Confused on total T, free T, etc...

[DuncanWA]

My latest results showed:

Total T --- 494ng/dl (250-1100ng/dl)
T % free ---3.13% (H) (1.5-2.2%)
T free ------154pg/ml (35-155pg/ml)

At this point, is raising my total T worthless even though its on the lower side since my free Ts are at or above the top levels?

Free T is the real holy grail in this isn't it?

Seeing my doc tomorrow and will seek ways to recuce E2 (41pg/ml scale of 13-54pg/ml) and DHT (96ng/dl scale of 25-75ng/dl) but probably won't mess with T levels....

 

[JanSz]

My latest results showed:

Total T --- 494ng/dl (250-1100ng/dl)
T % free ---3.13% (H) (1.5-2.2%)
T free ------154pg/ml (35-155pg/ml)

At this point, is raising my total T worthless even though its on the lower side since my free Ts are at or above the top levels?

Free T is the real holy grail in this isn't it?

Seeing my doc tomorrow and will seek ways to recuce E2 (41pg/ml scale of 13-54pg/ml) and DHT (96ng/dl scale of 25-75ng/dl) but probably won't mess with T levels....

Do not spend money testing freeT
Assayed Freet is worthless;
LETTER TO THE EDITOR: An Extraordinarily Inaccurate Assay for Free Testosterone Is Still with Us -- Rosner 86 (6): 2903 -- Journal of Clinical Endocrinology & Metabolism

LETTER TO THE EDITOR: An Extraordinarily Inaccurate Assay for Free Testosterone Is Still with Us
============================================

494 is low no matter how you look at it.

Get blood tested at Quest, blood drawn at Quest.
do this test:

Testosterone, Free, Bio/Total (LC/MS/MS)
Quest Diagnostics: Test Menu


Your goal is BAT~575
BAT bioAvailable Testosterone
if on T supplementation.

You are low now, no sense testing if you are going to use shots.
If you have SHBG I can calculate for you approximate initial dose, so you will be real close on your next testing for dose tweaking.

T shots will increase your e2
To controll it use liquid Anastrozole or Liquidex.
Start with 1mL/week=1mg Arimidex pill/week

Do not go over, about 1.5/week, use on day of the shot;
so with a goal of, say, 1mL/week 1/7*2=0.285=28.5 units on insuline syringe with cut out needle



When on supplemental T use HCG 380iu/shot
I prefer E2D schedule
that is T & hcg on alternate days.

To control E2 use
Estradiol, Free, LC/MS/MS (36169X)
Quest Diagnostics: Test Menu

goal
FreeE2 (0.45 - 0.6)