Guest guest Posted October 26, 2005 Report Share Posted October 26, 2005 On Wed, 26 Oct 2005 00:00:48 -0000, you wrote: >Was referred to endo after my gp tested T level and found it to be >low. Endo did more bloodwork, and a physical exam, told me I am not >hypogonadic. His suggestion was to lose weight and reduce stress, >saw no physical symptoms of hypogonadism, thought things would >improve if I took better care of myself. > >Here are my test results...... > >Total T 197 (400-1080) >SHBG 8 (13-71) >Albumin 5 (3.5-5) >Bioavailable T 161.5 (130.5-681.7) >% Free T 2.7 (1.6-2.9) >FSH 2.6 (1-42.5) >LH 2.0 (1.7-11.2) >Prolactin 7.5 (4.4-16.4) >Ferritin 324.3 (22-340) >Estradiol <20 (4-75) > >I don't have hot flashes, no mood swings, don't feel like I need a >nap at midday, no joint pain, no sign of breast growth, no change in >body hair, etc. > >I don't mean to argue with the doc, but that total T level is very >low, SHBG is low too.........ideas? The total T says your hypogonadic. I wonder what the hell his problem is. This is not even a close call. Look in the file section for the age T level table - you should have levels around 600. Also look up the AACE guidelines in the file section. they will explain it to you. You should be able to bring that to the doc for his education. - - - - Just another albino black sheep Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2005 Report Share Posted October 26, 2005 That total T level is below the reference range. I am surprised you can get out of bed in the morning and go to work. When I was a few points above the bottom of the reference range, my life was hell. ED was the least of my worries. I almost slapped the doctor when he wanted to send me on my way with Viagra. Your FSH and LH levels do not look good either. In a low T situation, they are supposed to be elevated. I have low LH and FSH too. Some endos make it a point not to treat you if your LH and FSH are low. That sometimes indicates past steroid abuse. Even if you did, it is not their job to pass judgement. It should be their concern that all of your levels are so low. I hope you can get a second opinion. This endo is making all of the wrong decisions. > > Ok, I'm 38, only real physical symptom is occasional ED. I did have > weight gain and fatigue, started exercising and eating better, have > much better energy and have dropped 25 pounds. > > Was referred to endo after my gp tested T level and found it to be > low. Endo did more bloodwork, and a physical exam, told me I am not > hypogonadic. His suggestion was to lose weight and reduce stress, > saw no physical symptoms of hypogonadism, thought things would > improve if I took better care of myself. > > Here are my test results...... > > Total T 197 (400-1080) > SHBG 8 (13-71) > Albumin 5 (3.5-5) > Bioavailable T 161.5 (130.5-681.7) > % Free T 2.7 (1.6-2.9) > FSH 2.6 (1-42.5) > LH 2.0 (1.7-11.2) > Prolactin 7.5 (4.4-16.4) > Ferritin 324.3 (22-340) > Estradiol <20 (4-75) > > I don't have hot flashes, no mood swings, don't feel like I need a > nap at midday, no joint pain, no sign of breast growth, no change in > body hair, etc. > > I don't mean to argue with the doc, but that total T level is very > low, SHBG is low too.........ideas? > > Thanks. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2005 Report Share Posted October 26, 2005 I have had high ferritin levels in the past and your iron levels are high. I would recommend you see a hematologist , one who recognizes that your iron is too high. It can damage or interfere with your body's efforts to make testosterone. When i was first hit by the low T thing it happened all at once after having a real good sex life and good health. My T plummeted from the 800s to 200 in 4 weeks. Upon further testing my Ferritin came back in the high 300's. With blood letting my ferritin was reduced to 19 ( not a typo) after about a year improvement came and lasting many years i has satisfactory T until recently. I think my high iron did cause testicular and pitutary damage IMHO. I hate when doctors blindly follow the so called " normal " range when they recieve blood tests back from the lab. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2005 Report Share Posted October 26, 2005 > > I have had high ferritin levels in the past and your iron levels are > high. I would recommend you see a hematologist , one who recognizes > that your iron is too high. It can damage or interfere with your > body's efforts to make testosterone. When i was first hit by the low T > thing it happened all at once after having a real good sex life and > good health. My T plummeted from the 800s to 200 in 4 weeks. Upon > further testing my Ferritin came back in the high 300's. With blood > letting my ferritin was reduced to 19 ( not a typo) after about a > year improvement came and lasting many years i has satisfactory T > until recently. I think my high iron did cause testicular and pitutary > damage IMHO. > > I hate when doctors blindly follow the so called " normal " range when > they recieve blood tests back from the lab. > After reading a lot here, and also reading Dr Shippen's book, I suspect secondary hypogonadism, also noticed the ferritin level was elevated and do wonder about that. Two things, first, my insurance company has refused to pay for any of this so far because my doctor said I am not hypogonadic. When that happened, I did not have the MRI I thought I probably should have, so it could be a pituitary tumor. In Shippen's book, he mentions treating men who have secondary with CG, it sounded very promising, has anyone here done that? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2005 Report Share Posted October 26, 2005 My endo, who I no longer see, told me that my low T and high E was due to being overweight and that the excess body fat made estrogen. Took me off of Androgel and sent me spiraling back into depression, etc. This is the same endo who undertreated my thyroid supplementation after the gland was removed. I think the thyroid problems were the root cause of the hypogonadism... Help with test results Ok, I'm 38, only real physical symptom is occasional ED. I did have weight gain and fatigue, started exercising and eating better, have much better energy and have dropped 25 pounds. Was referred to endo after my gp tested T level and found it to be low. Endo did more bloodwork, and a physical exam, told me I am not hypogonadic. His suggestion was to lose weight and reduce stress, saw no physical symptoms of hypogonadism, thought things would improve if I took better care of myself. Here are my test results...... Total T 197 (400-1080) SHBG 8 (13-71) Albumin 5 (3.5-5) Bioavailable T 161.5 (130.5-681.7) % Free T 2.7 (1.6-2.9) FSH 2.6 (1-42.5) LH 2.0 (1.7-11.2) Prolactin 7.5 (4.4-16.4) Ferritin 324.3 (22-340) Estradiol <20 (4-75) I don't have hot flashes, no mood swings, don't feel like I need a nap at midday, no joint pain, no sign of breast growth, no change in body hair, etc. I don't mean to argue with the doc, but that total T level is very low, SHBG is low too.........ideas? Thanks. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2005 Report Share Posted October 26, 2005 On Wed, 26 Oct 2005 08:28:14 -0700, you wrote: >My endo, who I no longer see, told me that my low T and high E was due >to being overweight and that the excess body fat made estrogen. This is true for some. But Jack's E2 levels are low in addition to his low T. >Took me >off of Androgel and sent me spiraling back into depression, etc. - - - - Just another albino black sheep Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2005 Report Share Posted October 26, 2005 > > All > > Anyone on this site meet Dr ? Anyone find it curious how he's the ONLY one that has any thoughts/info on this? I would think with his 'knowledge' and 'success' he would be widely known throughout medicine and not just with folks that are suffering the drugs he prescribes to others (finasteride for one). > > It's possible that finasteride isn't what is causing your problems. I can take 5mgs/day without ill effect. Brad Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2005 Report Share Posted October 26, 2005 my T jumped 200 pts after one month of quitting propecia. brad999us <no_reply > wrote: > > All > > Anyone on this site meet Dr ? Anyone find it curious how he's the ONLY one that has any thoughts/info on this? I would think with his 'knowledge' and 'success' he would be widely known throughout medicine and not just with folks that are suffering the drugs he prescribes to others (finasteride for one). > > It's possible that finasteride isn't what is causing your problems. I can take 5mgs/day without ill effect. Brad Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2005 Report Share Posted October 26, 2005 or maybe we have excess body fat because we have low T and high E....the chicken or the egg theory. retrogrouch@... wrote:On Wed, 26 Oct 2005 08:28:14 -0700, you wrote: >My endo, who I no longer see, told me that my low T and high E was due >to being overweight and that the excess body fat made estrogen. This is true for some. But Jack's E2 levels are low in addition to his low T. >Took me >off of Androgel and sent me spiraling back into depression, etc. - - - - Just another albino black sheep Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2005 Report Share Posted October 26, 2005 > > And why are the hopes and advice coming from him? What's his claim > to fame to be the 'knowledgable' one other than than his agreement > about Low T. To be " known " in medicine generally means you are well-published in medical journals. I don't think he'd describe himself as THE knowledgeable ONE. > Who here has been successful from what 'Dr ' says. My treatment is similar to what he advocates but I arrived at it on my own and I don't especially care for Androgel. > Sounds like his theories are all common sense in a vague way... Common sense is surprisingly uncommon in TRT. One could say the same about Shippen. > and he's a supporter of TRT > Also uncommon. A negative bias seems to be the prevailing view. Brad Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2005 Report Share Posted October 26, 2005 Your Endo is full of shit. Your T is so low you don't even have any SHBG, that's why your Free T is okay. You want some good advice, start calling Endos or doctors in your are and tell them this: I've been diagnosed with Low T. I'd like to be treated with the following regimen: 100 mg Testosterone Deconate Weekly 500 units hCG 3x Weekly If my tests confirm my diagnosis (and they do) will you treat me using this regimen? Just keep calling until you find one who will. If you're in CT or nearby, try Dr. Hulinsky Regards, Louis Nardozi >> aliveagain67 <aliveagain67@...> wrote: >> Ok, I'm 38, only real physical symptom is occasional ED. I did have >> weight gain and fatigue, started exercising and eating better, have >> much better energy and have dropped 25 pounds. >> >> Was referred to endo after my gp tested T level and found it to be >> low. Endo did more bloodwork, and a physical exam, told me I am not >> hypogonadic. His suggestion was to lose weight and reduce stress, >> saw no physical symptoms of hypogonadism, thought things would >> improve if I took better care of myself. >> >> Here are my test results...... >> >> Total T 197 (400-1080) >> SHBG 8 (13-71) >> Albumin 5 (3.5-5) >> Bioavailable T 161.5 (130.5-681.7) >> % Free T 2.7 (1.6-2.9) >> FSH 2.6 (1-42.5) >> LH 2.0 (1.7-11.2) >> Prolactin 7.5 (4.4-16.4) >> Ferritin 324.3 (22-340) >> Estradiol <20 (4-75) >> >> I don't have hot flashes, no mood swings, don't feel like I need a >> nap at midday, no joint pain, no sign of breast growth, no change in >> body hair, etc. >> >> I don't mean to argue with the doc, but that total T level is very >> low, SHBG is low too.........ideas? >> >> Thanks. -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.361 / Virus Database: 267.12.5/149 - Release Date: 10/25/2005 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 27, 2005 Report Share Posted October 27, 2005 Thanks Louis. I've got to get back to my gp, figure out why my insurance company won't pay for this stuff, and go from there. TRT doesn't scare me in the least, the long term damage from not doing it scares the hell out of me. My guess is, secondary hypogonadism, I believe I should have a pituitary MRI, then begin treatment.......I'm stuck if insurance won't cover this though, I could never afford it. -Todd > >> Ok, I'm 38, only real physical symptom is occasional ED. I did have > >> weight gain and fatigue, started exercising and eating better, have > >> much better energy and have dropped 25 pounds. > >> > >> Was referred to endo after my gp tested T level and found it to be > >> low. Endo did more bloodwork, and a physical exam, told me I am not > >> hypogonadic. His suggestion was to lose weight and reduce stress, > >> saw no physical symptoms of hypogonadism, thought things would > >> improve if I took better care of myself. > >> > >> Here are my test results...... > >> > >> Total T 197 (400-1080) > >> SHBG 8 (13-71) > >> Albumin 5 (3.5-5) > >> Bioavailable T 161.5 (130.5-681.7) > >> % Free T 2.7 (1.6-2.9) > >> FSH 2.6 (1-42.5) > >> LH 2.0 (1.7-11.2) > >> Prolactin 7.5 (4.4-16.4) > >> Ferritin 324.3 (22-340) > >> Estradiol <20 (4-75) > >> > >> I don't have hot flashes, no mood swings, don't feel like I need a > >> nap at midday, no joint pain, no sign of breast growth, no change in > >> body hair, etc. > >> > >> I don't mean to argue with the doc, but that total T level is very > >> low, SHBG is low too.........ideas? > >> > >> Thanks. > > > -- > No virus found in this outgoing message. > Checked by AVG Free Edition. > Version: 7.1.361 / Virus Database: 267.12.5/149 - Release Date: 10/25/2005 > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 27, 2005 Report Share Posted October 27, 2005 > > >> Ok, I'm 38, only real physical symptom is occasional ED. I did > have > > >> weight gain and fatigue, started exercising and eating better, > have > > >> much better energy and have dropped 25 pounds. > > >> > > >> Was referred to endo after my gp tested T level and found it to > be > > >> low. Endo did more bloodwork, and a physical exam, told me I > am not > > >> hypogonadic. His suggestion was to lose weight and reduce > stress, > > >> saw no physical symptoms of hypogonadism, thought things would > > >> improve if I took better care of myself. > > >> > > >> Here are my test results...... > > >> > > >> Total T 197 (400-1080) > > >> SHBG 8 (13-71) > > >> Albumin 5 (3.5-5) > > >> Bioavailable T 161.5 (130.5-681.7) > > >> % Free T 2.7 (1.6-2.9) > > >> FSH 2.6 (1-42.5) > > >> LH 2.0 (1.7-11.2) > > >> Prolactin 7.5 (4.4-16.4) > > >> Ferritin 324.3 (22-340) > > >> Estradiol <20 (4-75) > > >> > > >> I don't have hot flashes, no mood swings, don't feel like I > need a > > >> nap at midday, no joint pain, no sign of breast growth, no > change in > > >> body hair, etc. > > >> > > >> I don't mean to argue with the doc, but that total T level is > very > > >> low, SHBG is low too.........ideas? > > >> > > >> Thanks. > > > > > > -- > > No virus found in this outgoing message. > > Checked by AVG Free Edition. > > Version: 7.1.361 / Virus Database: 267.12.5/149 - Release Date: > 10/25/2005 > > > I was diagnosed with hypogonadism recently, and it took about 3 years before my hmo would let me see an endo. I " m 55 and I think American corporate health care sucks. Anyway, my tests were these and I hope it helps. Testosterone 211(ref range 350-890) IGF-1 60, (ref. range 90-360) Igfprotein-3 (ref 3.3-6.6) LH 1.8 (ref. 1.5>9.3) prolactin 4.9 (ref. 3-30) Free T4 1.1 (ref. 0.8-1.8)After a year of therapy, gel (androgel) my SHBG tested 15 (ref. 13-71) and free testosterone 2.6 (ref. 1.6-2.9). My endo says he wants to test me for Iron overload, seems to be a problem getting authorized from the hmo. The other side of pituitary has quit as well so my growth hormones, ATCH are in the gutter too. Good luck in this crappy system Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 27, 2005 Report Share Posted October 27, 2005 > > > > Thanks Louis. I've got to get back to my gp, figure out why my > > insurance company won't pay for this stuff, and go from there. > TRT > > doesn't scare me in the least, the long term damage from not doing > > it scares the hell out of me. > > > > My guess is, secondary hypogonadism, I believe I should have a > > pituitary MRI, then begin treatment.......I'm stuck if insurance > > won't cover this though, I could never afford it. > > > > -Todd > > Call the insurance company and ask why they are denying the claim. I think it may be your doctors doing. Since he doesn't think you are hypo in the first place, he may not be using the diagnostic code for hypogonadism. They should be paying for the diagnostic tests. The insurance company can tell you why assuming you get to talk to a human being. You could also look at your EOB for any indication. Brad Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 28, 2008 Report Share Posted June 28, 2008 Hi, On recent test results we seem to have a recurring pattern of high eosinophils (10.9%) and low uric acid. Has anybody had similar test results that could shed some light on this? From googling, seems that raised eosinophils may indicate an infection or parasite? Getting some answers on low uric acid results and autism is a bit more tricky. Tia, Elaine Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 7, 2009 Report Share Posted December 7, 2009 Jennie: We shouldn't ignore the most obvious problem.... at 6' 3 " and 350 lbs, Alijah is in the category of " extremely obese " . He would have to get down to 240 lbs, to be merely " overweight " . You didn't mention his age, but I am thinking he must be under 30 years old, because he is not diabetic yet. ( He is pre-diabetic and that is a serious warning sign. ) He needs exercise. If all he can do is walk, that would be a good start. Once around the block if that is all he can do. Fortunately at his weight, he can burn a considerable amount of calories just carrying himself around. The important thing is to slowly become stronger and gradually lose weight. Of course the forumla for weight loss is quite simple.... he just has to burn more calories than he consumes. Whatever you do, don't let him become immobile. If that happens he will be in a downward spiral that is nearly impossible to recover from. Whatever is done with medication or hormones, he will need to avail himself of the same health advice we all need to heed: Diet and Exercise. Adipose tissue ( fat cells ) are rich in an enzyme called aromatase. This enzyme can convert testosterone to estradiol, the most potent form of estrogen. At this point if they start shooting him up with Testosterone, it will mostly end up converting to estradiol. There is an excellent graphic in the files section labeled " Steroid Tree " that shows how various hormones and their precursors convert. Note that although testosterone can convert to estradiol, the reverse is not true. Estradiol can convert back and forth with estrone. At this point I would imagine Alijah has a lot of estrone sulfate in his system. This acts as a reservior of estrogen. It's very hard to eliminate. I wish I could tell you that there is a magic hormone or drug that would restore him to health and vigor. There may be some medical help that would help somewhat, but it won't fix everything without the aforementioned diet and exercise. ( By the way at 210 lbs and 5' 8 " I am still considered obese. ) I've been working very hard to get below 200 lbs, but it's just not happening. Randy Hoops Springfield, MO > > Hello, > > I was directed here from the Natural Thyroid Hormone NTH list. My fiancee, Alijah has been feeling ill recently. His current symptoms are increased sleep apnea, lower back pain that is eased by sleeping on an incline, no energy, brain fog, depression, and lost libido. Alijah is 28. He is 6'3 " and weighs 350lbs. He is on NO medication of any kind. > > Free Testosterone 5.7 (9.3-26.5 pg/mL) LOW > > Glucose 108 (65-99 mg/dL) HIGH > Sodium 141 (135-145 mmol/L) > Potassium 4.1 (3.5-5.2 mmol/L) > Iron, Serum 84 (40-155 ug/dL) > > Cholesterol, Total 221 (100-199 mg/dL) HIGH > Triglycerides 114 (0-149 mg/dL) > HDL Chol 52 (>39 mg/dL) > LDL Chol 146 (0-99 mg/dL) HIGH > T. Chol/HDL 4.3 (0-5) > > TSH 2.49 (.45-4.5 uIU/mL) > T4 8.5 (4.5-1.2 ug/dL) > FT4 1.18 (.82-1.77 ng/dL) > FT3 3.7 (2-4.4 pg/mL) > > WBC 2.8 (4-10.5 x10e3/uL) > RBC 7.0 (4.1-5.6 x10e3/uL) > Hemoglobin 13.4 (12.5-17 g/dL) > Hematocrit 39.3 (36-50%) > Platelets 2.8 (140-415 x10e3/uL) LOW > > Any comments on the testosterone would be greatly appreciated. Also, what else do we need to test? > > Thank so much, > Jennie > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 7, 2009 Report Share Posted December 7, 2009 Word Up! If the weather is bad, get to the mall and walk there. If you can't walk a long distance, walk from bench to bench until you can go farther. Whatever you can do this week, try to do a little more next week. Alijah is virtually guaranteed to be diabetic in 3-5 years and to have a heart attack within the next 7 if he doesn't turn things around. He's got some time to do this. Losing as little as 1 lb a month will help a lot. Even converting fat to muscle and keeping the same weight if better than nothing. > Walking will keep you going. > Co-Moderator > > I joined Weight Watches yrs ago it kept me for gaining and I lost weight and could eat. > Phil Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 7, 2009 Report Share Posted December 7, 2009 Jennie, I am far from an expert on blood tests but does your doctor seem concerned with the WBC, RBC and platelets? If these were my results I would want to know more about what may be going on. Was he sick when the tests were taken? > > Hello, > > I was directed here from the Natural Thyroid Hormone NTH list. My fiancee, Alijah has been feeling ill recently. His current symptoms are increased sleep apnea, lower back pain that is eased by sleeping on an incline, no energy, brain fog, depression, and lost libido. Alijah is 28. He is 6'3 " and weighs 350lbs. He is on NO medication of any kind. > > Free Testosterone 5.7 (9.3-26.5 pg/mL) LOW > > Glucose 108 (65-99 mg/dL) HIGH > Sodium 141 (135-145 mmol/L) > Potassium 4.1 (3.5-5.2 mmol/L) > Iron, Serum 84 (40-155 ug/dL) > > Cholesterol, Total 221 (100-199 mg/dL) HIGH > Triglycerides 114 (0-149 mg/dL) > HDL Chol 52 (>39 mg/dL) > LDL Chol 146 (0-99 mg/dL) HIGH > T. Chol/HDL 4.3 (0-5) > > TSH 2.49 (.45-4.5 uIU/mL) > T4 8.5 (4.5-1.2 ug/dL) > FT4 1.18 (.82-1.77 ng/dL) > FT3 3.7 (2-4.4 pg/mL) > > WBC 2.8 (4-10.5 x10e3/uL) > RBC 7.0 (4.1-5.6 x10e3/uL) > Hemoglobin 13.4 (12.5-17 g/dL) > Hematocrit 39.3 (36-50%) > Platelets 2.8 (140-415 x10e3/uL) LOW > > Any comments on the testosterone would be greatly appreciated. Also, what else do we need to test? > > Thank so much, > Jennie > Quote Link to comment Share on other sites More sharing options...
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