My current level of testosterone is 47. Just had it check a little over a week ago. I am 47 yrs. old...
Not a doctor nor a medical person here. But a T-level of 47 is VERY low.
Testosterone replacement therapy is entirely appropriate for a lab test of that level. I'm not clear on what has been prescribed for you. Is it a shot? a gel you rub on? A pump?
Frankly, I'd trust your doctor to know what you need, but you may need to wait two months before you start seeing/feeling benefits. It just takes time to build up in your system. Ask your doctor.
.My Dr. likes to take the T levels up slow so as to not overdose it. The book I list below is a good read. It helped me understand a lot about how important T level's are. I wish Drs. would test all men over 50 for testosterone just as they do PSA. Would be nice if they would check womens Hormone after age 40. May be a lot of less Divorce and unhappy marriage in this country if they check both men and womens T and Hormone level's.And then treat them with the right medication.
Low T is a very complex thing. Both Male and Females produce two types of Testosterone. Sex T and Free T. Male Testicles and females ovaries produce sex T. Sex T is bound in SHBG and not bioavailable for use as free T. Our Adrenal glands produce free T. Free T is what controls a lot of things in our body. Muscle mass, blood pressure, and many more.
It’s important when you have your Dr. check you for low T, that he/she check total T and free T. Many Dr. just check total T and tell the patient their T levels are normal. If the Free T is low, other system may be not getting enough T.
Normal total T levels for a male say 65 to 74 years old is 327 to 721ng/dL. Free T levels 6.6 to 18.1 pg/ml.
I was seeing a Functional Medicine MD. He had me on a customized compounded
Bio-Identical Hormone (Testosterone) cream, for about a year. It was working well . Raised both my T levels. I felt super. He retired , so had to find another Family Dr. New family Dr. kept me on the same cream. All of a sudden it quit working and my levels dropped. To 150 ng/dL. He has me taking a shot every two weeks. I don’t care for it. Last two or three days before time for another shot, I feel like crap. Going to ask him to try me on AndroGel. I have used the Testim. Don’t mind it’s smell , but I had some side effects from it.
A very good book to read is Testosterone for Life. By Abraham Morgentaler MD Associate Clinical Professor at Harvard Medical School. He has also looked at the Prostate issue and Prostate cancer related to the use of Testosterone replacement.
Another good book for both sex’s is. BREAKTHROUGH. By Suzanne Somers. She covers a lot on Hormone replacement information.
I am a 42 year old male who had a T level of 31... same boat as yourself. I have been using T cyponiate for about a year. My doctor started me at 1ml injection every 4 wks of 200mg per ml and that wasn't even close. Over the next 2 months we adjusted to where I have been ever since, 2ml of 200mg per ml every two weeks. Mood, sex drive, increase in penis size and frequency of erections, loss of over a hundred pounds in 6 mths, are just a few of the benefits I have had. Everybody is different but I urge you to talk with your Dr. openly and aggressively if needed... there are great dr's out there who work with you if he won't!
Stay well, Brian
Not a health pro but it's probably not. Check to see what kind of T you are taking. Check the half life which tells you how long it will last. I'm 54 and take .9 ml of 200/ml once a week and I'm doing great, lost all belly fat and ran 4 marathons last year. The only way to confirm the dosage is by blood tests.
I know this is a very old post but wanted to weigh just in case you review again. Just a couple points in my opinion:
- 47 is extremely low, you should be on TRT.
- Always get your blood work a couple times a year. Recommend prior to program of course, a couple months into your TRT program and periodically after.
- Dr should adjust dosage accordingly to get you in the sweet spot. Most progressive Dr’s will aim for higher end of the reference range.
- Proper protocols should not be exceeding more than 200 mg of testosterone cypionate per week. If you are getting more than 200 mg per week, that is getting into gray area IMO.
- Everyone is different and more is not always better.
- I feel intramuscular injections of Testosterone Cypionate weekly is the best route for the most stable levels and most benefit. The half live of Test Cyp is not that long ( like a week).
- I prefer dosage divided twice weekly for most stable testosterone levels.
- of course, if you do not like injections do you need to find other ways such as Gel/cream, or pellets. I personally feel intramuscular injections is the way to go
- talk to your doctor about managing estrogen levels. With a replacement doses of testosterone you may be OK, but the fact is some of the testosterone will get converted to estrogen in the body. How much, is unique to each of us. This is where blood work comes in very handy. Some progressive doctors will provide a small prophylactic dose of a estrogen medication like aromatase inhibitors. You would likely need to go to a clinic that specializes in testosterone therapy to get a aromatase inhibitor. Your run-of-the-mill doctors office would likely not prescribe an AI as it is off script usage.
Anyway , some of my thoughts off the top of my head. At the end of the day get your blood work done first and foremost and if you are indeed have low T , consider testosterone replacement therapy and as always get your blood work done and manage all of your numbers.
- Testosterone Information for Consumers
- Testosterone Information for Healthcare Professionals (includes dosage details)
- Side Effects of Testosterone (detailed)
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