Just got my testosterone blood test results in the mail.

[classyplastic]

Total Testosterone: 289 (flagged as low). Free Testosterone 18.3

I have an appointment in 3 weeks at urologist to discuss the results. What can i expect?

 

[kenpoengineer]

Research and prepare for the visit. On TRT for 2 years and I'm still tweaking my protocol. The hormone system is way more than just total and free testosterone. Stay the course, get proper bloodwork and check out Excelmale and PeakTestosterone dot com websites. Here is the chart so you can see where testosterone falls:

 

[classyplastic]

kenpoengineer thank you. I've heard most places won't send you home with teatosterone to do the shots yourself. It's one thing to pick up a prescription an take it home but will they make you pay for each weekly doctor visit PLUS the cost of the medicine? Insurance runs out at some point...

 

[kisaj]

This is in part why some people go to clinics. You are correct that most specialists are not going to send you home with a vial of test, but this is something that can be negotiated with the doctor and typically they end up allowing this to occur with a healthy track record of legitimate follow up labs. There is a trust factor that gets established as it is way too easy to abuse.

When you visit the specialist, keeping in mind that an endo is really the correct route but a urologist is good, you want full hormone labs done with a CBC/lipids. For hormone, you need:
dhea-s
estradiol (if possible, they generally won't do this at a urologist)
PSA
pregnenolone
total and free testosterone, you already got this, but a second check is always good while they are at the other tests
SHBG
thyroid- TSH, free T3, free T4
cortisol

Also, be open to discussion for options. I would elect to seek ways to naturally raise test levels to address symptoms, possibly clomid, and lastly exogenous test whether it be patches, gels, creams, or injection.

 

[classyplastic]

Also, be open to discussion for options. I would elect to seek ways to naturally raise test levels to address symptoms, possibly clomid, and lastly exogenous test whether it be patches, gels, creams, or injection.

The initial symptom i went in with was lack of sex drive, and general case of the blahs, which has been going on for months. He sent me home with a 30 day trial of Cialis, i've been on 5mg a day for 10 days and it's done nothing but turn me red for a couple days. My next appointment was scheduled to be at the end of that 30 day trial, and when i tell him that the pills did nothing, and now that the bloods confirm low test, we'll be moving on to the next option. Don't know if this changes anyone here's opinions but i thought it might help to clear up exactly whats going on..

 

[classyplastic]

Yeah you can also invest into natty-T-boosters, also be prepared as some Docs may not believe in ''mail-in'' testosterone testing. So prepare for questions and queries.

I didn't use mail in. The blood tests were ordered by the urologist that I'm seeing.

 

[The Matrix]

With out provided details information in regards to your history jumping on testosterone may help some symptoms and may mask others. "Why is your testosterone levels low? "is the first question I would ask in this case. Too many people are trigger happy looking for the short term satisfaction and not long term gradification. Age also has a factor. If over 35 then it's a different story. Many times I see TRT as a justification to continue the problem causing the issue in the first place.

 

[classyplastic]

Age also has a factor. If over 35 then it's a different story.

I'll be 35 in 8 months

 

[classyplastic]

Oh I see, your title confused things a bit. Since you said ''in-mail''.

Ah yeah, the lab sent one to the doctor and one to me

 

[Danus]

When you go back in to talk about TRT. Ask for Reandron1000 or i think it's called Nebido in the states.
Only need to pin it once every 3 months, extremely convenient compared to visiting a clinic every week for an injection.
Personally went through a rollercoaster of peaks and troughs trial and error working out a suitable Testosterone dosage and frequency.
Switched to Reandron and everything was stable from the get go.

 

[classyplastic]

When you go back in to talk about TRT. Ask for Reandron1000 or i think it's called Nebido in the states.
Only need to pin it once every 3 months, extremely convenient compared to visiting a clinic every week for an injection.
Personally went through a rollercoaster of peaks and troughs trial and error working out a suitable Testosterone dosage and frequency.
Switched to Reandron and everything was stable from the get go.

thanks for that. will this save money as well or does it cost more since its less frequent?

 

[Danus]

Can't say, not sure how your cover works in the states (i'm from aus). It's like $40 a shot for me. So $160 a year.

 

[classyplastic]

Can't say, not sure how your cover works in the states (i'm from aus). It's like $40 a shot for me. So $160 a year.

ok that doesn't sound bad at all.

 

[kisaj]

It won't be prescribed currently based on my experience. Talking to several friends that are hormone docs, there currently are too many sides associated at this point. Sounds promising though.

 

[Mr.TT]

OP, I scanned back at your previous posts, and it looks like you tried Pro Hormones.
If I read your posts correctly, you also got down to 135lbs while taking them.
Knowing your current LH, DHEAs, E2, SHBG, DHT, FSH, D3, T3, FT3, TT3, TSH would be useful.
I think you are a candidate for a HPTA RESTART.
I would test Clomid and/or hCG first to narrow down if you are Primary or Secondary Hypogonal.
TRT is your last resort.

 

[classyplastic]

OP, I scanned back at your previous posts, and it looks like you tried Pro Hormones.
If I read your posts correctly, you also got down to 135lbs while taking them.
Knowing your current LH, DHEAs, E2, SHBG, DHT, FSH, D3, T3, FT3, TT3, TSH would be useful.
I think you are a candidate for a HPTA RESTART.
I would test Clomid and/or hCG first to narrow down if you are Primary or Secondary Hypogonal.
TRT is your last resort.

You read that i lost 100lbs when i was 18 (im 34 now) from 235 to 135. That was with ephedra pills, the topic of that post. I never used prohormones til 2 years ago. You could be right, though. I've only used nolva for pct because i always heard clomid has more sides. Is it possible the nolva may not have restarted me but clomid would?

 

[rtmilburn]

You read that i lost 100lbs when i was 18 (im 34 now) from 235 to 135. That was with ephedra pills, the topic of that post. I never used prohormones til 2 years ago. You could be right, though. I've only used nolva for pct because i always heard clomid has more sides. Is it possible the nolva may not have restarted me but clomid would?

Yes that is possible, unlikely but possible. Clomid is much better suited ofr restart then nolva but nolva still is realy good.

 

[BlockBuilder]

Did you do a SERM PCT with your previous cycles like people suggested? If not this is why you have low test

 

[Mr.TT]

For all human beings, a period of starvation (calorie and nutrient deprivation) can cause permanent inheritable changes in DNA gene expression.
Your DNA does not change, but external markers (methyl groups for example) attach to specific genes to down grade their effectiveness. And these
changes can be seen in the next generation. Evolution selected those people who reduced their fertility during famine. We are the result.

There is a small isolated town in Scandinavia that has complete excellent birth and death records going back many hundreds of years, and since
science could plot accurate family trees for almost everyone there, we have inherited DNA trails for them. This data showed the influence that food deprivation (enviromental factors) had on fertility and future generations inherited DNA fertility rates. (men and women) The remarkable findings were that these changes in gene expression were transmitted to the next generation, proving that it is not just the DNA (ATCG).

 

[classyplastic]

For all human beings, a period of starvation (calorie and nutrient deprivation) can cause permanent inheritable changes in DNA gene expression.
Your DNA does not change, but external markers (methyl groups for example) attach to specific genes to down grade their effectiveness. And these
changes can be seen in the next generation. Evolution selected those people who reduced their fertility during famine. We are the result.

There is a small isolated town in Scandinavia that has complete excellent birth and death records going back many hundreds of years, and since
science could plot accurate family trees for almost everyone there, we have inherited DNA trails for them. This data showed the influence that food deprivation (enviromental factors) had on fertility and future generations inherited DNA fertility rates. (men and women) The remarkable findings were that these changes in gene expression were transmitted to the next generation, proving that it is not just the DNA (ATCG).

yeah thanks ill be sure to let the doctor know..