Just got labs back. Opinions/advice wanted.

[Neal Wayne]

48 year old male. Pretty good shape. 6' 190 lbs.

Have the typical Low T symptoms, low drive, lack of interest, some brain fog. I will be working with Defy Medical as soon as I get them a copy of my most recent physical exam results.

Hemoglobin 17
Hematocrit 48.8
Testosterone Total 582 ng/dL
Testosterone Free 12.7 pg/mL
DHEA S 148.9
TSH 1.170
LH 5.2
PSA 1.0
IGF-1 173
Estradiol Sensitive 18.7
SHBG 35.9
Total Cholesterol 177

 

[Vince]

Your numbers don't look too bad. Did you also have a thyroid panel, TSH, free T4, free T3, reverse T3 and both antibodies. The symptoms of hypothyroidism is similar to low testosterone.

Your posts your labs, you should also post your ranges.

 

[Neal Wayne]

Thx! I will scan the document and post when I am back in the office.

 

[Sean Mosher]

Nothing too out of the ordinary.
Your symptoms are definitely linked to that low FreeT.
Would be nice to have seen more thyroid numbers just to be able to rule that out or include in in treatment.

 

[Neal Wayne]

 

[Neal Wayne]

Nothing too out of the ordinary.
Your symptoms are definitely linked to that low FreeT.
Would be nice to have seen more thyroid numbers just to be able to rule that out or include in in treatment.

which thyroid panel do I need to have done?

I have a two hour drive to the nearest Lab Corp location so I will try to time that around my business travel schedule.

 

[Sean Mosher]

Same things Vince listed out above (full thyroid panel):

TSH, free T4, free T3, reverse T3 and both antibodies.

 

[Cataceous]

Calculated free T is about 11.5 ng/dL, which usually isn't low enough to cause symptoms. Calculated free estradiol is about 0.4 pg/mL. This is towards the lower end of the normal range, but I haven't seen enough of these numbers to have an idea of whether or not it's a problem.

 

[Neal Wayne]

I’m going to get the Thyroid panels done next week. Just to be sure to cover all the bases. If they return normal, I am anxious to see what the course of action is that the doc will take. I looked at my total test numbers from a year ago at my GP, it was 380. Since then I started supplementing with zinc, magnesium, and vitamin D. Wondering if that is what caused the level to jump up 200 points.??

 

[Neal Wayne]

Your numbers don't look too bad. Did you also have a thyroid panel, TSH, free T4, free T3, reverse T3 and both antibodies. The symptoms of hypothyroidism is similar to low testosterone.

Your posts your labs, you should also post your ranges.

Got my Thyroid Lab results today. Going to get this data to the guys at Defy and see what they say. Feel free to comment.

Free T4 1.26 (Range .93-1.70 ng/dL)
Free T3 3.67 (Range 2.50-4.30 pg/mL)
Triiodothyronine, Reverse 16.7 (Range 9.0-27.0 ng/dL)
Antibody Screen, Reflex to Negative
TSH 1.43 (Range .27-4.20 mU/L)

 

[Vince]

Got my Thyroid Lab results today. Going to get this data to the guys at Defy and see what they say. Feel free to comment.

Free T4 1.26 (Range .93-1.70 ng/dL)
Free T3 3.67 (Range 2.50-4.30 pg/mL)
Triiodothyronine, Reverse 16.7 (Range 9.0-27.0 ng/dL)
Antibody Screen, Reflex to Negative
TSH 1.43 (Range .27-4.20 mU/L)

Your thyroid Labs don't look too bad. I can't see them treating it with your numbers.

 

[Neal Wayne]

Your thyroid Labs don't look too bad. I can't see them treating it with your numbers.

Me neither.

Not sure what to do at this point other than to try and continue to be healthier in general and see what happens.

 

[MarcoFL]

check your RT3 in a year to make sure it does not go higher otherwise I would not treat now.

 

[los407]

Testosterone Free 12.7 pg/mL
Shouldn't the normal range be measured in ng/dL?

 

[Cataceous]

Testosterone Free 12.7 pg/mL
Shouldn't the normal range be measured in ng/dL?

Yes, but some of the direct tests have different ranges and cannot be compared with anything else. This particular LabCorp test is notoriously unreliable. Over many results it may correlate pretty well with the actual levels, but no individual reading should be trusted that much. That's why it's better to either use calculated free T—from total and SHBG—or else use a more expensive test, such as one based on equilibrium dialysis.

 

[Neal Wayne]

So I guess I will try a couple of supplements that I haven’t used before to see if I can boost T levels a bit and/or lower SHGB.

Tongkat Ali and Stinging Nettle root are two that seem to have a large following.

Would not rule out trying Clomid or something similar.

Any advice on these supplements or other measures that I can take are greatly appreciated.

 

[Systemlord]

So I guess I will try a couple of supplements that I haven’t used before to see if I can boost T levels a bit and/or lower SHGB.

Tongkat Ali and Stinging Nettle root are two that seem to have a large following.

Would not rule out trying Clomid or something similar.

Any advice on these supplements or other measures that I can take are greatly appreciated.

There are no supplements that boost testosterone, I can't remember a single case where Tongkat Ali and Stinging Nettle root made it to where someone didn't still need TRT.

Clomid will increase SHBG lowering Free T even more.

 

[fifty]

Nettle and fenugreek extracts made me feel better but didn’t actually boost T on labs.