Re: Mid range TotalT high Free T

[Guest guest]

Do you mean letromazole no don't take this with Testosterone cream did you Dr.

tell you you could use this. It works the same way as Clomid tries to tell the

brain to make more LH and FSH. Yet your cream is shutting this down because

your adding Testosterone to your body. So you like pushing and pulling at the

same time not a good idea. You do one or the other not both. Go on the

arimidex your Total T is to low yes your Free is up but your Free is only 2% of

what your Total is. I don't know why Dr. miss this maybe they need a class in

satisticks. Two % of nothing is nothing. Getting your estradiol down with

Arimidex will free up both your Total and Bio. Testosterone levels but still I

feel you need more Cream if this dose not work then go on shots starting at 100

mgs per week.

Your Estradiol levels are still to high you need them down to about 20 pg/ml so

start with .5 mgs of Arimidex every other day when your levels come down your

night time and morning wood will come back so strong it will wake you up keep

taking the arimidex but later if your wood stops your driving your Estradiol

down to low so just stop the arimdex until your wood comes back that day go back

on it but take less say .25 mgs or 1/4 of a pill every 2 to 3 days.

Once again it's not good to take letromazole or a Clomid like drugh with

Testosterone you do one or the other and letromazole or clomid are not good

forms of TRT and the sides can be bad you can get floters in your eyes.

It will lower Estradiol but still you do one or the other it is much the same as

Clomid.

Here is a cut a paste.

==========================================================================

Clomiphene was originally developed to help treat female infertility caused by

ovulatory dysfunction. It works in women by binding competitively to estrogen

receptors on the hypothalamus and pituitary. This causes an increased secretion

of leutinizing hormone-releasing hormone as well as follicle-stimulating

hormone-releasing hormone which in turn causes a release of LH and FSH. Did you

follow that? These two hormones play key roles in the process of ovulation and

maturation of the ovarian follicle, which is necessary to make a baby.

So, what the hell does this have to do with a bodybuilder? I’m sure most of

you are already familiar with what I’m about to tell you. That is, clomiphene,

which increases LH and FSH in women, can do the same in men. As we all know, LH

is responsible for endogenous Testosterone production in men. This is a great

thing for guys who’ve just come off a cycle which has shut down or limited the

production of their endogenous T.

So, what else is great about this stuff? Well, you should also notice that while

it binds to estrogen receptors on the hypothalamus and pituitary, it does the

same with breast tissue. When it does, this prevents endogenous estrogen from

binding to the alpha receptor sites. The alpha receptors are those found with

breast tissue.

What else? Well, it can improve blood lipid profiles to some extent. This is

thought to be an inherent property of all anti-estrogens. It’s thought to

occur because of clomiphene’s estrogen-like influence on the cardiovascular

system, lowering low density lipoproteins in the plasma (1).

Oh, and one more thing. Yes, clomiphene has been shown to increase LH and

Testosterone, both total and free in normal and oligospermic men (dudes with low

sperm count). But what about in men that have exercise-induced hypogonadism? The

answer is that clomiphene can help them as well.

In one study, a 29-year-old male runner had reached a state of hypogonadism from

overtraining, something that’s also commonly seen amongst bodybuilders. He

received 50 mg of clomiphene daily for five weeks and afterward, reached normal

levels of LH, FSH, and Testosterone, both free and total. After four months of

treatment, improvements were seen in muscle strength, daily morning erections,

sense of well being, and energy (2).

I think it can be concluded that clomiphene is very effective at increasing LH

and Testosterone levels. It’s good at preventing gynecomastia and can also

improve blood lipid profiles.

So what dosages should be used? For the LH/Testosterone boosting effect, a

dosage of 50 to100 mg per day. When using it as an anti-estrogen, you should

employ larger dosages. Depending on what steroid you’re using and how much,

you should use 50 to 300 mg per day during the cycle. It’s been shown that

clomiphene is more effective for preventing and treating gynecomastia when

higher dosages are used (3).

If you’re getting it the legit way, through your doctor, the price for the

brand name Clomid is around nine to ten bucks per tab. The generic version is

around four dollars per tab. Of course, a little bird told me that the street

price is much lower and that many of the same, uh, business men, who sell

steroids will sell clomiphene for around fifty cents to a dollar per tab.

Co-Moderator

Phil

> From: ihor43us <ihor43us@...>

> Subject: Mid range TotalT high Free T

>

> Date: Tuesday, August 25, 2009, 5:41 PM

> Phil, let me start by thanking you

> for all you do. It is great to be able to lurk and learn.

>

> My T was low and I finally found a doc that would treat it

> - 1cc 10% cream every day from a compounding pharmacy.

>

> Last test came back TT 416 ng/dL (241-827) Free T 18.6

> pg/ml (6.6 - 18.1). He felt that since my free T was way up,

> there was no need to try to get my Total T up any higher. I

> can't argue - it makes sense.

>

> E2 was 50 so he put me on Arimidex. He is OK.

>

> But, libido and wood still hiding somewhere. Once I get the

> E2 down we will see. BTW, instead of the arimidex, I decided

> to try the letromazole. Starting at 1/2 pill (1.25mg) every

> 88 hours (2x per week). Next test in another month.

>

> What are your thoughts on the lowish TT and high FT?

>

> TIA

>

>

>

>

>

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

>

>

[Guest guest]

From my calculations free t 18.8pg/ml = 1.88ng/Dl because 1pg=0.001ng

and 1dl=100ml.

So Free T=1.88/416 =0.45% which is very low and should be 2%.

Am I wrong in my calcs???

>

> Phil, let me start by thanking you for all you do. It is great to be able to

lurk and learn.

>

> My T was low and I finally found a doc that would treat it - 1cc 10% cream

every day from a compounding pharmacy.

>

> Last test came back TT 416 ng/dL (241-827) Free T 18.6 pg/ml (6.6 - 18.1). He

felt that since my free T was way up, there was no need to try to get my Total T

up any higher. I can't argue - it makes sense.

>

> E2 was 50 so he put me on Arimidex. He is OK.

>

> But, libido and wood still hiding somewhere. Once I get the E2 down we will

see. BTW, instead of the arimidex, I decided to try the letromazole. Starting at

1/2 pill (1.25mg) every 88 hours (2x per week). Next test in another month.

>

> What are your thoughts on the lowish TT and high FT?

>

> TIA

>

[Guest guest]

" So Free T=1.88/416 =0.45% which is very low and should be 2%.

Am I wrong in my calcs??? "

No, you are correct. Those are the results I got when I converted the units and

queried my doctor.

However, the doc said that I was above the reference range of 6.6 -18.1 pg/ml.

He is right. The question is why is the reference range the way it is???

I was hoping someone could elucidate. BTW, these are LabCorp ranges.

[Guest guest]

Thanks Phil. Will switch.

Until I can explain away the fact that I am above the LabCorp reference range in

the free T, he will not increase the dosage. His point is that free T is what

does the work. The T bound with SHBG and globulin(?) is not available.

I find it hard to argue.

BTW, he is on TRT and takes Testosterone cream, so, not a newbie.

I think I will contact LabCorp and ask about their reference range being WAY

below 2% - actually by a factor of 10.

>

> > From: ihor43us <ihor43us@...>

> > Subject: Mid range TotalT high Free T

> >

> > Date: Tuesday, August 25, 2009, 5:41 PM

> > Phil, let me start by thanking you

> > for all you do. It is great to be able to lurk and learn.

> >

> > My T was low and I finally found a doc that would treat it

> > - 1cc 10% cream every day from a compounding pharmacy.

> >

> > Last test came back TT 416 ng/dL (241-827) Free T 18.6

> > pg/ml (6.6 - 18.1). He felt that since my free T was way up,

> > there was no need to try to get my Total T up any higher. I

> > can't argue - it makes sense.

> >

> > E2 was 50 so he put me on Arimidex. He is OK.

> >

> > But, libido and wood still hiding somewhere. Once I get the

> > E2 down we will see. BTW, instead of the arimidex, I decided

> > to try the letromazole. Starting at 1/2 pill (1.25mg) every

> > 88 hours (2x per week). Next test in another month.

> >

> > What are your thoughts on the lowish TT and high FT?

> >

> > TIA

> >

> >

> >

> >

> >

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

> >

> >

[Guest guest]

It's right and you did a good job showing how you got there.

Co-Moderator

Phil

> From: mqsymth <alphadennis@...>

> Subject: Re: Mid range TotalT high Free T

>

> Date: Wednesday, August 26, 2009, 10:41 AM

> From my calculations free t 18.8pg/ml

> = 1.88ng/Dl because 1pg=0.001ng

> and 1dl=100ml.

>

> So Free T=1.88/416 =0.45% which is very low and should be

> 2%.

>

> Am I wrong in my calcs???

>

>

> >

> > Phil, let me start by thanking you for all you do. It

> is great to be able to lurk and learn.

> >

> > My T was low and I finally found a doc that would

> treat it - 1cc 10% cream every day from a compounding

> pharmacy.

> >

> > Last test came back TT 416 ng/dL (241-827) Free T 18.6

> pg/ml (6.6 - 18.1). He felt that since my free T was way up,

> there was no need to try to get my Total T up any higher. I

> can't argue - it makes sense.

> >

> > E2 was 50 so he put me on Arimidex. He is OK.

> >

> > But, libido and wood still hiding somewhere. Once I

> get the E2 down we will see. BTW, instead of the arimidex, I

> decided to try the letromazole. Starting at 1/2 pill

> (1.25mg) every 88 hours (2x per week). Next test in another

> month.

> >

> > What are your thoughts on the lowish TT and high FT?

> >

> > TIA

> >

>

>

>

>

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

>

>

[Guest guest]

Thanks to all who responded. I called LabCorp. After some run-around I got a

person who knew the answer.

The " free T " as reported cannot be related to the " total T " - the lab testing is

such that the comparison cannot be made the way we did it. I was referred to

Google - " testosterone calculator " . The first one up is the one to use for

LabCorp results. BUT you need to know your SHBG and Albumin levels as well as

the total Testosterone.

When I plug in my numbers I get 2.8% free T and 75% bio-available, although the

SHBG numbers are from before the Testosterone cream. When I re-test in a month I

will insist on getting both the albumin and the SHBG as well as E2 and TTe.

BTW, Quest gives you the %FT.

[Guest guest]

Here is a link in this they talk about Free, Total and Bio. testosterone. When

you read % of some thing that is low to start like your Total T the 2% of a

total T of 450 is a lot less then the 2% of a total T of 800.

http://www.tmuscle.com/free_online_article/sports_body_training_performance_scie\

nce/the_big_t

Co-Moderator

Phil

> From: ihor43us <ihor43us@...>

> Subject: Re: Mid range TotalT high Free T

>

> Date: Wednesday, August 26, 2009, 1:02 PM

> " So Free T=1.88/416 =0.45% which is

> very low and should be 2%.

>

> Am I wrong in my calcs??? "

>

> No, you are correct. Those are the results I got when I

> converted the units and queried my doctor.

>

> However, the doc said that I was above the reference range

> of 6.6 -18.1 pg/ml. He is right. The question is why is the

> reference range the way it is???

>

> I was hoping someone could elucidate. BTW, these are

> LabCorp ranges.

>

>

>

>

>

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

>

>

[Guest guest]

Free T is not a good measure for dosing Testosterone Total is.

Co-Moderator

Phil

> From: ihor43us <ihor43us@...>

> Subject: Re: Mid range TotalT high Free T

>

> Date: Wednesday, August 26, 2009, 1:10 PM

>

> Thanks Phil. Will switch.

>

> Until I can explain away the fact that I am above the

> LabCorp reference range in the free T, he will not increase

> the dosage. His point is that free T is what does the work.

> The T bound with SHBG and globulin(?) is not available.

>

> I find it hard to argue.

>

> BTW, he is on TRT and takes Testosterone cream, so, not a

> newbie.

>

> I think I will contact LabCorp and ask about their

> reference range being WAY below 2% - actually by a factor of

> 10.

>

>

>

>

> >

> > > From: ihor43us <ihor43us@...>

> > > Subject: Mid range TotalT high

> Free T

> > >

> > > Date: Tuesday, August 25, 2009, 5:41 PM

> > > Phil, let me start by thanking you

> > > for all you do. It is great to be able to lurk

> and learn.

> > >

> > > My T was low and I finally found a doc that would

> treat it

> > > - 1cc 10% cream every day from a compounding

> pharmacy.

> > >

> > > Last test came back TT 416 ng/dL (241-827) Free T

> 18.6

> > > pg/ml (6.6 - 18.1). He felt that since my free T

> was way up,

> > > there was no need to try to get my Total T up any

> higher. I

> > > can't argue - it makes sense.

> > >

> > > E2 was 50 so he put me on Arimidex. He is OK.

> > >

> > > But, libido and wood still hiding somewhere. Once

> I get the

> > > E2 down we will see. BTW, instead of the

> arimidex, I decided

> > > to try the letromazole. Starting at 1/2 pill

> (1.25mg) every

> > > 88 hours (2x per week). Next test in another

> month.

> > >

> > > What are your thoughts on the lowish TT and high

> FT?

> > >

> > > TIA

> > >

> > >

> > >

> > >

> > >

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

> > >

> > >

[Guest guest]

> > >

> > > > From: ihor43us <ihor43us@>

> > > > Subject: Mid range TotalT high

> > Free T

> > > >

> > > > Date: Tuesday, August 25, 2009, 5:41 PM

> > > > Phil, let me start by thanking you

> > > > for all you do. It is great to be able to lurk

> > and learn.

> > > >

> > > > My T was low and I finally found a doc that would

> > treat it

> > > > - 1cc 10% cream every day from a compounding

> > pharmacy.

> > > >

> > > > Last test came back TT 416 ng/dL (241-827) Free T

> > 18.6

> > > > pg/ml (6.6 - 18.1). He felt that since my free T

> > was way up,

> > > > there was no need to try to get my Total T up any

> > higher. I

> > > > can't argue - it makes sense.

> > > >

> > > > E2 was 50 so he put me on Arimidex. He is OK.

> > > >

> > > > But, libido and wood still hiding somewhere. Once

> > I get the

> > > > E2 down we will see. BTW, instead of the

> > arimidex, I decided

> > > > to try the letromazole. Starting at 1/2 pill

> > (1.25mg) every

> > > > 88 hours (2x per week). Next test in another

> > month.

> > > >

> > > > What are your thoughts on the lowish TT and high

> > FT?

> > > >

> > > > TIA

> > > >

> > > >

> > > >

> > > >

> > > >

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

> > > >

> > > >

[Guest guest]

I do my labs at Quest labs.

Estradiol sentive Code #4021

Testosterone, Free, Bioavailable & Total LC/MS/MS Code # 14966X.

Co-Moderator

Phil

> From: ihor43us <ihor43us@...>

> Subject: Re: Mid range TotalT high Free T

>

> Date: Wednesday, August 26, 2009, 3:39 PM

> Thanks to all who responded. I called

> LabCorp. After some run-around I got a person who knew the

> answer.

>

> The " free T " as reported cannot be related to the " total T "

> - the lab testing is such that the comparison cannot be made

> the way we did it. I was referred to Google - " testosterone

> calculator " . The first one up is the one to use for LabCorp

> results. BUT you need to know your SHBG and Albumin levels

> as well as the total Testosterone.

>

> When I plug in my numbers I get 2.8% free T and 75%

> bio-available, although the SHBG numbers are from before the

> Testosterone cream. When I re-test in a month I will insist

> on getting both the albumin and the SHBG as well as E2 and

> TTe.

>

> BTW, Quest gives you the %FT.

>

>

>

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

>

>

[Guest guest]

Phil raises a good point- it's hard to judge the value of free T. Even when

SHBG binds Free T, it may stimulate SHBG receptors and possibly prolong the half

life of free T, rather than allowing free T to be used too quickly. It's an

interesting point raised by Dr. no. Additionally, free T is affected by

too many other hormones to provide a good estimation of how much T is doing

work. Another point is that free T might be elevated to compensate for low

total T- a sort of last ditch effort to get as much T as possible, indicating

there is already some T deficiency.

Personally, I think the combination of total T and DHT is a more meaningful

indication of how much androgenic activity T is exerting.

~Xian

> > >

> > > > From: ihor43us <ihor43us@>

> > > > Subject: Mid range TotalT high

> > Free T

> > > >

> > > > Date: Tuesday, August 25, 2009, 5:41 PM

> > > > Phil, let me start by thanking you

> > > > for all you do. It is great to be able to lurk

> > and learn.

> > > >

> > > > My T was low and I finally found a doc that would

> > treat it

> > > > - 1cc 10% cream every day from a compounding

> > pharmacy.

> > > >

> > > > Last test came back TT 416 ng/dL (241-827) Free T

> > 18.6

> > > > pg/ml (6.6 - 18.1). He felt that since my free T

> > was way up,

> > > > there was no need to try to get my Total T up any

> > higher. I

> > > > can't argue - it makes sense.

> > > >

> > > > E2 was 50 so he put me on Arimidex. He is OK.

> > > >

> > > > But, libido and wood still hiding somewhere. Once

> > I get the

> > > > E2 down we will see. BTW, instead of the

> > arimidex, I decided

> > > > to try the letromazole. Starting at 1/2 pill

> > (1.25mg) every

> > > > 88 hours (2x per week). Next test in another

> > month.

> > > >

> > > > What are your thoughts on the lowish TT and high

> > FT?

> > > >

> > > > TIA

> > > >

> > > >

> > > >

> > > >

> > > >

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

> > > >

> > > >

[Guest guest]

ihor,

I can't find letromazole, and neither can Google. You mean Letrozole (Femara)?

It would seem so, since the dosage mirrors that of Letrozole.

As an aromatase inhibitor, Letrozole seems just as strong as Arimidex at

lowering estrogen and increasing testosterone. Studies show that besides a

slight difference in GH output in those taking Letrozole vs. Arimidex, the

results are basically the same.

Hope it works for you like it did in the men in the studies.

~Xian

>

> Phil, let me start by thanking you for all you do. It is great to be able to

lurk and learn.

>

> My T was low and I finally found a doc that would treat it - 1cc 10% cream

every day from a compounding pharmacy.

>

> Last test came back TT 416 ng/dL (241-827) Free T 18.6 pg/ml (6.6 - 18.1). He

felt that since my free T was way up, there was no need to try to get my Total T

up any higher. I can't argue - it makes sense.

>

> E2 was 50 so he put me on Arimidex. He is OK.

>

> But, libido and wood still hiding somewhere. Once I get the E2 down we will

see. BTW, instead of the arimidex, I decided to try the letromazole. Starting at

1/2 pill (1.25mg) every 88 hours (2x per week). Next test in another month.

>

> What are your thoughts on the lowish TT and high FT?

>

> TIA

>

[Guest guest]

Oh yes you have a great way of putting this into words one of my short falls.

Co-Moderator

Phil

> From: d00fu524 <calvin1564@...>

> Subject: Re: Mid range TotalT high Free T

>

> Date: Wednesday, August 26, 2009, 9:35 PM

> Phil raises a good point- it's hard

> to judge the value of free T.  Even when SHBG binds

> Free T, it may stimulate SHBG receptors and possibly prolong

> the half life of free T, rather than allowing free T to be

> used too quickly.  It's an interesting point raised by

> Dr. no.  Additionally, free T is affected by too

> many other hormones to provide a good estimation of how much

> T is doing work.  Another point is that free T might be

> elevated to compensate for low total T- a sort of last ditch

> effort to get as much T as possible, indicating there is

> already some T deficiency.

>

> Personally, I think the combination of total T and DHT is a

> more meaningful indication of how much androgenic activity T

> is exerting.

>

> ~Xian

>

>

> > > >

> > > > > From: ihor43us <ihor43us@>

> > > > > Subject: Mid range

> TotalT high

> > > Free T

> > > > >

> > > > > Date: Tuesday, August 25, 2009, 5:41

> PM

> > > > > Phil, let me start by thanking you

> > > > > for all you do. It is great to be able

> to lurk

> > > and learn.

> > > > >

> > > > > My T was low and I finally found a doc

> that would

> > > treat it

> > > > > - 1cc 10% cream every day from a

> compounding

> > > pharmacy.

> > > > >

> > > > > Last test came back TT 416 ng/dL

> (241-827) Free T

> > > 18.6

> > > > > pg/ml (6.6 - 18.1). He felt that since

> my free T

> > > was way up,

> > > > > there was no need to try to get my

> Total T up any

> > > higher. I

> > > > > can't argue - it makes sense.

> > > > >

> > > > > E2 was 50 so he put me on Arimidex. He

> is OK.

> > > > >

> > > > > But, libido and wood still hiding

> somewhere. Once

> > > I get the

> > > > > E2 down we will see. BTW, instead of

> the

> > > arimidex, I decided

> > > > > to try the letromazole. Starting at 1/2

> pill

> > > (1.25mg) every

> > > > > 88 hours (2x per week). Next test in

> another

> > > month.

> > > > >

> > > > > What are your thoughts on the lowish TT

> and high

> > > FT?

> > > > >

> > > > > TIA

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

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

> > > > >

> > > > >

[Guest guest]

Phil, Xian

I spelled it wrong it is Letrozole. The GH1 impact difference is significant -

the delta is ~ 40%. Arimidex -24%, Letrozole +16%.

I am being very cautious since Phil has indicated that is is very difficult to

get the right levels. I feel that the current dose is too low, but will wait

until the next test to change it.

With regards to the free T number - I talked to the doctors at Life Extension

Foundation and was told that 18.8 is a very, very good number.

Now, I am not an expert and there are many more knowledgeable than me on this

site, but I was under the impression that T bound to SHBG was not available at

all for T work, and that bound to Albumin was only weakly available and that the

work horse was the free T.

From previous tests, my SHBG is very low ~12, thus any increase in TT would

translate into a disproportionate increase in Free T.

Rather than getting into a conflict with my doctor, for the time being I will

focus on getting my E2 down into the low 20s. The Letrozole should increase my

TT and FT as well. Once stabilized, I will be able to review the situation.

Again, thanks for all the input.

[Guest guest]

Yes this is all you can do try and get the estradiol your SHBG being this low

Dr. no feels low SHBG can be do to high levels of sugar. Go to his site

and post this he will get back to you.

http://www.definitivemind.com/forums/index.php

Co-Moderator

Phil

> From: ihor43us <ihor43us@...>

> Subject: Re: Mid range TotalT high Free T

>

> Date: Thursday, August 27, 2009, 3:18 PM

> Phil, Xian

>

> I spelled it wrong it is Letrozole. The GH1 impact

> difference is significant - the delta is ~ 40%. Arimidex

> -24%, Letrozole +16%.

>

> I am being very cautious since Phil has indicated that is

> is very difficult to get the right levels. I feel that the

> current dose is too low, but will wait until the next test

> to change it.

>

> With regards to the free T number - I talked to the doctors

> at Life Extension Foundation and was told that 18.8 is a

> very, very good number.

>

> Now, I am not an expert and there are many more

> knowledgeable than me on this site, but I was under the

> impression that T bound to SHBG was not available at all for

> T work, and that bound to Albumin was only weakly available

> and that the work horse was the free T.

>

> From previous tests, my SHBG is very low ~12, thus any

> increase in TT would translate into a disproportionate

> increase in Free T.

>

> Rather than getting into a conflict with my doctor, for the

> time being I will focus on getting my E2 down into the low

> 20s. The Letrozole should increase my TT and FT as well.

> Once stabilized, I will be able to review the situation.

>

> Again, thanks for all the input.

>

>

>

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

>

>

[Guest guest]

Please clear up some confusion for me. I had my total checked, it was 388. I'm

49 and a testicular cancer survivor.

I will be seeing another doc for my low T, he wants me to test my free T. it

seems that this is all he cares about. No E2, LH or any of the other sh@t, just

free T. Should I see this doc? I would have to pay for the blood test and

probably the office visit. I don't have many options here. Any help would be

appeciated.

> > >

> > > > From: ihor43us <ihor43us@>

> > > > Subject: Mid range TotalT high

> > Free T

> > > >

> > > > Date: Tuesday, August 25, 2009, 5:41 PM

> > > > Phil, let me start by thanking you

> > > > for all you do. It is great to be able to lurk

> > and learn.

> > > >

> > > > My T was low and I finally found a doc that would

> > treat it

> > > > - 1cc 10% cream every day from a compounding

> > pharmacy.

> > > >

> > > > Last test came back TT 416 ng/dL (241-827) Free T

> > 18.6

> > > > pg/ml (6.6 - 18.1). He felt that since my free T

> > was way up,

> > > > there was no need to try to get my Total T up any

> > higher. I

> > > > can't argue - it makes sense.

> > > >

> > > > E2 was 50 so he put me on Arimidex. He is OK.

> > > >

> > > > But, libido and wood still hiding somewhere. Once

> > I get the

> > > > E2 down we will see. BTW, instead of the

> > arimidex, I decided

> > > > to try the letromazole. Starting at 1/2 pill

> > (1.25mg) every

> > > > 88 hours (2x per week). Next test in another

> > month.

> > > >

> > > > What are your thoughts on the lowish TT and high

> > FT?

> > > >

> > > > TIA

> > > >

> > > >

> > > >

> > > >

> > > >

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

> > > >

> > > >

[Guest guest]

phil, i aassume pellets are T... how big are they and where and how are they

inserted?

Re: Mid range TotalT high Free T

>

> Date: Thursday, August 27, 2009, 3:18 PM

> Phil, Xian

>

> I spelled it wrong it is Letrozole. The GH1 impact

> difference is significant - the delta is ~ 40%. Arimidex

> -24%, Letrozole +16%.

>

> I am being very cautious since Phil has indicated that is

> is very difficult to get the right levels. I feel that the

> current dose is too low, but will wait until the next test

> to change it.

>

> With regards to the free T number - I talked to the doctors

> at Life Extension Foundation and was told that 18.8 is a

> very, very good number.

>

> Now, I am not an expert and there are many more

> knowledgeable than me on this site, but I was under the

> impression that T bound to SHBG was not available at all for

> T work, and that bound to Albumin was only weakly available

> and that the work horse was the free T.

>

> From previous tests, my SHBG is very low ~12, thus any

> increase in TT would translate into a disproportionate

> increase in Free T.

>

> Rather than getting into a conflict with my doctor, for the

> time being I will focus on getting my E2 down into the low

> 20s. The Letrozole should increase my TT and FT as well.

> Once stabilized, I will be able to review the situation.

>

> Again, thanks for all the input.

>

>

>

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

>

>

[Guest guest]

I can't tell you what to do but it it were me I would not waste my Time with a

Dr. that will not run at least these labs.

Estradiol sensitive Code #4021

Testosterone, Free, Bioavailable & Total LC/MS/MS Code # 14966X.

Just tell him you need them done with LH and FSH if you have never been on TRT.

Do you still have your Testis if you do you need LH and FSH done this will show

if your testis are not working by coming back very high. If your Estradiol

levels are low and your LH and FSH are low it's your Pituitary Gland some times

the treatment for cancer causes the Pituitary to not work right. If this is the

case you need to test your morning fasting Cortisol and Thyroid levels with the

following labs.

TSH

Free T4

Free T3

Total T3

Total T4

RT3

Total Iron

Iron Binding Capacity

Iron % Saturation

Ferritin

B-12

If you can't find a Dr. in your area try to work with him dont' tell him how to

treat you just tell him you want them tests. Your paying for them and if you

want them he should run them. Or don't see him and run the labs your self hear

is a link. The labs numbers will not work at this lab but you will find the

ones you need.

http://www.lef.org/protocols/appendix/blood_testing_01.htm

Free Testosterone is Calc. not a good mesure for finding out why one has low

levels you don't know for sure if it was your cancer. A lot of men that had

this don't have low testosterone. If you can go to Dr. 's site

www.allthingsmale.com and read TRT: A Recipe for Success in this are the labs

you need and why print this out and give it to your Dr. Dr. treats more

men for low testosterone then any Dr. I know of men fly in and see him he only

needs to see them once and treats and tests them by Email.

Or he will work with your Family Dr. over the phone read his site.

I must tell you Endo's and Uro's are not good Dr.'s for low testostereone unless

they treat a lot of men for this.

Co-Moderator

Phil

> From: virtuosa150 <virtuosa150@...>

> Subject: Re: Mid range TotalT high Free T

>

> Date: Thursday, August 27, 2009, 9:47 PM

> Please clear up some confusion for

> me. I had my total checked, it was 388. I'm 49 and a

> testicular cancer survivor.

>

> I will be seeing another doc for my low T, he wants me to

> test my free T. it seems that this is all he cares about. No

> E2, LH or any of the other sh@t, just free T. Should I see

> this doc? I would have to pay for the blood test and

> probably the office visit. I don't have many options here.

> Any help would be appeciated.

>

>

> > > >

> > > > > From: ihor43us <ihor43us@>

> > > > > Subject: Mid range

> TotalT high

> > > Free T

> > > > >

> > > > > Date: Tuesday, August 25, 2009, 5:41

> PM

> > > > > Phil, let me start by thanking you

> > > > > for all you do. It is great to be able

> to lurk

> > > and learn.

> > > > >

> > > > > My T was low and I finally found a doc

> that would

> > > treat it

> > > > > - 1cc 10% cream every day from a

> compounding

> > > pharmacy.

> > > > >

> > > > > Last test came back TT 416 ng/dL

> (241-827) Free T

> > > 18.6

> > > > > pg/ml (6.6 - 18.1). He felt that since

> my free T

> > > was way up,

> > > > > there was no need to try to get my

> Total T up any

> > > higher. I

> > > > > can't argue - it makes sense.

> > > > >

> > > > > E2 was 50 so he put me on Arimidex. He

> is OK.

> > > > >

> > > > > But, libido and wood still hiding

> somewhere. Once

> > > I get the

> > > > > E2 down we will see. BTW, instead of

> the

> > > arimidex, I decided

> > > > > to try the letromazole. Starting at 1/2

> pill

> > > (1.25mg) every

> > > > > 88 hours (2x per week). Next test in

> another

> > > month.

> > > > >

> > > > > What are your thoughts on the lowish TT

> and high

> > > FT?

> > > > >

> > > > > TIA

> > > > >

> > > > >

> > > > >

> > > > >

> > > > >

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

> > > > >

> > > > >

[Guest guest]

There are different sizes some come in 75mgs and there are bigger ones that are

I think 200 mgs then there are compounded ones made with the hormones you low on

like DHEA.

Co-Moderator

Phil

>

>   > From: ihor43us <ihor43us@...>

>   > Subject: Re: Mid range TotalT

> high Free T

>   >

>   > Date: Thursday, August 27, 2009, 3:18 PM

>   > Phil, Xian

>   >

>   > I spelled it wrong it is Letrozole. The GH1

> impact

>   > difference is significant - the delta is ~ 40%.

> Arimidex

>   > -24%, Letrozole +16%.

>   >

>   > I am being very cautious since Phil has

> indicated that is

>   > is very difficult to get the right levels. I

> feel that the

>   > current dose is too low, but will wait until

> the next test

>   > to change it.

>   >

>   > With regards to the free T number - I talked to

> the doctors

>   > at Life Extension Foundation and was told that

> 18.8 is a

>   > very, very good number.

>   >

>   > Now, I am not an expert and there are many

> more

>   > knowledgeable than me on this site, but I was

> under the

>   > impression that T bound to SHBG was not

> available at all for

>   > T work, and that bound to Albumin was only

> weakly available

>   > and that the work horse was the free T.

>   >

>   > From previous tests, my SHBG is very low ~12,

> thus any

>   > increase in TT would translate into a

> disproportionate

>   > increase in Free T.

>   >

>   > Rather than getting into a conflict with my

> doctor, for the

>   > time being I will focus on getting my E2 down

> into the low

>   > 20s. The Letrozole should increase my TT and FT

> as well.

>   > Once stabilized, I will be able to review the

> situation.

>   >

>   > Again, thanks for all the input.

>   >

>   >

>   >

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

>   >

>   >