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DrThomasMd
DrThomasMd, Board Certified Physician
Category: Endocrinology
Satisfied Customers: 63757
Experience:  Internal medicine doctor. Years of experience with diabetes, both conventional treatments and diet treatments.
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I am curious to see how you would interpret these results.

Customer Question

I am curious to see how you would interpret these results. 25 yr old male. Several symptoms brough to doctor, notable ones for this test are flushing, weight gain in abdomen, high blood pressure, fatigue, and some decrease in sex drive - just to give context. Also presented with high ACTH levels. Midnight cortisol test proved to be normal. Initial testosterone came back low, so a full work up was done. How would you interpret the below results as far pituitary, hormone, and general health in the body from.a testosterone standpoint?
Testosterone, Total 185 (240 - 900 ng/dL)
Testosterone, Free, Calculated 63.4 (21.0 - 135.0 pg/mL)
Testosterone, % Free 3.4 (1.5 - 3.2 %)
Testosterone, Bioavailable, Calculated 149 (48 - 317 ng/dL)
Testosterone, % Bioavailable 80.3
Sex Hormone Binding Globulin 7 (9 - 54 nmol/L)
FOLLICLE STIMULATING HORMONE 1.2 (1.4 - 18.1)
Luteinizing Hormone 4.5 (1.5 - 9.3 mIU/mL)
Prolactin 6.6 (2.1 - 17.7 ng/mL)
Submitted: 1 year ago.
Category: Endocrinology
Expert:  DrThomasMd replied 1 year ago.
Hello
Essentially normal as far as testosterone.
LOW shbg
What is your height and weight?
Customer: replied 1 year ago.
6 feet 240lbs. How would low shbg impact a person?
Expert:  DrThomasMd replied 1 year ago.
It indicates insulin resistance.
Your problem is metabolic syndrome most likely, not testosterone, and diet, exercise and weight loss are the solution.
please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
Customer: replied 1 year ago.
I do have one last bit of info i'd like to ask you.From what i've been able to research having low testosterone is ok as long as the available testosterone is normal. Is this correct? If so, is there any significance to having such an overall low testosterone level? What i mean is, could there be a particular reason that the body is using a smaller amount of testosterone compared to the "average" person? Or is that irrelevant to the whole thing?Thanks, J
Expert:  DrThomasMd replied 1 year ago.
That is correct.
No an over all spot test on total cholesterol is useless.
please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.

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