Female hormone tests play a crucial role in evaluating and maintaining women's health, wellness, and fertility. These tests measure the levels of various hormones that regulate essential functions within the female body. In this blog post, we will explore the different female hormone tests and their significance in diagnosing various conditions. We'll explore FSH testing to comprehend its role in reproductive health, as well as look into LH, E2, and progesterone tests for evaluating fertility. Furthermore, we will explore prolactin testing to understand its effects on menstruation cycles and hyperprolactinemia diagnosis. Additionally, you'll learn about thyroid function tests (TFTs), which help diagnose hypothyroidism or hyperthyroidism, both of which have significant implications for reproductive health. We'll also cover comprehensive hormone panels that combine multiple hormonal assessments for more accurate diagnoses. Lastly, discover how online testing options like Discounted Labs simplify access to these important female hormone tests. Table of Contents: Follicle-Stimulating Hormone (FSH) Test Importance of FSH in Female Reproductive Health Conditions Diagnosed with an FSH Test Luteinizing Hormone (LH), Estradiol (E2), and Progesterone Tests Roles of LH and E2 in Reproduction Significance of Progesterone Testing for Fertility Evaluation Prolactin Test Functions and Effects on Menstruation Cycle Hyperprolactinemia Diagnosis Thyroid Function Tests (TFTs) Hypothyroidism vs Hyperthyroidism - Causes & Symptoms Relationship between Thyroid Disorders and Reproductive Health Comprehensive Hormone Panels Benefits of Combining Hormone Tests in One Panel Common Conditions Diagnosed with Comprehensive Panels Online Testing Options & Accessibility Advantages of Purchasing Online Test Kits How Discounted Labs Simplifies the Process Frequently Asked Questions Female Hormone Tests What does a female hormone test tell you? When should a woman have her hormone levels checked? Are female hormone tests accurate? Conclusion Follicle-Stimulating Hormone (FSH) Test The FSH assay is essential for females, as it evaluates the concentrations of follicle-stimulating hormone in the bloodstream, which has a significant role in governing the progress, growth, and ripening of ovarian follicles. This test can help diagnose menstrual irregularities, infertility issues, and other reproductive health concerns. Importance of FSH in Female Reproductive Health The pituitary gland's hormone, FSH, promotes the growth and development of ovarian follicles that contain eggs. It also helps regulate estrogen production to maintain hormonal balance during each menstrual cycle. A proper level of FSH ensures healthy egg production and the ovulation necessary for conception. Conditions Diagnosed with an FSH Test Menstrual Irregularities: High or low levels of FSH may cause abnormal menstruation patterns such as heavy bleeding or missed periods. Infertility: Abnormal FSH levels could indicate problems with egg quality or quantity, leading to difficulty conceiving. Women experiencing fertility challenges should consider taking an FSH test at Discounted Labs. Premature Ovarian Failure: Elevated FSH levels might suggest premature depletion of eggs before reaching menopause age—a condition known as premature ovarian failure (POF). Menopause Status Assessment: An increased level of this hormone alongside other markers like estradiol (E2) could be indicative that a woman has entered perimenopause or the menopause phase. By understanding the importance of FSH in female reproductive health and recognizing the conditions that can be diagnosed with an FSH test, women can take control of their fertility journey. Discounted Labs offers affordable FSH tests without a doctor's visit, making it easy for individuals to monitor their hormonal levels and make informed decisions about their reproductive health. FSH screening can be a key factor in assessing a female's fertility potential, offering valuable information regarding any possible reproductive issues. LH, E2, and progesterone tests are also essential components of the female hormone evaluation process; they help to further understand how hormones affect reproduction. Take control of your reproductive health with Discounted Labs' affordable FSH tests. Monitor your hormonal levels and make informed decisions about fertility. #reproductivehealth #fertilitytesting #discountedlabs Click to Tweet Luteinizing Hormone (LH), Estradiol (E2), and Progesterone Tests The ovaries produce essential hormones such as LH, E2, and progesterone that control various aspects of female reproductive health. These tests measure their levels to evaluate ovulation status, detect polycystic ovary syndrome, or detect premature ovarian failure symptoms, while also helping assess menopausal status. Roles of LH and E2 in Reproduction Luteinizing hormone (LH) is responsible for triggering ovulation—the release of a mature egg from the ovary. A surge in LH levels indicates that ovulation is about to occur within 24–48 hours. Monitoring LH levels can help women determine their most fertile days during their menstrual cycle (source). Estradiol (E2), on the other hand, is an estrogen hormone that plays a crucial role in regulating menstruation and maintaining healthy pregnancy conditions. Abnormal E2 levels may indicate hormonal imbalances leading to fertility issues or irregular periods. Significance of Progesterone Testing for Fertility Evaluation The corpus luteum in the ovary produces progesterone after ovulation, and the placenta produces it while a woman is pregnant. It helps prepare the uterus lining for the implantation of a fertilized egg and maintains the early stages of pregnancy until placental production takes over (source). Measuring blood progesterone levels can be useful for: Evaluating ovulation status and timing Diagnosing menstrual irregularities or luteal phase defects Assessing infertility issues in women trying to conceive Monitoring early pregnancy complications, such as miscarriage risk or ectopic pregnancies. Discounted Labs offers affordable and accessible LH, E2, and progesterone tests for individuals seeking insights into their reproductive health. By understanding your hormonal levels, you can take control of your fertility journey and make informed decisions about potential treatments or lifestyle changes. Understanding the role of LH, E2, and progesterone tests is essential for a woman's reproductive health. Hence, gaining knowledge of the role prolactin plays in regulating menstrual cycles is significant. "Take control of your reproductive health with Discounted Labs' affordable LH, E2, and progesterone tests. Understand your hormones and make informed decisions. #reproductivehealth #hormonalimbalance" Click to Tweet Prolactin Test A prolactin assessment is an essential diagnostic process that evaluates the amount of this hormone in one's blood. Prolactin plays a significant role in various aspects of female reproductive health, including menstruation and lactation. This test can help diagnose hyperprolactinemia, a condition characterized by excessive production of prolactin leading to menstrual irregularities or even infertility. Furthermore, it may also predict the onset of menopause when evaluated alongside other hormonal markers. Functions and Effects on the Menstruation Cycle The pituitary gland produces prolactin, which the body uses to control menstrual cycles and stimulate breast milk production following childbirth. Elevated levels of prolactin can interfere with normal ovulation processes, causing disruptions in regular periods or even stopping them altogether (source). Consequently, understanding how this hormone affects your cycle is crucial for maintaining optimal reproductive health. Normal range: In non-pregnant women who are not breastfeeding, typical prolactin levels range from 2 to 29 ng/mL (nanograms per milliliter). Ovulatory dysfunction: High levels of prolactin can cause anovulation (absence of ovulation) or oligoovulation (infrequent ovulation), making it difficult for women trying to conceive. Amenorrhea: Excessively high amounts may lead to amenorrhea, a condition where menstruation stops for several months or more. Hyperprolactinemia Diagnosis A prolactin test is often ordered when a woman experiences symptoms such as irregular periods, difficulty getting pregnant, or unexplained milk production. The diagnosis of hyperprolactinemia typically involves measuring blood levels of this hormone on multiple occasions to confirm consistently elevated readings. In some cases, additional tests may be necessary to determine the underlying cause of high prolactin levels, such as imaging studies like MRI scans to check for pituitary gland abnormalities. If you suspect that your menstrual issues might be related to abnormal prolactin levels or other hormonal imbalances, consider talking with your healthcare provider about undergoing a comprehensive female hormone panel. These tests can provide valuable insights into your reproductive health and help identify potential causes behind any fertility challenges you may face. Prolactin tests are an important part of understanding and maintaining a healthy menstrual cycle. Moving forward, let's look into the significance of thyroid function tests (TFTs) for reproductive health.   Key Takeaway:  The prolactin exam assesses the concentration of this hormone in one's blood, which is a major factor in female reproductive well-being. Elevated levels can interfere with normal ovulation processes, cause disruptions in regular periods, or even stop them altogether. A comprehensive female hormone panel can provide valuable insights into your reproductive health and help identify potential causes behind any fertility challenges you may face. Thyroid Function Tests (TFTs) Thyroid function tests, or TFTs, are essential diagnostic tools used to identify thyroid disorders such as hypothyroidism and hyperthyroidism that could impact overall reproductive health. Women experiencing fertility problems should consider undergoing these tests since thyroid imbalances can significantly affect conception chances. Hypothyroidism vs. Hyperthyroidism: Causes and Symptoms Hypothyroidism, also known as an underactive thyroid, occurs when the thyroid gland does not produce enough hormones. This condition can lead to fatigue, weight gain, constipation, dry skin, hair loss, and menstrual irregularities (source). Common causes of hypothyroidism include Hashimoto's disease (an autoimmune disorder), iodine deficiency, and certain medications. Hyperthyroidism, on the other hand, is characterized by an overproduction of thyroid hormones. This leads to symptoms like rapid heart rate, weight loss, anxiety, and frequent bowel movements (source). Graves' disease (another autoimmune disorder) is a common cause of hyperthyroidism; however, it may also result from toxic nodules in the gland or excessive intake of iodine. Relationship Between Thyroid Disorders and Reproductive Health The connection between thyoid disorders and reproductive health is significant because both hypo- and hyper-thyroidism can lead to menstrual irregularities, which in turn may cause fertility issues. Hypothyroidism is associated with longer and heavier periods, while hyperthyroidism often results in shorter and lighter cycles (source). Moreover, an untreated thyroid disorder during pregnancy can lead to an increased risk of miscarriage or premature birth and have long-term consequences for a child's cognitive abilities. Moreover, adequate levels of thyroid hormones are essential for normal fetal brain development during pregnancy. An untreated thyroid disorder during pregnancy could have long-term consequences for a child's cognitive abilities (source). In conclusion, TFTs are critical diagnostic tools used to identify thyroid disorders that could impact overall reproductive health. Hypothyrodysm and hyperthyrodysm both affect menstruation cycles and fertility outcomes. Maintaining proper thyoid hormone balance is crucial not only for conception but also for healthy fetal development during pregnancy. If you suspect a thyroid issue might be affecting your reproductive health, consider getting tested through reliable providers like Discounted Labs. Their affordable testing options make it easier than ever to take control of your hormonal health without needing a doctor's visit. Examining thyroids is essential to gauging their health and performance, so it's worthwhile delving into them further. Comprehensive hormone panels offer a deeper look into hormonal imbalances that may be impacting your overall health and wellness, so let's dive further into this topic next.   Key Takeaway:  Thyroid function tests (TFTs) are essential diagnostic tools to identify thyroid disorders that can impact reproductive health. Maintaining proper thyroid hormone balance is essential for both reproductive health and successful fetal development during pregnancy. Discounted Labs offers affordable testing options without needing a doctor's visit to take control of hormonal health. Comprehensive Hormone Panels A comprehensive hormone panel is a set of tests that evaluate multiple hormones simultaneously to provide a complete picture of an individual's hormonal balance. This approach helps identify underlying causes for various reproductive health issues, including infertility, polycystic ovary syndrome (PCOS), or premature ovarian failure. In this section, we will discuss the benefits of combining hormone tests into one panel and the common conditions diagnosed with comprehensive panels. Benefits of Combining Hormone Tests in One Panel Better diagnostic accuracy: Assessing multiple hormones at once can offer more accurate results by identifying patterns and correlations between different hormonal imbalances. Cost-effective: Ordering a single comprehensive panel is often more affordable than purchasing individual tests separately. At Discounted Labs, you can find affordable hormone panels, making it easier to manage your reproductive health without breaking the bank. Faster results: With all necessary testing done simultaneously, patients receive their results quicker compared to undergoing separate tests on different occasions. Easier interpretation: A combined report simplifies data analysis for both healthcare providers and patients by presenting all relevant information together in an organized manner. Common Conditions Diagnosed with Comprehensive Panels The following are some common reproductive health concerns that may be identified through comprehensive hormone testing: Hypogonadism: This condition occurs when sex glands produce little or no sex hormones due to problems within the ovaries or testes themselves (primary hypogonadism) or the hypothalamus and pituitary gland (secondary hypogonadism). Polycystic Ovary Syndrome (PCOS): a hormonal disorder causing enlarged ovaries with small cysts on the outer edges PCOS can lead to irregular periods, excessive hair growth, acne, and obesity. Comprehensive hormone panels help diagnose this condition by evaluating hormones such as LH, FSH, estradiol, testosterone, and insulin. Premature Ovarian Failure: This occurs when a woman's ovaries stop functioning before age 40 due to various reasons, like genetic factors or autoimmune diseases. Hormone tests like FSH, LH, and estradiol levels can aid in diagnosing this condition. Menopause is a natural biological process that marks the end of a woman's menstrual cycles due to declining ovarian function. Comprehensive hormone testing helps determine menopausal status by assessing hormones such as FSH and estradiol levels alongside other relevant markers. Incorporating comprehensive hormone panels into your healthcare routine allows for better monitoring of reproductive health concerns while also providing valuable insights into potential underlying causes that may require further investigation or treatment options. Discounted Labs makes it easy for individuals across the U.S. to access these important tests at affordable prices without needing a doctor's visit, empowering you to take proactive control of your hormonal health journey. Comprehensive hormone panels provide a comprehensive look into the body's hormones, allowing for more accurate diagnosis and treatment of underlying conditions. With Discounted Labs' online testing options, you can easily access affordable lab tests without having to leave your home or office.   Key Takeaway:  Comprehensive hormone panels are a cost-effective and efficient way to assess multiple hormones at once, providing faster results and easier interpretation. Comprehensive hormone panels can be used to diagnose conditions such as hypogonadism, PCOS, premature ovarian failure, and menopause, providing a cost-effective and efficient way to assess multiple hormones at once for faster results and easier interpretation. Discounted Labs offers affordable hormone panels without requiring a doctor's visit for individuals across the U.S., empowering them to take proactive control of their hormonal health. Online Testing Options and Accessibility With the rise of digital technology and increasing awareness about health, it has become more convenient than ever to access female hormone tests. Discounted Labs offers a simple and affordable solution for individuals across the U.S. who want to monitor their hormonal levels without needing a doctor's visit. In this section, we will discuss the advantages of purchasing your own lab tests online and how Discounted Labs simplifies the process. Advantages of Purchasing Your Own Hormone Tests Online Convenience: Ordering lab tests online saves time by eliminating the need for scheduling appointments with healthcare providers or waiting in long lines at clinics. Affordability: Online testing services like Discounted Labs offer competitive prices compared to traditional laboratory facilities, making it easier for people to manage their reproductive health on a budget. Anonymity: For those concerned about privacy, ordering tests online ensures confidentiality as results are sent directly via email or through secure portals. Ease of Access: With nationwide coverage, most individuals can find a nearby participating lab where they can get tested after purchasing an online kit. Faster Results: Since many online labs have streamlined processes in place, clients often receive their test results quicker than they would from conventional laboratories. How Discounted Labs Simplify the Process The process of obtaining female hormone tests through Discounted Labs is designed with user convenience in mind. Here's how it works: Select your desired test(s) from an extensive range available on their website, including comprehensive hormone panels. Complete the secure online checkout process, which requires no doctor's prescription. Receive a lab requisition form via email that you can print and take to one of the 1,800+ participating labs across the U.S. for sample collection. After submitting the sample, you will receive your results via email in a few business days for review and sharing with healthcare providers if necessary. In today's fast-paced world, having easy access to vital health information is crucial. Discounted Labs provides an accessible solution for individuals seeking female hormone tests without needing a doctor's visit. By offering affordable prices and simplifying the testing process, they empower people across the U.S. Enabling individuals to make informed decisions regarding their health and welfare, Discounted Labs provides a convenient way for people in the United States to gain access to female hormone tests without needing a physician's appointment.   Key Takeaway:  Discounted Labs offers a simple and affordable solution for individuals across the U.S. who want to monitor their hormonal levels without needing a doctor's visit, providing convenience, affordability, anonymity, ease of access, and faster results when purchasing online test kits. The process is designed with user convenience in mind. Select desired tests from an extensive range available on their website; complete the secure online checkout process; receive a lab requisition form via email that you can print and take to one of the 1,800+ participating labs across the U.S.; your results will be sent directly to your email within a few business days after sample submission. Frequently Asked Questions About Female Hormone Tests What does a female hormone test tell you? A female hormone test provides information about the levels of various hormones, such as follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2), progesterone, prolactin, and thyroid hormones. These tests help diagnose hormonal imbalances that may affect fertility, menstrual cycles, and overall reproductive health. They can also identify conditions like polycystic ovary syndrome (PCOS) or thyroid disorders. When should a woman have her hormone levels checked? A woman should consider having her hormone levels checked if she experiences symptoms suggesting hormonal imbalance, such as irregular periods, heavy bleeding during menstruation, difficulty getting pregnant or maintaining pregnancy, unexplained weight gain or loss, mood swings, or depression. Additionally, medical professionals may recommend testing at specific times in life, like puberty onset or menopause transition. Are female hormone tests accurate? When carried out by accredited laboratories using proper procedures, female hormone tests are generally accurate. However, accuracy can be affected by factors such as sample collection timing relative to the menstrual cycle phase and certain medication usage. It is essential to follow your healthcare provider's instructions for optimal accuracy in result interpretation. Conclusion In conclusion, female hormone tests play a crucial role in assessing reproductive health and identifying underlying conditions that may affect fertility. FSH, LH, E2, progesterone, prolactin, and thyroid function tests are some of the most commonly used hormone tests for women. Comprehensive panels offer a more comprehensive assessment of hormonal imbalances. Visit Discounted Labs for comprehensive hormone testing and easy-to-understand results to take control of your health today! Take control of your health today! Ready to get started? Schedule your female hormone panel now at Discounted Labs.  

Testosterone Replacement Monitoring Targets and Their Management (Consult Your Physician Before Any Treatment Initiation, Cessation or Changes). These are not absolute values and should be taken into context with symptoms. We will discuss various blood test targets for those undergoing testosterone replacement therapy (TRT). It covers key health indicators such as total and free testosterone levels, hematocrit, PSA, estradiol, blood pressure, kidney and liver function, thyroid levels, iron and ferritin levels, and cholesterol. Each parameter includes a target range and suggestions for management if the results are outside the normal range. This comprehensive approach ensures that individuals on TRT can monitor their health effectively and make informed decisions with their healthcare provider.     Total Testosterone Test above 500 ng/dL If low or hypogonadal symptoms are not improved, increase the testosterone dosage. High T levels (over 1500 ng/dL) with high hematocrit, low HDL, and/or side effects may require dosage reduction.  Free Testosterone ≥ 2 % of total T If low, test for sex hormone-binding globulin. Higher TRT dose may increase free T by decreasing SHBG. Low SHBG may be present in diabetes. Hematocrit ≤ 53 % If high, donate blood or ask your doctor for therapeutic phlebotomy order. If low, investigate anemia or stop donating blood more than every 3 months. How to Lower High Hematocrit PSA ≤ 4 ng/mL If high, talk to your doctor about potential prostatic infection or a referral to a urologist. TRT is contraindicated if PSA is 4 ng/mL or greater. Estradiol (UltraSensitive Test) = 20- ? pg/mL Most men on TRT do not need to use an aromatase inhibitor (AI). Some physicians prescribe low dose AI for what they consider high estradiol. If low, higher testosterone dose and/or cessation of AI may be required. The lab range was derived from men with heart disease and low testosterone, so there is still debate on what the range should be for men on TRT since  0.3 to 0.4 % of testosterone aromatizes to estradiol, so men with high T due to TRT will have higher estradiol.  No upper range value has been determined for men on TRT. Studies have shown that for gynecomastia to occur, high estradiol in the presence of low T and high IGF-1 may be required. Read Estradiol In Men – Why Is It Important For Optimal Health And Fitness Performance and The Top 18 Things You Did not Know About Estradiol in Men Blood pressure ≤ 135/85 mmHg If high, weight loss, exercise, T dose reduction, and/or blood pressure medications may be needed. If too low, blood pressure medication dose needs to be reduced, electrolytes checked or hypoglycemia excluded. Estimated Glomerular Filtration Rate (eGFR) (kidney function) ≥ 60 mL/min/1.73 m2 If low, good hydration, use of blood pressure medications, and/or stopping offending oral supplements may improve eGFR. Exercise, high protein intake, creatine supplements, and higher muscle mass can also increase creatinine and decrease eGFR. If under 60, explore getting a Cystatin C test. Liver enzymes ≤ 1.2 x top value of reference range If high, stopping oral supplements can help. AST and ALT can increase with exercise but this is not clinically relevant. If high AST and ALT, test GGT and bilirubin to ensure no liver toxicity is present. TSH ≤ 2.5 U/mL If high, test for other thyroid tests included in a thyroid panel like free T3, free T4, and antibodies to detect hypothyroidism. Why Only Using TSH to Diagnose Hypothyroidism is Wrong Free T3 ≥ 3.7 pg/mL If low, hypothyroidism may be present. See comment on TSH. If high (>5 pg/mL), explore hyperthyroidism. Ferritin 55-270 ng/mL & Iron 55-160 micrograms/dL If low, reduce the frequency of blood donations or phlebotomies and supplement with iron until it is back to normal. If high, donate blood or get therapeutic phlebotomy. HDL ≥ 40 mg/dL The most difficult parameter to manage. Higher TRT doses decrease HDL. Niacin may help increase HDL but may cause flushing. Prolactin ( ≤ 30 nd/dL) Test if Total Testosterone is below 150 ng/dL before TRT to detect potential pituitary adenoma or other issues. High levels (> 30 ng/dL) may cause sexual dysfunction and galactorrhea in men (milk production)     Here are panels that include these tests: Discounted Labs Panels   Buy a testosterone test on DiscountedLabs.com

Table of Contents Does Testosterone Increase Risks of Heart Disease? What is the Effect of Testosterone Therapy in Older Men? What Can You Do to Prevent Heart Disease While on Testosterone Replacement Therapy? BUY A TESTOSTERONE BLOOD TEST PANEL Reference:  Does Testosterone Increase Risks of Heart Disease? There is widespread misinformation that testosterone supplementation increases the risk of heart disease. There is no evidence to support this belief in men younger than 65 years of age. Testosterone administration to middle-aged men is associated with decreased visceral fat, triglycerides, lower blood sugar concentrations, and increased insulin sensitivity. Several studies have shown that low total and free testosterone concentrations are linked to increased intra-abdominal fat mass, the risk of coronary artery disease, and type 2 diabetes mellitus. Testosterone has also been shown to increase coronary blood flow. Similarly, testosterone replacement retards the build-up of plaque in experimental models of atherosclerosis. In 1994, Phillips and colleagues studied 55 men with angina. They found a strong correlation between very low levels of testosterone and increased severity of coronary artery disease as measured by arteriograms, suggesting that testosterone may have a protective effect. This is consistent with the observation that the risk for atherosclerosis increases with age in men, while testosterone levels decrease. Two other smaller studies found that the administration of testosterone decreased risk factors for coronary artery disease. The prospective European investigation into cancer in Norfolk (EPIC- Norfolk) Prospective Population Study examined the prospective relationship between the body’s own (endogenous) testosterone concentrations and mortality due to all causes, cardiovascular disease, and cancer in a nested case-control study based on 11,606 men aged 40 to 79 years surveyed in 1993 to 1997 and followed up to 2003. Among those without prevalent cancer or cardiovascular disease, 825 men who subsequently died were compared with a control group of 1489 men still alive, matched for age and date of baseline visit. Lower endogenous testosterone (the body’s own) concentrations at baseline were linked to mortality due to all causes (825 deaths), cardiovascular disease (369 deaths), and cancer (304 deaths). So this study found that in men, endogenous testosterone concentrations are inversely related to mortality due to cardiovascular disease and all causes and that low testosterone may be a predictive marker for those at high risk of cardiovascular disease.   What is the Effect of Testosterone Therapy in Older Men? But there are some emerging contradicting data from a much smaller study that showed that older men who have higher endogenous testosterone (without taking testosterone) might have a higher incidence of heart disease. A large U.S. multicenter study showed that older men with higher testosterone levels are more likely to have a heart attack or other cardiovascular disease in the future. The results were presented at The Endocrine Society’s 92nd Annual Meeting in San Diego in June 2010. Study participants were age 65 or older and included 697 community-dwelling men who were participating in the National Institutes of Health-funded study, called the Osteoporotic Fractures in Men (MrOS). None of these men were receiving testosterone therapy, according to the study abstract. All subjects had blood tests to determine their testosterone levels. The investigators then divided the men into quartiles, or four groups, of testosterone range to observe trends in rates of coronary heart disease events. This type of heart disease results from plaque-clogged or narrowed coronary arteries, also called atherosclerosis. A coronary heart disease event included a heart attack; unstable angina, which is chest pain usually due to atherosclerosis and which doctors consider a prelude to a heart attack; or angioplasty or bypass surgery to clear blocked arteries. During an average follow-up of nearly four years, 100 men, or about 14 percent, had a coronary disease event, in particular, heart attacks. After the researchers adjusted for other potential contributing risk factors for heart disease, such as elevated cholesterol, they found that higher total testosterone level relates to an increased risk of coronary disease. Men whose total testosterone was in the highest quartile (greater than or equal to 495 nanograms per deciliter, or ng/dL) had more than twofold the risk of coronary disease compared with men in the lowest quartile (below 308 ng/dL). So, this is contradictory data that may be concerning, but does it say anything about the cardiovascular risks of supplementing testosterone to men with testosterone deficiency? A report published in the New England Journal of Medicine in June 2010 about a study researching the use of testosterone gel in older men showed that such study was stopped early due to a higher incidence of side effects in men treated with the gel. Participants in this trial called the Testosterone in Older Men with Mobility Limitations, or TOM, were non-institutionalized men aged 65 and older who had difficulty walking two blocks or climbing ten steps and whose serum testosterone was 100 to 350 ng/dl (very low levels). So, these were frail older men. The goal was to recruit 252 men, but only 209 subjects had been enrolled by the time the trial, which started in 2005, was stopped on December 2010. Testosterone use had the desired effect of improving the men’s muscle strength and mobility. But they also experienced a high rate of adverse effects — not just cardiovascular problems but respiratory and skin problems. Unfortunately, they did not report hematocrit, estradiol, and bioavailable testosterone. I dream of the day when a study will be done the right way to include all of those variables. Only then we can draw the right conclusions about who is more prone to side effects. Managing high hematocrit with blood donation/phlebotomy and high estradiol with anastrozole can probably eliminate some of the reported side effects in older men, but there is only one way to find out: To have proper studies using those management strategies. To date, no study listed in clinicaltrials.gov is following men who are taking testosterone and who have access to phlebotomy or estrogen blockers to manage the two main side effects that may affect cardiovascular health in older men: high hematocrit and estradiol. Previous studies have shown that in general, older men have more side effects when using testosterone (polycythemia, gynecomastia, high blood pressure, prostatic hyperplasia) and more comorbid conditions. High hematocrit and estradiol increase clotting and viscosity, so it is not surprising to me that older men who use testosterone would have more cardiovascular risks if monitored poorly by their physicians. It amazes me how many older men using TRT are walking around with hematocrit over 54 and estradiol levels above 100 pg/dl without being offered phlebotomy or estrogen blockers. This is one of the main reasons I felt compelled to write this book. Older men also require more testosterone to reach normal levels since they have more sex hormone binding globulin that attaches to testosterone and renders it useless. So, physicians should carefully monitor these patients if they decide to provide testosterone replacement. The age cut off when the risk-to-benefit ratio of testosterone changes is not known yet. There are several studies that are currently being performed to provide more answers. A U.S.-based study showed that testosterone therapy does not increase men's risk for heart attack. The study, conducted by researchers at the University of Texas Medical Branch at Galveston, examined 25,420 Medicare beneficiaries 66 years or older treated with testosterone for up to eight years. It appeared in the July 2, 2012 issue of the Annals of Pharmacotherapy. So, the jury is still out. But if no complicating factors like high cholesterol, blood pressure or strong family history of heart disease are present, many doctors opt for prescribing testosterone to older men who need it to have a better quality of life. And most doctors keep an eye on hematocrit but few on estradiol. Hopefully, this will change as more doctors wake up to the risks associated with poor monitoring and management of TRT. It is the excessively high doses of testosterone used by athletes and recreational bodybuilders that are linked to significant decreases in the plasma concentration of HDL (high-density lipoprotein - the good cholesterol) and increases in LDL (low-density lipoprotein – the bad cholesterol). Replacement doses of testosterone have been shown to have only a modest or no effect on plasma HDL in placebo-controlled trials. Testosterone supplementation has been shown to decrease triglycerides, a dissolved fat that can lead to cholesterol increases and metabolic syndrome. In spite of these studies, some physicians continue to think that testosterone replacement can dramatically increase cholesterol levels.   What Can You Do to Prevent Heart Disease While on Testosterone Replacement Therapy? Given the state of the modern diet, all of us should have our doctor check our fasting cholesterol and triglycerides (another lipid-linked with heart disease risk). If you think that you have low testosterone, you may already have a problem with your lipids. The recommendations of exercise and diet (low in sugars and animal fats) apply for everybody but are especially important for men who have high LDL and high triglycerides at the time of starting testosterone replacement. Testosterone therapy can be an important part of your health regimen but don’t start it thinking that it will cure high cholesterol. Sometimes high lipids are related to poor diet, sedentary lifestyle, medication side effects, and bad genes. Your treatment for high cholesterol and triglycerides can also include statin and fibrates drugs prescribed to you by your doctor. I would try to modify your diet and to exercise before you jump on taking these medications since they may have muscle related side effects and do not correct the root cause of the problem, which is a metabolic abnormality that could be addressed with good adherence to lifestyle modifications. The key word is “adherence,” which seems elusive is many people who rather take a pill than watch their diet and exercise. For more on diet and exercise, refer to the chapter “ Miscellaneous Health Tips to Support Healthy Testosterone.” NOTE: I think you’re getting why I’m telling you that you need doctor’s supervision when on testosterone. So far you’ve read about the potential impact on hemoglobin and hematocrit, blood pressure, and estradiol, all of which can negatively affect your cardiovascular health. Imagine the even greater risk of those using testosterone at higher than replacement doses that usually buy it from underground sources and do not have a doctor who monitors them. No wonder testosterone and anabolic steroids get such a bad reputation. I tell bodybuilders that do not have a doctor to follow them to at least decrease their risks by getting a bodybuilder panel on DiscountedLabs.com that do not require a prescription. There are many around the United States, and you can find them by visiting DiscountedLabs.com . Of course, this is not the best solution and in no way a replacement for the supervision of a doctor. Irresponsible bodybuilders do more self-inflicted damage when their mistakes fuel the hysteria surrounding hormones in the United States. This hysteria has made it difficult for many men who need TRT to get it. Over-the-counter “testosterone boosters” may present problems with lipids, so do not think that because you are buying something at a health food store, that makes that product safe. Let your doctor know if you are taking any of those. Most do not work and those that did where banned by the FDA and taken off the market.   BUY A TESTOSTERONE BLOOD TEST PANEL   Reference:  From the book “Testosterone: A Man’s Guide” by Nelson Vergel (available on Amazon.com)

When we undertake any treatment related to our health, our primary concern is always finding the best treatment available. For the man who suffers from low testosterone, this desire is no different. Unfortunately, as many men can attest, finding a TRT doctor who will treat low testosterone appropriately can often feel like an impossible task. Increasingly, doctors all over the world are becoming more comfortable and more educated on the topic. However, there are still many physicians who view the treatment of low testosterone as unnecessary. In their view, testosterone levels decline as we age; it’s natural, and we should deal with it. Interestingly enough, doctors do not look at other aspects of health in this manner, but testosterone has for years held an odd place in medical culture for numerous reasons we will not delve into today. Right now, we simply want to know how to go about this process, finding the right testosterone replacement therapy (TRT) doctor to meet our needs. Table of Contents Main Questions to Ask a TRT Doctor How long have they been treating patients with low testosterone, and how many are they currently treating? What type of TRT treatment options do you prescribe, injectable, creams, or other options? Do they accept insurance or cash pay only? Do they prescribe HCG along with testosterone, or have it available as an option for treating testicular atrophy or helping to preserve fertility? Blood testing: how often is your doctor going to run lab tests? What are they going to check on the lab report? Do they offer prescriptions for therapeutic phlebotomy for high hematocrit? Do they offer other treatment options, such as erectile dysfunction medications, high blood pressure meds, or other wellness options? One of our most important questions we will need to ask our doctor: do they allow self-injecting at home? TRT Injection protocols: Ask your doctor if prescribing testosterone cypionate or testosterone enanthate, the two most common forms of testosterone prescribed, what their typical injection protocols look like? Does your TRT doctor work with compounding pharmacies or allow you to work with the pharmacy of your choice? Ask your doctor how many times they will require you to come to the office. If it’s more than twice a year, this doctor probably isn’t for you. What’s TRT going to cost me? Find a TRT Doctor here. Main Questions to Ask a TRT Doctor   Once you have found a physician who treats low testosterone through TRT therapy, you’ll find this is merely the first step. The far more important, and sometimes a bit more difficult step is finding a physician that prescribes TRT properly. As the old saying goes, there are many ways to skin a cat, and that’s true with TRT. However, there are also ways to skin the proverbial cat that can be ineffective, problematic, and in some cases, what we might even call disastrous.   Once you’ve found a doctor that will treat TRT, there are several questions you need to ask the physician before moving forward. There is a chance your new physician isn’t going to want to answer some of these questions. Some doctors feel like you’re questioning their wisdom and knowledge and, more or less, want you to sit down, stay quiet, and take what they give you question free. Understand, while your physician does deserve a measure of respect, as all human beings do, he/she also works for you. You’re the one paying the bill. If the physician in question is not willing to answer a few basic questions and discuss things back and forth, you already know it’s time to find someone else.   If your TRT doctor is willing to discuss things before moving forward, here is a good starting point list of questions you’ll want to ask him or her:   How long have they been treating patients with low testosterone, and how many are they currently treating?   The answer to these two questions isn’t necessarily a deal-breaker if they haven’t been doing this for long or haven’t treated too many. What’s most important is that they understand the proper treatment. However, this question may be an early indicator if the numbers are low. Regardless, let’s keep moving forward with our questions.   What type of TRT treatment options do you prescribe, injectable, creams, or other options?   As any experienced doctor, or patient for that matter, will tell you, self-administered injectable testosterone may be the best and most cost-effective way to treat low testosterone. But for men who are not comfortable with injections, testosterone gels/creams may be an option. Other TRT products are pellets, nasal gel, oral, long acting injections, and others.   Do they accept insurance or cash pay only?   If they accept insurance, great, go ahead and take advantage of this if it’s coupled with proper treatment. However, if you find, in your case, you can only receive top of the line treatment on a cash pay basis, you will probably need to veer in that direction should your budget allow it.   Do they prescribe HCG along with testosterone, or have it available as an option for treating testicular atrophy or helping to preserve fertility?   Many men enjoy the added benefits HCG can bring with their overall TRT. Younger patients, in particular, enjoy knowing their ability to conceive will remain greater than without HCG. Unfortunately, many physicians, even those more versed in the basics of testosterone than the average doctor, do not understand the benefits of HCG plus TRT treatment. This could be a red flag, and a new doctor may be in order.   Blood testing: how often is your doctor going to run lab tests? What are they going to check on the lab report?   Beyond the initial test, labs should be run every 6-8 weeks until your levels are stable and in a good range, which may take 3-6 months. A “good range” should be associated with not merely the numbers on paper but how you feel. Make sure to ask your physician if they’ll be checking both total and free testosterone on your lab work. Total testosterone alone is not enough. Make sure you ask your doctor if they will check estradiol levels by ordering the sensitive estradiol test, not the standard estrogen lab report. It is important to mention that the sensitive estradiol test is not available in some countries. The regular estradiol test usually overestimates estradiol by 20% or more due to interferences with inflammation markers. There is still a lot of debate on the need to manage or treat estradiol in men on TRT Your doctor should also be checking hematocrit and red blood cell count. Some physicians like to also check thyroid function since low thyroid (hypothyroidism) can have some of the same symptoms as low testosterone, so bring this up! Keep in mind; if your doctor is open and understanding, they will allow you to order your own labs, which will allow you to ensure you’re getting the exact lab tests you need through avenues such as DiscountedLabs.com   Do they offer prescriptions for therapeutic phlebotomy for high hematocrit?   It’s possible that your blood may become a little too thick with TRT, but it is not an alarming issue if it’s one we correct, and correction is quite simple by going to a blood center and donating blood. If your physician is ordering the correct labs, as discussed above, you will be able to keep an eye on this potential issue and eradicate it easily through phlebotomy if needed.   Do they offer other treatment options, such as erectile dysfunction medications, high blood pressure meds, or other wellness options?   You may or may not need these things, time will tell, but it’s always best if such items are on the table if and when needed.   One of our most important questions we will need to ask our doctor: do they allow self-injecting at home?   If the injection protocol is correct, which will be part of our next question, there is nothing more irritating than going to the doctor every single week, if not multiple times per week. There is no reason your doctor should not allow you to inject yourself at home. If they will not, find a new physician.   TRT Injection protocols: Ask your doctor if prescribing testosterone cypionate or testosterone enanthate, the two most common forms of testosterone prescribed, what their typical injection protocols look like?   If your doctor prescribes injections once every two weeks or more infrequently, ask him or her if you can inject very week or twice per week instead. Some men feel TRT’s effects wearing off by day 12-14 when using every two week injection frequency. Also, if they do not allow you to inject under the skin (subcutaneously) with an insulin syringe instead of older methods of injection, ask him or her why.  New data shows that subcutaneous injections are as effective and deep intramuscular ones, and they are less painful.   Does your TRT doctor work with compounding pharmacies or allow you to work with the pharmacy of your choice?   If your insurance pays for your TRT, then make sure you shop around for the pharmacy that provides the lowest copay if possible.  If you are self-pay (cash basis), compounding pharmacies have lower prices for injectable and transdermal (gel or creams) testosterone products.   A good physician will write your prescription for generic, which will allow you to go to a compound pharmacy and receive the same testosterone you would from a big box brand at a fraction of the price. A good physician probably already has a relationship with a compounding pharmacy, making this all the easier. As an added bonus, you’ll often find the customer service at a compounding pharmacy to be superior to what you’re used to at your local pharmacy.   Ask your doctor how many times they will require you to come to the office. If it’s more than twice a year, this doctor probably isn’t for you.   It’s also important that you know beforehand that the doctor will allow you to see your lab results and that they will be transparent in their discussion with you. If this isn’t the case, go somewhere else.     The final question you’ll need to ask is an important one as each individual’s situation is different:   What’s TRT going to cost me?   How much will the doctor's visit cost, including any follow-up visits? How much will blood work cost, including follow up labs? Finally, how much can I expect to pay monthly for medications, and are there any other fees I need to be aware that may exist?   As you can tell now, preparing yourself for your first TRT doctor visit is important to ensure that you made the right choice and to clearly define expectations and cost.   Visit ExcelMale.com for educational information about TRT treatment options and other men’s health options.   Find a TRT Doctor here.

Have you ever wanted to have a broad understanding of your health and know exactly the amount of vitamins, minerals, hormones, and enzymes in your bloodstream? Would it be possible to get a complete picture of your health using a simple lab test? Luckily, this is entirely possible today, thanks to Discounted Labs. These blood tests can look at various enzymes in your body and help you determine if you lack certain nutrients. You can also find if you have a predisposition for a certain disease and do something to prevent it. Best of all, you can now order the Ultimate Lab Test Panel for Men and Women. This panel sold at DiscountedLabs.com at an affordable price is ideal for people of all ages. It runs multiple test panels simultaneously, so you have a complete understanding of your health. But what does the Ultimate Panel contain? And why are these tests important? Keep reading to find out. Table of Contents A Quick Glance at the Tests Contained by the Ultimate Lab Test Panel 1. Complete Blood Count A. White Blood Cell Count B. Red Blood Cell Count C. Hematocrit D. Hemoglobin E. Mean Corpuscular Volume F. Mean Corpuscular Hemoglobin G. Red Blood Cell Distribution Width H. Platelet Count I. Mean Platelet Volume 2. Comprehensive Metabolic Panel A. Glucose B. Sodium C. Potassium D. Chloride E. Carbon Dioxide F. Calcium H. Globulins I. Total Protein J. Alkaline Phosphatase K. Bilirubin L. Aspartate Transaminase M. Alanine Transaminase N. Blood Urea Nitrogen O. Creatinine P. eGFR 3. Lipid Panel A. Total Cholesterol B. HDL Cholesterol C. LDL Cholesterol D. Triglycerides 4. Thyroid Panel A. TSH - Thyroid Stimulating Hormone B. Thyroid Free T3 C. Thyroid Free T4 5. Homocysteine Test 6. Testosterone Total & Free A. Total Testosterone B. Free Testosterone 7. Urinalysis Complete Panel A. Color B. Appearance C. Specific Gravity D. pH E. Occult Blood F. Protein and Glucose G. Ketones H. Leukocyte Esterase I. Nitrite J. Urobilinogen K. Urine Sediment 8. Vitamin D (250HD) 9. Iron and Total Iron Binding Capacity 10. Estradiol Ultra-Sensitive 11. DHEA-S 12. Vitamin B12 13. Hemoglobin A1C 14. Cardio C-Reactive Protein 15. Ferritin Order Your Ultimate Blood Test Panel Today! A Quick Glance at the Tests Contained by the Ultimate Lab Test Panel The Ultimate Test panel is designed to look at inflammatory markers, test the kidney and liver function, check the blood sugar level, determine the number of thyroid hormones in the bloodstream, etc. We will look at each of the individual test panels below, so continue reading. 1. Complete Blood Count A complete blood count is necessary to find out more information about the various cellular components in your blood. For example, you can find out more information about the red blood cells, white blood cells, blood platelets, etc. A. White Blood Cell Count The number of white blood cells is important because it directly influences the responses of your immune system. When there are few white blood cells in the bloodstream, your immune system might be weak which predisposes you to common colds, flu, and other diseases B. Red Blood Cell Count The number of red blood cells in the bloodstream is also important. These cells are responsible for carrying oxygen from the lungs to various organs and tissues in the body. Men usually have around 5-6 million red blood cells per cubic millimeter while women have around 4-5 million red blood cells per cubic millimeter. When a person doesn't have enough red blood cells, anemia might develop. This condition is characterized by excessive fatigue, dizziness, and poor cognitive function. C. Hematocrit The hematocrit refers to the percentage of red blood cells found in the total blood volume. Abnormal values can lead to various health problems, so the hematocrit needs to be checked regularly. D. Hemoglobin The hemoglobin in your body carries oxygen from the lungs to the organs and carbon dioxide from the organs to the lungs. It should be around one-third of the total hematocrit level. E. Mean Corpuscular Volume This value refers to the size and volume of red blood cells. Having smaller red blood cells might signify a deficiency of iron which also leads to anemia and fatigue. Different vitamin deficiencies can lead to larger-than-normal red blood cells. F. Mean Corpuscular Hemoglobin Mean corpuscular hemoglobin or MCH refers to the concentration of hemoglobin found in the red blood cells. G. Red Blood Cell Distribution Width This value refers to the uniformity of red blood cells found in the bloodstream. Abnormal values for the red blood cell distribution width can signify health problems. H. Platelet Count Platelets are an important part of the blood clotting process. Usually, the platelet count should be from 130,000 up to about 450,000 for every cubic centimeter of blood. When the number of platelets is low, the skin can get easily bruised and the bleeding might be excessive. I. Mean Platelet Volume The mean platelet volume refers to the actual size of the platelets. This information is calculated by a machine and it can provide details about the production of platelets in the bone marrow. 2. Comprehensive Metabolic Panel The second panel included in the Ultimate Lab Test is the comprehensive metabolic panel. This collection of tests looks at various hormones found in the blood, kidney, and liver. Depending on the values of these hormones and substances, you can find out if you have a liver problem or if your electrolyte balance is normal. A. Glucose The amount of sugar in your blood is also known as glucose. Having too much blood sugar can predispose you to diabetes type 2 which is a life-threatening disease. Running a test for this substance can also detect insulin resistance in patients. B. Sodium Sodium is one of the most important electrolytes in the body. When too much sodium is present in the body, it can make the blood too acidic. This leads to heart problems, digestive issues, etc. Too little sodium can lead to confusion and fatigue problems. C. Potassium This is another vital electrolyte and a deficiency of potassium can lead to muscle aches, tiredness, and difficulties with breathing. This substance helps to maintain an adequate amount of fluids in the body and it can be taken from bananas, spinach, beans, etc. D. Chloride Chloride is responsible for maintaining good blood pressure and it performs various other bodily functions. Too little chloride in the bloodstream can lead to fatigue and headaches. E. Carbon Dioxide Carbon dioxide is an important element involved in respiration. Too little carbon dioxide might indicate problems with the kidneys, low levels of oxygen or acidosis. Too much carbon dioxide can be detrimental for the health of the internal organs, so checking the levels of this substance is important. F. Calcium Calcium is one of the most important minerals in the body. It's responsible for maintaining a high bone density and healthy teeth. Too little calcium can lead to brittle bones and a predisposition to fractures. Too much calcium is also a bad thing because it can lead to kidney stones, among other health problems. G. Albumin Albumin is one of the most common proteins found in the human body. Its job is to regulate blood pressure and perform other important functions. When you have too little albumin, this can signify malnutrition or heart problems. Too much albumin can also be a sign of kidney damage. H. Globulins Globulins are a family of proteins which are produced by the liver or the immune system. Their job is to fight infection and help with liver function. I. Total Protein The total protein test looks at the number of various proteins in the body. This value is important because it acts as an indicator of the overall health and wellbeing of a patient. If the proteins are in low quantities, muscle problems might appear including muscle wasting. Muscle wasting means that the muscle fibers are broken down because of poor nutrition. Although this condition is rare, it's important to test the total number of proteins in the body to find out if the muscles, tissues, tendons, and ligaments are healthy. J. Alkaline Phosphatase Alkaline Phosphatase is a substance that might indicate bone problems or obstruction of the bile. This is a test of the liver function included in the comprehensive metabolic panel. K. Bilirubin This is another substance tested to check the health of the liver. It is known as a cellular antioxidant and it is secreted as a result of the breakdown of red blood cells. Too much bilirubin can lead to jaundice, a serious liver problem which causes yellow skin and eyes. Abnormal bilirubin levels can also indicate the obstruction of bile flow and problems with red blood cells. L. Aspartate Transaminase People who have problems with their liver might have high levels of aspartate transaminase. This substance might also indicate serious muscle damage. M. Alanine Transaminase This substance is present in most liver cells and it might indicate problems with this organ. When the liver cells are damaged by various factors such as toxins or alcohol, alanine transaminase might spill into the bloodstream. Elevated levels of this substance is a cause of concern and that's why it's important to test it. N. Blood Urea Nitrogen Nitrogen is a substance resulted during metabolic processes in the body. It's usually filtered out by the kidneys and released in the urine to be eliminated. When too much blood urea nitrogen is detected, this might signify damages to the kidney. It can also indicate a high protein intake, commonly found in athletes. O. Creatinine Creatinine is the result of muscle breakdown. Professional athletes who work out regularly might have high levels of creatinine which should be filtered by the kidneys and released through urine. When too much creatinine is found in the bloodstream, this might indicate renal dysfunction. P. eGFR eGFR stands for estimated glomerular filtration rate. This is another kidney test which analyzes the health of this organ. The test is usually performed together with the creatinine test to determine if the kidneys are doing their job properly. 3. Lipid Panel The Ultimate Lab Test Panel includes numerous tests, including the lipid panel which looks at the amount of cholesterol and triglycerides in your body. Having too much fat can be a cause of concern as it can lead to cardiovascular diseases. Here are the tests included in the lipid panel. A. Total Cholesterol Cholesterol is a waxy substance that lines up the interior of the arteries and veins. It also plays an important role in the creation of new cells and cell membranes. Cholesterol can be produced by the liver, but it's also taken from foods. The total cholesterol value for healthy individuals should be between 120 to 200mg/dL. If too much cholesterol is present in the bloodstream, cardiovascular problems might appear in the future. B. HDL Cholesterol HDL stands for high-density lipoprotein and it's also known as the "good" cholesterol. Ideally, people should have more HDL cholesterol than other types of cholesterol in the body. This substance reduces the risk of cardiovascular disease and keeps the veins and arteries healthy. C. LDL Cholesterol This is also known as "bad" cholesterol and stands for low-density lipoprotein. Too much of this substance can increase the risk of plaque and other vascular problems, so you need to check for it and make sure it's in normal ranges. D. Triglycerides The energy which is not burned by the body gets transformed into triglycerides and transported into fat tissues. The body needs to have some triglycerides, but anything higher than 150mg/dL might cause cardiovascular problems in the future. Very high triglyceride levels which exceed 1,000mg/dL can cause pancreatitis. 4. Thyroid Panel The thyroid panel contains hormones which assist various metabolic processes and directly influence the health of an individual. The thyroid panel checks for several of the most important thyroid hormones such as: A. TSH - Thyroid Stimulating Hormone The thyroid-stimulating hormone is produced by the pituitary gland and it's responsible for stimulating the thyroid gland to produce various hormones. A deficiency of this hormone can be called hypothyroidism and it leads to weight gain, intolerance to cold, fatigue, and other health problems. B. Thyroid Free T3 This hormone is also known as triiodothyronine and it's responsible with various functions in the body such as regulating heart rate, metabolism, etc. Free T3 circulates unbound in the bloodstream and a deficiency of it can signify a problem with your thyroid gland. C. Thyroid Free T4 Thyroid free T4 hormone is also produced by the thyroid gland and works in combination with free T3 to maintain the health of an individual. Just like free T3 deficiency, when there is not enough T4 in the bloodstream the individual might experience anxiety, weight loss, fatigue, poor metabolism, and other health problems. 5. Homocysteine Test Homocysteine is a substance produced by the body as a result of the breakdown of methionine. Methionine is an amino acid responsible for the creation of proteins. When too much homocysteine is present in the body, it can lead to the thickening of the arteries and atherosclerosis. 6. Testosterone Total & Free The Ultimate Test Panel also contains a testosterone lab which helps you find out how much free and total testosterone you have in your body. These are great tests for men because they help you determine if you have hypogonadism or if your testosterone levels are appropriate with your age and lifestyle. A. Total Testosterone This test looks at the total amount of testosterone in your body. This number is made up by the free and bound testosterone levels. There are various ways to test testosterone levels with different accuracy. This test checks for testosterone levels under 1,500ng/dL. B. Free Testosterone Free testosterone is not bound to proteins or other receptors and it's freely circulating through the bloodstream.  Free Testosterone plus albumin-bpund testosterone is also known as bioavailable testosterone. 7. Urinalysis Complete Panel You can tell a lot about a person's health based on its urine. The Urinalysis Panel looks at various indicators in an attempt to determine if there are certain vitamin deficiencies in the body or if organs are damaged. A. Color Healthy urine should have a straw-yellow color unless you have eaten certain types of foods or taken medication which alters its appearance. Abnormal urine color such as bright red might indicate internal bleeding. B. Appearance On top of color, the urine also should have a relatively clear appearance. If the urine is foamy or cloudy, this signifies some health issues which need to be addressed. C. Specific Gravity This is a parameter commonly tested by doctors to determine if the kidneys are functioning correctly. Abnormal values for the specific gravity of the urine might indicate dehydration or renal problems. D. pH The body needs to maintain a certain pH level to function normally and this can be usually tested with a urine sample. Ideally, the urine pH should be between 4.5 and 8. Anything under that signifies too much acidity in the body. Higher values might indicate an excessively alkaline body which is not a good thing. E. Occult Blood Having blood in the urine is usually not a good thing and it can indicate infections, bladder problems or some forms of benign tumors. F. Protein and Glucose Just like the metabolic panel mentioned above, this panel also checks the levels of glucose and protein found in the body using a urine sample. G. Ketones Ketones are substances resulting from the burning of fats in your body. This happens when your system takes its energy from fats instead of glucose. When high levels of ketones are discovered in the body, this might indicate a complication of diabetes or a different type of health issue. H. Leukocyte Esterase This is an enzyme produced by your white blood cells. The white blood cells are responsible for fighting diseases and infection in the body. When this enzyme is present in the urine, it might indicate a urinary tract infection. I. Nitrite This substance is the result of ammonia oxidation in the body and it might indicate various levels of toxicity if its values are abnormal. It can be checked using a urine sample. J. Urobilinogen Urobilinogen results after the metabolism of bilirubin. This by-product can be excreted through urine and high values of it might indicate liver problems or even hepatitis. K. Urine Sediment This test is done using a microscope and analyzes the quality and composition of the urine sediment. The experts perform this test to check out the function of the kidneys. 8. Vitamin D (250HD) Vitamin D can be taken from the sun and various foods, but not everyone gets enough sun exposure to have healthy levels of vitamin D. This test looks at the total amount of vitamin D in your body and helps you determine if you need to consider vitamin D supplementation. This vitamin is essential for the body because it's involved in numerous metabolic processes. A vitamin D deficiency can lower bone density and muscle weakness. 9. Iron and Total Iron Binding Capacity Iron is essential for all living beings. Nearly 70% of the total iron content in your body is found in the red blood cells. This mineral helps with the transfer of oxygen to and from the lungs. An iron deficiency can lead to anemia which is characterized by fatigue, dizziness, muscle weakness, and poor cognitive function. The total iron-binding capacity looks at the ability of your red blood cells to bind iron to transferrin. As the name implies, transferrin is involved in the process of transferring essential nutrients to tissues which need them the most. Checking these two parameters is important to find out how much iron you have in your body and how it's managed. People who have iron deficiency might want to consider iron supplementation. 10. Estradiol Ultra-Sensitive Estradiol is one of the main female sex hormones. It's present in smaller quantities in men and larger quantities in women. Too much estradiol in men can lead to an enlargement of breast tissue and it can interfere with libido and sex drive. This test looks at the levels of sensitive estradiol in the blood. Based on the results, the doctor might ask for further investigations to determine why your levels of estradiol are too high or too low. 11. DHEA-S The DHEA-S is also known as dehydroepiandrosterone sulfate and it's a hormone produced by your adrenal glands. It's important to analyze this hormone to find out information about the health of your adrenal cortex. A deficiency of DHEA-S can lead to depression, muscle weakness, fatigue, and other similar symptoms. 12. Vitamin B12 The body needs a lot of vitamins and nutrients to function properly, including vitamin B12. This substance cannot be produced by the body, so it has to be taken from foods. Vitamin B12 supports the nervous system and it helps to produce red blood cells. It's also directly involved in making new DNA. A deficiency of vitamin B12 can have serious health consequences. For example, it can lead to nerve problems, bad mood, fatigue, depression, and other issues. 13. Hemoglobin A1C This type of hemoglobin is important because it's directly linked to sugar in the bloodstream. The doctors test the value of hemoglobin A1C because it's a relatively easy way to find out if a person has high blood sugar levels which might lead to diabetes. 14. Cardio C-Reactive Protein The Cardio CRP is an inflammation marker which helps doctors determine if there is serious inflammation in the body. An abnormal value for the Cardio CRP might signify a predisposition for cardiovascular diseases. Finding out this information earlier on helps patients mitigate the damages done to blood vessels, arteries, and the heart. 15. Ferritin This substance is responsible for storing iron at the cellular level and releasing it when necessary. When too little ferritin is present in the bloodstream, this might signify iron deficiency which can lead to anemia. Order Your Ultimate Blood Test Panel Today! As you can see, the Ultimate Lab Panel contains no less than 15 different tests and test panels to get a comprehensive overview of your health. You can order the panel today, offer your blood and urine samples at the nearest laboratory and get the results back in a few business days. Your doctor will help you interpret the results and determine if you need to make lifestyle changes to protect your health.   Buy the Ultimate Lab Test Panel for Men and Women.    

Searching for " TRT Doctor Near Me "? If you have signs of low testosterone, like low sex drive, erectile dysfunction, less motivation, or mood swings, you should find a good TRT doctor near you. A qualified TRT doctor can treat these issues with testosterone replacement therapy. This treatment can help boost your sex drive and sexual function. It can also raise your energy levels and improve your mood and thinking. With a TRT doctor by your side, you can feel like yourself again and enjoy life better. Plus, having low testosterone levels might put you at a higher risk for heart disease. That’s why it’s important to see a trusted TRT doctor. Understanding Testosterone Replacement Therapy (TRT) Testosterone Replacement Therapy (TRT) can change lives for men with low testosterone levels. This treatment helps those who want a better life. TRT means using testosterone medications to bring testosterone levels back to a normal state in the body. It can boost mood and energy levels, improve libido, and increase muscle mass. It may also reduce body fat and irritability. However, you should talk to a qualified TRT doctor before starting. The doctor will check your testosterone levels and explain the risks and benefits of this therapy. They will help you decide if it is right for you. What is Low Testosterone or Hypogonadism? Low testosterone, also known as hypogonadism, affects many men as they get older. Testosterone levels are highest during early adulthood. After 30, these levels usually drop by about 1 to 2 percent each year. This slow decline can cause several health problems. A low testosterone level can result in symptoms that can greatly affect a man's life. It is important to understand what low testosterone means. This can help in knowing when to seek medical checks and possible treatment. As testosterone levels drop, men might feel several symptoms. These include tiredness, lower libido, and mood swings. These changes can link to a condition called hypogonadism. This condition can impact sexual health and may need medical help to balance hormones again. If you think you have low testosterone, it's important to talk to a qualified doctor. They can provide the right diagnosis and treatment options for you. Common Symptoms of Low-T Recognizing the signs of low testosterone is important for quick diagnosis and treatment. Many men with low testosterone, or Low-T, face several concerning symptoms that can impact their everyday life. Here are some common symptoms to watch for to get more info: Reduced sex drive: A drop in libido can cause problems in relationships and lower overall happiness. Erectile dysfunction: Low testosterone levels can make it hard to get or keep an erection, which affects sexual performance. Loss of muscle mass: Many guys see a reduction in strength and muscle tone, making it tough to stay fit. Fatigue: Ongoing tiredness and low energy are common issues linked to low testosterone levels. It is important to know that these symptoms can feel different from person to person. Many things, like age, lifestyle, and health, can change how severe they are. If you notice any of these symptoms, especially those related to prostate health, it's a good idea to see a doctor. A healthcare professional can do tests to check your testosterone levels. They can also talk about the right treatment options for you. Understanding and dealing with low testosterone can really help improve your health and well-being. Your Ultimate Guide to Finding a TRT Doctor Near Me When we start any health treatment, we mainly want to find the best options. This is true for men who feel symptoms of low testosterone. Sadly, many men find it very hard to find a doctor who will treat testosterone deficiency properly. More doctors around the world are learning about testosterone and how to treat it. Still, some doctors think treating low testosterone is unnecessary. They believe testosterone levels drop naturally as we age, so we should just accept it. This view is strange because doctors usually don’t think this way about other health issues. For many years, testosterone and related supplements have been viewed differently in medicine for several reasons we won't discuss now. Right now, we just want to understand how to find the right testosterone replacement therapy (TRT) doctor. A good doctor can help meet your needs and boost your quality of life as you age. Plus, you can still enjoy a satisfying sexual life. When you search for "testosterone doctor near me" on Google, you will see many clinics advertised. But how do you find the best one for you? It might surprise you that there are no reliable doctor directories for testosterone and hormone treatments, not just in the United States but worldwide. Thankfully, a new directory helps men and women find hormone clinics nearby. Just go to the site and click on "Search." If there are clinics near you, they will email you with details about their services, including hormone replacement therapy. You can also tailor your search by health issues, TRT, and other related products that interest you. To find a TRT doctor near you, click on the image below. Main Questions to Ask a TRT Doctor Once you find a doctor who treats low testosterone with TRT therapy, this is just the first step. The next step is more important and can be harder. You need to find a doctor who prescribes TRT the right way. There are many ways to treat low testosterone, just like the saying goes about skinning a cat. But, some of these ways can be less effective and could even cause problems or worse outcomes. First, learn as much as you can by reading a testosterone book such as "Testosterone: A Man's Guide." Also, check posts on the top TRT forum, ExcelMale.com. This knowledge will help you become an informed patient. You will feel more comfortable asking questions to a TRT doctor or clinic. Once you find a doctor who treats TRT, there are several questions to ask. Some doctors may not want to answer these questions. They might feel you are questioning their skills and prefer you to stay quiet and accept what they say without asking. It's important to remember that while you should respect your doctor, they are here to serve you. You pay for their services. If a doctor is not willing to answer basic questions or have a discussion, it may be time to look for another one. If your TRT doctor is open to talking before taking the next steps, here is a helpful list of questions for you to ask: 1. How long have they been treating patients with low testosterone, and how many are they currently treating? The answer to these two questions does not have to be a deal-breaker. This is true if a person hasn't been doing this for long or if they haven't treated many people. What really matters is that they know the right way to treat. Still, if the numbers are low, this might be a sign to watch. Anyway, let’s keep going with our questions. 2. What type of TRT treatment options do you prescribe—injectables, creams, or other options? Self-given injectable testosterone is often seen as one of the best and most affordable ways to handle low testosterone. However, some men might feel uneasy about using needles. For them, testosterone gels or creams could help with weight loss. Other options for testosterone replacement therapy (TRT) include pellets, nasal gel, oral forms, long-lasting injections, and more. 3. Do they accept insurance or cash pay only? If they take insurance, that's great. You should use it with good treatment. But if you can only get the best treatment by paying cash, you may need to choose that option if your budget lets you. 4. Do they prescribe HCG along with testosterone, or have it available as an option for treating testicular atrophy or helping to preserve fertility? Many men like the extra benefits that HCG can provide for their testosterone replacement therapy (TRT). Younger patients especially feel good knowing that they can still conceive well with HCG. Sadly, many doctors, even those who know more about testosterone than most, do not get the advantages of using HCG with TRT. This can be a warning sign, and it might be a good idea to find a new doctor. 5. Do they prescribe other products or ED medications? When a person is on testosterone replacement therapy, simply boosting testosterone levels is not enough. We need to think about all the hormones in our body. One important hormone to watch is estradiol. A high level of estradiol compared to testosterone can cause unwanted side effects. These may include gynecomastia, water retention, and erectile issues. For instance, if a man has too much estrogen, he may struggle to get a firm erection. On the other hand, if he has too little estrogen, keeping an erection can be hard. Testosterone is also key for strong bones and muscle mass. Contrary to what people read online, most men won't need an aromatase inhibitor in the long run. However, having the option to get one when necessary is important. Moreover, when a man has low testosterone and sees symptoms like gynecomastia or growing breasts, gaining weight can lead to further health issues, such as high cholesterol and diabetes. 6. Blood testing: How often is your doctor going to run lab tests? What are they going to check on the lab report? After the first test, you should have lab tests every 6 to 8 weeks. This should continue until your levels are stable and in a good range. It may take 3 to 6 months to achieve this. A “good range” means looking at both your numbers and how you feel. Be sure to ask your doctor if they will check both total and free testosterone in your tests. Just checking total testosterone is not enough. Also, ask your doctor if they'll check estradiol levels with the sensitive estradiol test, not the regular estrogen test. Remember, the sensitive estradiol test may not be available in all countries. A regular test often shows higher estradiol levels due to other factors affecting the results. Many people still discuss if it’s necessary to manage or treat high estrogen levels in men who are on TRT. Your doctor should check your hemoglobin and red blood cell levels. They can request a therapeutic phlebotomy at the nearest blood center. This will allow you to donate blood. Some doctors may check your thyroid function. This is because low thyroid (hypothyroidism) can feel similar to low testosterone. So, make sure to mention it! Remember, if your doctor is open and caring, they might let you order your own lab tests. This way, you can get the exact tests you need through sites like DiscountedLabs.com. 7. Do they offer prescriptions for therapeutic phlebotomy for high hematocrit? Your blood might get a bit thick with TRT. This is not a big problem if we fix it, and it's simple to correct. You can go to a blood center and donate blood. If your doctor orders the right tests, you can keep an eye on this issue. If needed, you can solve it by donating blood. Remember that giving blood often can lower your iron and ferritin levels. This can lead to feeling very tired. Do not donate blood more than once every 2.5 months. 8. Do they offer other treatment options, such as erectile dysfunction medications, high blood pressure medications, or other wellness options? You might need these things or you might not; we will see as time goes by. However, it's always a good idea to have them available just in case you need them. 9. One of our most important questions we will need to ask our doctor is: do they allow self-injecting at home? If the testosterone injection plan is done right, we will discuss it in the next question. There is nothing more frustrating than visiting the doctor every week or even several times a week. Your doctor should let you inject the medicine at home. If they do not, it's time to find a new doctor. 10. Injection protocols: Ask your doctor if they are prescribing testosterone cypionate or testosterone enanthate and what their typical injection protocols look like. If your doctor gives you injections every two weeks or less, ask if you can take them once a week or even twice a week. Some men feel the effects of testosterone replacement therapy (TRT) wearing off around days 12 to 14 with just every two-week injections. Also, if your doctor does not let you use an insulin syringe to inject under the skin instead of older methods, ask why. New information shows that subcutaneous injections work just as well as deep intramuscular ones and are less painful. 11. Does your TRT doctor work with compounding pharmacies or allow you to work with the pharmacy of your choice? If your insurance covers your TRT, be sure to compare pharmacies. Look for one that offers the lowest copay. If you are paying in cash, check compounding pharmacies. They often have lower prices for injectable and transdermal (gel or cream) testosterone products. A good doctor will give you a prescription for a generic drug. This helps you go to a compounding pharmacy. There, you can get the same testosterone for a much lower price than with a big-brand pharmacy. A good doctor likely knows someone at a compounding pharmacy, which makes this process easier. Plus, you will usually find that the service at a compounding pharmacy is better than at other pharmacies you know. 12. Ask your doctor how many times they will require you to come to the office. If it’s more than twice a year, this doctor probably isn’t for you. It is important for you to know that the doctor will let you see your lab results. They should also have an open talk with you about your health. If you feel that this will not happen, you should consider finding another doctor. 13. What’s all this going to cost me? How much will the doctor’s visit cost, including any follow-up visits? How much will blood work cost, including follow-up labs? Finally, how much can I expect to pay monthly for medications, and are there any other fees I need to be aware of that may exist? Preparing for your first TRT doctor visit is important. It helps you feel confident in your decision. It also helps you understand what to expect and how much it will cost. Visit ExcelMale.com for information about TRT treatment options and other men's health choices. Common Men’s Tests: Bodybuilder Tests Cancer Tests Erectile Dysfunction Tests Fatigue Tests Hormone Clinic Referrals Hormone Testing Hormone Tests for Men Male Hormone Tests Men's Health Tests Testosterone Tests Thyroid Lab Tests TRT Side Effects Tests TRT Tests These tests can help you understand your health better. There are options for issues like erectile dysfunction. You can also look into testosterone tests. They can provide useful information for men's health.   Common Questions   How Can I Get Prescribed TRT Near Me? If you think you might have low testosterone levels and want to look into TRT as a treatment, you should talk to a healthcare professional. A primary care doctor or an endocrinologist at a men's health clinic can help you. They will check your symptoms and look at your medical history. They may also do blood tests to check your hormone levels. If these tests show low testosterone levels and you qualify for TRT, your provider can explain the benefits and risks of this therapy. They will also help you get a prescription if needed. It is very important to work with a qualified healthcare professional. This will help you get the right diagnosis. They will also monitor and manage any hormonal imbalances properly. What is the cost of TRT? Every clinic charges different prices for lab work, medications, and doctor visits. A self-pay clinic can cost between $100 and $250 each month. This depends on the TRT and other medications that are given. Does insurance typically cover TRT? TRT, or Testosterone Replacement Therapy, may or may not be paid for by insurance. This depends on your insurance plan and your testosterone level. Some insurance plans can cover TRT, especially if it is needed for low testosterone levels. However, the coverage can be very different from one plan to another. So, it is important to ask your insurance provider if TRT is included in your plan. You may also need to meet some requirements or get approval from your insurance company before you start TRT. It is smart to talk with your healthcare provider and your insurance company to understand the details of your coverage for TRT. What type of doctor should I see for TRT? If you are thinking about testosterone replacement therapy (TRT), you should talk to a healthcare expert. Look for someone who is specialized in hormone therapy, urology, or endocrinology. These doctors know how to check your symptoms and run the right tests. They can create a treatment plan just for you. They will also keep track of your hormone levels and change your treatment if needed. This helps you get the best results and reduce side effects. It’s very important to have a skilled healthcare provider to help you during the process and give you support along the way. How do I find a reputable testosterone doctor near me? Finding a good TRT doctor nearby is an important step for fixing hormone issues or worries. Here are some tips to help you find a trusted TRT doctor: Research online: Begin by searching online for doctors or clinics that focus on hormone therapy or TRT near you. Look for reviews and testimonials. Check their credentials or certifications to see their skills in this area. Ask for referrals: Talk to friends, family, or coworkers. They might have gone through TRT or know someone who has. They can guide you to a good doctor or clinic from their own experiences. Talk to your main doctor: Your main doctor can give you advice or connect you with a specialist who focuses on hormone therapy or TRT based on your personal preferences. Look at professional directories. You can find them at places like the American Academy of Anti-Aging Medicine (A4M) or the American Urological Association (AUA). These directories can help you find doctors who focus on hormone therapy or TRT. Once you find some doctors you might like, the next step is to set up meetings with them. During these consultations, ask questions about their experience and how they treat patients. It's also good to learn about possible side effects or risks of TRT. Don't forget to check their credentials and licenses before you start any treatment. What questions should I ask before scheduling an appointment with a testosterone doctor near me? When you want to schedule an appointment with a possible TRT doctor, it’s good to ask some important questions. This way, you can make sure they are the right choice for you. Here are some questions you might think about asking: What experience and qualifications do you have for prescribing TRT? What tests will you do to see if I can get TRT? Will my treatment plan be made just for my needs and goals? What are the possible risks or side effects of TRT, and how will you watch for and manage them? How often will I need to come back for follow-up appointments, and what will happen during those visits? Are there any lifestyle changes or extra therapies that I should think about with TRT? Finding the right urologists is very important for your health. Don't hold back on asking these questions or any others that pop into your head during your first visit. It’s key to feel good and sure about the care you get. What are some common treatments that testosterone doctors recommend, and what are the potential side effects? TRT doctors might give you different types of testosterone. You could get injections, gels, patches, or pellets. The way you will be treated will depend on what you need and what you prefer. Some possible side effects of TRT are acne, water retention, more red blood cells, less sperm production, testicle shrinking, mood swings, and sleep apnea. However, not everyone will have these side effects. They can be different for each person. If you are thinking about TRT or have questions about treatments or side effects, it is a good idea to talk to a qualified healthcare professional. He or she specializes in hormone therapy. They can give you advice that is specific to your situation and medical history.

Starting Testosterone Replacement Therapy (TRT) is a significant decision that can have a profound impact on your health and well-being. While it offers numerous benefits, like enhanced mood, improved sexual performance, and increased muscle mass, there are also potential side effects and nuances that your healthcare provider might not fully explain. Below, we delve into critical aspects of TRT that every man should be aware of. But first, did you know that you can easily and affordably monitor your testosterone levels through DiscountedLabs.com? It's an excellent way to keep track of your health without the hassle of a doctor's visit. Table of Contents Impact on Sperm Count How TRT Affects Your Fertility Blood Viscosity and Hematocrit Managing Increased Red Blood Cells Shutdown of Natural Testosterone Production Recovery Post TRT Dose and Effectiveness TRT is Not a Magic Bullet Different Injection Methods Subcutaneous vs. Intramuscular Testosterone Gels and Creams Topical TRT: Right Dose, Right Results Optimal Injection Frequency The Shift Towards Frequent Dosing Sleep Apnea TRT and Sleep Quality Erectile Function and Libido The Added Benefits and Limitations Monitoring Your Blood Tests Taking Charge of Your Health Telemedicine for TRT Access to Expertise Prostate Cancer and Heart Attacks Debunking the Myths Community Support You're Not Alone Important Blood Tests Beyond Total Testosterone Insurance Limitations Navigating the System Consult a Urologist The Go-To Experts on TRT Comorbidities Risks and Workarounds The Estradiol Obsession Re-Thinking Estradiol Management Impact on Sperm Count How TRT Affects Your Fertility One aspect of TRT that is often overlooked is its effect on fertility. TRT reduces levels of LH (Luteinizing Hormone) and FSH (Follicle Stimulating Hormone), which are crucial for sperm production. If you plan on having children, it's essential to discuss fertility preservation options with your healthcare provider. Treatments like clomiphene or the addition of hCG can be useful. Blood Viscosity and Hematocrit Managing Increased Red Blood Cells TRT may lead to an increase in hematocrit, or the amount of red blood cells in your blood, thereby making it thicker. While some doctors may suggest pausing TRT, this condition can be managed through blood donations or therapeutic phlebotomy. However, frequent blood donations can lead to iron depletion and fatigue. Learn more about managing high hematocrit here. Shutdown of Natural Testosterone Production Recovery Post TRT Once you're on TRT, your natural testosterone production will decline. Usually, your body can recover its testosterone levels within a few weeks to six months after stopping TRT, but it's essential to know that this therapy isn't a temporary commitment. Dose and Effectiveness TRT is Not a Magic Bullet Though TRT can dramatically improve quality of life by enhancing sex drive, muscle mass, and fat loss, the effectiveness varies from person to person. Factors like dose, frequency, and side effect management play a crucial role. Learn about the average time to see benefits. Different Injection Methods Subcutaneous vs. Intramuscular There's a common misconception that testosterone must be injected deep into the muscle. However, you can also use a 1/2 inch 27-29 gauge insulin syringe for subcutaneous injections. Read more about injection methods here. Testosterone Gels and Creams Topical TRT: Right Dose, Right Results Gels and creams offer a less invasive way to administer testosterone, but the effectiveness depends on the right dose and concentration. Doctors often miss this, so make sure you monitor your levels closely. Optimal Injection Frequency The Shift Towards Frequent Dosing Traditionally, doctors prescribed testosterone injections at 200 mg every two weeks. However, many are moving towards more frequent dosing schedules, like 100 mg per week or even 50 mg twice per week, using insulin syringes. Sleep Apnea TRT and Sleep Quality Be cautious if you have central sleep apnea, as TRT can worsen this condition. However, weight loss achieved through TRT may improve obstructive sleep apnea over time. Erectile Function and Libido The Added Benefits and Limitations While TRT generally improves libido, the results regarding erectile function are mixed. Some men also use low-dose Cialis for additional cardiovascular benefits. Read more about the benefits of Cialis. Monitoring Your Blood Tests Taking Charge of Your Health One of the great advantages of modern technology is that you can monitor your own blood tests via DiscountedLabs.com, without needing a doctor's appointment. Telemedicine for TRT Access to Expertise For those living in areas without easy access to a TRT specialist, telemedicine is a viable option. Just note that most telemedicine doctors don't accept insurance. Prostate Cancer and Heart Attacks Debunking the Myths Contrary to common belief, TRT has not been proven to cause prostate cancer or heart attacks. Proper monitoring of hematocrit, HDL, and blood pressure is crucial, however. Community Support You're Not Alone Don't underestimate the value of community support. Platforms like Excel Male Forum offer a wealth of shared experiences and advice from men who have been on TRT for years. Important Blood Tests Beyond Total Testosterone Many doctors only measure total testosterone and often neglect other important markers like free testosterone, DHT, and thyroid function. Ensure these are part of your monitoring plan. Insurance Limitations Navigating the System Most insurance companies have limitations on which TRT products they cover. You can bypass insurance restrictions by going through a compounding pharmacy. Consult a Urologist The Go-To Experts on TRT Urologists are becoming increasingly knowledgeable about TRT, making them an excellent resource for anyone considering this treatment. Comorbidities Risks and Workarounds Some men might not see the benefits of TRT due to other health issues, such as metabolic disorders that can lead to water retention and high blood pressure. A full work-up with a cardiologist is advisable for these men. The Estradiol Obsession Re-Thinking Estradiol Management Many men obsess about their estradiol levels and are often prescribed high doses of aromatase inhibitors, which may not be necessary. Learn more about the role of estradiol in men here. In conclusion, TRT is a multifaceted treatment that requires proper understanding and management. Keep yourself informed and consider using DiscountedLabs.com for your testosterone level monitoring. Take control of your health today!

Table of Contents Testosterone Fractions in Men How SHBG Influences Free Testosterone What Factors Influence Your SHBG Levels? How Do You Know if Your SHBG Levels Are High? How to Lower SHBG and Automatically Increase Free Testosterone Levels? Raise Your Total Testosterone Level Lower Your Estradiol Levels DHEA Supplements Might Help What if My SHBG Levels Are Already Low? Now You Know More About SHBG and the Role It Plays in Your Body!   When people hear about testosterone, they immediately think about muscles, alpha males, confidence, and probably sports cars. This is the most important male sex hormone and one of the most important hormones in the human body. However, this hormone has several fractions. It is influenced by your lifestyle and it can influence how you think and how you feel. For example, too much sex hormone-binding globulin (SHBG) can decrease free testosterone which can lead to low libido and other symptoms.  That is why some men search for ways to decrease SHBG levels. If you are interested in testosterone fractions and how to naturally increase this sex hormone in your body then keep reading. You will find out more about the bioavailability of testosterone and why it plays a vital role in your health. You will also find out how to decrease SHBG levels. Testosterone Fractions in Men If you do a testosterone test, your doctor will mention your average levels. For example, the generally accepted healthy levels of testosterone for men are between 350 ng/dl and 1,100 ng/dl. If you have a total testosterone level under 350 ng/dL, you might be diagnosed with hypogonadism (testosterone deficiency). However, this is the total testosterone level in your bloodstream. This hormone is made up of several fractions and they are important too. For example, there are bound testosterone (bound) and free testosterone (non-bound) levels that circulate through your blood. Total testosterone is made up of these two types of testosterone. Free testosterone makes up for about 2% of your total testosterone levels. This is the one that goes to your muscles, brain, and influences other organs and tissues in your body. The bound testosterone usually attaches to two substances - albumin or SHBG. The amount of testosterone that is bound to albumin is about a third of your total testosterone. The amount of testosterone that is bound to SHBG is approximately two-thirds of your total testosterone. Albumin is a protein and it carries your testosterone through the bloodstream and releases it as it is needed. You often hear the term "bioavailable testosterone". This refers to the amount of testosterone that can be used by your body. Luckily, testosterone bound to albumin can detach if necessary and get used as free testosterone. The one bound to SHBG cannot do that. In this case, the bioavailable testosterone in your body is the sum of free testosterone and albumin-bound testosterone. How SHBG Influences Free Testosterone It's a well-known fact that the levels of albumin in your blood are generally stable. This protein doesn't have massive spikes in quantity for a male adult. On the other hand, SHBG levels can increase and decrease based on various factors. Most importantly, the levels of SHBG influence how much free testosterone you have in your blood. High levels of SHBG are usually associated with low levels of free testosterone. Less testosterone is available for muscles, the brain, and organs. The vice-versa is also true. Lower levels of SHBG are associated with higher levels of free testosterone. This can positively influence your mood and libido. What Factors Influence Your SHBG Levels? Multiple types of factors influence how much SHBG there is in your bloodstream. Aging is one of the most important factors.  As men age, their SHBG levels will naturally go up while the free testosterone levels will go down. However, you can do something about the other factors. For example, liver problems can increase SHBG levels in men of all ages. If you have a fatty liver due to chronic alcohol consumption or other reasons, chances are that your SHBG levels are also higher than normal. This is true for other liver problems such as cirrhosis or cancer. Thyroid problems can also increase SHBG levels. If your thyroid gland is less active or hyperactive, you might start to feel the symptoms of this health issue. Too much estradiol in your body is also responsible for increasing SHBG levels. Obesity and high triglyceride levels are commonly associated with an increase in SHBG levels in the blood. If you are overweight and your lipid profile is not very good, chances are that your overall testosterone levels might drop. Finally, inflammation is another factor that could increase SHBG levels and decrease free testosterone ones. Acute inflammation is good for the body to help you fight diseases. Chronic inflammation, on the other hand, can lead to life-threatening issues and raise your SHBG levels. How Do You Know if Your SHBG Levels Are High? A simple blood test provides the best opportunity to test your testosterone levels accurately. Medical technology got very advanced, and it's possible to find out exactly how much testosterone is flowing through your blood quickly and safely. However, remember that most tests will communicate your total testosterone levels. You should dig a little bit deeper and find out the exact SHBG and free testosterone levels. These are the ones that interest you the most in this case. If the percent of total testosterone that is free testosterone is below 2 percent, then you may have high SHBG. For example, the optimal SHBG levels in adult males are between 10 and 60 nmol/L. If you have more than that, chances are that your free testosterone levels are also smaller than normal. Ask your doctor for assistance if you cannot figure out the SHBG levels independently. Discounted Labs sells several tests, including the SHBG test as part of lab test panels.   How to Lower SHBG and Automatically Increase Free Testosterone Levels? Now that you have learned more about SHBG and how it can influence your body, the next obvious question is to find out a way to decrease SHBG levels. You cannot stop the aging process, but you can do something about the other factors that influence SHBG. Raise Your Total Testosterone Level This is the simplest and often the best method to reduce SHBG and increase free testosterone. If your testosterone levels are low, do something to increase them. For example, you can lose weight, start exercising more often and clean your diet of junk food and processed meals. This will automatically increase your total testosterone level. A fraction of this level is free testosterone, but it's a fraction of something larger than before, so you'll definitely experience its positive effects. Lower Your Estradiol Levels Another way you can reduce your SHBG levels is by lowering the number of estrogens in your body. Estrogens are the maprimaryemale sex hormones but are also needed by the male body. One of the most important estrogens is estradiol. Men have small amounts of estradiol too, but too much can lead to high SHBG levels and even gynecomastia if low testosterone is present. Lowering estrogen levels is possible for men of all ages. For example, you should avoid soy-based products as these have the tendency to increase your blood estrogen levels. At the same time, try to minimize alcohol consumption, exercise more, lose weight if you are overweight, and get plenty of sleep. DHEA Supplements Might Help DHEA or dehydroepiandrosterone, is one of the most abundant steroids in the human body. It's a weak estrogen and androgen hormone. It serves many purposes in the body and it can be sold as a supplement. Some studies show that small doses of DHEA administered to men might decrease SHBG levels. However, more research is needed as increasing the levels of DHEA in the body can have serious side effects in the long run. For example, high levels of DHEA are commonly associated with Parkinson's Disease. This complex neurodegenerative disease can lead to memory loss and poor brain function. If you decide to take DHEA supplements, make sure that you speak with your doctor first. Remember that these solutions might work for people with SHBG levels higher than normal. If your SHBG level is low, you should not worry about lowering it further. What if My SHBG Levels Are Already Low? In this case, your free testosterone levels are optimal and you don't have to do anything to increase them. However, more SHBG is needed too. This could signify an underlying health condition that must be explored further. For example, if you have low SHBG in your bloodstream, you might have a fatty liver or metabolic syndrome. This condition can be caused by excessive alcohol consumption or other factors. A liver problem is usually associated with insulin resistance too. Generally speaking, low SHBG levels are good predictors of diabetes in people of all ages. You must do a blood glucose and a A1c test to see how glucose is processed in your body. If you're pre-diabetic, you can still do something to increase insulin sensitivity and avoid this chronic condition. Now You Know More About SHBG and the Role It Plays in Your Body! Although deciphering the mysteries of testosterone and SHBG is not easy, major medical advancements are made each day. As you can see, too little SHBG is bad, but too much of it is not good either. Patients must aim for an optimal level of SHBG and monitor it closely using a SHBG blood test.    

It is suggested that you talk to your physician about the need for proper blood tests before and during testosterone. Read this first since it is the most common testosterone side effect: High hematocrit Problem Solution and Comments Acne/oily skin Caused by Dihydrotestosterone (DHT) effect on increased oil production · Accutane– a powerful prescription item - 40 mg/day for one week sometimes stops acne if started at the first sign or as directed by your doctor. Accutane is potentially highly liver toxic and can lower testosterone. Do not use unless as last resort. · Sporanox – Effective for some acne-like eruptions that are caused by fungi. Some doctors also prescribe antibiotics, like tetracycline, for acne with good results. . Minocycline . Shower with Nizoral shampoo· Anti-bacterial soaps - Use a scrubbing brush and wash twice a day, especially after sweating during a workout. · UV light or sunlight with moderation. . Zinc/copper supplements or zinc soaps may help some men with acne. . Other options: How to treat and prevent acne Hair loss Caused by DHT effect on hair follicles · Nizoral shampoo– Available by prescription and over-the-counter as a lower dose product. · Rogaine – Available over the counter · Propecia (finasteride) - Available by prescription. A few males experience decreased erections with finasteride. Do not use. Increased sex drive · A problem? Sex drive is part of quality-of-life. This is not necessarily a bad side effect. Enjoy it. Unresolved erectile function · ED Drugs– Available by prescription; enables robust erections. If you have sinus congestion or headaches/backaches take non-drowsy allergy medication and ibuprofen. ED drugs can be combined with alpha-blockers and/or nitric oxide precursor amino acids (arginine or citrulline) · Yohimbine (Yocon) - Available by prescription; increases sex organ sensitivity. Can increase heart rate and blood pressure · Muse - Available by prescription; pellet inserted into the urethra to produce an erection. Unpopular · Trimix – Available by prescription from compounding pharmacies. The best and cheapest formula for injection into the penis for lasting erections. · Caverject - Available by prescription. An injection into the penis that produces an erection that can last 1 to 2 hours. Be careful with injecting too much since it can produce dangerously ling erections that need to be treated in emergency rooms! Follow instructions from your urologist. · Papaverine – An older injectable medication, less expensive than Caverject. · Wellbutrin – Prescription at 300 to 450 mg/day; increases dopamine. · Human chorionic gonadotropin (HCG) – First dose is 2,000 IU, then 250-500 IU twice or three times a week. No protocol has been proven in controlled studies yet. Insomnia Usually, this is caused by dosages that are too high. Find the least amount that gives you a good result. · Sleeping medications – e.g. Ambien, Sonata, Lunesta, Restoril · Melatonin- 1 to 3 mg before bedtime. If you wake up groggy after 6 hours your dose should be lower. · Avoid working out too close to bedtime. · Limit caffeine, especially after 3 pm. · You may want to try a sleep formula with tryptophan, melatonin, and magnesium. Nutrients do not work as well as drugs, but they can help some people. Article: How to protect your circadian rhythm Sleep Apnea · Have your doctor prescribe a sleep study if you snore and wake up tired even after 7 hours of sleep. Some people may have to wear a C-PAP machine to breathe at night. Visit Home - SleepApnea.org for more information. There are also oral devices for those people who fail CPAP. Fatigue- When Testosterone Is Not Enough Testicular atrophy · Human Chorionic Gonadotropin (hCG)– One 2,000 unit injection per week for 2 weeks, followed by maintenance of 350-500 IU twice a week. For men who want to remain fertile while on TRT, 500 IU every other day has been studied. Watch this video on hCG and men Enhanced assertiveness or reactivity. · Make sure you are getting enough sleep. . Count until 10 and be aware of your interaction with others. · Decrease caffeine. · Meditation, mindfulness, yoga, breathe from your belly for a few minutes when overreacting. · The testosterone dosage may be too high. · Ask yourself: Do I need to always be right? . Vent extra energy at the gym, sex, and sharing with your buddies at www.excelmale.com High blood pressure: Can be caused by sodium retention, high hematocrit, being overweight, and other factors · Blood pressure medications - Elevated blood pressure may be transient or not. Try ACE or ARBs since they seem to have fewer sexual dysfunction related effects.  · Magnesium (600 mg/day); vitamin B6 (100 to 200 mg/day); may help reduce water retention. · Water - Drink extra water every day to help flush the kidneys. . Make sure you are doing cardio exercise at least 3 times a week for 30 min. Sweat and lower your salt intake since TRT increases sodium retention in some men. Gynecomastia- RARE in TRT (male breast development) Caused by overproduction of estrogen in the presence of low testosterone and high IGF-1 · Arimidex Inhibits estrogen production. Available by prescription. 0.5 mg/week max. Ensure that your estradiol is never under 20 pg/ml (by sensitive test) since it is needed for bone, skin, brain, lipids, libido, good lipids and hair health. Only 0.3-0.4% of testosterone is aromatized to estradiol. Current lab ranges were derived from men not on TRT. Most men on TRT do not need anastrozole. Be careful not to crash your estradiol. · Nolvadex (tamoxifen)– Competes with estrogen for receptors. Available by prescription, 10 to 20 mg/day. Use of Nolvadex during a steroid cycle may reduce the net anabolic effect, as it decreases the production of GH and IGF-1.  . Severe cases may require removal of the breast tissue by surgery. · DHT cream- Some people have obtained great results by rubbing a 10% DHT cream on their nipples. Not available in the US but some people order it online from Germany . Read about medications/foods to avoid if you have gynecomastia. . Those who do know to respond to the above, check other reasons Watch this video about estradiol in men Check your estradiol with the right sensitive test. To find out how long it takes testosterone replacement to potentially show benefits, read this article. For affordable blood tests in most cities in the U.S. (Prescription provided): DiscountedLabs.com We also highly recommend reading this and other articles from our friend Lee Myers from peaktestosterone.com : Testosterone Risks Metzger, DL, et al. Estrogen receptor blockade with tamoxifen diminishes growth hormone secretion in boys: evidence for a stimulatory role of endogenous estrogens during male adolescence. J Clin Endocrinol Metab (1994) 79(2):513-518. [ii] el-Sheikh, MM, et al. The effect of Permixon (saw palmetto) on androgen receptors. J Acta Obstet Gynecol Scand (1988) 67(5):397-399. [iii] Suzuki, K, et al. Endocrine environment of benign prostatic hyperplasia: prostate size and volume are correlated with serum estrogen concentration. Scand J Urol Nephrol (1995) 29:65-68. [iv] Gann, PH, et al. A prospective study of plasma hormone levels, nonhormonal factors, and development of benign prostatic hyperplasia. The Prostate (1995) 26:40-49.   Buy testosterone tests on DiscountedLabs.com