How do my T/SHBG/E2/GH/IGF labs compare to 'ideal' levels? [update]

[livelonger]

Here are my latest results (just got free & total T, etc):

[Please tell me what you think of these numbers, and what an 'ideal' number for each test might be. I'm 44, not on any HRT yet. - Thanks.]

Testosterone, Total: 144 (ref: 250-1100) ng/dL
Testosterone, Free: 37.6 (ref: 46.0-224.0) pg/L
Testosterone, Bioavailable: 77.4 (ref: 110.0-575.0) ng/L
SHBG: 10 (ref: 9-45) nmol/L

Estradiol < 32 (ref: 0-54) pg/mL
Estradiol S [Enahanced MA] 18 (ref: 10-40) pg/mL

HGH < 0.10 (ref: 0.0-10.0) ng/mL
IGF-1 8.4 (ref: 13-73) ng/mL

LH 3.0 (ref: 1.5-9.3) mIU/mL
FSH 4.3 (ref: 1.6-8.0) mIU/mL
Prolactin 4.6 ng/mL (ref: 2-10)
ACTH (a.m.) 10 (ref: 7-50) pg/mL
TSH (ultrasensitive) 1.90 (ref: 0.40 - 4.50 mIU/L)
Cortisol 8.4 (ref:4-22) mcg/dL
PSA, Total 0.7 (ref: 0-4) ng/mL


All of the above results were from a recent single blood draw appt. while fasting at 9:30 am.

I know they're somewhat pulsatile but it seems to me the HGH and IGF-1 lab results suggest a problem.

I'm not sure exactly what to make of the T, SHBG, and Estradiol results. Esp. the SHBG.

I am in excellent health - except for some depression, zero sex drive, and complete impotence. I think all of these are 100% directly related to the low T (and TSH and Cortisol) levels.

Summary of my thinking: T-shots, Armour (+ Lugols?), and Cortef to start off with? Shoud I consider adding hcg or hgh as well?

Thanks for any feedback!

[JanSz]

Here are my latest results (just got free & total T, etc):

[Please tell me what you think of these numbers, and what an 'ideal' number for each test might be. I'm 44, not on any HRT yet. - Thanks.]

Testosterone, Total: 144 (ref: 250-1100) ng/dL
Testosterone, Free: 37.6 (ref: 46.0-224.0) pg/L
Testosterone, Bioavailable: 77.4 (ref: 110.0-575.0) ng/L
SHBG: 10 (ref: 9-45) nmol/L

Estradiol < 32 (ref: 0-54) pg/mL
Estradiol S [Enahanced MA] 18 (ref: 10-40) pg/mL

HGH < 0.10 (ref: 0.0-10.0) ng/mL
IGF-1 8.4 (ref: 13-73) ng/mL

LH 3.0 (ref: 1.5-9.3) mIU/mL
FSH 4.3 (ref: 1.6-8.0) mIU/mL
Prolactin 4.6 ng/mL (ref: 2-10)
ACTH (a.m.) 10 (ref: 7-50) pg/mL
TSH (ultrasensitive) 1.90 (ref: 0.40 - 4.50 mIU/L)
Cortisol 8.4 (ref:4-22) mcg/dL
PSA, Total 0.7 (ref: 0-4) ng/mL


All of the above results were from a recent single blood draw appt. while fasting at 9:30 am.

I know they're somewhat pulsatile but it seems to me the HGH and IGF-1 lab results suggest a problem.

I'm not sure exactly what to make of the T, SHBG, and Estradiol results. Esp. the SHBG.

I am in excellent health - except for some depression, zero sex drive, and complete impotence. I think all of these are 100% directly related to the low T (and TSH and Cortisol) levels.

Summary of my thinking: T-shots, Armour (+ Lugols?), and Cortef to start off with? Shoud I consider adding hcg or hgh as well?

Thanks for any feedback!

You biggest problem is very low SHBG.
That may be due to all kind of problems that need to be found and addressed

Due to low SHBG you will have a problems supplementing with testosterone that is also very low.


I suggest good research into your health before you go hog wild on supplements and medications.

Lets go hog wild on research:

Jan's BloodTest April13/2007

my post #44

Quest Diagnostics:
blood test list, change lipid panel to VAP, I will have to edit that post.

Genova Diagnostics

you may go easy and do;
GDX ONE - Optimal Nutrition Evaluation

or more details
GDX ONE - Optimal Nutrition Evaluation
The ONE - Optimal Nutrition Evaluation - consists of:
Metabolic Analysis
Amino Acid Analysis
Oxidative Stress Analysis

Essential & Metabolic fatty acid Analysis,
EstroEssence
Comprehensive Digestive Stool Analysis (CDSA)
Comprehensive Detoxification Profile.
Hair Elemental Analysis
============================== ====
In either case you will end up with detailed report
and more important
suggestions for corrective actions
name of supplements and dose
============================== ====
or
you may wrap all this reports and ship it to
customvite.com

with their long questionaire
and they will ship you back personalized supplements.

you eat them for 6-9 months
and do those tests again
rinse/repeat

I am in process of going thru this project (I am 67)
I am posting my story on above thread and also here:
JanSz-Metabolic Analysis and Cellular Energy
-----------------------------------------------------------------------------------------------
Unless you do not worry about money,
proper ICD-9 codes is a key to grease the skids for insurance company.
This is mostly for blood test (my whole list cost me out of pocket $6 and change)
Genova is training doctors in ICD-9 coding, I am hoping that my tests there will also be in that price range, when speaking of out of pocket money.

[hardasnails1973]

You biggest problem is very low SHBG.
That may be due to all kind of problems that need to be found and addressed

Due to low SHBG you will have a problems supplementing with testosterone that is also very low.


I suggest good research into your health before you go hog wild on supplements and medications.

Lets go hog wild on research:

Jan's BloodTest April13/2007

my post #44

Quest Diagnostics:
blood test list, change lipid panel to VAP, I will have to edit that post.

Genova Diagnostics

you may go easy and do;
GDX ONE - Optimal Nutrition Evaluation

or more details
GDX ONE - Optimal Nutrition Evaluation
The ONE - Optimal Nutrition Evaluation - consists of:
Metabolic Analysis
Amino Acid Analysis
Oxidative Stress Analysis

Essential & Metabolic fatty acid Analysis,
EstroEssence
Comprehensive Digestive Stool Analysis (CDSA)
Comprehensive Detoxification Profile.
Hair Elemental Analysis
============================== ====
In either case you will end up with detailed report
and more important
suggestions for corrective actions
name of supplements and dose
============================== ====
or
you may wrap all this reports and ship it to
customvite.com

with their long questionaire
and they will ship you back personalized supplements.

you eat them for 6-9 months
and do those tests again
rinse/repeat

I am in process of going thru this project (I am 67)
I am posting my story on above thread and also here:
JanSz-Metabolic Analysis and Cellular Energy
-----------------------------------------------------------------------------------------------
Unless you do not worry about money,
proper ICD-9 codes is a key to grease the skids for insurance company.
This is mostly for blood test (my whole list cost me out of pocket $6 and change)
Genova is training doctors in ICD-9 coding, I am hoping that my tests there will also be in that price range, when speaking of out of pocket money.

No brainer insulin resistance and metabolic syndrome
hyperimnsulinemia - check glucose tolerance test 3 hours and examine life style changes and dietary imbalnaces will probably help rectify the problem

[livelonger]

You biggest problem is very low SHBG....

Due to low SHBG you will have a problems supplementing with testosterone that is also very low.

What should the SHBG be in the neighborhood of? Shoud I be taking a combo of AI's?

What are some examples of 'ideal ranges' for some of the other tests I posted?

Thanks. I have an appt. with the endo next month.

[JanSz]

What should the SHBG be in the neighborhood of? Shoud I be taking a combo of AI's?

What are some examples of 'ideal ranges' for some of the other tests I posted?

Thanks. I have an appt. with the endo next month.

Good SHBG is in the neigborhood of 20-25

There is a thread, here on this board, that people with low SHBG discuss their problems.
I am lately sold on the test I described to you in previous post.
I am guessing that you could benefit also from those tests and remedial action that comes on the end of the test.

If you are not in a hurry, wait 6-9 months and you will learn from my experience, I will be posting my story.