Re: Help! I need advice. Low testosterone w/ lab results for reference

[Guest guest]

You are lucky your Endo is good she knows what she is doing. Your MRI is to

look for a tumour or damgage to your Pituitary Gland. I have this problem do to

a head injury took me 23 yrs on TRT and not feeling 100% to figure this out.

Don't worry if you have a tumor it's very very rare to be cancer and the

treatment is the same. Your having ED problems because your Testosterone levels

are low and your Estradiol is high you need to get your T levels up into the

upper 1/3 of your labs range and to keep your Estradiol E2 down to about 20

pg/ml getting this down you will get your night time and morning wood back and

your ED will stop. But once one has ED there mind can sabatosh there having sex

you worry about it staying up and lose it anyway so to over come this take

Cialis get the new 5 mgs pill you take everyday this way you don't need to wait

for the pill to work in time you will not need it.

At the bottom of this link you can read about Pituitary Problems I have what

they call Hypopituitary Problems.

http://forums.realthyroidhelp.com/viewtopic.php?f=12 & t=256

If you read up on this you will see that other hormones might need treating like

Cortisol, Thyroid, Aldosterone and Renin levels. We can go into this deeper

later just do the MRI and let us know how it comes out. I had mine and it

showed nothing but doing an ACTH stim. test showed me to be Secondary meaning my

pituitary is not working right.

Once you treat this you will feel you old self again.

Co-Moderator

Phil

> From: bsprulesall <bsprulesall@...>

> Subject: Help! I need advice. Low testosterone w/ lab results

for reference

>

> Date: Friday, July 10, 2009, 3:49 PM

> I am a 24 year old male.  I've

> been having all sorts of mood/erectile issues lately which

> led me to go get tested to see if there is something wrong

> with me.  I've had a few tests over the course of the

> past few months and here are the results

>

> Last November as part of a physical I had the doctor draw

> blood for testosterone.  The reading came in at 406 at

> 9:48 in the morning.

>

> On the 17th of April this year I had my Testosterone and LH

> tested.  The results for my testosterone level was 217

> while my LH was 1.8. I had the blood drawn at 3:30 pm. 

> There is another section for free Testosterone which states

> the % was high apparently.  Here are the ranges,

>

> Testosterone: 217 L  Range: 241-827 ng/dl

> LH: 1.8             

>      Range: 1.5-9.3 ng/dl

> % Free Testosterone: 2.73 H   Range:

> 1.50-2.20%

> Free Testosterone: 61.2     Range:

> 35.0-155.0 pg/ml

>

> Because of Testosterone and LH being somewhat low the same

> doctor had me draw blood again and this time also get my

> Testosterone, FSH & TSH Level.  The test took place

> on May 9 at 2:11 pm.  The results were,

>

> FSH: 1.1 L     Range: 1.6-8.0 mIU/ml

> LH: 2.3         Range:

> 1.5-9.3 mIU/ml

> Testosterone: 298   Range: 241-827

> TSH: 0.56      Range: 0.40-4.50 mIU/ml

>

> I decided at this point it would be best to consult a

> Endocrinologist and I did.  I brought the previous

> blood work with me and she sent me to go get blood drawn for

> a variety of other things like FT4, Estradiol, Prolactin,

> etc.  I had this done last month on the 24th at 2:35

> pm.  Here are the readings,

>

> FT4: 1.1    Range:0.8-1.8 ng/dl

> TSH: 1.04  Range: 0.3-4.7 mIU/ml

> LH: 1.3      Range: 1.5-9.3 mIU/ml

> FSH: 1.0    Range: 1.4-18.1 mIU/ml

> Prolactin: 5.1   Range: 2.10-17.66 ng/ml

> Estradiol: 41    Range: <52 pg/ml

> Total Testosterone: 237 L     Range:

> 241-827 ng/dl

>

> The endo called me on the telephone and told me my

> Testosterone was low (This was sort of a no duh, it's why I

> came to her in the first place) and said she wanted me to

> get an MRI of my Brain.  I'm having it done this Monday

> and I'm sort of scared.  I don't really know whats

> going on but if anyone is knowledgeable in this area and can

> give me advice on what it could possibly be and what steps

> to take that would be appreciated.  Sorry this is long

> but I wanted to make it as detailed as possible, thanks for

> reading.

>

>

>

> ------------------------------------

>

>

[Guest guest]

On Fri, 10 Jul 2009 19:49:26 -0000, you wrote:

>

>FT4: 1.1 Range:0.8-1.8 ng/dl

>TSH: 1.04 Range: 0.3-4.7 mIU/ml

>LH: 1.3 Range: 1.5-9.3 mIU/ml

>FSH: 1.0 Range: 1.4-18.1 mIU/ml

>Prolactin: 5.1 Range: 2.10-17.66 ng/ml

>Estradiol: 41 Range: <52 pg/ml

>Total Testosterone: 237 L Range: 241-827 ng/dl

>

>The endo called me on the telephone and told me my Testosterone was low (This

was sort of a no duh, it's why I came to her in the first place) and said she

wanted me to get an MRI of my Brain. I'm having it done this Monday and I'm

sort of scared. I don't really know whats going on but if anyone is

knowledgeable in this area and can give me advice on what it could possibly be

and what steps to take that would be appreciated. Sorry this is long but I

wanted to make it as detailed as possible, thanks for reading.

It's standard practice to look at the pituitary, when LH and/or FSH

are low - or if prolactin is high. There are principal ways people can

have low T. One when the testicles do not work - is designated primary

hypogonadism. The other the pituitary is not sending enough of the

right hormones to make the testicles do their job. This is called

secondary hypogonadism. They need to be sure there's no tumor on the

pituitary. In most cases there is not. (If there was high prolactin it

would be more likely - not so in your case. ) Relax, the odds are way

way in your favor they will find nothing. But they need to check this

before starting T therapy.

It sounds like you have a good endo. SHe's testing for E2 and doing

the MRI before prescribing. It's amazing how many fail to follow these

best practices. Yours is doing what she should.

Read this document to learn the basics of what you are looking at.

It's a little short on information on E2. But a good basic primer

other than that:

http://www.aace.com/pub/pdf/guidelines/hypogonadism.pdf

Keep coming back here with your questions. You've found a good

resource and support base. You are going to start feeling better real

soon and getting your life back.

[Guest guest]

PS you don't have baldness issues do you? Not been taking propecia I

hope.

On Fri, 10 Jul 2009 19:49:26 -0000, you wrote:

>I am a 24 year old male. I've been having all sorts of mood/erectile issues

lately which led me to go get tested to see if there is something wrong with me.

I've had a few tests over the course of the past few months and here are the

results

>

>Last November as part of a physical I had the doctor draw blood for

testosterone. The reading came in at 406 at 9:48 in the morning.

>

>On the 17th of April this year I had my Testosterone and LH tested. The

results for my testosterone level was 217 while my LH was 1.8. I had the blood

drawn at 3:30 pm. There is another section for free Testosterone which states

the % was high apparently. Here are the ranges,

>

>Testosterone: 217 L Range: 241-827 ng/dl

>LH: 1.8 Range: 1.5-9.3 ng/dl

>% Free Testosterone: 2.73 H Range: 1.50-2.20%

>Free Testosterone: 61.2 Range: 35.0-155.0 pg/ml

>

>Because of Testosterone and LH being somewhat low the same doctor had me draw

blood again and this time also get my Testosterone, FSH & TSH Level. The test

took place on May 9 at 2:11 pm. The results were,

>

>FSH: 1.1 L Range: 1.6-8.0 mIU/ml

>LH: 2.3 Range: 1.5-9.3 mIU/ml

>Testosterone: 298 Range: 241-827

>TSH: 0.56 Range: 0.40-4.50 mIU/ml

>

>I decided at this point it would be best to consult a Endocrinologist and I

did. I brought the previous blood work with me and she sent me to go get blood

drawn for a variety of other things like FT4, Estradiol, Prolactin, etc. I had

this done last month on the 24th at 2:35 pm. Here are the readings,

>

>FT4: 1.1 Range:0.8-1.8 ng/dl

>TSH: 1.04 Range: 0.3-4.7 mIU/ml

>LH: 1.3 Range: 1.5-9.3 mIU/ml

>FSH: 1.0 Range: 1.4-18.1 mIU/ml

>Prolactin: 5.1 Range: 2.10-17.66 ng/ml

>Estradiol: 41 Range: <52 pg/ml

>Total Testosterone: 237 L Range: 241-827 ng/dl

>

>The endo called me on the telephone and told me my Testosterone was low (This

was sort of a no duh, it's why I came to her in the first place) and said she

wanted me to get an MRI of my Brain. I'm having it done this Monday and I'm

sort of scared. I don't really know whats going on but if anyone is

knowledgeable in this area and can give me advice on what it could possibly be

and what steps to take that would be appreciated. Sorry this is long but I

wanted to make it as detailed as possible, thanks for reading.

[Guest guest]

Actually lately I have started to bald. I have a bald spot near the back of my

head and my hair on top has been thinning the past few months. I still have a

decent head of hair but started becoming concerned the past few months. I

actually wondered if it was connecting to my Testosterone issues...

>

> >I am a 24 year old male. I've been having all sorts of mood/erectile issues

lately which led me to go get tested to see if there is something wrong with me.

I've had a few tests over the course of the past few months and here are the

results

> >

> >Last November as part of a physical I had the doctor draw blood for

testosterone. The reading came in at 406 at 9:48 in the morning.

> >

> >On the 17th of April this year I had my Testosterone and LH tested. The

results for my testosterone level was 217 while my LH was 1.8. I had the blood

drawn at 3:30 pm. There is another section for free Testosterone which states

the % was high apparently. Here are the ranges,

> >

> >Testosterone: 217 L Range: 241-827 ng/dl

> >LH: 1.8 Range: 1.5-9.3 ng/dl

> >% Free Testosterone: 2.73 H Range: 1.50-2.20%

> >Free Testosterone: 61.2 Range: 35.0-155.0 pg/ml

> >

> >Because of Testosterone and LH being somewhat low the same doctor had me draw

blood again and this time also get my Testosterone, FSH & TSH Level. The test

took place on May 9 at 2:11 pm. The results were,

> >

> >FSH: 1.1 L Range: 1.6-8.0 mIU/ml

> >LH: 2.3 Range: 1.5-9.3 mIU/ml

> >Testosterone: 298 Range: 241-827

> >TSH: 0.56 Range: 0.40-4.50 mIU/ml

> >

> >I decided at this point it would be best to consult a Endocrinologist and I

did. I brought the previous blood work with me and she sent me to go get blood

drawn for a variety of other things like FT4, Estradiol, Prolactin, etc. I had

this done last month on the 24th at 2:35 pm. Here are the readings,

> >

> >FT4: 1.1 Range:0.8-1.8 ng/dl

> >TSH: 1.04 Range: 0.3-4.7 mIU/ml

> >LH: 1.3 Range: 1.5-9.3 mIU/ml

> >FSH: 1.0 Range: 1.4-18.1 mIU/ml

> >Prolactin: 5.1 Range: 2.10-17.66 ng/ml

> >Estradiol: 41 Range: <52 pg/ml

> >Total Testosterone: 237 L Range: 241-827 ng/dl

> >

> >The endo called me on the telephone and told me my Testosterone was low (This

was sort of a no duh, it's why I came to her in the first place) and said she

wanted me to get an MRI of my Brain. I'm having it done this Monday and I'm

sort of scared. I don't really know whats going on but if anyone is

knowledgeable in this area and can give me advice on what it could possibly be

and what steps to take that would be appreciated. Sorry this is long but I

wanted to make it as detailed as possible, thanks for reading.

>

[Guest guest]

Good point Reto your allways on top of everything and this is great we are lucky

to have you here.

Co-Moderator

Phil

>

> >I am a 24 year old male.  I've been having all

> sorts of mood/erectile issues lately which led me to go get

> tested to see if there is something wrong with me. 

> I've had a few tests over the course of the past few months

> and here are the results

> >

> >Last November as part of a physical I had the doctor

> draw blood for testosterone.  The reading came in at

> 406 at 9:48 in the morning.

> >

> >On the 17th of April this year I had my Testosterone

> and LH tested.  The results for my testosterone level

> was 217 while my LH was 1.8. I had the blood drawn at 3:30

> pm.  There is another section for free Testosterone

> which states the % was high apparently.  Here are the

> ranges,

> >

> >Testosterone: 217 L  Range: 241-827 ng/dl

> >LH: 1.8             

>      Range: 1.5-9.3 ng/dl

> >% Free Testosterone: 2.73 H   Range:

> 1.50-2.20%

> >Free Testosterone: 61.2     Range:

> 35.0-155.0 pg/ml

> >

> >Because of Testosterone and LH being somewhat low the

> same doctor had me draw blood again and this time also get

> my Testosterone, FSH & TSH Level.  The test took

> place on May 9 at 2:11 pm.  The results were,

> >

> >FSH: 1.1 L     Range: 1.6-8.0

> mIU/ml

> >LH: 2.3         Range:

> 1.5-9.3 mIU/ml

> >Testosterone: 298   Range: 241-827

> >TSH: 0.56      Range: 0.40-4.50 mIU/ml

> >

> >I decided at this point it would be best to consult a

> Endocrinologist and I did.  I brought the previous

> blood work with me and she sent me to go get blood drawn for

> a variety of other things like FT4, Estradiol, Prolactin,

> etc.  I had this done last month on the 24th at 2:35

> pm.  Here are the readings,

> >

> >FT4: 1.1    Range:0.8-1.8 ng/dl

> >TSH: 1.04  Range: 0.3-4.7 mIU/ml

> >LH: 1.3      Range: 1.5-9.3 mIU/ml

> >FSH: 1.0    Range: 1.4-18.1 mIU/ml

> >Prolactin: 5.1   Range: 2.10-17.66

> ng/ml

> >Estradiol: 41    Range: <52 pg/ml

> >Total Testosterone: 237 L 

>    Range: 241-827 ng/dl

> >

> >The endo called me on the telephone and told me my

> Testosterone was low (This was sort of a no duh, it's why I

> came to her in the first place) and said she wanted me to

> get an MRI of my Brain.  I'm having it done this Monday

> and I'm sort of scared.  I don't really know whats

> going on but if anyone is knowledgeable in this area and can

> give me advice on what it could possibly be and what steps

> to take that would be appreciated.  Sorry this is long

> but I wanted to make it as detailed as possible, thanks for

> reading.

>

>

>

> ------------------------------------

>

>

[Guest guest]

Thanks for the reply Phil. This is a very trying time in my life (but good in a

way because I finally know whats wrong) and I appreciate the response and

material you provided. I will be sure to post about the MRI and the results

when I get them.

>

> > From: bsprulesall <bsprulesall@...>

> > Subject: Help! I need advice. Low testosterone w/ lab results

for reference

> >

> > Date: Friday, July 10, 2009, 3:49 PM

> > I am a 24 year old male.  I've

> > been having all sorts of mood/erectile issues lately which

> > led me to go get tested to see if there is something wrong

> > with me.  I've had a few tests over the course of the

> > past few months and here are the results

> >

> > Last November as part of a physical I had the doctor draw

> > blood for testosterone.  The reading came in at 406 at

> > 9:48 in the morning.

> >

> > On the 17th of April this year I had my Testosterone and LH

> > tested.  The results for my testosterone level was 217

> > while my LH was 1.8. I had the blood drawn at 3:30 pm. 

> > There is another section for free Testosterone which states

> > the % was high apparently.  Here are the ranges,

> >

> > Testosterone: 217 L  Range: 241-827 ng/dl

> > LH: 1.8             

> >      Range: 1.5-9.3 ng/dl

> > % Free Testosterone: 2.73 H   Range:

> > 1.50-2.20%

> > Free Testosterone: 61.2     Range:

> > 35.0-155.0 pg/ml

> >

> > Because of Testosterone and LH being somewhat low the same

> > doctor had me draw blood again and this time also get my

> > Testosterone, FSH & TSH Level.  The test took place

> > on May 9 at 2:11 pm.  The results were,

> >

> > FSH: 1.1 L     Range: 1.6-8.0 mIU/ml

> > LH: 2.3         Range:

> > 1.5-9.3 mIU/ml

> > Testosterone: 298   Range: 241-827

> > TSH: 0.56      Range: 0.40-4.50 mIU/ml

> >

> > I decided at this point it would be best to consult a

> > Endocrinologist and I did.  I brought the previous

> > blood work with me and she sent me to go get blood drawn for

> > a variety of other things like FT4, Estradiol, Prolactin,

> > etc.  I had this done last month on the 24th at 2:35

> > pm.  Here are the readings,

> >

> > FT4: 1.1    Range:0.8-1.8 ng/dl

> > TSH: 1.04  Range: 0.3-4.7 mIU/ml

> > LH: 1.3      Range: 1.5-9.3 mIU/ml

> > FSH: 1.0    Range: 1.4-18.1 mIU/ml

> > Prolactin: 5.1   Range: 2.10-17.66 ng/ml

> > Estradiol: 41    Range: <52 pg/ml

> > Total Testosterone: 237 L     Range:

> > 241-827 ng/dl

> >

> > The endo called me on the telephone and told me my

> > Testosterone was low (This was sort of a no duh, it's why I

> > came to her in the first place) and said she wanted me to

> > get an MRI of my Brain.  I'm having it done this Monday

> > and I'm sort of scared.  I don't really know whats

> > going on but if anyone is knowledgeable in this area and can

> > give me advice on what it could possibly be and what steps

> > to take that would be appreciated.  Sorry this is long

> > but I wanted to make it as detailed as possible, thanks for

> > reading.

> >

> >

> >

> > ------------------------------------

> >

> >

[Guest guest]

The reason Reto asked if you use Propecia is man that use this end up with ED

and low testosterone it shuts down ones pituitary from working and not much

helps other then treating the low hormones.

Co-Moderator

Phil

> From: bsprulesall <bsprulesall@...>

> Subject: Re: Help! I need advice. Low testosterone w/ lab

results for reference

>

> Date: Friday, July 10, 2009, 4:57 PM

> Actually lately I have started to

> bald.  I have a bald spot near the back of my head and

> my hair on top has been thinning the past few months. 

> I still have a decent head of hair but started becoming

> concerned the past few months.  I actually wondered if

> it was connecting to my Testosterone issues...

>

>

> >

> > >I am a 24 year old male.  I've been having

> all sorts of mood/erectile issues lately which led me to go

> get tested to see if there is something wrong with me. 

> I've had a few tests over the course of the past few months

> and here are the results

> > >

> > >Last November as part of a physical I had the

> doctor draw blood for testosterone.  The reading came

> in at 406 at 9:48 in the morning.

> > >

> > >On the 17th of April this year I had my

> Testosterone and LH tested.  The results for my

> testosterone level was 217 while my LH was 1.8. I had the

> blood drawn at 3:30 pm.  There is another section for

> free Testosterone which states the % was high

> apparently.  Here are the ranges,

> > >

> > >Testosterone: 217 L  Range: 241-827 ng/dl

> > >LH: 1.8           

>        Range: 1.5-9.3 ng/dl

> > >% Free Testosterone: 2.73

> H   Range: 1.50-2.20%

> > >Free Testosterone: 61.2 

>    Range: 35.0-155.0 pg/ml

> > >

> > >Because of Testosterone and LH being somewhat low

> the same doctor had me draw blood again and this time also

> get my Testosterone, FSH & TSH Level.  The test

> took place on May 9 at 2:11 pm.  The results were,

> > >

> > >FSH: 1.1 L     Range: 1.6-8.0

> mIU/ml

> > >LH: 2.3     

>    Range: 1.5-9.3 mIU/ml

> > >Testosterone: 298   Range: 241-827

> > >TSH: 0.56      Range: 0.40-4.50

> mIU/ml

> > >

> > >I decided at this point it would be best to

> consult a Endocrinologist and I did.  I brought the

> previous blood work with me and she sent me to go get blood

> drawn for a variety of other things like FT4, Estradiol,

> Prolactin, etc.  I had this done last month on the 24th

> at 2:35 pm.  Here are the readings,

> > >

> > >FT4: 1.1    Range:0.8-1.8 ng/dl

> > >TSH: 1.04  Range: 0.3-4.7 mIU/ml

> > >LH: 1.3      Range: 1.5-9.3 mIU/ml

> > >FSH: 1.0    Range: 1.4-18.1 mIU/ml

> > >Prolactin: 5.1   Range: 2.10-17.66

> ng/ml

> > >Estradiol: 41    Range: <52 pg/ml

> > >Total Testosterone: 237 L 

>    Range: 241-827 ng/dl

> > >

> > >The endo called me on the telephone and told me my

> Testosterone was low (This was sort of a no duh, it's why I

> came to her in the first place) and said she wanted me to

> get an MRI of my Brain.  I'm having it done this Monday

> and I'm sort of scared.  I don't really know whats

> going on but if anyone is knowledgeable in this area and can

> give me advice on what it could possibly be and what steps

> to take that would be appreciated.  Sorry this is long

> but I wanted to make it as detailed as possible, thanks for

> reading.

> >

>

>

>

>

> ------------------------------------

>

>

[Guest guest]

Basically besides balding and erectile dysfunction issues, my mood & energy has

been poor and i've had a hard time concentrating and my memory, esp. short term

has been poor, which is very bad because i'm in college and it interferes with

my ability to study...probably other things as well I've forgotten. This is all

connected to Testosterone?

> >

> > >I am a 24 year old male. I've been having all sorts of mood/erectile

issues lately which led me to go get tested to see if there is something wrong

with me. I've had a few tests over the course of the past few months and here

are the results

> > >

> > >Last November as part of a physical I had the doctor draw blood for

testosterone. The reading came in at 406 at 9:48 in the morning.

> > >

> > >On the 17th of April this year I had my Testosterone and LH tested. The

results for my testosterone level was 217 while my LH was 1.8. I had the blood

drawn at 3:30 pm. There is another section for free Testosterone which states

the % was high apparently. Here are the ranges,

> > >

> > >Testosterone: 217 L Range: 241-827 ng/dl

> > >LH: 1.8 Range: 1.5-9.3 ng/dl

> > >% Free Testosterone: 2.73 H Range: 1.50-2.20%

> > >Free Testosterone: 61.2 Range: 35.0-155.0 pg/ml

> > >

> > >Because of Testosterone and LH being somewhat low the same doctor had me

draw blood again and this time also get my Testosterone, FSH & TSH Level. The

test took place on May 9 at 2:11 pm. The results were,

> > >

> > >FSH: 1.1 L Range: 1.6-8.0 mIU/ml

> > >LH: 2.3 Range: 1.5-9.3 mIU/ml

> > >Testosterone: 298 Range: 241-827

> > >TSH: 0.56 Range: 0.40-4.50 mIU/ml

> > >

> > >I decided at this point it would be best to consult a Endocrinologist and I

did. I brought the previous blood work with me and she sent me to go get blood

drawn for a variety of other things like FT4, Estradiol, Prolactin, etc. I had

this done last month on the 24th at 2:35 pm. Here are the readings,

> > >

> > >FT4: 1.1 Range:0.8-1.8 ng/dl

> > >TSH: 1.04 Range: 0.3-4.7 mIU/ml

> > >LH: 1.3 Range: 1.5-9.3 mIU/ml

> > >FSH: 1.0 Range: 1.4-18.1 mIU/ml

> > >Prolactin: 5.1 Range: 2.10-17.66 ng/ml

> > >Estradiol: 41 Range: <52 pg/ml

> > >Total Testosterone: 237 L Range: 241-827 ng/dl

> > >

> > >The endo called me on the telephone and told me my Testosterone was low

(This was sort of a no duh, it's why I came to her in the first place) and said

she wanted me to get an MRI of my Brain. I'm having it done this Monday and I'm

sort of scared. I don't really know whats going on but if anyone is

knowledgeable in this area and can give me advice on what it could possibly be

and what steps to take that would be appreciated. Sorry this is long but I

wanted to make it as detailed as possible, thanks for reading.

> >

>

[Guest guest]

No, I don't use Propecia and wouldn't use any products to try to regrow my hair

if I happened to lose it. I noticed my hair was falling out months ago but only

noticed about 2 months ago I had a bald spot. If I end up going bald I'll deal

with but i'd like to keep it if possible just because I think I look better with

it heh.

> > >

> > > >I am a 24 year old male.  I've been having

> > all sorts of mood/erectile issues lately which led me to go

> > get tested to see if there is something wrong with me. 

> > I've had a few tests over the course of the past few months

> > and here are the results

> > > >

> > > >Last November as part of a physical I had the

> > doctor draw blood for testosterone.  The reading came

> > in at 406 at 9:48 in the morning.

> > > >

> > > >On the 17th of April this year I had my

> > Testosterone and LH tested.  The results for my

> > testosterone level was 217 while my LH was 1.8. I had the

> > blood drawn at 3:30 pm.  There is another section for

> > free Testosterone which states the % was high

> > apparently.  Here are the ranges,

> > > >

> > > >Testosterone: 217 L  Range: 241-827 ng/dl

> > > >LH: 1.8           

> >        Range: 1.5-9.3 ng/dl

> > > >% Free Testosterone: 2.73

> > H   Range: 1.50-2.20%

> > > >Free Testosterone: 61.2 

> >    Range: 35.0-155.0 pg/ml

> > > >

> > > >Because of Testosterone and LH being somewhat low

> > the same doctor had me draw blood again and this time also

> > get my Testosterone, FSH & TSH Level.  The test

> > took place on May 9 at 2:11 pm.  The results were,

> > > >

> > > >FSH: 1.1 L     Range: 1.6-8.0

> > mIU/ml

> > > >LH: 2.3     

> >    Range: 1.5-9.3 mIU/ml

> > > >Testosterone: 298   Range: 241-827

> > > >TSH: 0.56      Range: 0.40-4.50

> > mIU/ml

> > > >

> > > >I decided at this point it would be best to

> > consult a Endocrinologist and I did.  I brought the

> > previous blood work with me and she sent me to go get blood

> > drawn for a variety of other things like FT4, Estradiol,

> > Prolactin, etc.  I had this done last month on the 24th

> > at 2:35 pm.  Here are the readings,

> > > >

> > > >FT4: 1.1    Range:0.8-1.8 ng/dl

> > > >TSH: 1.04  Range: 0.3-4.7 mIU/ml

> > > >LH: 1.3      Range: 1.5-9.3 mIU/ml

> > > >FSH: 1.0    Range: 1.4-18.1 mIU/ml

> > > >Prolactin: 5.1   Range: 2.10-17.66

> > ng/ml

> > > >Estradiol: 41    Range: <52 pg/ml

> > > >Total Testosterone: 237 L 

> >    Range: 241-827 ng/dl

> > > >

> > > >The endo called me on the telephone and told me my

> > Testosterone was low (This was sort of a no duh, it's why I

> > came to her in the first place) and said she wanted me to

> > get an MRI of my Brain.  I'm having it done this Monday

> > and I'm sort of scared.  I don't really know whats

> > going on but if anyone is knowledgeable in this area and can

> > give me advice on what it could possibly be and what steps

> > to take that would be appreciated.  Sorry this is long

> > but I wanted to make it as detailed as possible, thanks for

> > reading.

> > >

> >

> >

> >

> >

> > ------------------------------------

> >

> >

[Guest guest]

Thanks for your response, it was helpful. When you say one is primary and the

other is secondary, what is the difference? I assume a person with primary

hypogonadism would probably have symptoms like undeveloped genitals, lack of

body hair? In my case I think I'm secondary because the Endo told me my body

hair pattern was normal and my testicles/genital size is normal. Is one

particularly worse than the other? What kind of therapies are available to help

combat this thing? My chief concerns are mainly getting my energy back and my

mind straight and not muddy so I can move forward and do something with my life

since I'm stuck at the moment and I would also like to someday meet a special

person and hopefully have children of my own..I don't know how this problem will

impact that aspect. Thanks again.

>

> >

> >FT4: 1.1 Range:0.8-1.8 ng/dl

> >TSH: 1.04 Range: 0.3-4.7 mIU/ml

> >LH: 1.3 Range: 1.5-9.3 mIU/ml

> >FSH: 1.0 Range: 1.4-18.1 mIU/ml

> >Prolactin: 5.1 Range: 2.10-17.66 ng/ml

> >Estradiol: 41 Range: <52 pg/ml

> >Total Testosterone: 237 L Range: 241-827 ng/dl

> >

> >The endo called me on the telephone and told me my Testosterone was low (This

was sort of a no duh, it's why I came to her in the first place) and said she

wanted me to get an MRI of my Brain. I'm having it done this Monday and I'm

sort of scared. I don't really know whats going on but if anyone is

knowledgeable in this area and can give me advice on what it could possibly be

and what steps to take that would be appreciated. Sorry this is long but I

wanted to make it as detailed as possible, thanks for reading.

>

>

> It's standard practice to look at the pituitary, when LH and/or FSH

> are low - or if prolactin is high. There are principal ways people can

> have low T. One when the testicles do not work - is designated primary

> hypogonadism. The other the pituitary is not sending enough of the

> right hormones to make the testicles do their job. This is called

> secondary hypogonadism. They need to be sure there's no tumor on the

> pituitary. In most cases there is not. (If there was high prolactin it

> would be more likely - not so in your case. ) Relax, the odds are way

> way in your favor they will find nothing. But they need to check this

> before starting T therapy.

>

> It sounds like you have a good endo. SHe's testing for E2 and doing

> the MRI before prescribing. It's amazing how many fail to follow these

> best practices. Yours is doing what she should.

>

> Read this document to learn the basics of what you are looking at.

> It's a little short on information on E2. But a good basic primer

> other than that:

> http://www.aace.com/pub/pdf/guidelines/hypogonadism.pdf

>

> Keep coming back here with your questions. You've found a good

> resource and support base. You are going to start feeling better real

> soon and getting your life back.

>

[Guest guest]

Yes low testosterone and high Estradiol give one ED, feelings of depression and

some dam bad brain fog. If one is Primary it means his testis are not making

enough Testosterone and his LH and FSH levels come back high near the top of the

range or higher with low testosterone. Secondary the LH and FSH is the message

from the pituitary telling the testis and Adrenals to make more Testosterone so

most men with this problem can get and keep there testis working taking shots of

HCG 100 IU's a day to start. But before you do any med like HCG or Testosterone

have your sperm checked if it's good get some forzen just for a back up in case

later you want a baby and can't.

Co-Moderator

Phil

> From: bsprulesall <bsprulesall@...>

> Subject: Re: Help! I need advice. Low testosterone w/ lab

results for reference

>

> Date: Friday, July 10, 2009, 5:04 PM

> Basically besides balding and

> erectile dysfunction issues, my mood & energy has been

> poor and i've had a hard time concentrating and my memory,

> esp. short term has been poor, which is very bad because i'm

> in college and it interferes with my ability to

> study...probably other things as well I've forgotten. 

> This is all connected to Testosterone?

>

>

> > >

> > > >I am a 24 year old male.  I've been

> having all sorts of mood/erectile issues lately which led me

> to go get tested to see if there is something wrong with

> me.  I've had a few tests over the course of the past

> few months and here are the results

> > > >

> > > >Last November as part of a physical I had the

> doctor draw blood for testosterone.  The reading came

> in at 406 at 9:48 in the morning.

> > > >

> > > >On the 17th of April this year I had my

> Testosterone and LH tested.  The results for my

> testosterone level was 217 while my LH was 1.8. I had the

> blood drawn at 3:30 pm.  There is another section for

> free Testosterone which states the % was high

> apparently.  Here are the ranges,

> > > >

> > > >Testosterone: 217 L  Range: 241-827

> ng/dl

> > > >LH: 1.8         

>          Range: 1.5-9.3 ng/dl

> > > >% Free Testosterone: 2.73

> H   Range: 1.50-2.20%

> > > >Free Testosterone: 61.2 

>    Range: 35.0-155.0 pg/ml

> > > >

> > > >Because of Testosterone and LH being somewhat

> low the same doctor had me draw blood again and this time

> also get my Testosterone, FSH & TSH Level.  The

> test took place on May 9 at 2:11 pm.  The results

> were,

> > > >

> > > >FSH: 1.1 L     Range:

> 1.6-8.0 mIU/ml

> > > >LH: 2.3     

>    Range: 1.5-9.3 mIU/ml

> > > >Testosterone: 298   Range:

> 241-827

> > > >TSH: 0.56      Range:

> 0.40-4.50 mIU/ml

> > > >

> > > >I decided at this point it would be best to

> consult a Endocrinologist and I did.  I brought the

> previous blood work with me and she sent me to go get blood

> drawn for a variety of other things like FT4, Estradiol,

> Prolactin, etc.  I had this done last month on the 24th

> at 2:35 pm.  Here are the readings,

> > > >

> > > >FT4: 1.1    Range:0.8-1.8 ng/dl

> > > >TSH: 1.04  Range: 0.3-4.7 mIU/ml

> > > >LH: 1.3      Range: 1.5-9.3

> mIU/ml

> > > >FSH: 1.0    Range: 1.4-18.1 mIU/ml

> > > >Prolactin: 5.1   Range:

> 2.10-17.66 ng/ml

> > > >Estradiol: 41    Range: <52

> pg/ml

> > > >Total Testosterone: 237 L 

>    Range: 241-827 ng/dl

> > > >

> > > >The endo called me on the telephone and told

> me my Testosterone was low (This was sort of a no duh, it's

> why I came to her in the first place) and said she wanted me

> to get an MRI of my Brain.  I'm having it done this

> Monday and I'm sort of scared.  I don't really know

> whats going on but if anyone is knowledgeable in this area

> and can give me advice on what it could possibly be and what

> steps to take that would be appreciated.  Sorry this is

> long but I wanted to make it as detailed as possible, thanks

> for reading.

> > >

> >

>

>

>

>

> ------------------------------------

>

>

[Guest guest]

Your numbers do suggest you are secondary. There's no telling why

usually. Sleep apnea is emerging as a common cause - evidently

decreased oxygen flow - and the areas of the pituitary that produce

each hormone are very small so even small impacts add up.

Primary (testicle failure) can be from birth or develop later in life

- eg. caused by the mumps, twisted testicle, etc. If the it is

prepuberty you don't get full puberty effects. This is probably the

harder condition as these folks sometimes do not get puberty penile

growth, etc.

Treatment is mostly the same - getting testosterone in the body. You

will get your energy back. And strength and ambition and motivation.

You're going to be blow away by how good it feels to feel good.

It's crucial though that your doc monitor and manage E2 levels. As

these rise - and they will with most T therapy, they rob you of the

effect of the T. (T is converted by an enzyme into E2. )

Testosterone replacement therapy can cause temporary sterility. There

is actually research to develop male birth control by using T. There

is another hormone HCG.

http://en.wikipedia.org/wiki/Human_chorionic_gonadotropin

You can raise T levels with this and be fertile. Some docs supplement

T with HCG when people are trying to get pregnant. Some supplement

generally because it keeps the testicles working and helps them keep

their size. (When you take T your balls stop working and for many

folks shrink a bit. Unless you take HCG.) HCG is tricky though, if you

take to much you can burn out the testicles.

Read up. You need to get educated on this stuff and learn for yourself

to protect your interests. Lots of the docs do not know this stuff

very well.

But you are going to start feeling a whole lot better real soon.

On Fri, 10 Jul 2009 21:15:48 -0000, you wrote:

>Thanks for your response, it was helpful. When you say one is primary and the

other is secondary, what is the difference? I assume a person with primary

hypogonadism would probably have symptoms like undeveloped genitals, lack of

body hair? In my case I think I'm secondary because the Endo told me my body

hair pattern was normal and my testicles/genital size is normal. Is one

particularly worse than the other? What kind of therapies are available to help

combat this thing? My chief concerns are mainly getting my energy back and my

mind straight and not muddy so I can move forward and do something with my life

since I'm stuck at the moment and I would also like to someday meet a special

person and hopefully have children of my own..I don't know how this problem will

impact that aspect. Thanks again.

>

>

>>

>> >

>> >FT4: 1.1 Range:0.8-1.8 ng/dl

>> >TSH: 1.04 Range: 0.3-4.7 mIU/ml

>> >LH: 1.3 Range: 1.5-9.3 mIU/ml

>> >FSH: 1.0 Range: 1.4-18.1 mIU/ml

>> >Prolactin: 5.1 Range: 2.10-17.66 ng/ml

>> >Estradiol: 41 Range: <52 pg/ml

>> >Total Testosterone: 237 L Range: 241-827 ng/dl

>> >

>> >The endo called me on the telephone and told me my Testosterone was low

(This was sort of a no duh, it's why I came to her in the first place) and said

she wanted me to get an MRI of my Brain. I'm having it done this Monday and I'm

sort of scared. I don't really know whats going on but if anyone is

knowledgeable in this area and can give me advice on what it could possibly be

and what steps to take that would be appreciated. Sorry this is long but I

wanted to make it as detailed as possible, thanks for reading.

>>

>>

>> It's standard practice to look at the pituitary, when LH and/or FSH

>> are low - or if prolactin is high. There are principal ways people can

>> have low T. One when the testicles do not work - is designated primary

>> hypogonadism. The other the pituitary is not sending enough of the

>> right hormones to make the testicles do their job. This is called

>> secondary hypogonadism. They need to be sure there's no tumor on the

>> pituitary. In most cases there is not. (If there was high prolactin it

>> would be more likely - not so in your case. ) Relax, the odds are way

>> way in your favor they will find nothing. But they need to check this

>> before starting T therapy.

>>

>> It sounds like you have a good endo. SHe's testing for E2 and doing

>> the MRI before prescribing. It's amazing how many fail to follow these

>> best practices. Yours is doing what she should.

>>

>> Read this document to learn the basics of what you are looking at.

>> It's a little short on information on E2. But a good basic primer

>> other than that:

>> http://www.aace.com/pub/pdf/guidelines/hypogonadism.pdf

>>

>> Keep coming back here with your questions. You've found a good

>> resource and support base. You are going to start feeling better real

>> soon and getting your life back.

>>

>

[Guest guest]

On Fri, 10 Jul 2009 21:04:02 -0000, you wrote:

>

>Basically besides balding and erectile dysfunction issues, my mood & energy has

been poor and i've had a hard time concentrating and my memory, esp. short term

has been poor, which is very bad because i'm in college and it interferes with

my ability to study...probably other things as well I've forgotten. This is all

connected to Testosterone?

Balding is not generally related to low testosterone. The rest very

much is. The reason I asked about balding is some guys take propecia

to keep or grow hair and it fucks up their hormones and they end up on

T for life.

Here's a good book on the it all:

http://www.amazon.com/Testosterone-Syndrome-Critical-Sexuality-Reversing-Menopau\

se/dp/087131858X/ref=sr_1_1?ie=UTF8 & s=books & qid=1247326557 & sr=8-1

[Guest guest]

Most conventional doctors are quacks, taught to cut, pill or radiate. Get a

doctor of naturopathy (not just a herbalist or naturopath. My advice, given your

youth , is to go organic. All commercial things you " eat " through water, food,

toiletries, clothing, bedding, even air, contain chemical which the body

interprets as estrogens. What about stress, or alcohol, or excess body fat. All

of these conditions favour estrogen over testosterone. Good luck. S.J.

________________________________

From: bsprulesall <bsprulesall@...>

Sent: Friday, July 10, 2009 3:49:26 PM

Subject: Help! I need advice. Low testosterone w/ lab results for

reference

I am a 24 year old male. I've been having all sorts of mood/erectile issues

lately which led me to go get tested to see if there is something wrong with me.

I've had a few tests over the course of the past few months and here are the

results

Last November as part of a physical I had the doctor draw blood for

testosterone. The reading came in at 406 at 9:48 in the morning.

On the 17th of April this year I had my Testosterone and LH tested. The results

for my testosterone level was 217 while my LH was 1.8. I had the blood drawn at

3:30 pm. There is another section for free Testosterone which states the % was

high apparently. Here are the ranges,

Testosterone: 217 L Range: 241-827 ng/dl

LH: 1.8 Range: 1.5-9.3 ng/dl

% Free Testosterone: 2.73 H Range: 1.50-2.20%

Free Testosterone: 61.2 Range: 35.0-155.0 pg/ml

Because of Testosterone and LH being somewhat low the same doctor had me draw

blood again and this time also get my Testosterone, FSH & TSH Level. The test

took place on May 9 at 2:11 pm. The results were,

FSH: 1.1 L Range: 1.6-8.0 mIU/ml

LH: 2.3 Range: 1.5-9.3 mIU/ml

Testosterone: 298 Range: 241-827

TSH: 0.56 Range: 0.40-4.50 mIU/ml

I decided at this point it would be best to consult a Endocrinologist and I did.

I brought the previous blood work with me and she sent me to go get blood drawn

for a variety of other things like FT4, Estradiol, Prolactin, etc. I had this

done last month on the 24th at 2:35 pm. Here are the readings,

FT4: 1.1 Range:0.8-1. 8 ng/dl

TSH: 1.04 Range: 0.3-4.7 mIU/ml

LH: 1.3 Range: 1.5-9.3 mIU/ml

FSH: 1.0 Range: 1.4-18.1 mIU/ml

Prolactin: 5.1 Range: 2.10-17.66 ng/ml

Estradiol: 41 Range: <52 pg/ml

Total Testosterone: 237 L Range: 241-827 ng/dl

The endo called me on the telephone and told me my Testosterone was low (This

was sort of a no duh, it's why I came to her in the first place) and said she

wanted me to get an MRI of my Brain. I'm having it done this Monday and I'm

sort of scared. I don't really know whats going on but if anyone is

knowledgeable in this area and can give me advice on what it could possibly be

and what steps to take that would be appreciated. Sorry this is long but I

wanted to make it as detailed as possible, thanks for reading.

[Guest guest]

Your body looks normally male, but with time you sucked up environmental

chemicals in food, water, air (inside and out), toiletries and clothing. These

chemicals mimic estrogens and accumulate slowly but surely> Booze?

Anti-androgenous! See a Doctor of Naturopathy. Expensive, but so worth it.

Good luck. S.J.

________________________________

From: bsprulesall <bsprulesall@...>

Sent: Friday, July 10, 2009 5:15:48 PM

Subject: Re: Help! I need advice. Low testosterone w/ lab results

for reference

Thanks for your response, it was helpful. When you say one is primary and the

other is secondary, what is the difference? I assume a person with primary

hypogonadism would probably have symptoms like undeveloped genitals, lack of

body hair? In my case I think I'm secondary because the Endo told me my body

hair pattern was normal and my testicles/genital size is normal. Is one

particularly worse than the other? What kind of therapies are available to help

combat this thing? My chief concerns are mainly getting my energy back and my

mind straight and not muddy so I can move forward and do something with my life

since I'm stuck at the moment and I would also like to someday meet a special

person and hopefully have children of my own..I don't know how this problem will

impact that aspect. Thanks again.

>

> >

> >FT4: 1.1 Range:0.8-1. 8 ng/dl

> >TSH: 1.04 Range: 0.3-4.7 mIU/ml

> >LH: 1.3 Range: 1.5-9.3 mIU/ml

> >FSH: 1.0 Range: 1.4-18.1 mIU/ml

> >Prolactin: 5.1 Range: 2.10-17.66 ng/ml

> >Estradiol: 41 Range: <52 pg/ml

> >Total Testosterone: 237 L Range: 241-827 ng/dl

> >

> >The endo called me on the telephone and told me my Testosterone was low (This

was sort of a no duh, it's why I came to her in the first place) and said she

wanted me to get an MRI of my Brain. I'm having it done this Monday and I'm

sort of scared. I don't really know whats going on but if anyone is

knowledgeable in this area and can give me advice on what it could possibly be

and what steps to take that would be appreciated. Sorry this is long but I

wanted to make it as detailed as possible, thanks for reading.

>

>

> It's standard practice to look at the pituitary, when LH and/or FSH

> are low - or if prolactin is high. There are principal ways people can

> have low T. One when the testicles do not work - is designated primary

> hypogonadism. The other the pituitary is not sending enough of the

> right hormones to make the testicles do their job. This is called

> secondary hypogonadism. They need to be sure there's no tumor on the

> pituitary. In most cases there is not. (If there was high prolactin it

> would be more likely - not so in your case. ) Relax, the odds are way

> way in your favor they will find nothing. But they need to check this

> before starting T therapy.

>

> It sounds like you have a good endo. SHe's testing for E2 and doing

> the MRI before prescribing. It's amazing how many fail to follow these

> best practices. Yours is doing what she should.

>

> Read this document to learn the basics of what you are looking at.

> It's a little short on information on E2. But a good basic primer

> other than that:

> http://www.aace. com/pub/pdf/ guidelines/ hypogonadism. pdf

>

> Keep coming back here with your questions. You've found a good

> resource and support base. You are going to start feeling better real

> soon and getting your life back.

>

[Guest guest]

Here's an update regarding my situation

I had the MRI on my Pituitary on Monday. I got a telephone call today with the

results. It turns out that my Pituitary is normal, they found nothing wrong

with it. The Dr's assistant told me over the telephone because my T levels

low-normal the Endo wants to hold off on Testosterone Replacement and wants me

to get another Blood Test in 3 months. I like this course of action because if

I was offered it anyway I wanted to take time to see if Lifestyle changes could

have some kind of impact because offer the past few months I have been very

stressed and have barely gotten any sleep, went to sleep at different times

because of this. I have been majorly depressed over it.

So I don't know what I'm going to do now that I got my results; there is nothing

wrong with my pituitary, yet my T Level's are still low. I have an appointment

next week with a Urologist for a different issue and will probably bring this to

his attention, see what he has to say about it.

>

> >

> >FT4: 1.1 Range:0.8-1.8 ng/dl

> >TSH: 1.04 Range: 0.3-4.7 mIU/ml

> >LH: 1.3 Range: 1.5-9.3 mIU/ml

> >FSH: 1.0 Range: 1.4-18.1 mIU/ml

> >Prolactin: 5.1 Range: 2.10-17.66 ng/ml

> >Estradiol: 41 Range: <52 pg/ml

> >Total Testosterone: 237 L Range: 241-827 ng/dl

> >

> >The endo called me on the telephone and told me my Testosterone was low (This

was sort of a no duh, it's why I came to her in the first place) and said she

wanted me to get an MRI of my Brain. I'm having it done this Monday and I'm

sort of scared. I don't really know whats going on but if anyone is

knowledgeable in this area and can give me advice on what it could possibly be

and what steps to take that would be appreciated. Sorry this is long but I

wanted to make it as detailed as possible, thanks for reading.

>

>

> It's standard practice to look at the pituitary, when LH and/or FSH

> are low - or if prolactin is high. There are principal ways people can

> have low T. One when the testicles do not work - is designated primary

> hypogonadism. The other the pituitary is not sending enough of the

> right hormones to make the testicles do their job. This is called

> secondary hypogonadism. They need to be sure there's no tumor on the

> pituitary. In most cases there is not. (If there was high prolactin it

> would be more likely - not so in your case. ) Relax, the odds are way

> way in your favor they will find nothing. But they need to check this

> before starting T therapy.

>

> It sounds like you have a good endo. SHe's testing for E2 and doing

> the MRI before prescribing. It's amazing how many fail to follow these

> best practices. Yours is doing what she should.

>

> Read this document to learn the basics of what you are looking at.

> It's a little short on information on E2. But a good basic primer

> other than that:

> http://www.aace.com/pub/pdf/guidelines/hypogonadism.pdf

>

> Keep coming back here with your questions. You've found a good

> resource and support base. You are going to start feeling better real

> soon and getting your life back.

>

[Guest guest]

On Thu, 16 Jul 2009 20:18:51 -0000, you wrote:

>Here's an update regarding my situation

>

>I had the MRI on my Pituitary on Monday. I got a telephone call today with the

results. It turns out that my Pituitary is normal, they found nothing wrong

with it. The Dr's assistant told me over the telephone because my T levels

low-normal the Endo wants to hold off on Testosterone Replacement and wants me

to get another Blood Test in 3 months. I like this course of action because if

I was offered it anyway I wanted to take time to see if Lifestyle changes could

have some kind of impact because offer the past few months I have been very

stressed and have barely gotten any sleep, went to sleep at different times

because of this. I have been majorly depressed over it.

>

>So I don't know what I'm going to do now that I got my results; there is

nothing wrong with my pituitary, yet my T Level's are still low. I have an

appointment next week with a Urologist for a different issue and will probably

bring this to his attention, see what he has to say about it.

Have they run a cortisol test? With high stress it climbs and can

cause low T. But if you're cortisol levels are normal and T is not up,

I'd get started on T sooner than later. At least for me the loss of

energy, ambition and mental fog were too much to live with and keep a

job, etc.

[Guest guest]

No, they didn't start a cortisol test, but I thought about it more and more and

I don't think I'm going to wait the 3 months. I can't afford to lose any more

time and nothing will be accomplished waiting 3 months to learn what I already

know...that my testosterone is low. Although I don't know what the problem

could be...my MRI came back normal, yet my T levels are abnormally low. Should

I maybe get some other things checked?

>

> >Here's an update regarding my situation

> >

> >I had the MRI on my Pituitary on Monday. I got a telephone call today with

the results. It turns out that my Pituitary is normal, they found nothing wrong

with it. The Dr's assistant told me over the telephone because my T levels

low-normal the Endo wants to hold off on Testosterone Replacement and wants me

to get another Blood Test in 3 months. I like this course of action because if

I was offered it anyway I wanted to take time to see if Lifestyle changes could

have some kind of impact because offer the past few months I have been very

stressed and have barely gotten any sleep, went to sleep at different times

because of this. I have been majorly depressed over it.

> >

> >So I don't know what I'm going to do now that I got my results; there is

nothing wrong with my pituitary, yet my T Level's are still low. I have an

appointment next week with a Urologist for a different issue and will probably

bring this to his attention, see what he has to say about it.

>

>

> Have they run a cortisol test? With high stress it climbs and can

> cause low T. But if you're cortisol levels are normal and T is not up,

> I'd get started on T sooner than later. At least for me the loss of

> energy, ambition and mental fog were too much to live with and keep a

> job, etc.

>

[Guest guest]

If your not sure about your pituitary and your LH and FSH were low with low

testosterone and good levels of Estradiol E2 at about 20 pg/ml then you might

still have a Pituitary problem. Do like Reto says get a morning fasting

Cortisol test if this comes back below 15 then get a 4x's in a day Saliva test

you can buy this your self from this link. If your low see in this link what

stage your at.

http://www.chronicfatigue.org/ASI%201%20.html

In this link there is a ton of info and links to a saliva test and how to read

them.

http://www.livingnetwork.co.za/healingnetwork/adrenals_thyroid.html

To tell if your pituitary is bad with low Cortisol levels get an ACTH stim. test

this will show if your Secondary read this link.

http://en.wikipedia.org/wiki/ACTH_stimulation_test

My Pituitary is bad do to a head injury some 27 yrs ago it took me 23 yrs to

figure this out in this link I got a lot of help. Read the FAQ's at the bottom

on Hypopituitary.

http://forums.realthyroidhelp.com/viewtopic.php?f=12 & t=256

Co-Moderator

Phil

> From: bsprulesall <bsprulesall@...>

> Subject: Re: Help! I need advice. Low testosterone w/ lab

results for reference

>

> Date: Friday, July 17, 2009, 8:02 PM

> No, they didn't start a cortisol

> test, but I thought about it more and more and I don't think

> I'm going to wait the 3 months.  I can't afford to lose

> any more time and nothing will be accomplished waiting 3

> months to learn what I already know...that my testosterone

> is low.  Although I don't know what the problem could

> be...my MRI came back normal, yet my T levels are abnormally

> low.  Should I maybe get some other things checked?

>

>

> >

> > >Here's an update regarding my situation

> > >

> > >I had the MRI on my Pituitary on Monday.  I

> got a telephone call today with the results.  It turns

> out that my Pituitary is normal, they found nothing wrong

> with it.  The Dr's assistant told me over the telephone

> because my T levels low-normal the Endo wants to hold off on

> Testosterone Replacement and wants me to get another Blood

> Test in 3 months.  I like this course of action because

> if I was offered it anyway I wanted to take time to see if

> Lifestyle changes could have some kind of impact because

> offer the past few months I have been very stressed and have

> barely gotten any sleep, went to sleep at different times

> because of this.  I have been majorly depressed over

> it.

> > >

> > >So I don't know what I'm going to do now that I

> got my results; there is nothing wrong with my pituitary,

> yet my T Level's are still low.  I have an appointment

> next week with a Urologist for a different issue and will

> probably bring this to his attention, see what he has to say

> about it.

> >

> >

> > Have they run a cortisol test?  With high stress

> it climbs and can

> > cause low T. But if you're cortisol levels are normal

> and T is not up,

> > I'd get started on T sooner than later. At least for

> me the loss of

> > energy, ambition and mental fog were too much to live

> with and keep a

> > job, etc.

> >

>

>

>

>

> ------------------------------------

>

>

[Guest guest]

On Sat, 18 Jul 2009 00:02:07 -0000, you wrote:

>No, they didn't start a cortisol test, but I thought about it more and more and

I don't think I'm going to wait the 3 months. I can't afford to lose any more

time and nothing will be accomplished waiting 3 months to learn what I already

know...that my testosterone is low. Although I don't know what the problem

could be...my MRI came back normal, yet my T levels are abnormally low. Should

I maybe get some other things checked?

Cortisol and E2 should be tested before starting TRT. They've already

done prolactin, right?

Look for Dr. Crisler's paper in the files section.

[Guest guest]

Hi,

You've mentioned that, you were very much stressed and had very little sleep.

This may be the main cause of your Low T. I was in the same situation and my T

came as 260. Just like you, my MRI for the Pituatary Gland came clear. My Endo

stupidly prescribed me Gel which messed up my T level to the extent that I lost

my job. Anyway, to make it short, in your case since the MRI is clear, you can

give yourself some time with proper sleep ( 10PM to 6 AM is the best time for

sleep !) , Good Diet ( Net is good resource to find diet which would help to

increase your T naturally! ) and Moderate , Regular Exercise . I opted for this

alongwith Tribulus herb ( to stimulate the natural T Production ) for 4 months

and my T is naturally back up to 352 from 260. I am still holding on to this

regime and hopeful for T level of atleast 425. Each body responds differently to

each approach, but you can sure try this as TRT is for Life and comes with lots

hassle of meds and injections and ofcourse with side effects. Trying the above

approach with a watchful eye about how you feel, whehther you have morning wood

or not, your overall sense of well-being etc. is worth for 3-4 months of time.

Hope this helps.

-RP

> >

> > >Here's an update regarding my situation

> > >

> > >I had the MRI on my Pituitary on Monday. I got a telephone call today with

the results. It turns out that my Pituitary is normal, they found nothing wrong

with it. The Dr's assistant told me over the telephone because my T levels

low-normal the Endo wants to hold off on Testosterone Replacement and wants me

to get another Blood Test in 3 months. I like this course of action because if

I was offered it anyway I wanted to take time to see if Lifestyle changes could

have some kind of impact because offer the past few months I have been very

stressed and have barely gotten any sleep, went to sleep at different times

because of this. I have been majorly depressed over it.

> > >

> > >So I don't know what I'm going to do now that I got my results; there is

nothing wrong with my pituitary, yet my T Level's are still low. I have an

appointment next week with a Urologist for a different issue and will probably

bring this to his attention, see what he has to say about it.

> >

> >

> > Have they run a cortisol test? With high stress it climbs and can

> > cause low T. But if you're cortisol levels are normal and T is not up,

> > I'd get started on T sooner than later. At least for me the loss of

> > energy, ambition and mental fog were too much to live with and keep a

> > job, etc.

> >

>

[Guest guest]

Thank you, it does. I want to something less severe before I dive head first

into something like T therapy. But here's the newest turn of events: I went to

a Urologist today for this problem and some other things i've been experiencing

and he gave me a prescription for a drug called Amiridex. He said it should

boost my Testosterone levels. It's one pill a day, 1mg. Is this safe?

> > >

> > > >Here's an update regarding my situation

> > > >

> > > >I had the MRI on my Pituitary on Monday. I got a telephone call today

with the results. It turns out that my Pituitary is normal, they found nothing

wrong with it. The Dr's assistant told me over the telephone because my T

levels low-normal the Endo wants to hold off on Testosterone Replacement and

wants me to get another Blood Test in 3 months. I like this course of action

because if I was offered it anyway I wanted to take time to see if Lifestyle

changes could have some kind of impact because offer the past few months I have

been very stressed and have barely gotten any sleep, went to sleep at different

times because of this. I have been majorly depressed over it.

> > > >

> > > >So I don't know what I'm going to do now that I got my results; there is

nothing wrong with my pituitary, yet my T Level's are still low. I have an

appointment next week with a Urologist for a different issue and will probably

bring this to his attention, see what he has to say about it.

> > >

> > >

> > > Have they run a cortisol test? With high stress it climbs and can

> > > cause low T. But if you're cortisol levels are normal and T is not up,

> > > I'd get started on T sooner than later. At least for me the loss of

> > > energy, ambition and mental fog were too much to live with and keep a

> > > job, etc.

> > >

> >

>

[Guest guest]

I am sure Phil will chime in on this. Yes, Arimidex can help raise your

Testosterone up a bit if you convert a lot to Estradiol. 1mg per day is way too

much unless you are a women with breast cancer. 1/4 a tablet every 3 days to

start is usually enough. Without TRT that dose may even be too much. I get achy

if my Estradiol goes too low plus you run the risk of ED and Osteoporosis.

________________________________

From: bsprulesall <bsprulesall@...>

Sent: Wednesday, July 22, 2009 8:11:39 PM

Subject: Re: Help! I need advice. Low testosterone w/ lab results

for reference

 

Thank you, it does. I want to something less severe before I dive head first

into something like T therapy. But here's the newest turn of events: I went to a

Urologist today for this problem and some other things i've been experiencing

and he gave me a prescription for a drug called Amiridex. He said it should

boost my Testosterone levels. It's one pill a day, 1mg. Is this safe?

> > >

> > > >Here's an update regarding my situation

> > > >

> > > >I had the MRI on my Pituitary on Monday. I got a telephone call today

with the results. It turns out that my Pituitary is normal, they found nothing

wrong with it. The Dr's assistant told me over the telephone because my T levels

low-normal the Endo wants to hold off on Testosterone Replacement and wants me

to get another Blood Test in 3 months. I like this course of action because if I

was offered it anyway I wanted to take time to see if Lifestyle changes could

have some kind of impact because offer the past few months I have been very

stressed and have barely gotten any sleep, went to sleep at different times

because of this. I have been majorly depressed over it.

> > > >

> > > >So I don't know what I'm going to do now that I got my results; there is

nothing wrong with my pituitary, yet my T Level's are still low. I have an

appointment next week with a Urologist for a different issue and will probably

bring this to his attention, see what he has to say about it.

> > >

> > >

> > > Have they run a cortisol test? With high stress it climbs and can

> > > cause low T. But if you're cortisol levels are normal and T is not up,

> > > I'd get started on T sooner than later. At least for me the loss of

> > > energy, ambition and mental fog were too much to live with and keep a

> > > job, etc.

> > >

> >

>

[Guest guest]

I forgot to mention, here are my new labs

Total Test: 417 (250-1100 ng/dl)

Free%: 3 (1.50-2.20%)

Free Test: 125.1 (35.0-1.55 pg/ml)

LH:3.8 (1.5-9.3 miu/ml)

Prolactin:11.2 (2.0-18.0 ng/ml)

The labs were the best one's I've done but I think it's because it was in the

morning. I drew the blood around 9:30 or so. Still the Testosterone level is

sort of borderline. The Uro gave me a prescription for the Amiridex. My

estradiol level from a previous test 41. I understand Estradiol is estrogen. I

am pretty skinny but I do carry fat on my legs/thigs.

> > > >

> > > > >Here's an update regarding my situation

> > > > >

> > > > >I had the MRI on my Pituitary on Monday. I got a telephone call today

with the results. It turns out that my Pituitary is normal, they found nothing

wrong with it. The Dr's assistant told me over the telephone because my T levels

low-normal the Endo wants to hold off on Testosterone Replacement and wants me

to get another Blood Test in 3 months. I like this course of action because if I

was offered it anyway I wanted to take time to see if Lifestyle changes could

have some kind of impact because offer the past few months I have been very

stressed and have barely gotten any sleep, went to sleep at different times

because of this. I have been majorly depressed over it.

> > > > >

> > > > >So I don't know what I'm going to do now that I got my results; there

is nothing wrong with my pituitary, yet my T Level's are still low. I have an

appointment next week with a Urologist for a different issue and will probably

bring this to his attention, see what he has to say about it.

> > > >

> > > >

> > > > Have they run a cortisol test? With high stress it climbs and can

> > > > cause low T. But if you're cortisol levels are normal and T is not up,

> > > > I'd get started on T sooner than later. At least for me the loss of

> > > > energy, ambition and mental fog were too much to live with and keep a

> > > > job, etc.

> > > >

> > >

> >

>

>

>

>

>

[Guest guest]

We have a guy here that was on Androgel for some yrs. he seen a Uro because he

did not feel all that great. The Uro took him off the Androgel and put him on

Arimidex 1 mg. pill a day his body started to make it's own testosterone. As

Estradiol levels go up your brain thinks it's Testosterone because Estradiol is

made from Testosterone so your brain sees Estradiol high and slows down sending

the LH and FSH messages to your testis and you can end up with low levels. Here

is a link about this it's about older men but I see this happen to younger men.

http://jcem.endojournals.org/cgi/content/full/89/3/1174

You need to be care full on this you can go down to low fast I did not see if

your Estradiol was tested but if it's over 30 pg/ml this can happen I am on TRT

and take .25 mgs every other day or 1/4 of a one mg. pill to keep my Estradiol

down. And there are times I go to low I gage this by my night time and morning

wood. When I went on Arimidex I had some bad ED problems and this got better

fast the first thing to come back for me after not having them over 35 yrs was

my night time and morning wood. So when it stops I know I am going down to low

to low is just as bad as to high.

Make sure you don't take this for months with out a lab test on it. But yes

this works for some men.

I have tried finding the posts but can't I think he posted to someones thread

you can try and see if you can find it or someone might know the guys nick.

Co-Moderator

Phil

> From: bsprulesall <bsprulesall@...>

> Subject: Re: Help! I need advice. Low testosterone w/ lab

results for reference

>

> Date: Wednesday, July 22, 2009, 9:11 PM

> Thank you, it does.  I want to

> something less severe before I dive head first into

> something like T therapy.  But here's the newest turn

> of events: I went to a Urologist today for this problem and

> some other things i've been experiencing and he gave me a

> prescription for a drug called Amiridex.  He said it

> should boost my Testosterone levels.  It's one pill a

> day, 1mg. Is this safe?

>

>

> > > >

> > > > >Here's an update regarding my situation

> > > > >

> > > > >I had the MRI on my Pituitary on

> Monday.  I got a telephone call today with the

> results.  It turns out that my Pituitary is normal,

> they found nothing wrong with it.  The Dr's assistant

> told me over the telephone because my T levels low-normal

> the Endo wants to hold off on Testosterone Replacement and

> wants me to get another Blood Test in 3 months.  I like

> this course of action because if I was offered it anyway I

> wanted to take time to see if Lifestyle changes could have

> some kind of impact because offer the past few months I have

> been very stressed and have barely gotten any sleep, went to

> sleep at different times because of this.  I have been

> majorly depressed over it.

> > > > >

> > > > >So I don't know what I'm going to do now

> that I got my results; there is nothing wrong with my

> pituitary, yet my T Level's are still low.  I have an

> appointment next week with a Urologist for a different issue

> and will probably bring this to his attention, see what he

> has to say about it.

> > > >

> > > >

> > > > Have they run a cortisol test?  With

> high stress it climbs and can

> > > > cause low T. But if you're cortisol levels

> are normal and T is not up,

> > > > I'd get started on T sooner than later. At

> least for me the loss of

> > > > energy, ambition and mental fog were too

> much to live with and keep a

> > > > job, etc.

> > > >

> > >

> >

>

>

>

>

> ------------------------------------

>

>