Most recent blood test 12/19

[Rhino 2.0]

This is my most recent blood test. These are my natural levels as I have not taken anything for over 9 months. I feel ok but I still get low t symptoms sometimes like low energy and low motivation. How do these levels look?

Total Testosterone: 577 ( 264- 916)
Free Testosterone: 105 ( 33- 227)
Percent free: 1.83 ( 1.60-2.90%)
Bioavailable Testosterone: 247 (131- 682)
SHBG: 42.8 ( 16.5 - 55.9)
LH: 9.6 ( 1.7- 8.6)
e2: 24 ( 11-43)
DHEA: 248 ( 160- 449)

 

[Systemlord]

How do these levels look?

Total Testosterone: 577 ( 264- 916)
Free Testosterone: 105 ( 33- 227)
Percent free: 1.83 ( 1.60-2.90%)
Bioavailable Testosterone: 247 (131- 682)
SHBG: 42.8 ( 16.5 - 55.9)
LH: 9.6 ( 1.7- 8.6)

Ignoring all blood testing except for the LH and Free T, which has a story to tell. The LH is elevated because your pituitary detects low Free T and is yelling at the testes to make more testosterone and that’s not happening, so it remains elevated.

This Free T level is low for you and it has little to do with your SHBG. There’s no medical science that shows SHBG levels influence testosterone production.

 

[madman]

This is my most recent blood test. These are my natural levels as I have not taken anything for over 9 months. I feel ok but I still get low t symptoms sometimes like low energy and low motivation. How do these levels look?

Total Testosterone: 577 ( 264- 916)
Free Testosterone: 105 ( 33- 227)
Percent free: 1.83 ( 1.60-2.90%)
Bioavailable Testosterone: 247 (131- 682)
SHBG: 42.8 ( 16.5 - 55.9)
LH: 9.6 ( 1.7- 8.6)
e2: 24 ( 11-43)
DHEA: 248 ( 160- 449)

Again!

5 years in and you are still asking?

You have been given tons of feedback from numerous members over the years.

Still not even using an accurate assay to test your FT?

Unreal!

Recent Labs- 2/4/2022

Total Testosterone - 454 ng/dl ( 200-800 ng/dl) Free Testosterone- 62 pg/ml ( 46-224 pg/ml) SHBG- 64.9 nmoles/L ( 13 nmoles/L- 89nmoles/L) Would these numbers qualify for TRT?

www.excelmale.com

 

[madman]

This is my most recent blood test. These are my natural levels as I have not taken anything for over 9 months. I feel ok but I still get low t symptoms sometimes like low energy and low motivation. How do these levels look?

Total Testosterone: 577 ( 264- 916)
Free Testosterone: 105 ( 33- 227)
Percent free: 1.83 ( 1.60-2.90%)
Bioavailable Testosterone: 247 (131- 682)
SHBG: 42.8 ( 16.5 - 55.9)
LH: 9.6 ( 1.7- 8.6)
e2: 24 ( 11-43)
DHEA: 248 ( 160- 449)

Here is the s**t kicker!

You were already on TRT and treated by one of the most reputable clinics.

5 years on the forum and still doing reruns.

 

[sammmy]

The high LH is strange - your pituitary thinks your testicles are not producing enough T. On the other hand your T and free T look normal. Are you taking any drug like clomiphene or enclomiphene, or any supplements?

This has to be retested in the morning 8-9am in a fasted and drug/supplement free condition, using Ultrafiltration of Equilibrium Dialysis test for FT.

 

[Rhino 2.0]

Ignoring all blood testing except for the LH and Free T, which has a story to tell. The LH is elevated because your pituitary detects low Free T and is yelling at the testes to make more testosterone and that’s not happening, so it remains elevated.

This Free T level is low for you and it has little to do with your SHBG. There’s no medical science that shows SHBG levels influence testosterone production.

So you are saying I might be primary?

 

[Rhino 2.0]

The high LH is strange - your pituitary thinks your testicles are not producing enough T. On the other hand your T and free T look normal. Are you taking any drug like clomiphene or enclomiphene, or any supplements?

This has to be retested in the morning 8-9am in a fasted and drug/supplement free condition, using Ultrafiltration of Equilibrium Dialysis test for FT.

Nope not taking anything, completely natural.

 

[Systemlord]

So you are saying I might be primary?

I have heard a urologist at Holland Hospital who educates other doctors on male reproductive matters says that most secondary hypogonadism are actually mixed or combined primary and secondary hypogonadism.

A practical guide to male hypogonadism in the primary care setting - PMC

There is a high prevalence of hypogonadism in the older adult male population and the proportion of older men in the population is projected to rise in the future. As hypogonadism increases with age and is significantly associated with various ...

www.ncbi.nlm.nih.gov

Multiple forms of hypogonadism of central, peripheral or combined origin in males with Prader-Willi syndrome - PubMed

PWS patients display heterogeneity of hypogonadism: (i) hypogonadotropic hypogonadism of central origin for LH and/or FSH; (ii) early primary testicular dysfunction (Sertoli cells damage); and (iii) a combined hypogonadism (testicular origin for FSH-inhibin B axis and central origin for LH-T axis).

pubmed.ncbi.nlm.nih.gov

 

[Systemlord]

I wouldn’t get too caught up in the details, if you feel better on TRT, then go on TRT and stay on.

 

[Rhino 2.0]

Ignoring all blood testing except for the LH and Free T, which has a story to tell. The LH is elevated because your pituitary detects low Free T and is yelling at the testes to make more testosterone and that’s not happening, so it remains elevated.

This Free T level is low for you and it has little to do with your SHBG. There’s no medical science that shows SHBG levels influence testosterone production.

What is causing my body to have lower free testosterone then if it’s not my SHBG? And it looks like my free T is right in the middle of the range. Where would my TT need to be at then to feel benefits of free T?

 

[Systemlord]

What is causing my body to have lower free testosterone then if it’s not my SHBG?

I wouldn’t get too caught up in the details, if you feel better on TRT, then go on TRT and stay on.

^^^^