Free Testosterone Levels High

Ironliftr3

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I finally convinced my primary care physician to check my Free Testosterone. She previously said it was unnecessary because my Total was in line.
This is on Androgel, 2 pumps per day. I fear she is going to want to reduce my dose (I was actually hoping to increase it)

What are the risks (if any) of Free Testosterone outside of the high end range?


198307
 
ValiantThor08

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I finally convinced my primary care physician to check my Free Testosterone. She previously said it was unnecessary because my Total was in line.
This is on Androgel, 2 pumps per day. I fear she is going to want to reduce my dose (I was actually hoping to increase it)

What are the risks (if any) of Free Testosterone outside of the high end range?


View attachment 198307
If your lipids are good. And you are not experiencing any negative side effects, and you feel good, fight to keep the levels you have.
 
thebigt

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If your lipids are good. And you are not experiencing any negative side effects, and you feel good, fight to keep the levels you have.
fat chance he said his doc is a she....op be prepared to be downsized!!!
 
ValiantThor08

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fat chance he said his doc is a she....op be prepared to be downsized!!!
I would say be prepared to shop for a new doc if that is the case. Or explain to the doctor why you feel giving women birth control is more dangerous than optimizing testosterone; she will love that, and buy you another tube of test gel.
 

kisaj

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No risk, you are actually very lucky and shouldn't touch a thing.
 

Rockslide

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It may mean you have low SHBG... this is generally good. Agree that if your lipids are in check and your estro isn’t low (AIs can lower shbg while decreasing estro and increasing free test) that you should be very happy with those levels.
 

Ironliftr3

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And as I expected, my GP wants to reduce my dosage by half based on the above results. I'm not sure this is a fight I will win (although I am trying).
 

Datsun280z

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Get a new doc. Not worth the time or effort. Never enter into an argument if the other person is not willing to change their mind (and my experience is a Dr never feels they need to learn from a patient)
 
ValiantThor08

ValiantThor08

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And as I expected, my GP wants to reduce my dosage by half based on the above results. I'm not sure this is a fight I will win (although I am trying).
Just let her know you've done your research. You feel good, and you are sorry, but will be looking for another doctor. She may say, okay, let's keep your dose, or say, here is the door.
 
xR1pp3Rx

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Just let her know you've done your research. You feel good, and you are sorry, but will be looking for another doctor. She may say, okay, let's keep your dose, or say, here is the door.
this. but use tact... tell her you will be seeking a second opinion from an endo.
 
ValiantThor08

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this. but use tact... tell her you will be seeking a second opinion from an endo.
I can have a problem with the whole "tact" thing. I don't hide how I feel very well xD
 

Ironliftr3

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I did tell her I wanted a second blood draw to validate those numbers as I've had them fluctuate in the past (which I have). She pulled the "Insurance won't pay for a retest so soon" card. I told her to bill me, I'll pay out of pocket.

I had blood drawn today.
 
HIT4ME

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Should have just gone to Ultalabs and had the free test done yourself ....could have always kept it a secret. Would have been around $50 and saved some headache.

Of course this advice isn't very helpful now....sorry.
 

BBiceps

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Yeah, look for a new Dr, preferably a male one that’s on TRT, your levels are good, don’t touch it. If you don’t want to switch Dr don’t apply your test for a few days before next blood test and your numbers should drop, like my Dr said when my free test was in the 400’s “wait longer before your draw blood next time so we can keep you on the same dose”.
 

JoePaul39

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Im surprised Androgel can actually knock your levels over the limits or even get it in upper normal. Still as long as estradiol isn’t too high dr. should not have a problem since it is only slightly above range.
 

Ironliftr3

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I was also surprised Angogel could knock me over the limits. I requested the free testosterone results because I expected them to be low.

I may have underdosed (one pump instead of two) prior to the blood draw on 10/16. Hopefully that will reduce it down enough to have an impact. Otherwise, as others have suggested, it's off to a previous (male endocrinologist) doctor who originally prescribed my TRT. Getting it from my GP has just been a lot more convenient (until now).
 

Ironliftr3

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So I missed one dose prior to my blood draw, and totally crashed my testosterone levels. I'm sure she will be ultra suspicious of these readings, and I'm probably back to square one.

At least I know the Androgel is actually working.

198968
 

JoePaul39

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So I missed one dose prior to my blood draw, and totally crashed my testosterone levels. I'm sure she will be ultra suspicious of these readings, and I'm probably back to square one.

At least I know the Androgel is actually working.

View attachment 198968
if they don’t do the blood draw onsite at your doctor’s office you can wait awhile before you go in to have the blood drawn. The doctors orders should be good for at least a month and if she asks why you didn’t go in right away say you were out of town.
 

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