Brief Answer:
Testosterone not recommended
Detailed Answer:
The expert guidelines issued by the Endocrine Society's panel of experienced testosterone area clinicians and researchers has time and again emphatically stated that unless there is categorical
testosterone deficiency, the individual is unlikely to derive benefit from treatment with testosterone.
The generally acceptable lower limit of total testosterone on a
blood test is about 300, although there are variations from lab to lab and further depending on the method deployed to test the sample. The free testosterone levels are reliable only when performed by the 'Equilibrium dialysis' method. Alternatively, if the person's
albumin and
SHBG (Sex Hormone Binding
Globulin) levels are available, the free testosterone can be indirectly calculated with reasonable accuracy. Again the cut-offs for the lower limit on this value vary from 5.7 to 6.5
Furthermore, such a deficiency has to be documented on two separate occasions, and the blood sample must be collected between 7 am and 9 am because the levels drop normally as the day progresses.
Based upon the data you have shared, it does not appear that your testosterone was low to begin with. However, as explained above, sometimes the total value can be misleading and checking the right way would be helpful.
Those who are diagnosed with testosterone deficiency undergo a comprehensive and systematic work up to look for reversible causes like obesity and
sleep apnea. Moreover, pros and cons of treatment are discussed with the individual. This discussion is initiated after a clear cut diagnosis is made
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist.
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