Open Side Menu Go to the Top
Register
Testosterone Info Thread Testosterone Info Thread

05-25-2015 , 08:11 AM
Final Update:
20th May Afternoon
Total: 358.04 ng/dL (241 - 827)
Free: 13.65pg/mL (8.69 - 54.69)

21st May Afternoon
Total: 494.23 ng/dL (241 - 827)
Free: 16.24 (8.69 - 54.69)

22nd May Morning
Total: 539.33 (241 - 827)
Free: 22.06 (8.69 - 54.69)




I am pretty satisfied with my results considering all of them were random samples. I will still see the Endo sometime this week to ask him a bunch of questions but looks like i've got good numbers. The beard should have been the tell.

I once saw some graph indicating T levels plummeting after a wank and then slowly rising over a few days. Well, I jacked off pretty soon after the 20th May test and the tests done in the consecutive two days after it yielded higher results respectively.
Testosterone Info Thread Quote
05-25-2015 , 08:19 AM
Lol that's pretty big variance right there... who knows I've never actually had low T
Testosterone Info Thread Quote
05-25-2015 , 08:21 AM
Sick. Ima stop lifting and move on to doing nothing but core circuits.

Do you know whether the Free T is measured or calculated (derived from TT and SHBG)?
Not that it matters hugely.
Testosterone Info Thread Quote
05-25-2015 , 08:25 AM
Mine comes back as 10.2 ng/dL as calculated. From here -> http://www.issam.ch/freetesto.htm

Bio-available T = 239 ng/dL
Testosterone Info Thread Quote
05-25-2015 , 08:52 AM
ITT people take more T and can lift more and recover faster? Most shocking thread on the interwebs.
Testosterone Info Thread Quote
05-25-2015 , 09:06 AM
Quote:
Originally Posted by saw7988
ITT people take more T and can lift more and recover faster? Most shocking thread on the interwebs.
Might as well put a banner with all health related facts on the front page of H&F and lock all the threads. No point in engaging discussions and sharing experiences by creating shocking threads about known facts.
Testosterone Info Thread Quote
05-25-2015 , 12:19 PM
Quote:
Originally Posted by saw7988
ITT people take more T and can lift more and recover faster? Most shocking thread on the interwebs.
How Steroids Work 101
Testosterone Info Thread Quote
05-25-2015 , 12:35 PM
Quote:
Originally Posted by cha59
I agree that she's more qualified. That's one of the reasons why I go to her. I know there are a lot of quacks prescribing this stuff, and she is not one.

I know its not an endocrinologist, but I have a urologist who is treating me for a chronic prostate/bladder issue that is supportive of me doing this HRT.

The biggest things I notice are way fewer muscle adhesions to deal with and less soreness/easier recovery after lifting than before. There's zero chance this is placebo effect or nutrition or sleep related. It was a gradual effect that happened during the first several weeks I was on T. Sex drive is slightly improved, and everything seems to function a bit better. I feel a bit more energetic and generally sleep better. There's some chance some of that could be placebo, but I doubt it. I think the diet change, along with continuing to lift heavy weights, is what is recomping my body the most.
I agree that placebo effect is probably less important when discussing lifting/recovery. I was talking about whatever contribution the T has to your general sense of feeling "better and healthier" than you ever have. I think placebo effect may be contributing there.

Unfortunately, I doubt we're going to get a randomized, double-blind, placebo controlled study on this anytime soon (or possibly ever).
Testosterone Info Thread Quote
05-25-2015 , 02:28 PM
Quote:
Originally Posted by cha59

free: 46-224 is optimal
bioavailable: 110-575 is optimal
total: 250-1100 is optimal, but again, this number is not very meaningful

You want to be near the high end of optimal levels.
This massive spread has always bothered me. I think doctors often confuse what is normal with what is optimal. Free T between 46 and 224 may be normal, but there's no ****ing way 46 is optimal if 224 is also optimal.

Doctors will prescribe meds to get you to "normal", but they will rarely prescribe to get you to what is truly optimal if you're already anywhere in "normal" (even at the extreme low end).
Testosterone Info Thread Quote
05-25-2015 , 02:52 PM
Quote:
Originally Posted by BigPoppa
This massive spread has always bothered me. I think doctors often confuse what is normal with what is optimal. Free T between 46 and 224 may be normal, but there's no ****ing way 46 is optimal if 224 is also optimal.
You're half right and half wrong. Generally the reference values just give you the range where most of the tested population falls. It has nothing to do with optimal, so in that sense you're correct.

Where you're wrong, is that you can't deduce what optimal is just from knowing the range. For example the guy with 46 may have extremely sensitive testosterone receptors and therefore only needs 46 to get the same effect as 224 for another guy. Unfortunately there's just a lot of stuff we just don't know.

Here's another example off the top of my head (and I'm oversimplifying, so there are details that could be nitpicked) where if we apply your logic, we end up tremendously wrong.

If you look at the reference values for blood platelets you'll see something like a range of 150-450. If we apply the Big Poppa logic, well if 450 is optimal, there is no way 150 is also optimal. But that would be completely wrong. The number of platelets necessary to function properly is way under 150. People walking around with 100, for example, are absolutely fine. So the optimal range is actually much wider. It's starts somewhere less than 150 and goes somewhere higher than 450 (but too high is also a problem).

The basic point is we can't figure out optimal solely from knowing what normal is. Now most of the time the two are pretty similar but you couldn't confidently state that unless you had more information. So, the bottom line is that it is possible that, in your example, 46 and 224 are both optimal. And if you're going to say they're not (and they certainly may not both be optimal), then you'll have to have more reason than "those numbers are just too different".
Testosterone Info Thread Quote
05-25-2015 , 02:57 PM
Suppose Syndr0m and his D0ppelgänger embarked on high intensity decent volume regimen with macros adequate for a slow bulk for 6 months.
Both had 'within normal' range of free T say 15 pg/mL but..

Synbr0 took injectible T which bumped his free T to high end of the optimal scale on average for that 6 month duration

whereas D0ppelgänger stayed at 20pg/mL.

Is there a way to speculate how much difference in muscle gain each will see? Transcribe a visual of the difference?
Testosterone Info Thread Quote
05-25-2015 , 03:54 PM
Quote:
Originally Posted by Pummi81
Wut? Not even fishoil? Or D3 through the winter months?
Those are pretty much a must in any diet that isn't called Inuit diet.

Zinc and magnesium optional but the cost is ~nothing so why not.
Some kind of multi-vitamin wouldn't hurt, either.



Ya, **** def works. I wish I had gotten T et al tested before touching a barbell for the very first time and starting to give a **** about diet.
Would be nice to have some historical data to compare to.
Yeah I don't take a single thing. guess I'm dumb?

For real, should I go buy some stuff and start? Costco is apparently a great place and has a big supply. Maybe I should get some junk from there.
Testosterone Info Thread Quote
05-25-2015 , 04:18 PM
Good question Big Poppa, I asked about that as well in Syn's thread. Had no idea about the stuff Melkerson answered, very informative.
Testosterone Info Thread Quote
05-25-2015 , 08:21 PM
Quote:
Originally Posted by SenseiSingh
there a way to speculate how much difference in muscle gain each will see? Transcribe a visual of the difference?
Both would be none
Testosterone Info Thread Quote
05-26-2015 , 12:49 AM
For anyone interested in all this stuff, I highly recommend reading "Testosterone Replacement Therapy, A recipe for succes" by Dr. John Crisler. I'm only 40 pages in but it's answering so so so many questions. Questions I didn't even know I had.

Obv not saying that that book is the holy grail and everything in it will be 100% accurate, but at least it's incredibly clarifying.

Spoiler:
Read it, BTM
Testosterone Info Thread Quote
05-26-2015 , 03:57 AM
Syn, my Endocrinologist gave a big list of things one would have to screen before going on TRT and then a list of markers that must be regularly monitored. It was more than the 3-4 written in this thread. Including regular Brain scans for the function of some glands.

It seems like a pain in the ass and a lot of risks involved. How are you going to manage to keep track of everything and what all you need to monitor and what are the danger signs?

High red blood count sounds rather dangerous, so do many of the other things.

One thing the doctor did not reply to even though I asked him a couple of times was - How soon would things like hair fall and all of the above symptoms start to arise if someone started TRT.

What was your experience the last time you went on it?
Testosterone Info Thread Quote
05-26-2015 , 12:59 PM
It's not a guarantee that your hair will fall out (faster) it's all genetics.

Sent from my SCH-R970 using 2+2 Forums
Testosterone Info Thread Quote
05-26-2015 , 01:04 PM
Quote:
Originally Posted by SenseiSingh
Syn, my Endocrinologist gave a big list of things one would have to screen before going on TRT and then a list of markers that must be regularly monitored. It was more than the 3-4 written in this thread. Including regular Brain scans for the function of some glands.

It seems like a pain in the ass and a lot of risks involved. How are you going to manage to keep track of everything and what all you need to monitor and what are the danger signs?

High red blood count sounds rather dangerous, so do many of the other things.

One thing the doctor did not reply to even though I asked him a couple of times was - How soon would things like hair fall and all of the above symptoms start to arise if someone started TRT.

What was your experience the last time you went on it?
I havent noticed any additional loss of hair. My understanding is that DHT level affects this when it gets too high, which is part of why you want to be on something that suppresses DHT. Far more important than hair loss, prostate issues may happen with elevated DHT levels. I've been on stuff to suppress DHT, so that's probably why I havent been losing more hair.
Testosterone Info Thread Quote
05-26-2015 , 01:12 PM
Quote:
Originally Posted by cha59
I havent noticed any additional loss of hair. My understanding is that DHT level affects this when it gets too high, which is part of why you want to be on something that suppresses DHT. Far more important than hair loss, prostate issues may happen with elevated DHT levels. I've been on stuff to suppress DHT, so that's probably why I havent been losing more hair.
To be honest I was thinking i might be able to get a doctor to prescribe me a 16 week trt of 250 mg / wk injected a couple of months from now when my training intensity should be up to near max. Although, now am happy with my morning T results even though they are middle-ish and not on the high end, at least they aren't on the low side.


The other more important factor is that I don't think credible doctors here will ever agree on TRT after hearing what the Endo told me about this field so it would have to be self administered and regulated.

That's why I wanted to know if doing just one cycle of just Testosterone 250mg/wk is:

1. Worth it
2. High enough dose to cause side effects
3. Something that can be stopped after the said 1 cycle and never repeated again or would I have to be on it for life.
Testosterone Info Thread Quote
05-26-2015 , 01:22 PM
I'm also interested in the impact that will have SS. I'd also want to know IF there are short-term results, will they linger after you get off of the cycle?
Testosterone Info Thread Quote
05-26-2015 , 01:28 PM
250mg/week is what was recommended to me if I were to start gear with the intention of never stopping (I am an old).

It's high enough to definitely see results but low enough not to have lots of side effects.

Think it's probably too low just to cycle and expect to see permanent results.
Testosterone Info Thread Quote
05-26-2015 , 02:17 PM
I was going to post this last year in the HC thread, but didn't end up digging into the issue to my satisfaction. I came across the mention in one of the research podcasts I listen to (transcript linked below), but didn't really get into the literature. I still haven't, so I'll post the point of departure here, if anyone wants to follow up deeper.

Apparently an issue in endocrinology is the (lack of) reliability in today's testosterone assays.

As described by Zajac, a clinical endocrinologist:

Quote:

JEFFREY ZAJAC

Well unfortunately in our field, our assay, our test is not very good, it's one of the few tests in medicine that's got worse over the last 10-20 years because as the assays have got automated and more rapid and cheaper, the gold standard tests are no longer used. So the test itself can vary from day to day, and the test itself can vary on the same sample if done in different laboratories. So we often measure testosterone several times before we are happy with the result. But if you factor that in and you do multiple measurements, in general testosterone might run between ten and 30 nanomoles per litre; it might be in the 20s in teenage males, and be more likely in the teens, between ten and 20, as people are in their 40s and 50s. But again in my field, we don't have age ranges of testosterone, the studies just haven't been done. I guess a problem in our area is that men have been a lot less studied than women, so we don't have the data.

DYANI LEWIS [moderator]
That must make it quite difficult as a clinician to diagnose people if you don't have, I guess, a benchmark level of testosterone?

JEFFREY ZAJAC

Well it's quite a common clinical problem. I see a lot of patients who come in and their GP has measured their testosterone because they're having difficulty concentrating and they're having various problems coping with day to day stresses and the one measurement might be slightly low and they tell the patient they're testosterone deficient, and that if they get testosterone everything will be fixed, and they get given testosterone and a few months later nothing is fixed and then they come and see me and want to know why it isn't working. It's not working because it wasn't the problem -
Transcript: http://upclose.unimelb.edu.au/episod...#transcription
Testosterone Info Thread Quote
05-26-2015 , 02:21 PM
Some further literature. Emphasis mine. Note that I have neither deep expertise in the field to understand the controversy and form valuable insights, nor the basic expertise to even judge whether a given actual expert's finding or paper makes sense or not.

Since people in this thread may have a deep interest and are actively experimenting, they may get to the bottom of it.



http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1240029/

Quote:
Do the assays come up to expectations?

Recent papers and editorials in the Journal of Clinical Endocrinology and Metabolism (JCEM) and Clinical Chemistry address this issue. Both journals critically compare testosterone results using gold standard methods with routine RIA and automated methods. Both find the state of affairs parlous. Of note is the fact that the former journal, which has primarily a clinician readership, draws attention to the failure of manufacturers (and hence laboratories and the profession!) to provide assays fit for purpose.

[...]

In an editorial in the same journal, Matsumoto and Bremner stress the criticality of accurate, precise and dependable assays to endocrinology as a specialty. They are highly critical of the processes which have led to release and continuing acceptance of routine assays which give such different and frequently incorrect results. The original testosterone RIAs used pure testosterone standards, were well validated against reference methodology and consistently had a normal range of about 10 nmol/L-34 nmol/L across methods.

They point out that current automated testosterone immunoassays use testosterone analogues as standards and generally have not been properly validated and standardised against reference methodology.

[...]

What are the implications for our daily practice? In Australia Medicare will only fund testosterone therapy for hypogonadal men if serum levels are below 8 nmol/L. Clearly the lack of standardisation of assays means that different laboratories will give different results on the same specimen, despite the generally acceptable correlation coefficients between methods in the male range. Initiation of therapy and access to funding are thus being determined largely on the basis of analytical bias. With regard to testosterone measurement in women, the bias, precision and reference range problems outlined above will all cause frequent misclassification of patients and marked differences in classification between assays. We have taken the view that all of the routine testosterone assays evaluated above are wanting, but a few are less wanting than the rest; on the other hand some should be actively avoided.

http://press.endocrine.org/doi/full/...jc.2003-032175

Quote:
Serum Testosterone Assays—Accuracy Matters

In contrast, automated immunoassays often use T analogs as standards, proprietary reagents, and instrumentation, and there is limited published validation of their accuracy.

It has been disturbing to clinicians and researchers alike that the lower limit of normal in men for some of these assays has fluctuated and drifted down to as low as 132 ng/dl (4.6 nmol/liter) (3). How can this be? It appears that a major contributor to this variation and decline has been a lack of attention to validation of accuracy for many of these assays. Accuracy is a measure of the closeness of agreement between values measured in an assay to a “gold standard” or accepted method of measurement.

[...]

An important finding of the paper by Wang et al. (2) is that the currently widely used immunoassays tested were not sufficient to measure total T concentrations accurately in females and prepubertal males. This is not surprising given the characteristics of the assays and relatively small volumes of serum used in these assays. The gold standard LC-MSMS method was able to measure samples that contained T in concentrations as low as 20 ng/dl with high accuracy and precision probably, in part, because of the large volume of sample (2 ml) used for analysis.

[...]

Two important and poorly understood issues that relate to the clinical use of T assays in the diagnosis of androgen deficiency deserve mention. First, it is unclear how many T measurements are needed to confidently confirm the diagnosis of hypogonadism. Approximately 30–35% of men who were classified as hypogonadal on the basis of a single low total T level were found subsequently to have average T levels over 24 h within the normal adult male range.
Testosterone Info Thread Quote
05-26-2015 , 03:08 PM
I've read from multiple sources that T levels are 20% or so lower now than they were 40 years ago.

Does this mean that clinical standards for "normal" have gone down as well?
Testosterone Info Thread Quote
05-26-2015 , 04:22 PM
Well the range is either time based or all data ever based - in other words the low end will always drift lower as more and more low(er) come in. It probably takes a significant amount of inputs to make the end ranges move though.

It'd be nice if they would segment the data with a moving end range based on date. That would show how much lower drift has really been occurring vs tests simply being done across a whole lot larger audience.
Testosterone Info Thread Quote

      
m