quote Originally Posted by Ad Fortitudo View Post
    Some questions:

    What's your diet like?
    - Ratio of fat/protein/cabs?
    - Do you eat lots of junk food?

    What supplements do you take?

    What is your vitamin D level? Has that been tested?


    My diet is pretty good. I don't measure or calorie count religiously, but I do keep an estimated total most days, unless I eat out. I usually eat around 2k-2.5k calories a day. Aprox 150-200g protein, 20g fat (very little of that is saturated, maybe 2-3g.), and I've been trying to adjust my carbs lately to see what my body needs to have energy and still lose weight, so it's been around 50-125g lately, it seems like 100g is around where I need to be. Still learning though. As for junk food, I try to avoid it at all costs nowadays. (recovering junkie ) I try to eat organic whenever possible. My protein comes from lean chicken, free-range eggs, and wild caught fish. No red meat currently. Just started buying whey protein isolate to supplement my intake so I don't have to cook as much meat. I don't eat processed foods unless the ingredients are mostly natural, I try not to eat any processed sugars, or artificial sweeteners, or msg, or gluten when possible. Use only sea salt.

    Right now I'm taking a "Raw One" whole food multi, 2g vitamin C, b complex, zinc 50mg, fish oil, white willow bark and 5mg melatonin before bed. I was told by my Dr. about a year ago my vitamin D levels were low, and did supplement with 5,000 iu up to about a month or two ago. My multi has vitamin D in it, 800iu, so I figured that'd be enough to keep me from being deficient.

  14. You may be getting more like 1200-1500 calories a day, or maybe even less if you have lower carb days without raising fats and protein. I think you should definitely add about 30g more healthy fats to your daily intake. Fats are important for hormones

  15. Yes, there are some days I probably only get about 1.5k calories in. I haven't started to count calories to stringently yet, and don't want to put myself on a strict dieting plan, because I probably wouldn't stay committed to it. I've really just learned to make health conscience choices about food in the past year, after years of eating sh*t. Right now, I eat when I'm hungry, and don't when I'm not. My body fat seems to be slooooowly disappearing, despite what seems like a recent plateau.

    I'll eat between 3-5 times a day. I also drink a gallon of distilled water everyday. I just started supplementing whey protein shakes into my diet, so I usually have 2-3 of them a day, depending on if it's a workout day, plus my meals. I eat the same foods 90% of the week. Lean chicken, fish, eggs, grapes, bananas, mushrooms, rice, organic granola cereal, and broccoli. (Not mixed together lol) If I do eat less healthy once a week it is if my wife and I go out to chinese, which I just eat chicken and fish (usually covered in unhealthy sauces or oils) and veggies, and sushi, or at home I'll have ocassional organic sweet potato and corn tortilla chips with freshly made salsa. That's only once a week, or less. I plan on making some adjustments after I get my test levels into normal ranges for my age, but for right now I try to keep my calories lower and stay around atleast a 1k deficit from my BMR. I know that healthy fats and cholesterol are essential for the production of hormones, but I don't think I'm at such a deficit that it'd be effecting my hormones negatively. However, if I'm wrong for thinking this, please let me know. I just don't want to be taking in excess calories right now with so much weight to lose still.

  16. Quote Originally Posted by tenntarheel View Post
    You may be getting more like 1200-1500 calories a day, or maybe even less if you have lower carb days without raising fats and protein. I think you should definitely add about 30g more healthy fats to your daily intake. Fats are important for hormones
    +1

    The leanest I've ever been (about 9% body fat, after years of difficulty loosing that last 10 lbs.) was on a very high fat diet. I was eating about 50% fat, 30% protein, and 20% carbs.

    Most of the fat came from grass-fed beef, olive oil, and coconut oil (note that coconut oil is almost all saturated fat).

    My hypothesis on that was basically the same as what Tenntarheel suggested: that the additional fat increased steroid hormone production.

    YMMV, but it might be something to experiment with.
    Difficulties strengthen the mind, as labor does the body.
    -Seneca

  17. Quote Originally Posted by CaptnCaveman View Post
    Right now I'm taking a "Raw One" whole food multi, 2g vitamin C, b complex, zinc 50mg, fish oil, white willow bark and 5mg melatonin before bed. I was told by my Dr. about a year ago my vitamin D levels were low, and did supplement with 5,000 iu up to about a month or two ago. My multi has vitamin D in it, 800iu, so I figured that'd be enough to keep me from being deficient.
    Supplementation looks good compared to what most people do for increased testosterone. You might consider adding some BCAAs as some have suggested that it can increase testosterone (jury is still sort of out though).

    Definitely get your vitamin D levels re-tested. It's one of those things that's cheap to test, easy to fix, and can have a positive effect on a variety of health issues and biomarkers.

    Most recent research suggests that levels of 50-60 ng/mL is healthy.

    It also has been shown to be related to testosterone levels (this is from the Vitamin D council; I can't post the link yet because I don't have enough posts):

    The study led by Katharina Nimptsch at Havard School of Publich Health and colleagues shows that men whose vitamin D levels in their blood were in the highest quintile have 8 percent higher levels of total testosterone, compared to those whose vitamin D levels were in the lowest quintile.
    The testosterone/vitamin-d link has also been found elsewhere. [1]

    [1] Wehr, E., Pilz, S., Boehm, B. O., & März, W. (2009). Association of vitamin D status with serum androgen levels in men. Clinical Endocrinology.
    Difficulties strengthen the mind, as labor does the body.
    -Seneca

  18. Thank you for your knowledgeable insight, Ad Fortitudo. And thank you everyone else. It is very appreciated!

    I didn't factor in the fat I get from cooking oils into my calorie estimate , so that does increase my fat intake by probably atleast 15 grams a day.

    I've been doing some research and came across some pubmed articles that may explain what might be going on with me. I still have to get E2 bloods drawn to be sure, but based on the info and history I provided it should allow you folks to draw a possible conclusion. I'd really love to here some people's thoughts on this. It goes on the assumption that my e2 is way to high because of excess bodyfat, and aromatizing most of my T.

    Basically, with my history of being obese, along with binge drinking and opiate abuse, my liver took ALOT of abuse. I had my gallbladder out in '02, and the dr said it had tons of gallstones in it. My liver enzymes were occasionly raised before I lost 95lbs, and they were raised pretty high a few weeks ago (the numbers are in my first post). I believe it's likely I have fatty liver. I've done a bit of research on it, and it looks like if it's not caused by alcohol abuse, it should be reversible once I lose enough weight. I did binge drink. I would only drink two or three times a month, but I'd consume mass amounts when I did. I don't know what kind of damage I've caused to my liver, or if there's any cirrhosis present. The articles I found on pubmed talked about damage to the liver via alcohol, (and probably fatty liver as well) cause the liver to not be able to metabolize estrogens leading to a drastic increase in them.

    So my questions for anyone who may be able to answer are these; 1.)Assuming I have no cirrhosis damage to my liver, would losing weight and exogenous test replacement as well as an AI or SERM be likely to reverse this cycle of my body converting T to E?

    2.)Assuming I have fatty liver, and/or liver damage, would supplementing exogenous Test such as Test C or E, or Androgel be a possibilty for me, or will they negatively effect my liver functions even though they are not oral formulations?

    I'm sorry I don't have estro levels yet, and this is all presumptuous, (although likely) but I just want to get my T levels up without having to go to a million dr appts before they put me on trt. I'm having numerous negative effects from my T being low, the biggest being the mental, and now it seems like all the depression, anxiety, and metal fog I've had for years are likely because of this. I just want to get treatment, and hopefully get fixed and get my life back to normal. Thanks for any input.

    ncbi.nlm.nih.gov/pubmed/10342671

    ncbi.nlm.nih.gov/pubmed/10796890

    ncbi.nlm.nih.gov/pubmed/2389244

  19. I truly can't remember where I read it, but there were some studies that used Anavar(Oxandrolone) to help repair liver values and the such. Again, I'll have to try to find the article, but I have heard on numerous occasions that Anavar is actually beneficial to your liver. It may have been disproven by now, but I'm gonna look into it.

  20. Quote Originally Posted by tenntarheel View Post
    I truly can't remember where I read it, but there were some studies that used Anavar(Oxandrolone) to help repair liver values and the such. Again, I'll have to try to find the article, but I have heard on numerous occasions that Anavar is actually beneficial to your liver. It may have been disproven by now, but I'm gonna look into it.
    Cool, I appreciate it. I'll await your response.

  21. I think test levels can be tricky. You really have to monitor them closely to see what's going on inside your body to get an accurate read on them. I know for me, I noticed when I was stacking some test with winstrol it actually boosted my test level pretty high but then when I got off of it I had problems later... You really have to be careful with the type of test you use and make sure its from a trusted source. I know I was getting mine from a doctor so I was covered but you don't want to get your stuff from the black market and get screwed in the end. Make sure it is doctor approved stuff before you put it into your body. I think that's the key really. Also, make sure that you don't take too much of it at once. Too much can have you RAGING......Trust me I've been there man, its not a good think at all. Be careful and follow a good program and oyour test levels should be sky high bro! Good luck to you

  22. Quote Originally Posted by CaptnCaveman View Post
    ncbi.nlm.nih.gov/pubmed/10342671

    ncbi.nlm.nih.gov/pubmed/10796890

    ncbi.nlm.nih.gov/pubmed/2389244
    Very cool finds.

    I can't be sure, but it wouldn't surprise me at all if the booze was a major contributing factor.

    Additionally, I don't have references on this right now, but I've read before that beer is worse than hard liquor. The hops is supposed to be xenoestrogenic. Might be a good idea to switch to liquor or wine if you're going to indulge every now and again.
    Difficulties strengthen the mind, as labor does the body.
    -Seneca

  23. Quote Originally Posted by MuscleGauge1
    I think test levels can be tricky. You really have to monitor them closely to see what's going on inside your body to get an accurate read on them. I know for me, I noticed when I was stacking some test with winstrol it actually boosted my test level pretty high but then when I got off of it I had problems later... You really have to be careful with the type of test you use and make sure its from a trusted source. I know I was getting mine from a doctor so I was covered but you don't want to get your stuff from the black market and get screwed in the end. Make sure it is doctor approved stuff before you put it into your body. I think that's the key really. Also, make sure that you don't take too much of it at once. Too much can have you RAGING......Trust me I've been there man, its not a good think at all. Be careful and follow a good program and oyour test levels should be sky high bro! Good luck to you
    I don't think he was talking about using black market gear at all. Was it a surprise that your test levels were high while using Test and Winstrol?? I hope not. He's not simply looking to cycle. I think he wants his normal ranges back so he feels good and healthy again. Last thing, Roid Rage is a myth. It only amplifies personality traits that are already there.

  24. Quote Originally Posted by tenntarheel View Post
    I don't think he was talking about using black market gear at all. Was it a surprise that your test levels were high while using Test and Winstrol?? I hope not. He's not simply looking to cycle. I think he wants his normal ranges back so he feels good and healthy again. Last thing, Roid Rage is a myth. It only amplifies personality traits that are already there.
  25. Unbreakable
    David Dunn's Avatar

    Quote Originally Posted by Mr.TT View Post
    Yes, vasectomys can cause TT problems,.
    References please?!
    Life is a terminal condition.

    She thinks that happiness is a mat that sits on her doorway.
  26. Knowing my luck,


    ww.vasectomy-information.com/moreinfo/fahey.htm
    ww.gynecomastia.org/smf/index.php?topic=1680.0
    ww.scribd.com/doc/40403680/37/Vasectomy-and-the-Andropause

    And a number of POSTers on this site have stated that it happened to them, everyone could be wrong.

    But, it is something to consider, before you snip. It is trama, to the boys.

  27. So I saw an endocrinologist last week and they ordered some more extensive tests which I had done and got the results of most of them back. The Dr. indicated she suspected a HPA problem, but wasn't convinced my T levels were low because they were drawn in the afternoon. I'm waiting on results of a 24hr urine cortisol test, as well as TSH, and free T4 levels which I will post when I get them. I'm confused as to what is attributing to the low T levels because most of the other tests (E2, SHBG)seem to be within normal ranges. If anyone can see something jumping out at them please let me know. I know the cause is likely secondary, I'm just not sure what to look for. I will be following up with the endo after the other test results come back, but in the mean time I'd like to get some thoughts. Matrix, I'd love to here your take on this. I know you can't be sure without a detailed history and test results, but any insight is appreciated. Thanks guys.

    Labs drawn at 7am

    Total Test: 307 (250-1100ng/dl)
    Free Test: 53.2 (46.0-224.0pg/ml)
    Bioavailable Test: 109.4 (110.0-575.0ng/dl)
    SHBG: 22 (10-50nmol-L)
    Albumin: 4.5 (3.6-5.1g/dl)
    Estradiol: 34 (11-44pg/ml)
    LH: 4 (1-12miu/ml)
    FSH: 3 (1-12miu/ml)
    Prolactin: 8 (3-19ng/ml)

    Also will include some other tests for referencing:

    Fasting insulin: 2 (<17)
    Fasting Glucose baseline: 82 (70-99)
    Fasting Glucose 1hr: 138 (<200)
    Fasting glucose 2hr: 92 (<140)

    I've been having some elevated liver enzymes which my Dr and I don't know the cause of yet. Could there be any correlation between liver problems (probably caused by fatty liver) and low testo levels, or are they likely unrelated? I can't find any info that directly connects the two, but I'm no expert. Any help is very much appreciated.

  28. Bump for some responses.

  29. So I got a call tonight from the CRNP at the endocrinology office that did the testing telling me my t levels are within normal range and provided the results of my cortisol and thyroid levels come back normal, they won't treat me with any trt, and most likely will do nothing other than moniter my levels via bloodwork periodically. I tried to explain to her that my levels are half of what a mans my age should be, but she told me that since my levels were 'normal' range, the insurance company wouldn't even pay for treatment... Is this bull****? I feel like that was just a cop out saying insurance wouldn't cover treatment, and the doctor just didn't feel like it was necessary. Has anyone had experience with insurance not covering treatment due to blood levels? Does my 307 total test even warrant treatment? I one hundred percent feel that it would make a huge difference. When I took dhea over the summer, I felt amazing! And it metabolizes into test in the body, so I'm sure trt would get me feeling like myself again. Please, advice, comments?

  30. I may have missed something, but what kind of body fat levels are you currently at? I know you said you had a history of obesity and poor life style, and since you mention fatty liver it sounds like you are very recently down in weight or are still working on it. I have seen some stuff about a correlation between liver problems and low test, but nothing about causation.
    Also what about current diet? Is it balanced or is it hypo caloric in an effort to lose more weight?
    I guess what i an getting at is if your life style may still not be at a state where you have fully recovered from your past. I do agree that your levels are lower than they could be, but if you can get them back without trt, our at least get to where you feel better without it you would be doing good. I know you may feel desperate and i understand that having home for several years of not feeling right and having levels at the bottom of the range....but i also have a different health history...
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