I had 680 ng/dl of total testosterone at 38 and felt absolutly hypogonadal. Severe depression, low sex drive (I was able to masturbate or have sex once or twice a month), fatigue despite of forcing myself to work out and keeping weight and absolutly brainfog. My SHBG was at 80 nmol/l but noone seemed to care. I lived like that a couple of years and almost lost my job. This was hell on earth.
Your SHBG is too high and can certainly reduce your free testosterone and cause issues. Your own normal range may be higher on the general population curve, so the TT may be low for you even without the SHBG complication. Your estradiol may also be higher than it should be and should be checked along with any testosterone work-up. You might try starting with 10 mg of boron daily to see if you can get your SHBG down and see if the symptoms improve. If so, that's a cheep solution. If not, then look at other reasons for the symptoms. If you get the test/SHBG/estradiol levels normalized for you and still have problems, then move on to other issues. Depression can also be an independent contributor so you may want to get some help there as well, especially if the hormones are normalized and there is no improvement with the depression.
@@ianbrown5955 The more I read, the more I avoid processed foods. I have no idea if it affects SHBG, but if nothing else is working, read the ingredients on what you buy at the grocery store. If you cannot recognize the words as fruits, vegetables, meats, dairy, or spices, then it is likely a processing agent. Eating certified organic will likely cut back on the herbicides, pesticides, hormones, and fertilizers you eat. It may not correct your SHBG, but I can't believe that it won't be good for your health in a myriad of ways.
@Helios Telemedicine I feel great. It's a little harder to lose weight, though. I have to be really strict. My last blood work the test was actually 1179 ng/dl. My estradiol level was 19.5 pg/ml.
@@bobbydelamar606 I wouldn't try to drive your testosterone levels higher. There are a lot of reasons why it could be harder to lose weight. Everything from other hormonal issues to changes in exercise levels to changes in non-exercise activity thermogenesis (the energy you burn doing every thing you do that is not intentional exercise). Small changes in diet, getting a little less sleep, increased stress, and the amount of processed food in the diet will certainly contribute. You might want to talk to your doctor about it to see if y'all can figure our a better regimen to lose weight.
@Helios Telemedicine Thank you 🙏🏼 Also, is it true that with injections and higher test levels, my blood count raises? Are there places that take blood out without donating?
@@bobbydelamar606 As the testosterone level rises, it CAN but doesn't always stimulate the bone marrow to make more red blood cells. If the concentration of RBC's gets too high, then you would be asked to donate blood. It is absolutely mind-boggling to me that, if you tell them that you have to donate because of testosterone therapy, some blood centers will just toss this blood away. This is called therapeutic phlebotomy and the blood is wasted. It's really stupid. After all, if I was in an accident and needed blood to survive, I wouldn't care at all if there was a smidge of testosterone in it. Because of this, some testosterone clinics will offer therapeutic phlebotomy to their patients if only for patient convenience. Oh, and the reason for donating blood is that, as the cell count get higher, the blood gets more viscous and flows through smaller blood vessels slower increasing the risk for blood clots and strokes. It may also be a good thing for the liver as that is where iron is stored, and having too much iron in the liver can injure it.
I'm 48 and was hypogonadal. Now I'm at 586 ng dl. This complete approach works really well. You should try this if you want to fix your testosterone. Complete Guide to Testosterone by James Francis.
For those of you in Canada, where going on TRT is very difficult to do with a doctor. Start yourself at 80 mg per week for 3 months. Eat a well balanced diet, and work out regularly. As your testosterone levels out, and your own production ceases, determine how you feel. Are you sleeping better? is your energy better? has your libido started to become normal? I raised mine to 100, then 125 mg. This is where I feel as good as I did at 30 years old (I am now 60, and started myself on TRT this year). I've always been into natural health and fitness, so I am in good tune with my body, and know how I should feel. I do a subcutaneous injection every day, equaling 125 mg per week. Doing it every day is much healthier than once or twice a week. Every day will lower side effects. I have been doing this for 5 months. I have noticed only a slight increase in muscle size, but I'm not taking TRT for muscle size. I had already reached my potential after 40 years of lifting. So at 125 mg per week, I am probably getting a bit more than I need, but I feel great again.
I'm in Canada and it was very simple, I got blood work done, showed low T levels, they gave me 200mg of test e a week, I got blood work done 90 days after, dialed in my dose, after another 90 days got blood work again things were great, now get blood work done twice a year. It was very easy, plus testosterone is cheap if you have medical insurance, and the fraction of the price than under grown labs. In Canada you can order testosterone off websites and get it delivered to your door. Might not be legal but you can and if you are not buying by bulk you'll prob not be getting into trouble
@@jamescoffin8286 I'm happy for you that your doctor was on your side. Many doctors in Canada are not onside with testosterone treatments. It costs me about $20 per month to my door from an underground lab; and that includes the insulin needles. But I also do HCG to keep everything working; that is an extra cost if you opt to do that.
@@ianbrown5955 Iam 19 and my level is like an 30 years old man but because it is in the range my doc & urologist doesnt make a trt... What can i do? I got all symptoms
@@Tarik.krblt6 If you have the level of a healthy 30 year old man, then you don't need testosterone. Testosterone levels don't start to go down until after 30 years old unless you're lifestyle changes, or you don't eat healthy and exercise.
Probably not, as you are still at the tail end of puberty. It is likely only to be a problem if you are having symptoms, like anger issues, anxiety, and acne.
I just got a call from my doctor who said she is checking with my insurance for injections she is going to call into the pharmacy. She said my Testosterone level was 371. Not sure what's all about to happen or if I should even take the injections. I'm 52 and fairly active. I eat plant based with salmon three to four times a week. She tested me because I told her I had been more tired lately. Really confused on what to do.
I would suggest that you go to my website at www.heliostelemedicine.com and take the free low-testosterone questionnaire under the Am I a Candidate button. If your only symptom is a little fatigue, then there are so many other things that can be the cause. Yes, I believe that a total testosterone of 371 ng/dl is low in a 52 year old man, but if you don't have more symptoms than just some fatigue, it may not be the real issue. If the survey suggests low-T then you should get a complete evaluation. You may want to watch some of my other videos, such as the ones on how low testosterone is diagnosed and how it is treated. They may be somewhat dry, but they are packed with the information you need to be an informed team member in your own healthcare.
Hello dr I am 24 years My total testosterone 5.93 ng/ml My free testosterone 7.94 pg/ml I feel very tired all the time I am depressed can’t go to the gym or work out what is your advice ?
Your free Testosterone looks a little low to me for a 24 year old. What are your SHBG and estradiol. If you live in TX, MO, NY, or FL you can schedule an appointment with me through my website at www.heliostelemedicine.com. If you live outside of the US and want to consult with me, you can schedule there as well, but I cannot write prescriptions for you, and may not be able to order lab studies.
@@alyabdelhamed680 Well, the estradiol is great. At this point, I think you consider seeing what your LH and FSH are, but you should also consider that there are other causes of depression, from situational at work or home to environmental to mental and you may want to consult a therapist for the depression. Depression, by itself can cause mental and physical fatigue.
hey doc, can you tell me how much percentage does genetics play a role in your testosterone level, and how much percentage does good dieting, regular exercise, good stress management, and living a healthy lifestyle plays a role. it doesn't have to be accurate but an educated guess will help a lot thanks.
No, I can't. Not even a clue. I can say that prior to the industrial revolution, testosterone levels did go down with age, but were likely higher than they are now, even in younger ages. Since then, we have been living in an increasingly complicated chemical soup. There are biologically active chemicals in our air, water, ground, food, everything and these have an increasingly detrimental effect on testosterone levels. Our stress levels have increased and our exercise and non-exercise activity has decreased, also bad for hormone levels. Regarding genetics, there are a lot of different genes and epigenetic factors that affect testosterone levels and they are unique to the individual, too many to make a blanket statement about % effect.
Hey Doc, I'm 56 years old and just got my levels checked. My total is 636 mg/dL, free is 83.2, and bioavailable is 171.1. I train for competition marksmanship, do weight training, and seem to have a healthy sexual apatite. I keep hearing from guys over 40 saying that TRT changed their lives. They say they want their level around 850. Should I even try it? My doc tried to talk me out of even testing my testosterone level, so I'm probably going to switch. Thoughts?
It doesn’t look like you have any symptoms of low testosterone. Without symptoms I wouldn’t treat you either. Everyone has their own personal normal levels and it looks like you are in your normal range. Keep your doctor and ignore the crowd.
I hear that you already doing some things which promote testosterone which is good. Maybe increase or adjust your activities have look on youtube for tips
Not a bad thing to start with. It could get your TT up into the 700 range and doesn't cause potential low sperm count or high blood count. If it doesn't work (and give it time to work as the dose can be tapered up if needed) then you can go on to testosterone replacement therapy.
@@Hoganblade It may take more than a month to reach full effect. Even then, we do not start with the maximum dose, so if there is some effect, but you still have symptoms, you could increase the dose. If she wants to stop for a couple of months to see if your testosterone levels are kickstarted and stay up, I would wait to try that until you get to a comfortable testosterone level. I know that sounds like a long time, but you have years to go in this life so a little patience now can really pay off.
There is no single test order that evaluates all of the hormones. For testosterone evaluation, in the US, I order total testosterone, free testosterone, SHBG, and estradiol in the first order. If these suggest low testosterone, then I order them again to confirm along with prostate specific antigen (PSA) to screen for prostate issues, luteinizing hormone, follicle stimulating hormone and prolactin (LH, FSH, and PL) to look at the pituitary and hypothalamus, blood count to check for cell levels, and liver function tests. Once those results are back I can discuss treatment.
Looks like you have low testosterone. If you live in TX, MO, or NY (and soon to be FL) you can visit my website to make an appointment to see me. There are also other videos and blogs.
Great information Dr 🙏🏼 My testosterone level is 4.30 ng/ml and my age is 29 is that low ?I'm a athelete iwas thinking of bit high of that but it's 4.30 ng/ml .is that low or normal or high and Dr what's the range of a healthy man testosterone level plz tell .thankyou 🙏🏼
Got my blood done in the morning and it was 128. I’m 27 years old with extreme fatigue and no sex drive and there trying to say my testosterone was just in the lower average range..I don’t even know what to do at this point
I would advise you to ask for a consultative appointment with an endocrinologist or urologist interested in men's hormones. You may also consider going to a low-T clinic. If you live in TX, NY, MO, or FL, I would be happy to see you. You can schedule an appointment at www.heliostelemedicine.com.
@@HeliosTelemedicine can an endocrinologist prescribe trt or is that only done at a trt clinic? I’m in ohio unfortunately or else I’d love to use your clinics !
@@dustinpottinger5268 I appreciate your confidence in me. Any physician can prescribe TRT, but you should find one with interest and expertise in it or they may be relying on what they learned years ago. Endocrinologists and urologists are the usual go-to guys as they are the ones who specialize in hormones and gonads. Low-T clinics are also good places to look as well. Some of them want you to come back weekly for injections, some don't. There are also on-line clinics like honehealth.com which are licensed in OH. I hope you find what works for you.
Dr. I’m 31 years old and just got blood work done. Total Testosterone: 725 ng/dL Free Testosterone (Direct): 5.6 pg/mL My primary care doctor said everything is fine, but according to the lab my free testosterone should be in the range of 8.7-25.1. What should I do. Please help.
Your total testosterone is in the normal population range, but your free testosterone is not. If he didn’t check your SHBG and estradiol, then you should have them tested. If you live in my states, you can make an appointment with me at www.HeliosTelemedicine.com and I can order the labs ant treat as needed.
When you say highest at the morning. Is that because you just woke up ? What if someone slept late and woke afternoon. Should he measure it after waking up
It's kind of hard to find a great answer for you. My personal thoughts are that if consistently sleep late, that is your usual schedule, and your circadian rhythm is shifted so testing within 2-3 hours of waking should be OK. I did find this guideline from British Columbia www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/testosterone-testing#men-testing that supports that idea. I doubt that most insurance companies would accept this concept though as they can be very rigid to their protocols. Good luck.
What are the causes of high testosterone in 19 year olds, I got tested at 37.1nmol/L or 1070ng/dl and the only explaination online is steroids (which I don’t take) or cancer, I do not think it’s either, what are the other explanations doc?
Im 27 years old 230 ng/dl last year… Most recent blood test was 317 ng/dl… My doctor said that this is in the normal range.. I asked for a 27 year old or a 70+?? Still no treatment.. booked another appointment for next week.. Symptoms are the usual Little to no morning wood, most of the time depressed, packing fat on awkward places, low energy
@@Viikk785 That's low for a 27 year old, at least in MY book it is, especially if you have the signs and symptoms. At 27, you may want to give Clomid or enclomiphene a try as they don't suppress anything, rather they stimulate your body to make your own testosterone and sperm. None of the risks of testosterone replacement therapy. If you live in NY, FL, MO, or TX you can make an appointment with me at www.heliostelemedicine.com
@@HeliosTelemedicine thank you so much for your reply! If i was to do the TRT, once the treatment is complete, and i stop taking it, would my testosterone levels go back to what it was before the treatment? Or would it stay in the normal range?
@@Viikk785 The guidelines suggest that we could take you off of testosterone at about 6 months to see if we have reset your hypothalamus to expect a higher level to be normal, and I have seen it work in the rare patient. On the other hand, testosterone replacement therapy suppresses the normal control axis, and treatment is life-long. That's another reason to try enclomiphene or Clomid first. The whole axis is stimulated and if resetting the normal level that the hypothalamus expects is possible or likely, then going the stimulation route seems more likely to succeed.
Hey doc I just had my T levels checked and they where 335 ng/dl. I live a very active live style. I play sports with my kids daily, former military, and I work on my feet. I’ve had problems with shedding weight, Sleep issues, Ed. Thoughts?
If you had your blood drawn after 10:00 AM, then your testosterone is even lower. The ED suggests fairly strongly that you would feel better with a higher testosterone level.
I would say that your total testosterone is low for you, especially if you are having symptoms. It is variable if you could convince your insurance company to pay for therapy, though, since most like to use a blanket 300-1000 ng/dl normal range.
Your testosterone is low for your age. You should find someone to get treatment. If you are worried about fertility, you might consider clomiphene or enclomiphene as they stimulate the whole hypothalamus-pituitary-testes axis so the sperm count should be preserved or even increased. It may take 3-6 months to reach it's peak effect, but improving the chances of having kids may be worth it (and remember that we are talking about a lifetime thing here so this isn't really a looooong time. If that doesn't work, you can still go on to testosterone replacement therapy.
I think that a TT of 215 is low, and so do the guidelines from the AACE (American Association of Clinical Endocrinologists) and the AUA (American Urological Association). If you live in TX, NY, FL, or MO you are welcome to go to my website at www.heliostelemedicine.com schedule an appointment with me. If not, fill in the contact me form on my website and I will get back to you to try to help you find care.
@@HeliosTelemedicine thank you so much I believe I submitted the proper request however when I hit submit it'll reload the page with the bottom sections blank
I’ve had about 4 blood tests and ranges from 300-500 Strange , I’m 43 and the last year or so I’ve had all the symptoms . Doc said no way you’re normal even though all my other bloods were good and no explaining the crushing fatigue and bad mood . Private clinic said they would treat me , i appreciate business is business , I was just curious if your opinion?
Your total testosterone is only one of the metrics to consider. What are your free Testosterone, bioavailable testosterone, SHBG, and estradiol? Even if they are all in acceptable ranges on a population basis, your own needs may be higher. Have you looked at your adrenal hormones as adrenal fatigue can have a lot of the same symptoms? Thyroid hormone issues can also show up as fatigue and mood changes. A thorough physical exam with bloodwork to look at other organs may also help.
@@HeliosTelemedicine wow! thanks for the quick reply my free test is 0.3 sHBG is 34 Estradiol 74 Prolactin 285 Which all seem to be in normal range . I think it’s low end of normal . I had the full works of bloods from alt to hab1c and all Normal
@@mattlofty5884 I think that the free T is low for your age especially if you are feeling the symptoms. The SHBG is fine. The estradiol is high if measured in pg/ml. I like to keep the E2 between 20-30 in my patients. If the Prolactin is measured in IU (International Units) or ug/L then it is normal. If it is measured in pg/ml then it is too high, by a lot.
Hi Doc, I'm suffering from severe insomnia also anxiety. I think I've overtrained especially when I finished nights at work I would sleep for 1.5 hrs then train. Had my testosteone levels checked 3.30pm 6.6 and another day 8 am 10.6. Still no sleep unless I take 2 sleeping pills. Will trt help me with sleep? 44 year old male.
Sorry for the delay. There are a number of issues that come to mind. The testosterone levels are normal according for the populations, and if insomnia is your only symptom, then it likely is. Sleeping on the train after work likely contributes to the problem as does exercising late in the day. It may be better to wake up earlier and train in the morning. Try not sleeping on the train. You may also have a habituation/addiction to the sleeping pills and weening yourself off of them may help. There could be other issues as well, like stress, how much caffeine you take in and when, or other medical issues. You may want to take the self-assessment survey on my website at www.heliostelmedicine.com to see how likely you are to have low testosterone.
Sorry about the delay in the reply. Testosterone normally drops through the day, which is why we check it in the mornings. There are a lot of reasons for insomnia including low testosterone, including training before sleeping. Try training before work instead of after. Other common reasons include stress, other endocrine or metabolic issues, ingesting too much caffeine, sugar, or alcohol. timing of meals and sleep, and sleep apnea. You might want to get a complete physical with bloodwork to see if anything else is going on.
I wasn’t able to sleep for 2 days straight and then I went to the ER cause I got bite by my dog and I also went to get my test levels checked and it’s 500 and I’m 19 is that bad??
It is officially in the normal range. If you do not have symptoms suggestive of low testosterone, then it is likely normal for you. If you do have symptoms, then they should check the FSH, LH, and PL along with SHBG, Free Testosterone, and Estradiol levels. It may be that your body wants to be at a higher testosterone level.
Your level is at just about the middle of the normal range for men your age. That said, if your SHBG is high, your free testosterone level may be low. If your estradiol is high, you could get symptoms from it.
@@HeliosTelemedicine those labs were from February 2023. I just had lab work done again on Monday and got my results. Testosterone was 440 & estradiol was 21.6. Symptoms include low sex drive, ed, reduced muscle mass, irritability, chronic joint aches and pains, depression, fatigue, obesity by military standards (6’2 210) poor memory, gyno surgery in 2022 (never done anything other than taking protein) loss of armpit and pubic hair.
@@teiichifukada520 well YOUR testosterone really fell. I can see where you would get the symptoms. Unfortunately, insurance won’t see it the same way. I’d suggest you see someone with an open mind about enclomiphene or Clomid for low-T. I’d be happy to see you if you live in TX, NY, FL, or MO. Just schedule an appointment at www.heliostelemedicine.com.
@@HeliosTelemedicine I actually just got a script today for testosterone cypionate 200 (.40 2x weekly), HCG (50 units twice weekly SQ) and anostrozle (.5 weekly used as needed) and am paying $300 every 10 weeks. I recently moved from MO to UT. The VA/Tricare wouldn’t cover it so I pay out of pocket.
@@sisaykat4794 you should get a second morning test to confirm it is low then figure out why. Is the brain or pituitary gland at fault or the testes. From there your options will differ.
My testosterone is 573 ng/dl , I am 21 years old, and I feel very good, I have energy, I practice kickboxing and I can be aggressive . Can I increase my level up to 700 if I train more often ?
Not really. You can only really boost your resting T levels by 20% from lifting weights and getting exercise and eating a healthy diet. So you can raise it but not that high
Hello doctor, I'm 30 yr old male and has 511 ng/dl as my total testosterone, I've recently started body building about 5 months ago and having sore results... Is it bcz of that? Do i need to increase my T levels to see noticeable change? Plz reply
Hi Khaled, There may be many reasons that you are not getting the results in the gym that you want. Your total testosterone is still in the normal range for the population, and may be in your own personal normal range. That said, if your Sex Hormone Binding Globulin is high, your free testosterone levels may be low. If you are really good at converting testosterone to estradiol, you may have a high E2 level and a bad E2:Test ratio, either of which can interfere. Do you know your free T, estradiol, SHBG, LH, FSH, and prolactin levels? You may be normal for you and a whole host of other issues could be the issue, from other medical issues to problems with technique at the gym. One thing that I would NOT do is start taking anabolic steroids that you may have access to at the gym. That's a good way to get into short- and long-term medical issues.
@@jamescaplan7735 hello.. I'm 24 years old, recently I have tested and got result with 775 ng/dL T-levels, but I'm having low libido, and I have noticed penile shrinkage and occasionsl pain around base of penis.. why?
@@randomshite998 Bro I have the same symptoms and near this number of test mine is 545 but all doctors said you are fine I don't know what is reasons of these symptoms? Did you find the solution?
Hello Doctor, I am 29 years old, just received my test, I have testosterone: 659 ng/dL, estradiol: 43.8 pg/mL, cortisol 154.48 ng/ml and prolactin 8.11 ng/ml. Can you please tell me if this values a good?
@@jamescaplan7735 thank you for answer, I also was thinking that estradiol is to much. I am from Moldova, but I will look for the same components of anastrozole.
@@meriacre I have like these results but I'm suffering from low libido and ED and no morning wood so I don't know the reasons, do you experience any of that?
@@كيمياء-وغيرها no, I have high libido and every morning it goes up, how I said Im 29 y.o. 174cm and 77 kg, I think for my body this is good range, except estradiol... Maybe for your body you need more testosterone to increase the libido
Hello dr i hope you are doing well and safe i juste get the results from my serum testosterone and it was 9.1 nmol/l My age 32 , 115kg 5.10 , it’s is normal range or not sir thanks
With symptoms, I'd say that you had low levels. At 27, I'd suggest looking into enclomiphene to stimulate the system to make more testosterone before resorting to testosterone replacement therapy which suppresses everything, including sperm production.
I just got my results back and got Ng/ml 15.71, SHBG 19 nmol/L. I am 29 years old aswell. Although i am in the normal range i thought its at a lower end. But yours seems lower than normal ranges I would definitely talk to the doctors and get some help. hoping you all the best.
Hey Doc. I’m 31, i weight 234lbs. Total testosterone is 268ng/dl , free, calculated pg/mL is 72.5, and % free is 2.7. Bioavailable is 170. My sex hormone binding Globulin is 16.9. I have brain fog, low sex drive and can’t seem to lose weight. Are those levels ok? They show all with in the normal ranges on my clinic website but I feel like the total testosterone is too low.
The total T is low. The Free T is in the normal range, but may be low for your metabolic needs. Your low-normal SHBG is likely the only reason your fT is as high as it is. It might be worth trying a 3-4 month course of clomiphene or enclomiphene to see if you can get your testosterone levels up.
Hi Doctor, I caught a nasty bout of food poisoning and lost a lot of weight and I thought crashed my hormones as I had ED for 2 months along with being very skinny. My Total T came back 35.7nmol (1000ng) but I didn't feel good at all. Is there any reason my T would be quite high when ill? And do you think I should get it checked again encase it's now higher when I'm back to full strength. I was expecting a really low number.
Everyone's normal testosterone levels are unique to them. That may be your personal normal level, especially if you aren't having anxiety, mood, or anger issues. I would expect the level to be a little higher if you were dehydrated, but not that much.
If that is your total testosterone, then it is very low for an adult male. Yes, fatigue is a very common symptom of low testosterone. You may need to have your LH, FSH, and prolactin levels checked to rule out an issue with your pituitary gland.
I'm not an expert here, but I would think that it would have resolved for you by now and I doubt that any medical management would help. Have you had your total testosterone, free testosterone, bioavailable testosterone, SHBG, and estradiol checked. That may guide your physician in how to treat you. If nothing medical works, a surgeon can remove the breast tissue.
I’m 20 and my total test is 336 ng/dl. I’ve been experiencing fatigue, lethargy and anxiety for some time now. Could my test be the problem and am I a candidate for prescribed trt?
In my opinion, you are hypogonadal and the symptoms could certainly be due to that. Insurance companies my look at the number and disagree. Treatment would depend on testing to see if it is due to the testes, hypothalamus, pituitary, or something else. It would also depend on your desire to have children in the future.
@5 mins left thanks man i will after new years eve im doing everything i can to fix it, vitamin d3, boron, maca, gingseng, omega 3 ,zinc magnesium... etc ill do my blood after new year i have no clue why mine is so low man..
doc, do you think modern xenoestrogens like those produced by micro-plastics effect these levels considerably? im 24 and i measured at 670 ng/dl but i wanted to go higher and the doctor almost seemed offended by that. i want to negate the effects of the modern world has on me
We live in a chemical soup and you will never negate the effects of the modern world on you, but you can try to reduce them. Live somewhere away from refineries, factories that use or make volatile chemicals, and away from major sources of particulate air pollution. Eat organic and look at ingredient lists to avoid processed foods. Find more natural products for household use. Avoid foods and drinks in plastic containers. But you already know all that if you are asking about xenoestrogens. All that said, your total testosterone could still be low for you if you are having symptoms. If not, then it’s probably normal for you. Don’t just look to treat a number.
Your Testosterone is low for a 27 year old. If you live in TX, NY, MO, or FL, I would be happy to see you. You can schedule an appointment on my website at www.heliostelemedicine.com. Otherwise, I hope you find a clinician who is up to date and interested in men's hormonal issues.
Likely yes, but testing should be done in the morning before 10:00. Codeine shouldn’t be used regularly. You habituate to the pain relieving effects and you can get addicted.
Hey doc I'm a 38 year old my t levels came back at 268. My free t at 66. For the past 3 month I've been dealing with head ache, body pain, fatigue,all kinds of other stuff. Could it be a problem with t levels.
@@asielhernandez9867 They should check Free, Bioavailable, and Total Testosterone, Estradiol, SHBG, LH, FSH, and Prolactin. PSA as well if they are thinking about testosterone replacement therapy based on the above results. Good Luck.
I’m on Nebido(Undecaonate)injecting myself every 10’th week with a trough/lowest level of 657 ng/dL. Very content with that, though must admit I feel even better the first 5-6 weeks after having injected myself as my levels are higher then. But hey, one can’t have it all. Btw I’m on TRT due to having had testicular cancer, which I’m actually happy about due to getting TRT and will have a good testosterone level till the day I drop dead. I’m also on HCG 1000iU every other day to keep my last nut alive. Being 40 y old now with a trough level of 657 ng/dL I aint complaining. Edit: Just calculated my free T as well and it was 13,7 ng/dL which is pretty much optimal especially considering that’s my trough/lowest level.
I know it sounds weak, but the optimal testosterone levels are those where you have no symptoms. That said, I will be running a series of short videos that discuss normal ranges by age. The first will be for 25-34 year olds.
@@HeliosTelemedicine Completely agree, my total T is around 1500 ng/dl with free T of 30-35 ng/dl and those are the levels where i feel optimized and have no low T symptoms! Thanks Doc, you are great 👍🏻
@@daviddavid1057 Your numbers are pretty high, and I hope you aren't having any symptoms of anger or anxiety. Some men just have to be a bit higher than the rest. Watch your blood counts.
@@HeliosTelemedicine Thanks Doc for your advice, but you said yourself Doc that (optimal testosterone levels are those where you no longer have low testosterone symptoms) right?)) Well, these are my T levels where i no longer have any low T symptoms)) and by the way, these numbers are at the peak measured, and at the trough they are 1100 ng/dl with free T of 23-25 ng/dl! No Doc, with these levels i don't experience any anxiety, but if i went even higher i might so...
Hi Doctor, 25 year old black male, 5’10”, 240 lbs, 20% body fat (pretty muscular. Total T at 350 ng/dl, Free T at 62.1 pg/ml, SHBG at 40 nmol/L, TSH at 3.13 uIU/ml, FT3 at 4.05 pg/ml. I’ve had Gynecomastia and low energy since high school, low body hair, facial hair came in during college. Exercise 5 times/week 1+ hour, 12+ miles running, very strong weightlifter. Very fatigued even on rest days, low energy, motivation, libido. Possibly low sperm count. Thoughts?
Your Total T is "low normal" as is your Free T. It could be a cause of low body hair and the fatigue. Remember that the "normal" ranges have to include 99% of the population studied and that population includes everyone from about 25-70+ years of age. Your own normal range is much narrower and may be higher than what you are seeing now. Regarding the gynecomastia, check your estradiol levels. If they are high or high normal, you may want to get it down with a supplement called DIM or a prescription medication called anastrozole. You can raise your free T if you get your SHBG down as well. 10 mg Boron daily can help with that. If you live in TX, NY, or MO (and soon to be FL) I can help you, but I'm not licensed elsewhere. Gynecomastia is not something to ignore. Male breast cancer does occur and is more frequent in men with gynecomastia. It can be treated or removed.
It's actually in the range that the guidelines suggest that we get patients up to. Insurance companies certainly would not pay for any treatments to raise it higher. That said, if you are having symptoms typical of low-T, then it may be low for your personal normal range. Before going down that road, I would suggest that you get a complete physical with bloodwork to make sure that you do not have a different reason to feel whatever it is that you feel.
@@souravsoumendran9051 bro mine is 253 and i have not met my doctor yet. I got appointment with him Tomorrow.. send me your email id. We can connect over mail
Hey doc, I am 22 years old and my testesterone is 339 ng/dl. I have sexual symptoms of low T. My doc said that it was psychological. What do you think about that And the test took place between 9-10 in the morning
I think that your testosterone level is low. You should find a clinician with a special interest in men's hormones. If you are in TX, NY, MO, or FL, you can make an appointment with me at www.heliostelemedicine.com. If not, you can look for low-T centers, urologists or endocrinologists near you.
@@HeliosTelemedicine In FL I went to a wellness clinic called Juvenate. My GP would not give me TRT. The wellness clinics don't charge insurance so you have to pay cash but it's not all that bad. I have been paying $160 month for both TRT and B12 injections. TRT is 2 times a week and B12 is once a week. It was life changing I'm telling you. I feel so much better and back to normal. I've been on TRT since Nov last year.
@@dirtwhisperer658 I am very happy for you. If you are taking the B12 injections, I would recommend that you start taking a Super B Vitamin Complex tab daily. It MAY extend the feeling of increased energy you get from the injection by a day or so. It also seems to have something in it the mosquitoes hate. You may find that you get many fewer bites.
Hey Doctor, I just got my testosterone tested and I'm 600 ng/dl. I'm 27 years old, I have serious weight gain, no sex drive what's so ever, I eat veryhealthy, I work out constantly and live a healthy lifestyle but as much as I work out I don't see results and just unhealthy weight coming on. I'm depressed, no energy, insomnia and as hard as that it is I still push myself. Would I qualify for TRT ?
I’m sure that your insurance company would deny coverage. You should get a complete physical exam with your doctor and discuss your concerns. You should also get your SHBG, estradiol, and free testosterone checked.
@@Viikk785 Your level is low for your age, but I'm not sure what your insurance company would say about paying for replacement. At 27, you may want to try enclomiphene or clomiphene first as they do not suppress the system and won't cause a lower sperm count. If you are in TX, MO, NY, or FL and want more work-up or treatment you can schedule with me at www.heliostelemedicine.com.
Iam 19 and my level is like an 30 years old man but because it is in the range my doc & urologist doesnt make a trt... What can i do? I got all symptoms
Without knowing the numbers, I cannot really say. If you live in NY, MO, or TX and want to talk about it you can make an appointment with me at www.heliostelemedicine.com. That would assure a privacy that you won't get on FaceBook. Remember, though, that everyone has their own normal range. If you are in your normal range, then no treatment is needed. If your normal range is higher than your numbers and you have symptoms consistent with low testosterone levels, then you may feel better with treatment. It is unlikely that insurance will cover it. Your therapeutic options should also include a look at your fertility and desire for kids in the future.
1. What time of day was the blood drawn? 2. How old are you? 3. Do you have headaches or visual changes? 4. You need to get your blood drawn again Have then test your LH, FSH, and PL.
Hello doc, i was 16 years old when i checked my testosterone levels and the results were that i have 1,6 nmol/l which is probably very low, considering that i always get treated like trash and i’m always regected by people since i was little. I even here people sometimes saying homophobic stuff to me and i really feel down and always crying. I always experience feminine feeling towards men and i hate the fact that i do. Is low testosterone the main problem that i’m facing in this situation?
It this is a Total Testosterone level, then it is low and you should get further evaluation. If it is a Free Testosterone level, then it is normal. At 16, if that was a total testosterone level, then part of the evaluation should be genetic testing.
Your Total testosterone is at the lower end of normal on the population-based scale, but you free testosterone is closer to the middle of that scale (which is the more important of the two numbers.) Your body may like to be at higher levels, but I would look for other causes of fatigue.
You are likely in the lower 5-10% of guys your age. If you are having symptoms of low testosterone, or if you have delayed puberty, then this may be an issue. Ask to be referred to an endocrinologist.
@@medicallounda214 That may be normal. I would give it some time, but if you are really worried about it, then have them test your TT, free T, SHBG, and estradiol. It should be done before 10:00 AM
It’s in the lower range of normal, but for more age-focused information, please see my video Normal Testosterone Levels for Men in their 30’s. It’s short, cc’d and has all my normal levels of testosterone, estradiol, and SHBG in US and international units. I would be happy to talk to you if you schedule an appointment at www.HeliosTelemedicine.com. I can diagnose and treat if you live in TX, NY, FL, or MO, but can talk to you if you live anywhere else.
I'm sorry that I missed your comment. Text your number and some convenient times to call and I will try to accommodate you. You can also check out my website at www.heliostelemedicine.com.
If you don't have symptoms, then you don't need to do anything. You can try taking boron to lower your SHBG, most start with 10-12 mg daily. See my video at ua-cam.com/video/flp144V9lEs/v-deo.html. If you have significant low-T symptoms, you can look for help from your physician, but insurance companies won't pay for therapy and most low-T clinics won't treat a total testosterone in the 500's. That said, your free Testosterone may be low and you could qualify that way. I would be happy to discuss it further. You can make an appointment with me at www.HeliosTelemedicine.com. I can be your physician if you live in TX, NY, FL, or MO, but I can consult informally from anywhere.
is that 7.25 ng/ml or 7.25 ng/dl. Please be sure. 7.25 ng/dl would be in the lower range of normal for men in their 30's. 7.25 ng/ml would be well above the normal range. Please see my video: ua-cam.com/video/4yRPZ4tLBpE/v-deo.html
I’m not surprised. The guidelines say that the target for total testosterone level on TRT is 600-800 ng/dL. You didn’t mention your free T level. That is really what is important as that is what determines your symptoms. You should also know your estradiol and SHBG levels.
Sorry for the delay. 8 ng/ml is low, especially if you have symptoms. that said, your LH and FSH are not elevated, you you may want to look into clomiphene or enclomiphene therapy before testosterone replacement thereapy.
@@mamdouhalkhalaf5734 My apologies for that oversight. The testosterone level is normal. The FSH is now normal and the LH is slightly low. Did they check your prolactin level?
@@HeliosTelemedicine my test is all great and normal and it's not me who has asked the question, it's Lakshman vinod. I'm 63 years old and my testosterone total is 7.82 ng/ml which is = 782 ng/dl.
Hi doctor, I'm 54 and have a question about trt, my primary doctor tested me and first test was low and went for second and she said it was normal at 260, I went to a urologist and he tested me and said I was low but before anything he referred me to an encronolgist to see if something was making me have low t and got tested and it was 324 and was told it's normal, but have all symptoms of low T any advice????
You have labs that straddle the lower limit of "normal", but you likely need a higher total testosterone level if you have the symptoms. Did they check your free testosterone? SHBG? Estradiol? At your levels, I don't see why a short-term trial on testosterone replacement or clomiphene couldn't be done. If it relieves the symptoms to get your TT into the 600-800 range, great. If not, then they shouldn't stop diagnosing the symptoms.
From my research the “normal” range is a joke. It seems to me, anything under 500 should be considered and anything under 400 should almost definitely be low enough to be on TRT. Doctors seem very against TRT. Almost the same level of fear of giving legitimate opioids to people in severe pain.
I just turned 60 this month and I tried for years to get my GP's to put me on TRT. None of them would do it even at 400. My last doctor actually chewed me out for a good 10 minutes telling me how bad it would be for me. He listed every single falsehood that you hear about testosterone therapy. I went to a wellness clinic where you pay cash because they don't charge your insurance. They gave me a shot that day. I've been on TRT since Nov 2022 and I haven't felt this good in years. It is life changing. I haven't experienced a single negative with it so far.
Sorry I missed you until now. It looks like it is in the normal range, but if your doctor cannot find any other cause of low testosterone suggestive symptoms, you can do a trial with clomiphene to see if you can nudge the testosterone up and relieve them. Check your estradiol and SHBG as well as they can cause symptoms and can be treated.
Hi Doc, I'm 29 years old and got my total testosterone measured at 220 ng/dL (tested at around 2PM). I've experienced ED and low sex drive, as well as fatigue and feeling down all the time. I'm not sure what to do. would TRT be the right move at my age?
Sorry for the delay. You need to have your testosterone tested before 10:00 AM, but I believe that it will likely be low. At your age, I would recommend stimulating the system, but I would recommend testosterone replacement therapy if stimulation doesn't work. You'd just have to watch for infertility and side effects. You are welcome to talk to me. You can make an appointment at www.heliostelemedicine.com.
Check your diet first. Make sure you're getting enough carbs and fats. A number of low test guys have increased their test just by having a balanced diet, i.e., not doing stupid zero carb diets. Also, if you've done steroids, TRT might be the answer if nothing else works.
Hello I am 30 years old,I did a testosterone test at 11 o'clock in the morning, and I got the following answer (nmol/l): 9.29, is there a very low testosterone level here?
That is a low testosterone level for anyone, let alone a 30 year-old. It is nowhere near the lowest I have seen, but low enough that you should get diagnosed and treated if you have symptoms. If you are wondering, you can visit my website at www.heliostelemedicine.com and take a complementary questionnaire about low testosterone signs and symptoms. If you live in TX, NY, MO, or FL you can make an appointment with me on the site as well. If not, I hope you get seen and treated as it can make a huge difference in your life.
I think that is low and you should get treated if you have symptoms. If you don't, then leave it alone. At your age, I definitely look at the LH and FSH because you can stimulate the whole system with enclomiphene if those hormones are low or low-normal. I would be happy to talk to you more. Just set up an appt at www.HeliosTelemedicine.com. I cannot order labs or meds if you don't live in Texas, New York, Florida, or Missouri, but I can have an informal talk.
Find out what your SHBG level is. It’s probably well over 40 or 50. Eat healthy. Exercise. Eat cruciferous vegetables. Take Boron supplements. These can each help with SHBG.
@@pjprevite3021 I’d see what the SHBG level is first. No sense taking boron it it isn’t high. If it is, most people start with 10-12 mg daily. Take it as long as you want to suppress the SHBG.
I think that your testosterone levels are low. If you are having symptoms of Low-T they you should get evaluated. You can go to my website at www.heliostelemedicine.com and take a complimentary questionnaire about Low-T symptoms. If you live in TX. NY, FL, or MO, you can also make an appointment to see me there. Good luck.
I am 52 years old, I was on Testosterone for about 1 1/2 years under my physicians care, when first diagnosed my level was around 400, with testosterone it went to roughly 850 and I felt great. I have moved recently, and have a new Dr that has taken off testosterone. My level today was 420 and I don’t feel as good as I did, my new Dr say 420 is normal level for me and that 800 is way too high a level and to dangerous at my age. But I felt a lot better when my level was at 850. You’re advice??
I have patients who are older than you on testosterone therapy with levels at and sometimes higher than 850. If you felt normal and had no side effects such as anxiety, anger, increased red blood cell count, or uncontrolled elevations in your estrogen levels, then I think you should be back on your testosterone replacement therapy. While 400 ng/dl is in the population-based normal range, your normal range is narrower and may be higher than your level is off of testosterone. You may also ask to have your free testosterone, bioavailable testosterone, SHBG, and estradiol checked as they may be out of range.
@@HeliosTelemedicine Thank you for your advise, absolutely, I’m going back to my former doctor, doesn’t matter if he’s 6 hours away it’s well worth it 😆. Blessings to ya!!
@@brianweatherman1207 850 is usually a great level. Like I've said in other videos, therapy is a team approach and the actual tested number is only one factor to consider. If you felt normal at 850 ng/dl at one week after your injection, then that's great, but a few people need to be closer to 1000. For some, a lower number like 500-600 is great and they would feel hypergonadal symptoms at 700. Getting to the right dose for requires adjusting the dose to find the one that is right for YOU. There is no cookbook recipe or one-size-fits-all number. Just remember that, the higher the testosterone level, the more likely you will have to donate blood to get your blood count down as testosterone will stimulate the bone marrow to make red blood cells.
Not if you do not have symptoms of low testosterone. Insurance companies won't likely approve therapy, so if you do have symptoms, then you will likely have to pay out of pocket.
Do you have symptoms? What is your free testosterone? What is your estradiol? How about your LH and FSH? Lots of things you should know before you can look at what to do.
There are some guidelines that suggest treating for 6 months then stopping treatment to see if the hypothalamus has reset it's expected testosterone levels so that therapy can be stopped. I have nothing against doing this, but doubt that that most patients are going to "cured" this way. If we can address an outside cause of the low testosterone levels (alcohol, meds, poor lifestyle, nutritional deficiency, etc.), then we can also try stopping treatment to see if the symptoms stay away. If the cause is innate but related to something that is not a part of the thalamus-pituitary-testes axis, then correcting that issue may fix the testosterone problem without permanent testosterone therapy. If, however the cause of the low testosterone levels and symptoms is due to problems in that axis, then I believe that most will need therapy on an ongoing basis.
I'm totally lost here. I've read that the Standard Range is 234-916 ng/dl but I've seen other reports which state the Standard range is 1.75-7.81. Am i missing something here?
Every lab has its own normal range and they may be differently based on how they are running the test, what machines they are using, and which professional association they are using. They may also report their results as ng/dl as in your first range or nail/ml. There is also total testosterone, free testosterone, and bioavailabile testosterone, and each has its own normal ranges. All that said, if you don’t have symptoms or signs of testosterone deficiency, there’s no reason to stress over the numbers.
@@jamesparker6569 I hope it helps. If you are wondering about symptoms, you can take our complementary questionnaire on my website: www.HeliosTelemedicine.com.
Hi, I'm a 32 year old male with Total T-levels measuring at 452 (taken at 11am) and free testosterone of 10.1. My SHBG levels are at 25.9 and Albumin is at 47. According to online sources (which is why I comment here as I know they're not always reliable) my total T-level is mid-normal range but my bioavailable T-level would be 292 which would be very high? I'm not sure what to make of the test.
Your total testosterone is at the low end of what I would call normal for your age. Average is about 615. If you are having symptoms of low T, then you probably are. That said, your TT is in the normal range for the population and insurance companies are not likely to cover your therapy. If you have no symptoms, then the levels are just numbers.
@@HeliosTelemedicine thank you for your swift response, I have no symptoms but do worry about maintaining (and increasing) muscle mass. I also don't want to have low numbers or hypogonadism as I get older, I feel as though the numbers are low, I just didn't understand them properly.
@@Forevermist at your age, I usually recommend Clomiphene or enclomiphene instead of testosterone if the rest of your work-up suggests that they could work. Regarding later in life, don’t worry about it until you have symptoms.
Yes, especially if you have symptoms (and you likely do at that level.) Make sure that you discuss fertility with the doctor if you want kids in the future. Please do that off of a public forum, though as you have no privacy here. You will need more testing to diagnose the problem to get the best treatment.
@@vizkiddarlington3208 Mr. Darlington, it appears that you are looking to get significantly more advice than I can give here. If you live in TX, NY, FL, or MO, you are welcome to make an appointment to see me. If not, I suggest that you consult a local clinician who has expertise in men's health and hormones.
According to a number of studies, your total testosterone is right around the 50% range for men 17-18 and 19-39 years old. I would have thought that it would have been higher, but apparently not. If you are having symptoms suggesting low-testosterone, then you should look further. Look at the free and bioavailable testosterones, estradiol, and HSBG. It could also be that you are one of those who need to be in the 800-1000 ng/dl range to be normal (and still be in the normal range according to the population studies.)
@@HeliosTelemedicine i also lift weights and supplement vitamin D and zinc. I was expecting atleast a 700. Is it possible to increase testosterone levels?
@@hamzasulman9726 It is certainly possible to increase your testosterone level, but if you are not having symptoms and signs of low testosterone, then you probably don't need to. Everyone has their own unique normal range and you may be at your body's ideal level. If you are asymptomatic, then you shouldn't push it up as you may get to levels that are too high for YOU and have resultant short-term and long-term consequences. There is a simple questionnaire on my website that you can take. www.heliostelemedicine.com Also remember that the free testosterone is the active stuff and if your SHBG is low, then your free-T may be higher than you would predict based on your Total-T alone. Estradiol levels are also important to symptomatology. That's why I always check both testosterones, SHBG, and estradiol.
I had replied from my personal account last year. If that is your bioavailable testosterone, then it is low by the numbers, but you should only get therapy if you have symptoms.
Assuming that this is for your free testosterone, then it's a little low. That said, if you are not having symptoms of low testosterone, then you shouldn't get treated for a number.
Hello doc i just did some test because of my insane cystic acne that i have had for a long time Im 23 and my testosterone is too high at 53.48 nmol/l or about 1550 ng/dL if the unit converter worked My DHT is 1304 pg/mL and my androstendion is 6.3 ng/mL Estradiol is 41 pg/mL Is it normal for all of these to be high as i never took any steroids or anything like that. Thanks.
Your levels are too high. You should ask to see an endocrinologist. Normally most androstendione is made in the adrenal glands, which can also produce testosterone. Congenital hyperplasia (overgrowth) and some adrenal tumors can cause elevations in these hormones. They might want to look for a testicular tumor if the adrenal work-up is negative. There are short and long-term consequences that you should try to avoid, such as scalp hair-loss and enlargement of the prostate gland.
The most complete answer on that topic. In nder 3 mins.
Well done.
Thanks. I am getting better at it. My early videos are long. Lots of info, but too much for UA-cam.
I had 680 ng/dl of total testosterone at 38 and felt absolutly hypogonadal. Severe depression, low sex drive (I was able to masturbate or have sex once or twice a month), fatigue despite of forcing myself to work out and keeping weight and absolutly brainfog. My SHBG was at 80 nmol/l but noone seemed to care. I lived like that a couple of years and almost lost my job. This was hell on earth.
Your SHBG is too high and can certainly reduce your free testosterone and cause issues. Your own normal range may be higher on the general population curve, so the TT may be low for you even without the SHBG complication. Your estradiol may also be higher than it should be and should be checked along with any testosterone work-up. You might try starting with 10 mg of boron daily to see if you can get your SHBG down and see if the symptoms improve. If so, that's a cheep solution. If not, then look at other reasons for the symptoms. If you get the test/SHBG/estradiol levels normalized for you and still have problems, then move on to other issues. Depression can also be an independent contributor so you may want to get some help there as well, especially if the hormones are normalized and there is no improvement with the depression.
Me too bro, so did you find the solution to that problem?
@@كيمياء-وغيرها The solution is to eat healthy to lower your SHBG
@@ianbrown5955
I did but with no any effect!!
@@ianbrown5955 The more I read, the more I avoid processed foods. I have no idea if it affects SHBG, but if nothing else is working, read the ingredients on what you buy at the grocery store. If you cannot recognize the words as fruits, vegetables, meats, dairy, or spices, then it is likely a processing agent. Eating certified organic will likely cut back on the herbicides, pesticides, hormones, and fertilizers you eat. It may not correct your SHBG, but I can't believe that it won't be good for your health in a myriad of ways.
Right on💪🏽 Thanks Doc..
My level is around 850-1000 ng/dl and calculated free around 24-25 ng/dl. (With weekly injections). I just turned 43 years old.
Sounds about right. How are your symptoms?
@Helios Telemedicine I feel great. It's a little harder to lose weight, though. I have to be really strict. My last blood work the test was actually 1179 ng/dl. My estradiol level was 19.5 pg/ml.
@@bobbydelamar606 I wouldn't try to drive your testosterone levels higher. There are a lot of reasons why it could be harder to lose weight. Everything from other hormonal issues to changes in exercise levels to changes in non-exercise activity thermogenesis (the energy you burn doing every thing you do that is not intentional exercise). Small changes in diet, getting a little less sleep, increased stress, and the amount of processed food in the diet will certainly contribute. You might want to talk to your doctor about it to see if y'all can figure our a better regimen to lose weight.
@Helios Telemedicine Thank you 🙏🏼 Also, is it true that with injections and higher test levels, my blood count raises? Are there places that take blood out without donating?
@@bobbydelamar606 As the testosterone level rises, it CAN but doesn't always stimulate the bone marrow to make more red blood cells. If the concentration of RBC's gets too high, then you would be asked to donate blood. It is absolutely mind-boggling to me that, if you tell them that you have to donate because of testosterone therapy, some blood centers will just toss this blood away. This is called therapeutic phlebotomy and the blood is wasted. It's really stupid. After all, if I was in an accident and needed blood to survive, I wouldn't care at all if there was a smidge of testosterone in it. Because of this, some testosterone clinics will offer therapeutic phlebotomy to their patients if only for patient convenience. Oh, and the reason for donating blood is that, as the cell count get higher, the blood gets more viscous and flows through smaller blood vessels slower increasing the risk for blood clots and strokes. It may also be a good thing for the liver as that is where iron is stored, and having too much iron in the liver can injure it.
Hello doctor! With 1.75 - 7.81 range i have 3.95 ng/ml. Im 29 yo 1.90cm and 104kg with 20-22% bodyfat. Is normal level or low?
I'm 48 and was hypogonadal. Now I'm at 586 ng dl. This complete approach works really well. You should try this if you want to fix your testosterone. Complete Guide to Testosterone by James Francis.
thanks doctor very good explain
For those of you in Canada, where going on TRT is very difficult to do with a doctor. Start yourself at 80 mg per week for 3 months. Eat a well balanced diet, and work out regularly. As your testosterone levels out, and your own production ceases, determine how you feel. Are you sleeping better? is your energy better? has your libido started to become normal? I raised mine to 100, then 125 mg. This is where I feel as good as I did at 30 years old (I am now 60, and started myself on TRT this year). I've always been into natural health and fitness, so I am in good tune with my body, and know how I should feel. I do a subcutaneous injection every day, equaling 125 mg per week. Doing it every day is much healthier than once or twice a week. Every day will lower side effects. I have been doing this for 5 months. I have noticed only a slight increase in muscle size, but I'm not taking TRT for muscle size. I had already reached my potential after 40 years of lifting. So at 125 mg per week, I am probably getting a bit more than I need, but I feel great again.
I'm in Canada and it was very simple, I got blood work done, showed low T levels, they gave me 200mg of test e a week, I got blood work done 90 days after, dialed in my dose, after another 90 days got blood work again things were great, now get blood work done twice a year. It was very easy, plus testosterone is cheap if you have medical insurance, and the fraction of the price than under grown labs. In Canada you can order testosterone off websites and get it delivered to your door. Might not be legal but you can and if you are not buying by bulk you'll prob not be getting into trouble
@@jamescoffin8286 I'm happy for you that your doctor was on your side. Many doctors in Canada are not onside with testosterone treatments. It costs me about $20 per month to my door from an underground lab; and that includes the insulin needles. But I also do HCG to keep everything working; that is an extra cost if you opt to do that.
@@ianbrown5955 Iam 19 and my level is like an 30 years old man but because it is in the range my doc & urologist doesnt make a trt...
What can i do? I got all symptoms
@@Tarik.krblt6 If you have the level of a healthy 30 year old man, then you don't need testosterone. Testosterone levels don't start to go down until after 30 years old unless you're lifestyle changes, or you don't eat healthy and exercise.
@@ianbrown5955 my level was at the lowest yesterday
I try everything to put my T level high
I have free testosterone 17,24 pg/ml as 19 year old. Is it high?
Probably not, as you are still at the tail end of puberty. It is likely only to be a problem if you are having symptoms, like anger issues, anxiety, and acne.
I just got a call from my doctor who said she is checking with my insurance for injections she is going to call into the pharmacy. She said my Testosterone level was 371. Not sure what's all about to happen or if I should even take the injections. I'm 52 and fairly active. I eat plant based with salmon three to four times a week. She tested me because I told her I had been more tired lately. Really confused on what to do.
I would suggest that you go to my website at www.heliostelemedicine.com and take the free low-testosterone questionnaire under the Am I a Candidate button. If your only symptom is a little fatigue, then there are so many other things that can be the cause. Yes, I believe that a total testosterone of 371 ng/dl is low in a 52 year old man, but if you don't have more symptoms than just some fatigue, it may not be the real issue. If the survey suggests low-T then you should get a complete evaluation. You may want to watch some of my other videos, such as the ones on how low testosterone is diagnosed and how it is treated. They may be somewhat dry, but they are packed with the information you need to be an informed team member in your own healthcare.
Hello dr
I am 24 years
My total testosterone 5.93 ng/ml
My free testosterone 7.94 pg/ml
I feel very tired all the time
I am depressed can’t go to the gym or work out what is your advice ?
Your free Testosterone looks a little low to me for a 24 year old. What are your SHBG and estradiol. If you live in TX, MO, NY, or FL you can schedule an appointment with me through my website at www.heliostelemedicine.com. If you live outside of the US and want to consult with me, you can schedule there as well, but I cannot write prescriptions for you, and may not be able to order lab studies.
@@HeliosTelemedicine my estradiol 25.5 pg/ml
@@alyabdelhamed680 Well, the estradiol is great. At this point, I think you consider seeing what your LH and FSH are, but you should also consider that there are other causes of depression, from situational at work or home to environmental to mental and you may want to consult a therapist for the depression. Depression, by itself can cause mental and physical fatigue.
hey doc, can you tell me how much percentage does genetics play a role in your testosterone level, and how much percentage does good dieting, regular exercise, good stress management, and living a healthy lifestyle plays a role. it doesn't have to be accurate but an educated guess will help a lot thanks.
No, I can't. Not even a clue. I can say that prior to the industrial revolution, testosterone levels did go down with age, but were likely higher than they are now, even in younger ages. Since then, we have been living in an increasingly complicated chemical soup. There are biologically active chemicals in our air, water, ground, food, everything and these have an increasingly detrimental effect on testosterone levels. Our stress levels have increased and our exercise and non-exercise activity has decreased, also bad for hormone levels. Regarding genetics, there are a lot of different genes and epigenetic factors that affect testosterone levels and they are unique to the individual, too many to make a blanket statement about % effect.
Hey Doc, I'm 56 years old and just got my levels checked. My total is 636 mg/dL, free is 83.2, and bioavailable is 171.1. I train for competition marksmanship, do weight training, and seem to have a healthy sexual apatite. I keep hearing from guys over 40 saying that TRT changed their lives. They say they want their level around 850. Should I even try it? My doc tried to talk me out of even testing my testosterone level, so I'm probably going to switch. Thoughts?
It doesn’t look like you have any symptoms of low testosterone. Without symptoms I wouldn’t treat you either. Everyone has their own personal normal levels and it looks like you are in your normal range. Keep your doctor and ignore the crowd.
I hear that you already doing some things which promote testosterone which is good. Maybe increase or adjust your activities have look on youtube for tips
@@LlamaOates Thanks. I’ll look into it.
If you're doing steroids, you MIGHT have to go on TRT.
@@VernCrisler Not without symptoms.
my doc said i should try Clomid? I tested at 400 ng/dl at age 24
Not a bad thing to start with. It could get your TT up into the 700 range and doesn't cause potential low sperm count or high blood count. If it doesn't work (and give it time to work as the dose can be tapered up if needed) then you can go on to testosterone replacement therapy.
@@HeliosTelemedicine She said I should start with a month to see if it will kickstart my production? is 400 not enough?
@@Hoganblade It may take more than a month to reach full effect. Even then, we do not start with the maximum dose, so if there is some effect, but you still have symptoms, you could increase the dose. If she wants to stop for a couple of months to see if your testosterone levels are kickstarted and stay up, I would wait to try that until you get to a comfortable testosterone level. I know that sounds like a long time, but you have years to go in this life so a little patience now can really pay off.
@@HeliosTelemedicine I appreciate the feedback, you’ve been a big help in my decision
@@HeliosTelemedicine should I be worried about Gynecomastia?
Which test should the doctor do in which all the hormones come in reports? Please reply
There is no single test order that evaluates all of the hormones. For testosterone evaluation, in the US, I order total testosterone, free testosterone, SHBG, and estradiol in the first order. If these suggest low testosterone, then I order them again to confirm along with prostate specific antigen (PSA) to screen for prostate issues, luteinizing hormone, follicle stimulating hormone and prolactin (LH, FSH, and PL) to look at the pituitary and hypothalamus, blood count to check for cell levels, and liver function tests. Once those results are back I can discuss treatment.
im 37 my total is 250 ng/dl and free is 38 pg/ml and I am tired and fatigued all the time and cant lose any weight.
Looks like you have low testosterone. If you live in TX, MO, or NY (and soon to be FL) you can visit my website to make an appointment to see me. There are also other videos and blogs.
take steroids for shot period💀
Great information Dr 🙏🏼
My testosterone level is 4.30 ng/ml and my age is 29 is that low ?I'm a athelete iwas thinking of bit high of that but it's 4.30 ng/ml .is that low or normal or high and Dr what's the range of a healthy man testosterone level plz tell .thankyou 🙏🏼
I am assuming that you are talking about free Testosterone. Are you sure it is 4.30 ng/ml? Could that have been ng/dl or pg/ml?
Got my blood done in the morning and it was 128. I’m 27 years old with extreme fatigue and no sex drive and there trying to say my testosterone was just in the lower average range..I don’t even know what to do at this point
I would advise you to ask for a consultative appointment with an endocrinologist or urologist interested in men's hormones. You may also consider going to a low-T clinic. If you live in TX, NY, MO, or FL, I would be happy to see you. You can schedule an appointment at www.heliostelemedicine.com.
@@HeliosTelemedicine can an endocrinologist prescribe trt or is that only done at a trt clinic? I’m in ohio unfortunately or else I’d love to use your clinics !
@@dustinpottinger5268 I appreciate your confidence in me. Any physician can prescribe TRT, but you should find one with interest and expertise in it or they may be relying on what they learned years ago. Endocrinologists and urologists are the usual go-to guys as they are the ones who specialize in hormones and gonads. Low-T clinics are also good places to look as well. Some of them want you to come back weekly for injections, some don't. There are also on-line clinics like honehealth.com which are licensed in OH. I hope you find what works for you.
Thank you for all the information sir!
@@dustinpottinger5268 I hope it helps.
That smile tho
Dr. I’m 31 years old and just got blood work done.
Total Testosterone: 725 ng/dL
Free Testosterone (Direct): 5.6 pg/mL
My primary care doctor said everything is fine, but according to the lab my free testosterone should be in the range of 8.7-25.1. What should I do. Please help.
Your total testosterone is in the normal population range, but your free testosterone is not. If he didn’t check your SHBG and estradiol, then you should have them tested. If you live in my states, you can make an appointment with me at www.HeliosTelemedicine.com and I can order the labs ant treat as needed.
What's your diet like?
When you say highest at the morning. Is that because you just woke up ? What if someone slept late and woke afternoon. Should he measure it after waking up
It's kind of hard to find a great answer for you. My personal thoughts are that if consistently sleep late, that is your usual schedule, and your circadian rhythm is shifted so testing within 2-3 hours of waking should be OK. I did find this guideline from British Columbia www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/testosterone-testing#men-testing that supports that idea. I doubt that most insurance companies would accept this concept though as they can be very rigid to their protocols. Good luck.
What are the causes of high testosterone in 19 year olds, I got tested at 37.1nmol/L or 1070ng/dl and the only explaination online is steroids (which I don’t take) or cancer, I do not think it’s either, what are the other explanations doc?
It may be perfectly normal for you to have testosterone levels this high. Unless you are having anger issues, I wouldn't be too concerned.
Im 27 years old
230 ng/dl last year…
Most recent blood test was 317 ng/dl…
My doctor said that this is in the normal range..
I asked for a 27 year old or a 70+??
Still no treatment.. booked another appointment for next week..
Symptoms are the usual
Little to no morning wood, most of the time depressed, packing fat on awkward places, low energy
Both times the test was done before 10am
@@Viikk785 That's low for a 27 year old, at least in MY book it is, especially if you have the signs and symptoms. At 27, you may want to give Clomid or enclomiphene a try as they don't suppress anything, rather they stimulate your body to make your own testosterone and sperm. None of the risks of testosterone replacement therapy. If you live in NY, FL, MO, or TX you can make an appointment with me at www.heliostelemedicine.com
@@HeliosTelemedicine thank you so much for your reply!
If i was to do the TRT, once the treatment is complete, and i stop taking it, would my testosterone levels go back to what it was before the treatment? Or would it stay in the normal range?
@@Viikk785 The guidelines suggest that we could take you off of testosterone at about 6 months to see if we have reset your hypothalamus to expect a higher level to be normal, and I have seen it work in the rare patient. On the other hand, testosterone replacement therapy suppresses the normal control axis, and treatment is life-long. That's another reason to try enclomiphene or Clomid first. The whole axis is stimulated and if resetting the normal level that the hypothalamus expects is possible or likely, then going the stimulation route seems more likely to succeed.
Same thing happened to me at 32, the doctor tried to say it was normal. My test was like 280, second test was like 300
Hey doc I just had my T levels checked and they where 335 ng/dl. I live a very active live style. I play sports with my kids daily, former military, and I work on my feet. I’ve had problems with shedding weight, Sleep issues, Ed. Thoughts?
If you had your blood drawn after 10:00 AM, then your testosterone is even lower. The ED suggests fairly strongly that you would feel better with a higher testosterone level.
28 5’10 189lbs. Current levels are 376 ng/dl this was taken back in april.
I would say that your total testosterone is low for you, especially if you are having symptoms. It is variable if you could convince your insurance company to pay for therapy, though, since most like to use a blanket 300-1000 ng/dl normal range.
23 years old with a total test of 338 ng/dL and a free testosterone of 50.4 pg/mL and I have a lot of symptoms any advice?.
Your testosterone is low for your age. You should find someone to get treatment. If you are worried about fertility, you might consider clomiphene or enclomiphene as they stimulate the whole hypothalamus-pituitary-testes axis so the sperm count should be preserved or even increased. It may take 3-6 months to reach it's peak effect, but improving the chances of having kids may be worth it (and remember that we are talking about a lifetime thing here so this isn't really a looooong time. If that doesn't work, you can still go on to testosterone replacement therapy.
My total T is at like 215 and all the doctors I've seen about it say well it's not low so there's nothing we can really do. I'm 28 5 11 190 lbs
I think that a TT of 215 is low, and so do the guidelines from the AACE (American Association of Clinical Endocrinologists) and the AUA (American Urological Association). If you live in TX, NY, FL, or MO you are welcome to go to my website at www.heliostelemedicine.com schedule an appointment with me. If not, fill in the contact me form on my website and I will get back to you to try to help you find care.
@@HeliosTelemedicine thank you so much I believe I submitted the proper request however when I hit submit it'll reload the page with the bottom sections blank
@@bennettxr100 Which page are you unsure of? The page here or the on on my website?
Do you feel any symptoms of low test?
I’ve had about 4 blood tests and ranges from 300-500
Strange , I’m 43 and the last year or so I’ve had all the symptoms .
Doc said no way you’re normal even though all my other bloods were good and no explaining the crushing fatigue and bad mood .
Private clinic said they would treat me , i appreciate business is business , I was just curious if your opinion?
Your total testosterone is only one of the metrics to consider. What are your free Testosterone, bioavailable testosterone, SHBG, and estradiol? Even if they are all in acceptable ranges on a population basis, your own needs may be higher. Have you looked at your adrenal hormones as adrenal fatigue can have a lot of the same symptoms? Thyroid hormone issues can also show up as fatigue and mood changes. A thorough physical exam with bloodwork to look at other organs may also help.
@@HeliosTelemedicine
wow!
thanks for the quick reply
my free test is 0.3
sHBG is 34
Estradiol 74
Prolactin 285
Which all seem to be in normal range .
I think it’s low end of normal .
I had the full works of bloods from alt to hab1c and all
Normal
@@mattlofty5884 I think that the free T is low for your age especially if you are feeling the symptoms. The SHBG is fine. The estradiol is high if measured in pg/ml. I like to keep the E2 between 20-30 in my patients. If the Prolactin is measured in IU (International Units) or ug/L then it is normal. If it is measured in pg/ml then it is too high, by a lot.
Hi Doc, I'm suffering from severe insomnia also anxiety. I think I've overtrained especially when I finished nights at work I would sleep for 1.5 hrs then train. Had my testosteone levels checked 3.30pm 6.6 and another day 8 am 10.6. Still no sleep unless I take 2 sleeping pills. Will trt help me with sleep? 44 year old male.
Sorry for the delay. There are a number of issues that come to mind. The testosterone levels are normal according for the populations, and if insomnia is your only symptom, then it likely is. Sleeping on the train after work likely contributes to the problem as does exercising late in the day. It may be better to wake up earlier and train in the morning. Try not sleeping on the train. You may also have a habituation/addiction to the sleeping pills and weening yourself off of them may help. There could be other issues as well, like stress, how much caffeine you take in and when, or other medical issues. You may want to take the self-assessment survey on my website at www.heliostelmedicine.com to see how likely you are to have low testosterone.
Sorry about the delay in the reply. Testosterone normally drops through the day, which is why we check it in the mornings. There are a lot of reasons for insomnia including low testosterone, including training before sleeping. Try training before work instead of after. Other common reasons include stress, other endocrine or metabolic issues, ingesting too much caffeine, sugar, or alcohol. timing of meals and sleep, and sleep apnea. You might want to get a complete physical with bloodwork to see if anything else is going on.
Thanks Dr
I wasn’t able to sleep for 2 days straight and then I went to the ER cause I got bite by my dog and I also went to get my test levels checked and it’s 500 and I’m 19 is that bad??
It is officially in the normal range. If you do not have symptoms suggestive of low testosterone, then it is likely normal for you. If you do have symptoms, then they should check the FSH, LH, and PL along with SHBG, Free Testosterone, and Estradiol levels. It may be that your body wants to be at a higher testosterone level.
My total testosterone is 24 nmol/L and I’m 28 years old
Is it low doctor?
Your level is at just about the middle of the normal range for men your age. That said, if your SHBG is high, your free testosterone level may be low. If your estradiol is high, you could get symptoms from it.
Hi,
I'm 35
Height: 5'6
154lbs
Total testosterone: 331ng/dl
Free Testosterone: 88.4 pg/mL
Are these numbers too low?
Thanks in advance
In my book, the total testosterone is low, but the free testosterone is normal. Your SHBG is probably low (not a problem).
@@HeliosTelemedicine thank you!
I was 643ng/dl, Estradiol was 40.1 at 8:00am. I’m 37yrs old
Your TT level looks ok. What are your symptoms? While the estradiol level is officially normal, I like to keep my patients in the 20-30 range.
@@HeliosTelemedicine those labs were from February 2023. I just had lab work done again on Monday and got my results. Testosterone was 440 & estradiol was 21.6. Symptoms include low sex drive, ed, reduced muscle mass, irritability, chronic joint aches and pains, depression, fatigue, obesity by military standards (6’2 210) poor memory, gyno surgery in 2022 (never done anything other than taking protein) loss of armpit and pubic hair.
@@teiichifukada520 well YOUR testosterone really fell. I can see where you would get the symptoms. Unfortunately, insurance won’t see it the same way. I’d suggest you see someone with an open mind about enclomiphene or Clomid for low-T. I’d be happy to see you if you live in TX, NY, FL, or MO. Just schedule an appointment at www.heliostelemedicine.com.
@@HeliosTelemedicine I actually just got a script today for testosterone cypionate 200 (.40 2x weekly), HCG (50 units twice weekly SQ) and anostrozle (.5 weekly used as needed) and am paying $300 every 10 weeks. I recently moved from MO to UT. The VA/Tricare wouldn’t cover it so I pay out of pocket.
Doctor my testostorane level is 5.09 nmol/1 what should i do now for increase my level?
@@sisaykat4794 you should get a second morning test to confirm it is low then figure out why. Is the brain or pituitary gland at fault or the testes. From there your options will differ.
My testosterone is 573 ng/dl , I am 21 years old, and I feel very good, I have energy, I practice kickboxing and I can be aggressive . Can I increase my level up to 700 if I train more often ?
Not really. You can only really boost your resting T levels by 20% from lifting weights and getting exercise and eating a healthy diet. So you can raise it but not that high
@@mdpj7315 ng/dl if converted to ng/ml is about 5.73 ng/ml. Mine today is 8.43 ng/ml but i still feel like i have low T.
@@slickrick5596 Why do you ‘feel’ as though you have low T when you don’t?
@@TravisMcGee151 my drive is low, my energy is low, my Libido is low. When i had a blood test my T is 8.43
My T is 556. And I am 50 yo.
Hello doctor, I'm 30 yr old male and has 511 ng/dl as my total testosterone, I've recently started body building about 5 months ago and having sore results... Is it bcz of that? Do i need to increase my T levels to see noticeable change? Plz reply
Hi Khaled, There may be many reasons that you are not getting the results in the gym that you want. Your total testosterone is still in the normal range for the population, and may be in your own personal normal range. That said, if your Sex Hormone Binding Globulin is high, your free testosterone levels may be low. If you are really good at converting testosterone to estradiol, you may have a high E2 level and a bad E2:Test ratio, either of which can interfere. Do you know your free T, estradiol, SHBG, LH, FSH, and prolactin levels? You may be normal for you and a whole host of other issues could be the issue, from other medical issues to problems with technique at the gym. One thing that I would NOT do is start taking anabolic steroids that you may have access to at the gym. That's a good way to get into short- and long-term medical issues.
@@jamescaplan7735 hello.. I'm 24 years old, recently I have tested and got result with 775 ng/dL T-levels, but I'm having low libido, and I have noticed penile shrinkage and occasionsl pain around base of penis.. why?
@@randomshite998
Bro I have the same symptoms and near this number of test mine is 545 but all doctors said you are fine I don't know what is reasons of these symptoms? Did you find the solution?
@@كيمياء-وغيرها no bro, iam not able to fond the solution because, all the sexologists are fake and money pulling bastards.
@@randomshite998
Would you mind to dm me? My number in my Channel
Hello Doctor, I am 29 years old, just received my test, I have testosterone: 659 ng/dL, estradiol: 43.8 pg/mL, cortisol 154.48 ng/ml and prolactin 8.11 ng/ml. Can you please tell me if this values a good?
I would try to get the estradiol down a bit. DIM is over the counter in the States. Anastrozole is prescription.
@@jamescaplan7735 thank you for answer, I also was thinking that estradiol is to much. I am from Moldova, but I will look for the same components of anastrozole.
@@meriacre
I have like these results but I'm suffering from low libido and ED and no morning wood so I don't know the reasons, do you experience any of that?
@@كيمياء-وغيرها no, I have high libido and every morning it goes up, how I said Im 29 y.o. 174cm and 77 kg, I think for my body this is good range, except estradiol... Maybe for your body you need more testosterone to increase the libido
I’m at 130 at 35 years old you’ll alright lol
Hello dr i hope you are doing well and safe i juste get the results from my serum testosterone and it was 9.1 nmol/l
My age 32 , 115kg 5.10 , it’s is normal range or not sir thanks
Sorry for the delay in replying. In my book, 9.1 nmol/l is low at any age, but it definitely at yours.
Hey doc, I’m 27 6’2 weight 220 my T level is 366 no/dl is that normal? I have all low a T symptoms
With symptoms, I'd say that you had low levels. At 27, I'd suggest looking into enclomiphene to stimulate the system to make more testosterone before resorting to testosterone replacement therapy which suppresses everything, including sperm production.
Hi Dr., my testosterone level in Ng/ml is 7.77 and SI is 26.96 Nmol/l. I’m 29 years old. Is it good at my age?
I just got my results back and got Ng/ml 15.71, SHBG 19 nmol/L. I am 29 years old aswell. Although i am in the normal range i thought its at a lower end. But yours seems lower than normal ranges I would definitely talk to the doctors and get some help. hoping you all the best.
Hey Doc. I’m 31, i weight 234lbs. Total testosterone is 268ng/dl , free, calculated pg/mL is 72.5, and % free is 2.7. Bioavailable is 170. My sex hormone binding Globulin is 16.9. I have brain fog, low sex drive and can’t seem to lose weight. Are those levels ok? They show all with in the normal ranges on my clinic website but I feel like the total testosterone is too low.
The total T is low. The Free T is in the normal range, but may be low for your metabolic needs. Your low-normal SHBG is likely the only reason your fT is as high as it is. It might be worth trying a 3-4 month course of clomiphene or enclomiphene to see if you can get your testosterone levels up.
Hey Doc what is the normal average estrogen level for a man on Trt 850 ng/dl
and what level would you recommend thats best .
I like to keep my patients between 20-30 pg/ml The broader range in different studies goes from 10-55 pg/ml.
@@HeliosTelemedicine Thanks Doc
Sir I am 23 years and 5 month old…my total testosterone level is 418.10 ng/dL..please tell me is it ok ?
Hi Doctor, I caught a nasty bout of food poisoning and lost a lot of weight and I thought crashed my hormones as I had ED for 2 months along with being very skinny. My Total T came back 35.7nmol (1000ng) but I didn't feel good at all. Is there any reason my T would be quite high when ill? And do you think I should get it checked again encase it's now higher when I'm back to full strength. I was expecting a really low number.
Everyone's normal testosterone levels are unique to them. That may be your personal normal level, especially if you aren't having anxiety, mood, or anger issues. I would expect the level to be a little higher if you were dehydrated, but not that much.
Im 22 and got my testosterone tested, came out to 89 ng/dl, is that bad by any means?Do feel fery fatigued all the time.
If that is your total testosterone, then it is very low for an adult male. Yes, fatigue is a very common symptom of low testosterone. You may need to have your LH, FSH, and prolactin levels checked to rule out an issue with your pituitary gland.
Hi doctor, on a slightly unrelated topic, can pubertal gynecomastia be reversed by medication in late 20's?
I'm not an expert here, but I would think that it would have resolved for you by now and I doubt that any medical management would help. Have you had your total testosterone, free testosterone, bioavailable testosterone, SHBG, and estradiol checked. That may guide your physician in how to treat you. If nothing medical works, a surgeon can remove the breast tissue.
I’m 20 and my total test is 336 ng/dl. I’ve been experiencing fatigue, lethargy and anxiety for some time now. Could my test be the problem and am I a candidate for prescribed trt?
In my opinion, you are hypogonadal and the symptoms could certainly be due to that. Insurance companies my look at the number and disagree. Treatment would depend on testing to see if it is due to the testes, hypothalamus, pituitary, or something else. It would also depend on your desire to have children in the future.
Me too bro, did you find solution to that problem?
Mine is 325 ng/dl , and im 20. What did you do for yours ? any changes ?
@5 mins left thanks man i will after new years eve im doing everything i can to fix it, vitamin d3, boron, maca, gingseng, omega 3 ,zinc magnesium... etc ill do my blood after new year i have no clue why mine is so low man..
doc, do you think modern xenoestrogens like those produced by micro-plastics effect these levels considerably? im 24 and i measured at 670 ng/dl but i wanted to go higher and the doctor almost seemed offended by that. i want to negate the effects of the modern world has on me
We live in a chemical soup and you will never negate the effects of the modern world on you, but you can try to reduce them. Live somewhere away from refineries, factories that use or make volatile chemicals, and away from major sources of particulate air pollution. Eat organic and look at ingredient lists to avoid processed foods. Find more natural products for household use. Avoid foods and drinks in plastic containers. But you already know all that if you are asking about xenoestrogens. All that said, your total testosterone could still be low for you if you are having symptoms. If not, then it’s probably normal for you. Don’t just look to treat a number.
i am 44 and my tesstesterone levels are 4,20 ng/ml...is that ok
It is if so not have symptoms.
Hey doc, I’m 27 6’2 weight 220 my T level is 366 no/dl is that normal? I have all low a T symptoms
Your Testosterone is low for a 27 year old. If you live in TX, NY, MO, or FL, I would be happy to see you. You can schedule an appointment on my website at www.heliostelemedicine.com. Otherwise, I hope you find a clinician who is up to date and interested in men's hormonal issues.
hi my testosterone levels were 683ng/dl these were tested in the afternoon instead of the morning and i use codeine regularly im 46 is this normal?
Likely yes, but testing should be done in the morning before 10:00. Codeine shouldn’t be used regularly. You habituate to the pain relieving effects and you can get addicted.
Hey doc I'm a 38 year old my t levels came back at 268. My free t at 66. For the past 3 month I've been dealing with head ache, body pain, fatigue,all kinds of other stuff. Could it be a problem with t levels.
Your TT is certainly low, but this is not usually associated with headache or body pains. There may be something else going on.
@@HeliosTelemedicine how about constant hot flashes.
@@asielhernandez9867 That may be related to your estradiol level more than your testosterone level. Did they check it?
@@HeliosTelemedicine no they di not
@@asielhernandez9867 They should check Free, Bioavailable, and Total Testosterone, Estradiol, SHBG, LH, FSH, and Prolactin. PSA as well if they are thinking about testosterone replacement therapy based on the above results. Good Luck.
I’m on Nebido(Undecaonate)injecting myself every 10’th week with a trough/lowest level of 657 ng/dL.
Very content with that, though must admit I feel even better the first 5-6 weeks after having injected myself as my levels are higher then.
But hey, one can’t have it all. Btw I’m on TRT due to having had testicular cancer, which I’m actually happy about due to getting TRT and will have a good testosterone level till the day I drop dead. I’m also on HCG 1000iU every other day to keep my last nut alive.
Being 40 y old now with a trough level of 657 ng/dL I aint complaining.
Edit: Just calculated my free T as well and it was 13,7 ng/dL which is pretty much optimal especially considering that’s my trough/lowest level.
Hey, I’m happy for you.
@@HeliosTelemedicine Thank you very much for saying so.
Do you take the 4ml Nebido in one go slowly???
@@peesib Yes, using about 2 minutes to inject it deep into my gluteus, all at once.
Doing it with a 5cm(2 inch) long needle.
What is an optimal free T and total T levels that you would like to see? Thanks
I know it sounds weak, but the optimal testosterone levels are those where you have no symptoms. That said, I will be running a series of short videos that discuss normal ranges by age. The first will be for 25-34 year olds.
@@HeliosTelemedicine Completely agree, my total T is around 1500 ng/dl with free T of 30-35 ng/dl and those are the levels where i feel optimized and have no low T symptoms! Thanks Doc, you are great 👍🏻
@@daviddavid1057 Your numbers are pretty high, and I hope you aren't having any symptoms of anger or anxiety. Some men just have to be a bit higher than the rest. Watch your blood counts.
@@HeliosTelemedicine Thanks Doc for your advice, but you said yourself Doc that (optimal testosterone levels are those where you no longer have low testosterone symptoms) right?)) Well, these are my T levels where i no longer have any low T symptoms)) and by the way, these numbers are at the peak measured, and at the trough they are 1100 ng/dl with free T of 23-25 ng/dl! No Doc, with these levels i don't experience any anxiety, but if i went even higher i might so...
@@daviddavid1057 I’m happy for you then.
Hi Doctor, 25 year old black male, 5’10”, 240 lbs, 20% body fat (pretty muscular. Total T at 350 ng/dl, Free T at 62.1 pg/ml, SHBG at 40 nmol/L, TSH at 3.13 uIU/ml, FT3 at 4.05 pg/ml. I’ve had Gynecomastia and low energy since high school, low body hair, facial hair came in during college. Exercise 5 times/week 1+ hour, 12+ miles running, very strong weightlifter. Very fatigued even on rest days, low energy, motivation, libido. Possibly low sperm count. Thoughts?
Your Total T is "low normal" as is your Free T. It could be a cause of low body hair and the fatigue. Remember that the "normal" ranges have to include 99% of the population studied and that population includes everyone from about 25-70+ years of age. Your own normal range is much narrower and may be higher than what you are seeing now. Regarding the gynecomastia, check your estradiol levels. If they are high or high normal, you may want to get it down with a supplement called DIM or a prescription medication called anastrozole. You can raise your free T if you get your SHBG down as well. 10 mg Boron daily can help with that. If you live in TX, NY, or MO (and soon to be FL) I can help you, but I'm not licensed elsewhere. Gynecomastia is not something to ignore. Male breast cancer does occur and is more frequent in men with gynecomastia. It can be treated or removed.
@@jamescaplan7735 my testosterone is 8.6 and 465 is that a normal level???.....I have a under active thyroid.
I been suffering from P.E all my life, I'm 41 from ny
Hlw doctor,My serum testosterone level is 4.53 ng/ml .My age is 23 years.Is it ok ???
I feel depression & memory problems .
How do you spell correctly the Instagram and Facebook page to get a hold of you?
635.10 ng/dl is it healthy?
It's actually in the range that the guidelines suggest that we get patients up to. Insurance companies certainly would not pay for any treatments to raise it higher. That said, if you are having symptoms typical of low-T, then it may be low for your personal normal range. Before going down that road, I would suggest that you get a complete physical with bloodwork to make sure that you do not have a different reason to feel whatever it is that you feel.
Doc i am 26 and i have low libido and periodic weak erection, lack of motivation etc. My total testosterone level is 248ng/dl. Is it low
Yes
@@Asynchh many online sites saying 300 is normal value. I am having many symptoms of low testosterone
@@Asynchh is it really low. My doc said it is normal and ok.
@@souravsoumendran9051 bro mine is 253 and i have not met my doctor yet. I got appointment with him Tomorrow.. send me your email id. We can connect over mail
@@Asynchh i am unable to sent mail id.. It keeps deleting automatically after posting comments. Plz send urs..
Hey doc, I am 22 years old and my testesterone is 339 ng/dl. I have sexual symptoms of low T. My doc said that it was psychological.
What do you think about that
And the test took place between 9-10 in the morning
I think that your testosterone level is low. You should find a clinician with a special interest in men's hormones. If you are in TX, NY, MO, or FL, you can make an appointment with me at www.heliostelemedicine.com. If not, you can look for low-T centers, urologists or endocrinologists near you.
@@HeliosTelemedicine In FL I went to a wellness clinic called Juvenate. My GP would not give me TRT. The wellness clinics don't charge insurance so you have to pay cash but it's not all that bad. I have been paying $160 month for both TRT and B12 injections. TRT is 2 times a week and B12 is once a week. It was life changing I'm telling you. I feel so much better and back to normal. I've been on TRT since Nov last year.
@@dirtwhisperer658 I am very happy for you. If you are taking the B12 injections, I would recommend that you start taking a Super B Vitamin Complex tab daily. It MAY extend the feeling of increased energy you get from the injection by a day or so. It also seems to have something in it the mosquitoes hate. You may find that you get many fewer bites.
@@HeliosTelemedicine Thank you Doc! I will try that. Appreciate the advice.
Hey Doctor, I just got my testosterone tested and I'm 600 ng/dl. I'm 27 years old, I have serious weight gain, no sex drive what's so ever, I eat veryhealthy, I work out constantly and live a healthy lifestyle but as much as I work out I don't see results and just unhealthy weight coming on. I'm depressed, no energy, insomnia and as hard as that it is I still push myself. Would I qualify for TRT ?
I’m sure that your insurance company would deny coverage. You should get a complete physical exam with your doctor and discuss your concerns. You should also get your SHBG, estradiol, and free testosterone checked.
Im 27 too
Im at 317 ng/dl
@@Viikk785 Your level is low for your age, but I'm not sure what your insurance company would say about paying for replacement. At 27, you may want to try enclomiphene or clomiphene first as they do not suppress the system and won't cause a lower sperm count. If you are in TX, MO, NY, or FL and want more work-up or treatment you can schedule with me at www.heliostelemedicine.com.
You may try to find a physician who would give you a try on Clomid or enclomiphene. It could raise your testosterone to 750 or 800.
@@HeliosTelemedicineI m 32 .. my testosterone 430
Iam 19 and my level is like an 30 years old man but because it is in the range my doc & urologist doesnt make a trt...
What can i do? I got all symptoms
Without knowing the numbers, I cannot really say. If you live in NY, MO, or TX and want to talk about it you can make an appointment with me at www.heliostelemedicine.com. That would assure a privacy that you won't get on FaceBook. Remember, though, that everyone has their own normal range. If you are in your normal range, then no treatment is needed. If your normal range is higher than your numbers and you have symptoms consistent with low testosterone levels, then you may feel better with treatment. It is unlikely that insurance will cover it. Your therapeutic options should also include a look at your fertility and desire for kids in the future.
I’ve been depressed all my life and just had my test checked. Turns out I’m at 154 L
1. What time of day was the blood drawn?
2. How old are you?
3. Do you have headaches or visual changes?
4. You need to get your blood drawn again Have then test your LH, FSH, and PL.
Also check your free test, estradiol, and SHBG.
@@HeliosTelemedicine the time of day was at 1pm so late, but I fasted. I’m 28 with constant depression and anxiety constant headaches my shbg was 7
@@SunDogGod you really need to get your prolactin, FSH, and LH levels checked. You should get seen by an endocrinologist.
Have you had your second blood draw and did you get an appointment with a specialist?
Is 783 good for a 60 yr old
That’s at the high end of what the guidelines say is the target for testosterone replacement therapy. What matters more is your symptoms.
Hello doc, i was 16 years old when i checked my testosterone levels and the results were that i have 1,6 nmol/l which is probably very low, considering that i always get treated like trash and i’m always regected by people since i was little. I even here people sometimes saying homophobic stuff to me and i really feel down and always crying. I always experience feminine feeling towards men and i hate the fact that i do. Is low testosterone the main problem that i’m facing in this situation?
It this is a Total Testosterone level, then it is low and you should get further evaluation. If it is a Free Testosterone level, then it is normal. At 16, if that was a total testosterone level, then part of the evaluation should be genetic testing.
Hi my total test is 358ng/dl
And my free is 87pg/ml my Doc tells thats ok and y feel dead tired.
Your Total testosterone is at the lower end of normal on the population-based scale, but you free testosterone is closer to the middle of that scale (which is the more important of the two numbers.) Your body may like to be at higher levels, but I would look for other causes of fatigue.
Hey doc I'm 17 got my t levels checked came at 367ng/dl my local doc said it is fine but i dont know.
You are likely in the lower 5-10% of guys your age. If you are having symptoms of low testosterone, or if you have delayed puberty, then this may be an issue. Ask to be referred to an endocrinologist.
@@HeliosTelemedicine no symptoms just low facial hair
@@medicallounda214 That may be normal. I would give it some time, but if you are really worried about it, then have them test your TT, free T, SHBG, and estradiol. It should be done before 10:00 AM
@@HeliosTelemedicine will it rise bcz I am not 19 yet
@@medicallounda214 It may rise some as testosterone usually peaks between 17-20 years of age.
My testosterone level was 445 . I am 35 year man . Is it normal or I have to work on it ?
It’s in the lower range of normal, but for more age-focused information, please see my video Normal Testosterone Levels for Men in their 30’s. It’s short, cc’d and has all my normal levels of testosterone, estradiol, and SHBG in US and international units. I would be happy to talk to you if you schedule an appointment at www.HeliosTelemedicine.com. I can diagnose and treat if you live in TX, NY, FL, or MO, but can talk to you if you live anywhere else.
How do I get in touch with you Doc
I'm sorry that I missed your comment. Text your number and some convenient times to call and I will try to accommodate you. You can also check out my website at www.heliostelemedicine.com.
Hello doctor, my total T is 533 ng/dl, SHBG 42.55 nmol/l, estradiol 20.8 pg/ml, i'm 30.. what can I do to improve?
If you don't have symptoms, then you don't need to do anything. You can try taking boron to lower your SHBG, most start with 10-12 mg daily. See my video at ua-cam.com/video/flp144V9lEs/v-deo.html. If you have significant low-T symptoms, you can look for help from your physician, but insurance companies won't pay for therapy and most low-T clinics won't treat a total testosterone in the 500's. That said, your free Testosterone may be low and you could qualify that way. I would be happy to discuss it further. You can make an appointment with me at www.HeliosTelemedicine.com. I can be your physician if you live in TX, NY, FL, or MO, but I can consult informally from anywhere.
Dr. Can I know 7.25ng/ml of testosterone is in normal for a 30 years old male?
is that 7.25 ng/ml or 7.25 ng/dl. Please be sure. 7.25 ng/dl would be in the lower range of normal for men in their 30's. 7.25 ng/ml would be well above the normal range. Please see my video: ua-cam.com/video/4yRPZ4tLBpE/v-deo.html
Doc tried to get TRT, they said that my level is at 600, I am 66 yr. Old and can't get it.
I’m not surprised. The guidelines say that the target for total testosterone level on TRT is 600-800 ng/dL. You didn’t mention your free T level. That is really what is important as that is what determines your symptoms. You should also know your estradiol and SHBG levels.
Is 15 a good range for SHBG?
Yes.
@@HeliosTelemedicine Thank you.
Dear sir my testosterone level is 8 ng/ ml and FSH level is 1.9 IU/ml and LH level is 1.64 iu/ml is my report is normal??
Sorry for the delay. 8 ng/ml is low, especially if you have symptoms. that said, your LH and FSH are not elevated, you you may want to look into clomiphene or enclomiphene therapy before testosterone replacement thereapy.
@@HeliosTelemedicine hi doc, 8 ng/ml is not low as 8 ng/ml= 800 ng/dl. you maybe didn't notice it's in ml and not dl.
@@mamdouhalkhalaf5734 My apologies for that oversight. The testosterone level is normal. The FSH is now normal and the LH is slightly low. Did they check your prolactin level?
@@HeliosTelemedicine my test is all great and normal and it's not me who has asked the question, it's Lakshman vinod. I'm 63 years old and my testosterone total is 7.82 ng/ml which is = 782 ng/dl.
Hi doctor, I'm 54 and have a question about trt, my primary doctor tested me and first test was low and went for second and she said it was normal at 260, I went to a urologist and he tested me and said I was low but before anything he referred me to an encronolgist to see if something was making me have low t and got tested and it was 324 and was told it's normal, but have all symptoms of low T any advice????
You have labs that straddle the lower limit of "normal", but you likely need a higher total testosterone level if you have the symptoms. Did they check your free testosterone? SHBG? Estradiol? At your levels, I don't see why a short-term trial on testosterone replacement or clomiphene couldn't be done. If it relieves the symptoms to get your TT into the 600-800 range, great. If not, then they shouldn't stop diagnosing the symptoms.
From my research the “normal” range is a joke. It seems to me, anything under 500 should be considered and anything under 400 should almost definitely be low enough to be on TRT. Doctors seem very against TRT. Almost the same level of fear of giving legitimate opioids to people in severe pain.
I just turned 60 this month and I tried for years to get my GP's to put me on TRT. None of them would do it even at 400. My last doctor actually chewed me out for a good 10 minutes telling me how bad it would be for me. He listed every single falsehood that you hear about testosterone therapy. I went to a wellness clinic where you pay cash because they don't charge your insurance. They gave me a shot that day. I've been on TRT since Nov 2022 and I haven't felt this good in years. It is life changing. I haven't experienced a single negative with it so far.
Sir im 35yrs old my testosterone serum result is 5.12 ng/ml. Biological reference interval is 1.75 to 7.81. Is this low number?
Sorry I missed you until now. It looks like it is in the normal range, but if your doctor cannot find any other cause of low testosterone suggestive symptoms, you can do a trial with clomiphene to see if you can nudge the testosterone up and relieve them. Check your estradiol and SHBG as well as they can cause symptoms and can be treated.
Hi Doc, I'm 29 years old and got my total testosterone measured at 220 ng/dL (tested at around 2PM). I've experienced ED and low sex drive, as well as fatigue and feeling down all the time. I'm not sure what to do. would TRT be the right move at my age?
No just boost it naturally
You tested too late too
Sorry for the delay. You need to have your testosterone tested before 10:00 AM, but I believe that it will likely be low. At your age, I would recommend stimulating the system, but I would recommend testosterone replacement therapy if stimulation doesn't work. You'd just have to watch for infertility and side effects. You are welcome to talk to me. You can make an appointment at www.heliostelemedicine.com.
Check your diet first. Make sure you're getting enough carbs and fats. A number of low test guys have increased their test just by having a balanced diet, i.e., not doing stupid zero carb diets. Also, if you've done steroids, TRT might be the answer if nothing else works.
Hello I am 30 years old,I did a testosterone test at 11 o'clock in the morning, and I got the following answer (nmol/l): 9.29, is there a very low testosterone level here?
That is a low testosterone level for anyone, let alone a 30 year-old. It is nowhere near the lowest I have seen, but low enough that you should get diagnosed and treated if you have symptoms. If you are wondering, you can visit my website at www.heliostelemedicine.com and take a complementary questionnaire about low testosterone signs and symptoms. If you live in TX, NY, MO, or FL you can make an appointment with me on the site as well. If not, I hope you get seen and treated as it can make a huge difference in your life.
Mam amr wife ar ai report ti ki thik ase...Serum testosterone result 1.3 mmol/L
I am 28 years old male and my total teststreone is 403 ng/dl . Please guide me in this??
I think that is low and you should get treated if you have symptoms. If you don't, then leave it alone. At your age, I definitely look at the LH and FSH because you can stimulate the whole system with enclomiphene if those hormones are low or low-normal. I would be happy to talk to you more. Just set up an appt at www.HeliosTelemedicine.com. I cannot order labs or meds if you don't live in Texas, New York, Florida, or Missouri, but I can have an informal talk.
My total test is 780 but my free test is 8 how do i get this level up?
Find out what your SHBG level is. It’s probably well over 40 or 50. Eat healthy. Exercise. Eat cruciferous vegetables. Take Boron supplements. These can each help with SHBG.
@@HeliosTelemedicine how much boron and for how long
@@pjprevite3021 I’d see what the SHBG level is first. No sense taking boron it it isn’t high. If it is, most people start with 10-12 mg daily. Take it as long as you want to suppress the SHBG.
Jesus, seeing these comments make me wonder what the hell is wrong with me.
My first test came in at 286, 6.8 free. Then 324 at 7.7 free. I'm only 30
I think that your testosterone levels are low. If you are having symptoms of Low-T they you should get evaluated. You can go to my website at www.heliostelemedicine.com and take a complimentary questionnaire about Low-T symptoms. If you live in TX. NY, FL, or MO, you can also make an appointment to see me there. Good luck.
I am 52 years old, I was on Testosterone for about 1 1/2 years under my physicians care, when first diagnosed my level was around 400, with testosterone it went to roughly 850 and I felt great. I have moved recently, and have a new Dr that has taken off testosterone. My level today was 420 and I don’t feel as good as I did, my new Dr say 420 is normal level for me and that 800 is way too high a level and to dangerous at my age. But I felt a lot better when my level was at 850. You’re advice??
I have patients who are older than you on testosterone therapy with levels at and sometimes higher than 850. If you felt normal and had no side effects such as anxiety, anger, increased red blood cell count, or uncontrolled elevations in your estrogen levels, then I think you should be back on your testosterone replacement therapy. While 400 ng/dl is in the population-based normal range, your normal range is narrower and may be higher than your level is off of testosterone. You may also ask to have your free testosterone, bioavailable testosterone, SHBG, and estradiol checked as they may be out of range.
@@HeliosTelemedicine
Thank you for your advise, absolutely, I’m going back to my former doctor, doesn’t matter if he’s 6 hours away it’s well worth it 😆. Blessings to ya!!
@@Titan_Up You should be able to find someone closer than that.
Get a new doctor. I had one pull that crap on me and then went to a new doctor and she's got mine up over 1000. I would like to be at 850 like you.
@@brianweatherman1207 850 is usually a great level. Like I've said in other videos, therapy is a team approach and the actual tested number is only one factor to consider. If you felt normal at 850 ng/dl at one week after your injection, then that's great, but a few people need to be closer to 1000. For some, a lower number like 500-600 is great and they would feel hypergonadal symptoms at 700. Getting to the right dose for requires adjusting the dose to find the one that is right for YOU. There is no cookbook recipe or one-size-fits-all number. Just remember that, the higher the testosterone level, the more likely you will have to donate blood to get your blood count down as testosterone will stimulate the bone marrow to make red blood cells.
Yo I’m 15 and testosterone level is 700 ng/dl. Is this good?
Sounds fine depending on your stage of puberty.
I am 40 years old and my total is 445 and my free is 87.8.... is this an issue for a 40 year old man ?
Not if you do not have symptoms of low testosterone. Insurance companies won't likely approve therapy, so if you do have symptoms, then you will likely have to pay out of pocket.
My testosterone levels is 400 my (SHBG 32)(FSH 3.2 )any suggestions please ?
Do you have symptoms? What is your free testosterone? What is your estradiol? How about your LH and FSH? Lots of things you should know before you can look at what to do.
@@HeliosTelemedicine I have fatigue I’m tired all the time my sex drive is alright pretty good some days my (LH 6.2) (FSH 3.2)( ESTRADIOL 27 )
My symptoms are fatigue all the time tired through out the day depression anxious. My (ESTRADIOL 27)(FSH 3.2) (LH6.2)
My free T is 101
@@Healthiswealth1994 which is ok. You may be better off looking for another cause of symptoms.
Will i take it forever
There are some guidelines that suggest treating for 6 months then stopping treatment to see if the hypothalamus has reset it's expected testosterone levels so that therapy can be stopped. I have nothing against doing this, but doubt that that most patients are going to "cured" this way. If we can address an outside cause of the low testosterone levels (alcohol, meds, poor lifestyle, nutritional deficiency, etc.), then we can also try stopping treatment to see if the symptoms stay away. If the cause is innate but related to something that is not a part of the thalamus-pituitary-testes axis, then correcting that issue may fix the testosterone problem without permanent testosterone therapy. If, however the cause of the low testosterone levels and symptoms is due to problems in that axis, then I believe that most will need therapy on an ongoing basis.
I'm totally lost here. I've read that the Standard Range is 234-916 ng/dl but I've seen other reports which state the Standard range is 1.75-7.81. Am i missing something here?
Every lab has its own normal range and they may be differently based on how they are running the test, what machines they are using, and which professional association they are using. They may also report their results as ng/dl as in your first range or nail/ml. There is also total testosterone, free testosterone, and bioavailabile testosterone, and each has its own normal ranges. All that said, if you don’t have symptoms or signs of testosterone deficiency, there’s no reason to stress over the numbers.
@@HeliosTelemedicine I appreciate your response!
@@jamesparker6569 I hope it helps. If you are wondering about symptoms, you can take our complementary questionnaire on my website: www.HeliosTelemedicine.com.
Sir What if my testosterone level is 807 ng/dl. ???
That’s a good level. You aren’t telling me about symptoms, but I suggest that you look for other causes before blaming your testosterone level.
Hi, I'm a 32 year old male with Total T-levels measuring at 452 (taken at 11am) and free testosterone of 10.1. My SHBG levels are at 25.9 and Albumin is at 47. According to online sources (which is why I comment here as I know they're not always reliable) my total T-level is mid-normal range but my bioavailable T-level would be 292 which would be very high? I'm not sure what to make of the test.
Your total testosterone is at the low end of what I would call normal for your age. Average is about 615. If you are having symptoms of low T, then you probably are. That said, your TT is in the normal range for the population and insurance companies are not likely to cover your therapy. If you have no symptoms, then the levels are just numbers.
@@HeliosTelemedicine thank you for your swift response, I have no symptoms but do worry about maintaining (and increasing) muscle mass. I also don't want to have low numbers or hypogonadism as I get older, I feel as though the numbers are low, I just didn't understand them properly.
@@Forevermist at your age, I usually recommend Clomiphene or enclomiphene instead of testosterone if the rest of your work-up suggests that they could work. Regarding later in life, don’t worry about it until you have symptoms.
Okay, thanks Doctor. @@HeliosTelemedicine
Sir I am 21 and my total testosterone is 234 ng/dL.It is below the range but should I consult doctor?
Yes, especially if you have symptoms (and you likely do at that level.) Make sure that you discuss fertility with the doctor if you want kids in the future. Please do that off of a public forum, though as you have no privacy here. You will need more testing to diagnose the problem to get the best treatment.
@@HeliosTelemedicine please doctor I need your WhatsApp I have a lot of things to discuss with you sir
@@vizkiddarlington3208 Mr. Darlington, it appears that you are looking to get significantly more advice than I can give here. If you live in TX, NY, FL, or MO, you are welcome to make an appointment to see me. If not, I suggest that you consult a local clinician who has expertise in men's health and hormones.
@@HeliosTelemedicine I have try my best sir please I really need your help there are some pictures of my test results that I want to show you sir
@@HeliosTelemedicine am from English country but I leave in french man land so am not really understanding what the doctor have been explaining to me
49 male with recent testosterone count of 181.
181 is too low for a man at any age.
Hi doc.. im 18 and my testosterone is 576, i think it should be higher because 18 is basically the peak of testosterone. Do you think it is normal?
According to a number of studies, your total testosterone is right around the 50% range for men 17-18 and 19-39 years old. I would have thought that it would have been higher, but apparently not. If you are having symptoms suggesting low-testosterone, then you should look further. Look at the free and bioavailable testosterones, estradiol, and HSBG. It could also be that you are one of those who need to be in the 800-1000 ng/dl range to be normal (and still be in the normal range according to the population studies.)
@@HeliosTelemedicine i also lift weights and supplement vitamin D and zinc. I was expecting atleast a 700. Is it possible to increase testosterone levels?
@@hamzasulman9726 It is certainly possible to increase your testosterone level, but if you are not having symptoms and signs of low testosterone, then you probably don't need to. Everyone has their own unique normal range and you may be at your body's ideal level. If you are asymptomatic, then you shouldn't push it up as you may get to levels that are too high for YOU and have resultant short-term and long-term consequences. There is a simple questionnaire on my website that you can take. www.heliostelemedicine.com Also remember that the free testosterone is the active stuff and if your SHBG is low, then your free-T may be higher than you would predict based on your Total-T alone. Estradiol levels are also important to symptomatology. That's why I always check both testosterones, SHBG, and estradiol.
Do you feel any symptoms?
Hi doctor my testosterone level in 4.220 Ng/ml im 25 years old . Is it good at my age ????
Is this total, free, or bioavailable testosterone?
I had replied from my personal account last year. If that is your bioavailable testosterone, then it is low by the numbers, but you should only get therapy if you have symptoms.
Sir I'm 22 years old
Height 5.9
My testosterone level is 3.8 ng/ml is this normal sir?
I am assuming that this is for your free testosterone. It is low for a 22 year old man.
@@HeliosTelemedicine doctor mine was 10.51 Ng/ml is it good or bad please doctor let me know okay
I’m 32 with my total levels at 532 ng/dl.. and free levels at 131.3 pg/ml..is that good?
They are in the normal range for your age, so they are good as long as you don't have symptoms of Low-T.
Hello doctor my age is 23 years old my level 5.7 ng/ml
Is it low what is perfect level pls tell me
Assuming that this is for your free testosterone, then it's a little low. That said, if you are not having symptoms of low testosterone, then you shouldn't get treated for a number.
Doc i just had my report and its says my testosterone level is 1180 ng/dl. Is it normal my age is 24 and height is 5’10 and im married
Yes. If that is your untreated level, then it is fine as long as you aren’t having anger or anxiety issues.
Hello doc i just did some test because of my insane cystic acne that i have had for a long time
Im 23 and my testosterone is too high at 53.48 nmol/l or about 1550 ng/dL if the unit converter worked
My DHT is 1304 pg/mL and my androstendion is 6.3 ng/mL
Estradiol is 41 pg/mL
Is it normal for all of these to be high as i never took any steroids or anything like that.
Thanks.
Your levels are too high. You should ask to see an endocrinologist. Normally most androstendione is made in the adrenal glands, which can also produce testosterone. Congenital hyperplasia (overgrowth) and some adrenal tumors can cause elevations in these hormones. They might want to look for a testicular tumor if the adrenal work-up is negative. There are short and long-term consequences that you should try to avoid, such as scalp hair-loss and enlargement of the prostate gland.