Quantcast

Author Topic: Curious about recent blood test and why SHBG would be so low after Androgel  (Read 12681 times)

badrad123

  • Newbie
  • *
  • Posts: 24
    • View Profile
Hi,

I've been on androgel 1.6% 2 pumps for the past 2 weeks. Recently had blood test
and the results are listed below:

Total Test - 218 (250-890)
SHBG 12L (13 - 71)
Test, Free 65.7 (47 -244 pg/ml)
Test, Free % 3.0 (1.6-2.9%)
TSH 2.14 (0.35 - 4.5)

My previous T levels were around 186 and SHBG was 12. It seems weird that my T
went up a little but the SHBG stayed the same and my free t% went up.

After the results my PCP told me to start 3 pumps instead of 2.

Do you think once I add my T my SHGB will increase a bit? I have read that it's
not good to have too low of a SHBG level.

I'm 6'0 and 195 pounds. No exercise yet and do consume too much sugar in my
coffee at times. Could this be causing such a low SHBG level.....besides the low
T?

Thanks

John

PeakT

  • Administrator
  • Hero Member
  • *****
  • Posts: 38446
    • View Profile
    • Peak Testosterone
Wait - let me go back to the things that are probably most important:

0.  You are experiencing something very common with Androgel and Testim:  you simply don't absorb enough of the product to raise your testosterone levels much.

1.  Free testosterone is very often higher in men on HRT than the standard 1.5-2.5% range you see in healthy, "normal" males.

2.  Your testosterone is very low.  LabCorp's hypogonadal level is 280 for example.  If you go to three pumps, you probably will get up the upper 200's. 

You need to ask your physician why he thinks getting you up to the upper 200's is going to help you.  That will, at best, put you just a tiny bit above hypogonadal by LabCorp's standards. 

Most physicians, from what I have seen, try to correct men into the 500's or 600's.  I think you may also want to ask him/her where he is headed with your treatment and why.

I can't really advise you on how to do your HRT, obviously, as I'm not a doc and I don't know your medical history, etc.  But to me it seems clear that you do not know how and where your physician is headed.  You really need to pin him/her down and find out if he/she even knows what they are doing...
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements.  And low testosterone is a medical condition.

Peak Testosterone Forum


badrad123

  • Newbie
  • *
  • Posts: 24
    • View Profile
Hi PeakT,

I appreciate the response. My doctor said she was trying to get me up to the mid to upper 300s. She seems to think that would be a a good level for me.  Not sure why, but that is what she said.  I'm currently looking for a doctor with more experience in this area so if you know anybody in Atlanta please let me know.

Thanks again!

PeakT

  • Administrator
  • Hero Member
  • *****
  • Posts: 38446
    • View Profile
    • Peak Testosterone
He seems like a knowledgeable doctor but I don't know anything about him personally:

http://www.peaktestosterone.com/Physician_Network_CA_Smith
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements.  And low testosterone is a medical condition.

Peak Testosterone Forum


FightLowT

  • Full Member
  • ***
  • Posts: 126
    • View Profile
First off I'm not a doctor but I'm starting to think due to how stupid most of them are regarding the field of trt that maybe it isn't so hard to become one. With that being said I will be glad to advise you with any next move you make regarding trt and that firstly you need to fire the woman doctor. This is going to sound sexist but I'm not here to appeal to women's self esteem I'm here to help men like yourself from wasting their time. Never EVER let a female doctor manage your hormones. From a psychological point they just don't know what you are going through and will likely never fully appreciate and understand your needs as a male to stay vital, confident, potent, and happy. Find a male doctor that understands that getting an erection isn't just an issue in your head and that the low 300's is still a deplorably low total testosterone. I bet you still feel like crap don't ya? She wants to get you into the low 300's? Well well isn't that nice...Yeah it's nice if you are a dead man :o Also more importantly this isn't about what she wants it's about what YOU NEED! I've seen it time and time again with this 1.6 % androgel just shutting down guys' own natural production and is just merely replacing what they already produced. Tell the fräulein physician you would be better off rubbing mayonaise on your chest than what you are doing now and then FIRE HER..Just like Peak T said most doctors (ahem who are also MALE) that have any amount of understanding regarding the field try to get guys into the 500's and 600's.

spiderman

  • Sr. Member
  • ****
  • Posts: 277
    • View Profile
Totally agree FLT...We are all now able to give out better T advice on here than the vast majority of  docs out there...What I don't get is , given the "medical knowledge" they have..what is so goddam difficult about checking T  information online like the rest of us..surely they must have to do homework for other ailments at times..Grrrr...Starting to think its some kinda conspiracy or ego thing with these doctors...or they just don't get T lessons in Med school class

Badrad ..Most of us on here have had problems in the 300's...what age are you?....There is a guy on here who has done well with the tesopel pellets...as peak T said it seems to be an absorbtion issue sometimes with the gels...

Get any excercise you can...and cut back on the sugar buddy..I did and believe me you don't miss it!..and the benefits are fantastic!

badrad123

  • Newbie
  • *
  • Posts: 24
    • View Profile
Thanks FLT,Spider and PT.

I'm 45 years old and yes.....I still feel pretty crappy. I feel like my brain is on pause. I work in a field were I need to be quick on my feet in front of clients and lately I have been stumbling for words or just plain brain freeze. I once use to be very confident that I could handle any question or situation but now I the complete opposite:(

FLT - I'm currently looking for a new doctor in my area..........thanks for the advice.

Spider- I'm going to start exercising and dropping the sugar. Leaving out the sugar my diet is fairly good.

Thanks again guys

badrad123

  • Newbie
  • *
  • Posts: 24
    • View Profile
Thanks PT for the link.

PeakT

  • Administrator
  • Hero Member
  • *****
  • Posts: 38446
    • View Profile
    • Peak Testosterone

I'm 45 years old and yes.....I still feel pretty crappy. I feel like my brain is on pause. I work in a field were I need to be quick on my feet in front of clients and lately I have been stumbling for words or just plain brain freeze. I once use to be very confident that I could handle any question or situation but now I the complete opposite:(


This is likely from the low testosterone, although you don't know until you try.  But my experience was very similar and increasing my testosterone gave me a big boost mentally.  Low T in many guys can lead to depressed symptoms and anxiety and "mental fog" as well.

Comment:  There are many other things that can boost your brain power.  Any diet that boosts blood flow will help and blueberries are king.  I have the "wild organic blueberries" every day from Trader Joe's as they appear not to be the typical GMO crap that has taken over the market of late.  They are small and generally pretty sweet.  Just do any kind of scholarly search on blueberries and will be shocked what they do for the brain...

(Many other superfoods also help of course and you need to make sure you are getting ample Vitamins and minerals as the brain is a huge nutrient factory.)
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements.  And low testosterone is a medical condition.

PeakT

  • Administrator
  • Hero Member
  • *****
  • Posts: 38446
    • View Profile
    • Peak Testosterone
Badrad:

I was thinking about your question on SHBG and thought you might have missed my link on the subject?

http://www.peaktestosterone.com/Free_Testosterone_SHBG

It's got some good basic info that may help a little.
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements.  And low testosterone is a medical condition.

badrad123

  • Newbie
  • *
  • Posts: 24
    • View Profile
Thanks PeakT -I appreciate the great feedback and info.

PeakT

  • Administrator
  • Hero Member
  • *****
  • Posts: 38446
    • View Profile
    • Peak Testosterone
Sure and, of course, let us know how things turn out if you think of it...
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements.  And low testosterone is a medical condition.

badrad123

  • Newbie
  • *
  • Posts: 24
    • View Profile
I will. I made an appointment with another doc that seems to at least have more experience dealing with men and low t issues. I'll keep yo posted.

Thanks again!

badrad123

  • Newbie
  • *
  • Posts: 24
    • View Profile
PT,

How long does it typically take before somebody will start noticing the effects of the androgel? It's been 3 weeks ( 2.5 weeks at 2 pumps and 3 days on 3 pumps). So far the only thing I've noticed is a little anxiety, muddy thinking, and some muscle pain. I'm wondering if I need to go up to 4 pumps. How long on average would somebody stay on TRT before they decide to stop? 

I really didn't want to go on Androgel but I was basically told the chances of getting my numbers up to a healthy range naturally was very slim......not impossible but slim. Also, I have a past history herniated discs which the doctor thinks the TRT will help.
 
Thanks,

John

PeakT

  • Administrator
  • Hero Member
  • *****
  • Posts: 38446
    • View Profile
    • Peak Testosterone
It can take months before you really notice the effects of TRT.  Some, usually young guys, notice a powerful difference right away.  But usually in middle-aged and beyond guys it takes awhile.  I suspect it's cuzz we have more to rebuild.  But it's very individual.

But let me go back to something:

If I understood right, you got a blood draw after you started the Androgel and your testosterone is still very low.  If I am misunderstanding, let me know.  Again, I doubt a small increase in pumps will help, since it doesn't look like the Androgel is absorbing in your case anyway.  In other words, 33% more of nothing is still nothing.  You have to work that out with your doc of course.

Also, what did you mean by the TRT will "help the herniated disks".  If your testosterone is low like your is, you can end up with osteoporosis, but that is really a separate issue unless I'm missing something here. 

Or does he mean that the herniated disks - I'm assuming they're in the lower back? - are leading to erectile dysfunction?  If so, the TRT might help somewhat just because it can boost nitric oxide through eNOS activation, etc.

Anyway, not sure what your doctor meant there - you'll have to let us know.

Also, I have to ask another question:

Are you on any pain meds or muscle relaxants for the back injury?





« Last Edit: June 12, 2012, 09:52:29 pm by PeakT »
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements.  And low testosterone is a medical condition.

Peak Testosterone Forum