Updated lab tests & Dr. recomendation

[Lockk]

I had posted the following in another thread to which marianco replied but at that time they had overlooked the Testosterone tests I had requested so here is an update with Test levels.

White male, 6'4" 220lb 47 years old in what I would call top physical shape, I feel normal in all respects no depression no real stress, job is fine, etc, etc.

I have noticed over the last year or two my sex drive falling off, in particular after my last cycle of Test and Deca. I did a normal PCT with Nolva, and all seemed fine but a real lack of drive. I see almost no testicular shrinkage on cycle and I don't use steroid's excessively.

I headed to the doctor for my yearly physical I specifically asked for Test levels and told him of low libido.

Lipid Panel = All in range (no low normals)
CHOL = 140
HDL = 64
LDL = 69
etc, etc

Comp Metabolic Panel W/EGFR
All in range (No low normals)

CBC (Includes DIFF/PLT)
All in range (No low normals)

LH = 1.8 Range 1.5-9.3 mIU/mL
Prolactin = 3.7 Range 2.0-18.0 ng/mL
TSH W/REFLEX TO FT4 = 1.07 Range 0.40-5.50 mIU/L

Total Testosterone = 201 Range 240 - 827

At his point Dr. wants me to go on Androgel and test again in 4 weeks. While it's good that he is willing to consider TRT, he failed to request several other tests I asked for such as free Test, Estrodil and T3.

I think he may be jumping to a diagnosis of primary hypogonadism before ruling out the possibility of secondary, I am open to other opinions but I think I may need to get to a different doctor.

[pmgamer18]

Originally Posted by Lockk

I had posted the following in another thread to which marianco replied but at that time they had overlooked the Testosterone tests I had requested so here is an update with Test levels.

White male, 6'4" 220lb 47 years old in what I would call top physical shape, I feel normal in all respects no depression no real stress, job is fine, etc, etc.

I have noticed over the last year or two my sex drive falling off, in particular after my last cycle of Test and Deca. I did a normal PCT with Nolva, and all seemed fine but a real lack of drive. I see almost no testicular shrinkage on cycle and I don't use steroid's excessively.

I headed to the doctor for my yearly physical I specifically asked for Test levels and told him of low libido.

Lipid Panel = All in range (no low normals)
CHOL = 140
HDL = 64
LDL = 69
etc, etc

Comp Metabolic Panel W/EGFR
All in range (No low normals)

CBC (Includes DIFF/PLT)
All in range (No low normals)

LH = 1.8 Range 1.5-9.3 mIU/mL
Prolactin = 3.7 Range 2.0-18.0 ng/mL
TSH W/REFLEX TO FT4 = 1.07 Range 0.40-5.50 mIU/L

Total Testosterone = 201 Range 240 - 827

At his point Dr. wants me to go on Androgel and test again in 4 weeks. While it's good that he is willing to consider TRT, he failed to request several other tests I asked for such as free Test, Estrodil and T3.

I think he may be jumping to a diagnosis of primary hypogonadism before ruling out the possibility of secondary, I am open to other opinions but I think I may need to get to a different doctor.

I feel your right if your Estradiol is high with your LH this low it could well be your Estradiol is very high. What can happen is the cells are full of Estradiol the brain sees this as Testosterone and stops sending the LH and FSH messages to your Testis to make more T. Your Dr. is thinking your Secondary and you will could be but without testing how knows. If your Estradiol is high and your go on Arimidex to bring it down your brain will then see your low on T and send the LH and FSH messages to make more T.
http://www.medibolics.com/ArimidexBo...stosterone.htm
http://jcem.endojournals.org/cgi/content/full/89/3/1174
Lets hope this is the problem doing do TRT until everything possable is checked.

[kincaiddave]

You need further testing first just like you mentioned. If you start the gel and then realize that the testing should have been done, you will have to go off of TRT for weeks for your levels to stabilize for the testing to find your baseline.

If you go on the gel, don't wait the four weeks until you have the follow up testing. The literature with the gel says two weeks.

You could be like me and not absorb the gel well. I started 5g and went from 319 baseline total T to 161. Naturally I felt worse. They changed me to 10g and it only brought me up to 331.