Testosterone Level Test--which one?

  • Posted by a hidden member.
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    Dec 13, 2010 3:07 PM GMT
    I suspect I have low testosterone and wanted to get a test. So I googled it and came across Private MD labs and these options.


    1. Testosterone, Free (Direct), Serum $68.49 2. Testosterone, Free (Direct), Serum With Total Testosterone $89.49
    3. Testosterone, Free and Weakly Bound $89.49
    4. Testosterone, Free, Mass Spectrometry/Equilibrium Dialysis $198.99
    5. Testosterone, Total, Serum $44.49


    Labcorp had these:

    144980 Testosterone, Free (Direct), Serum
    140103 Testosterone, Free (Direct), Serum With Total Testosterone
    143255 Testosterone, Free and Weakly Bound
    500726 Testosterone, Free, Mass Spectrometry/Equilibrium Dialysis
    081786 Testosterone, Free, Serum (Equilibrium Ultrafiltration) With Total Testosterone


    Which should I get? ANy advice would be helpful. I dont have a doctor, but feel like I want to know.


    Also, is it true that you should get this in the morning before food? Why is that?
    Thanks.
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    Dec 13, 2010 3:14 PM GMT
    You're 24 and you think you have low T? Why? What makes you think this besides a TV commercial?
    I'm sure it's possible that you could have low T but very unlikely at your age.
    You need to schedule an appointment with your regular Doctor and discuss why you think you need tested. THEN he will recommend the best testing procedure if he thinks it's necessary and they will tell you whether to 'fast' before the test, if indeed you have it done.
    Something tells me that you don't have low Testosterone. You just have a 'hard to gain weight/muscle' body like I have.
    If you have low T, then good luck to you, i hope you get treatement (which is NOT cheap and probably not covered by your Ins.) and you need to do EXACTLY what the Dr tells you to do..alos...don't buy any supplements from online!!
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    Dec 14, 2010 9:20 PM GMT
    dude, i dont have a doctor
  • Posted by a hidden member.
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    Dec 14, 2010 9:21 PM GMT
    Well, dude, FIND A CLINIC!! icon_rolleyes.gif

    Don't treat yourself from TV ads and WebMD!!! Christ, find a free clinic somewhere.
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    Dec 14, 2010 9:31 PM GMT
    At 5'10" 130, unless you are seriously only eating 1-2 light meals of non-nutritious food a day and the rest is alcohol (the alcoholic diet), it makes me wonder if you have some sort of IBS like Crohn's or ulcerative colitis. You get the tests before morning without food because your testosterone will be the highest it will ever be during the day right before you wake up. Eating causes insulin secretion and catecholamine breakdown, which also affects testosterone levels.

    There's really no need to pay for these tests. I wouldn't waste my money. You shouldn't need meds at your age and can rectify things with diet and lifestyle changes to reverse any process faster than an older person with advanced lifestyle diseases whose body may have endured their poor choices longer.

    I thought I had low testosterone too once, but I've been tested twice, and it's quite the opposite. I have 10 pts over the normal limit and that was with symptoms of "depression/nocturnal lifestyle" (before I came out to my folks and was avoiding people, especially them) and "lack of sex drive" (which is more attributed to anxiety, constant stress from school, constant physical stress from working out everyday intensely, and social stress of being gay and uncomfortable with it while finding shallow relationships with other gays..). A physiological reduction in testosteone would be like 0.01% (made up statistic, but I'm sure not far off the real number) of the population at your age.
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    Dec 16, 2010 3:47 PM GMT
    Is there no simple answer....1,2,3,4 or 5???????
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    Dec 16, 2010 3:56 PM GMT
    You really need a doctor, as even if you are low in testosterone, (which I agree is doubtful) he/she must prescribe you the replacement testosterone. So let a doctor decide which test to use.
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    Dec 16, 2010 4:06 PM GMT
    Low testosterone can be age related but is not necessarily. I have two friends, one an M.D. and one an Endocrinologist and they say we are seeing more and more guys in their 20’s with low testosterone. It has not been determined yet what may be causing it. There are a lot of theories from plastics to hormones in the food supply. If you have insurance it will most likely pay for a routine testosterone test. You need to know not only your total testosterone but your free testosterone as well. More importantly you need to know your estradiol level. Some testosterone will convert into this which is a female hormone and you want to make sure it is not too high. I would keep it around 20 pg/ml. You should also get your SHBG level checked. This is the sex hormone binding globulin. If it is too high it binds with testosterone and renders it useless. In theory you could have a high total testosterone level but if your SHBG level is high and it is bound up you will not be enjoying the benefits from the testosterone.

    Yes, your test should be done in the morning preferably before 9:00 am on an empty stomach. Your testosterone levels are highest in the morning. You are in Santa Cruz and I can put you in touch with a great doctor in Santa Monica. However, this guy doesn’t accept insurance. If you’d rather go the insurance route I’d suggest finding a good Endocrinologist or anti aging doctor since they are more likely to understand your condition than a primary care physician. If you believe you are low then you need to be tested. That is the only way you will know for sure and it probably isn’t a good thing to walk around indefinitely thinking you might be without knowing. If you aren’t then you will have a peace of mind if you are then you can get something that will help you. Compounding pharmacies are usually the way to go with something like this because they are far less expensive than a regular pharmacy.
  • Posted by a hidden member.
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    Dec 16, 2010 4:13 PM GMT
    Caveat-I’m not a doctor obviously just a guy who has done some research. Please don’t take what I’ve said a gospel but seek a qualified medical practitioner for solid advice. Every case is unique.
  • Posted by a hidden member.
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    Dec 16, 2010 4:15 PM GMT
    The answer is no.
    Also, I think it is more psychological than physiological.
  • Posted by a hidden member.
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    Dec 16, 2010 4:23 PM GMT
    Or...you could change your diet to include some good old fashion mushrooms... probly a little cheaper and easier.
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    Dec 16, 2010 4:24 PM GMT
    Spend the money to get a doctor first. It's worth having them as a medical resource instead of the media. Let your new doctor decide if you should be tested for low-T. Better to use your money on a doctor that can identify your problems (if any) than spending it on a test you might not need.

    Here's my personal remedy: Eat more, work-out, jerk-off icon_wink.gif

    That'll put some hair on your chest... look what it did to me!

    Hairy-chest.jpg
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    Dec 16, 2010 4:25 PM GMT
    Hehehe icon_lol.gif
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    Dec 16, 2010 4:36 PM GMT
    Add this to your workout routine: start doing squats and leg press (high weight, low reps) atleast once a week + protein supplement (15 g) before and after your workout. If you still can't manage to put on 5 lbs. with this routine after a month (assuming your eating 3 good meals/day and lifting weights 4x/wk hitting all muscle groups), then maybe you have a problem.

    The squats and leg workouts help your body release testosterone.

    Actually, contrary to what some ppl say, jerking off (or rather ejaculation) immediately decreases T levels for a period of time afterward. On the other hand, not jerking off at all can also decrease levels.

    Just my advice, I'm not a doctor, this is just what works for me.
  • Posted by a hidden member.
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    Dec 16, 2010 4:45 PM GMT
    Actually, training too hard lowers your testosterone to near zero. I encourage you to view the Discovery series "The Human Machine."

    If you want your T tested, a good doctor should be able to do it for around $20.00 The test for test is cheap.

    At 5'10", and 130#, the original poster either has a mental disorder, a physical disorder, or is starving. Likely, it has little to do with free test levels. It's impossible to tell here.

    If you eat more calories than you consume, you'll gain weight. PERIOD.

    I encourage the original poster to get a CMP (Complete Metabolic Panel), a thyroid workup (T3/T4), a test test (Test Workup), and a fasting glucose test (diabetes will cause weight issues), from a qualified medical professional.

    If the original poster is only training twice per week, as indicated in his non-complete profile, and not eating, then, clearly, his current plan is a plan for ongoing failure with regard to weight training.

    Often, in cases like this, there's an underlying eating disorder, or just plain laziness. More often than not folks don't have issues with test at 24 years of age, and being mostly untrained, although it does happen, particularly with diabetics.

    It IS true that medical folks are seeing more folks with low T. They're not quite sure what's doing it, but, many suspect poor diet.

    All the steroids are soluble in lipids, and, it's important to have good fat (unsaturated polys and mono) in your diet.
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    Dec 16, 2010 4:48 PM GMT
    Here's the standard weight chart for sedentary men. Real Jocks / athletes will weigh considerably MORE due to the weight of their lean muscle mass.

    As you can observe, the original poster is 14 pounds off the LOW end of the chart, even for someone with a slight frame, and who is untrained. Real Jocks / athletes folks would weigh CONSIDERABLY more at 5'10".

    standard_weight_chart_for_men.jpg
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    Dec 16, 2010 4:56 PM GMT
    Donno if I agree with that chart. :p.
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    Dec 16, 2010 4:59 PM GMT
    The chart tends to be overly conservative, because it's for sedentary folks, and put forth by insurers. Almost always, anyone in any kind of shape will be considerably heavier, and the chart doesn't reflect that. The chart is more for inactive people. Active folks will have way more muscle, and, as a consequence, be heavier.

    At ages 70 and beyond, being a bit overweight can extend life versus being underweight. Researchers aren't quite sure why, but, the evidence is in. They're digging on it now.

    In general, being lighter won't hurt you, unless you're way off the low end and compromise your organs for food. Being anorexic is dangerous.

    If you're an athlete, you're going to weigh more.
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    Dec 16, 2010 4:59 PM GMT
    Hoshiaki saidDonno if I agree with that chart. :p.


    ^Second.
    A generalization chart is a suggestion or a guesstimate not an absolute.
  • Posted by a hidden member.
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    Dec 16, 2010 5:05 PM GMT
    Yes, some folks will be tiny. It's a chart derived using actuarial science, and statistics. Some endomorphs will be off the higher side, but, the charts get built by folks who look at mortality and weights and it's all statistics.

    Athletes, and mesomorphs, will be way off the upper end of the chart.

    If you've ever studied BMI, you know that it's useless on about anyone who is active.
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    Dec 16, 2010 5:19 PM GMT
    lifeisgreat saidLow testosterone can be age related but is not necessarily. I have two friends, one an M.D. and one an Endocrinologist and they say we are seeing more and more guys in their 20’s with low testosterone. It has not been determined yet what may be causing it. There are a lot of theories from plastics to hormones in the food supply. If you have insurance it will most likely pay for a routine testosterone test. You need to know not only your total testosterone but your free testosterone as well. More importantly you need to know your estradiol level. Some testosterone will convert into this which is a female hormone and you want to make sure it is not too high. I would keep it around 20 pg/ml. You should also get your SHBG level checked. This is the sex hormone binding globulin. If it is too high it binds with testosterone and renders it useless. In theory you could have a high total testosterone level but if your SHBG level is high and it is bound up you will not be enjoying the benefits from the testosterone.

    Yes, your test should be done in the morning preferably before 9:00 am on an empty stomach. Your testosterone levels are highest in the morning. You are in Santa Cruz and I can put you in touch with a great doctor in Santa Monica. However, this guy doesn’t accept insurance. If you’d rather go the insurance route I’d suggest finding a good Endocrinologist or anti aging doctor since they are more likely to understand your condition than a primary care physician. If you believe you are low then you need to be tested. That is the only way you will know for sure and it probably isn’t a good thing to walk around indefinitely thinking you might be without knowing. If you aren’t then you will have a peace of mind if you are then you can get something that will help you. Compounding pharmacies are usually the way to go with something like this because they are far less expensive than a regular pharmacy.


    All good stuff.

    Some doctors view 200 as o.k., while others will put you up to 1200. Depends on the doctor, how contemporary their knowledge is, and his/her own views.

    In HIV studies, study after study has shown that T levels ABOVE 1000 show markedly better outcomes.

    Bodybuilders have over 60 years of using T and T derivatives and they are doing quite well. No law enforcement, medical, or science agency, has EVER recommended that they be controlled substances....EVER (before Congress). Despite all those recommendations against not having penalties for use, the 1991 and 2004 bills were passed.
  • str8hardbody9

    Posts: 1519

    Dec 16, 2010 5:33 PM GMT
    You're only 24 check w/ a doctor. For a check up w/ a doctor is only $40. You're way too young to take testosterone. Don't waste your money on those stuff. Happy Holidays!!icon_smile.gif
  • Posted by a hidden member.
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    Dec 16, 2010 5:35 PM GMT
    Depends what his test is.

    I've seen 18 year olds at 600. Some folks need it.

    You're blowing smoke out your ass when you say such a thing.