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Suggest Treatment For Low Testosterone Levels
Question: I have low T 182 in 1st test (last month) and 165 in 2nd (after 10 days). I also have sleep problems from last 2 years something awakes me up during night. I have done my sleep study done 2 days ago and waiting for results. Due to low T i started exercise daily (after long time) now i got anothet prob with slow heart rate 45-55 bpm. Kindly suggest me if these problems are related and how. Also, pls suggest me how should i approach to find the root cause.
Is there any other way to increase testosteroe without TRT?
Is there any other way to increase testosteroe without TRT?
Brief Answer:
Hormone tests
Detailed Answer:
Sorry to learn about your bothersome symptoms.
They could potentially be related. Your pituitary controls both the testosterone and thyroid. A slow heart rate can be a sign of a thyroid condition.
You have not mentioned your age and gender. It is extremely likely you are male but in medicine we do not assume anything.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Prolactin
SHBG
FSH
LH
8 am cortisol
None of these tests require any fasting
Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Hormone tests
Detailed Answer:
Sorry to learn about your bothersome symptoms.
They could potentially be related. Your pituitary controls both the testosterone and thyroid. A slow heart rate can be a sign of a thyroid condition.
You have not mentioned your age and gender. It is extremely likely you are male but in medicine we do not assume anything.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Prolactin
SHBG
FSH
LH
8 am cortisol
None of these tests require any fasting
Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I am 39 year old male. Forget to mention earlier that i have high blood pressure also and taking amlodopine 10mg.
Attaching my health records including my recent lab results. i have low vitamin D 21 and low HDL 31 also my SGPT is 69 (as in attached lab results)
Attaching my health records including my recent lab results. i have low vitamin D 21 and low HDL 31 also my SGPT is 69 (as in attached lab results)
Brief Answer:
Follow up
Detailed Answer:
Request your doctor to:
1 Replace vitamin d and raise it to target levels
2 test you further for raised SGPT such as hepatitis profile, ultrasound of the liver
3 More blood tests are necessary to know the cause of your low Testosterone such as
FSH
LH
Ferritin
to start with
Your prolactin is normal and your thyroid function tests also appear normal.
Amlodepine does not lower the heart rate.
Follow up
Detailed Answer:
Request your doctor to:
1 Replace vitamin d and raise it to target levels
2 test you further for raised SGPT such as hepatitis profile, ultrasound of the liver
3 More blood tests are necessary to know the cause of your low Testosterone such as
FSH
LH
Ferritin
to start with
Your prolactin is normal and your thyroid function tests also appear normal.
Amlodepine does not lower the heart rate.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks Dr.
What are the chances that i'l be put on TRT. I am very scared of side effects of TRT. In worst case scenario if i have to go for TRT, can i continue this in Delhi/NCR also?
What are the chances that i'l be put on TRT. I am very scared of side effects of TRT. In worst case scenario if i have to go for TRT, can i continue this in Delhi/NCR also?
Brief Answer:
Second follow up
Detailed Answer:
TRT is not the immediate and only thing to worry about at the moment. Firstly a correct diagnosis needs to be made and other important conditions need to be ruled out such as whether you truly have a low testosterone problem and if so, is the cause at the pituitary level or at the testicle level.
Treatment will be directed accordingly
Second follow up
Detailed Answer:
TRT is not the immediate and only thing to worry about at the moment. Firstly a correct diagnosis needs to be made and other important conditions need to be ruled out such as whether you truly have a low testosterone problem and if so, is the cause at the pituitary level or at the testicle level.
Treatment will be directed accordingly
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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