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Suggest Remedy For Low Testosterone And Vitamin D Levels

Posted on Sat, 8 Nov 2014

Question: Age: 29 years old

17-beta Estradiol (E2), Serum: 114 pmol/L - 31 pg/mL
Testosterone, Total, Serum: 21.10 nmol/L - 6.08 ng/mL
Testosterone, Free, Serum: 35.67 pmol/L - 10.25 pg/mL
DHEA-S (Adult), Serum: 8.14 umol/L - 300.0 ug/dL
PSA, Total: 0.527 ug/L - 0.527 ng/mL
PSA, Free: 0.19 ug/L - 0.19 ng/mL
Vitamin D, Serum: 60.0 nmol/L - 24 ng/mL
Cholesterol, Total, Serum: 8.34 mmol/L - 322 mg/dL
Triglycerides, Serum: 2.14 mmol/L - 189 mg/dL

Answered by Dr. Hardik Sanghvi (16 minutes later)

Brief Answer:
kimdly tell me your symptoms and problems.

Detailed Answer:
Hi, dear.
I have gone through your question. I can understand your concern. You have low testosterone and low vitamin D3 level. Please tell me your symptoms so that I can help you in your problems.
Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic.
Wish you a very good health.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Hardik Sanghvi (5 minutes later)

Hello Sir,

My question would be how to fix that, low test and D3? also I am worried about my cholesterol and triglycerides as well, what is your recommendation/opinion on it?

Thanks much!!

XXXX

Answered by Dr. Hardik Sanghvi (14 hours later)

Brief Answer:
Total and free testosterone levels are low.

Detailed Answer:
Hi dear,

I have gone through your question. I can understand your concern.

Your total and free testosterone both are low. You may have primary or secondary hypoganadism. You can take external testosterone therapy. It is available in injection, patch or gel form. However you should keep in mind that it has many side effects. It will lead to enlargement of prostate & breast, sleep apnea, increased risk of myocardial infarction. So consult your doctor and plan according to risk benefit ratio.

Your PSA level is normal. No need to worry about that.

Your vit D is slightly low. So its called insufficiency rather then deficiency. You can take vit D3 and calcium tablets for that. Take diet with high vit D like milk.

Your cholesterol and triglyceride level are high. You should take low fat diet with high amount of polyunsaturated fatty acids and high fiber diet.

You can also take drugs like atorvastatin or pravastatin to control your cholesterol levels. But again it is a prescription based medicine, so you should consult your local doctor and take treatment accordingly.

Hope I have answered your question. If you have any doubts then feel free to ask me. I will be Happy to answer you.

Thanks for using health care magic.
Wish you a very good health.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Hardik Sanghvi (2 hours later)

Your response is utterly appreciated Doctor!

for the testosterone pravastatin, what would be the recommended dose in your opinion?

Also as for Testosterone in my case, what form would you recommend?

Testosterone Enanthate
Testosterone Cypionate
Sustanon

Testosterone Propionate
Testosterone Phenylpropionate
Omnadren
Aqueous testosterone suspension

Thank you much Sir!
XXXX

Answered by Dr. Hardik Sanghvi (20 minutes later)

Brief Answer:
All product are almost equal.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
All tetosterone products are almost same. You should take according to cost and your ease. Testosterone cypionate or propionate can be used.
For statin you can take atorvastatin. Standard dose is 10mg at night. But this is prescription based medicine, so you should consult your local doctor and start treatment according to his advise only.

Hope I have answered your question. If you still have any doubts then feel free to ask me. I will be happy to answer you.
Thanks for using health care magic.
Wish you a very good health.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Hardik Sanghvi (19 minutes later)

Yes this is of utmost help Doctor, however, other question would be what is the proper dose for testosterone would be in my case?

Answered by Dr. Hardik Sanghvi (1 hour later)

Brief Answer:
I will give some ideas regarding dose.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern. Dose of testosterone is different for different patients. It also varies from product to product. It also depends on your symptoms. In general you can take testosterone propionate 50 mg on alternate day. So you will end up with 150 mg per week. Then take 200 mg on next week. You can increase the dose till highest level you get. Mean while you should monitor your estradiol level and rbc count.

But this is a prescription based medicine, so you should consult your doctor and take according to his advise.

Hope I have answered your question, if you have doubt then I will be happy to answer.
Thanks for using health care magic.
Wish you a very good health.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Hardik Sanghvi (1 hour later)

Thank you Doctor,

Should I cycle, and if so how many weeks should I continue my therapy? and what is the highest dose I should not exceed?

Answered by Dr. Hardik Sanghvi (35 minutes later)

Brief Answer:
Its all depends on your symptoms and side effects.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
Highest dose and cycle depends on your clinical status, your symptoms, your tolerance and side effects. You can take the dose till you achieve highest level of testosterone naturally. But it has many side effects as I said earlier. So don't take it without supervision.
Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic.
Wish you a very good health.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj