question from a user
For context, I'm a 35 year old male. I have had two blood test. The first of which stated: Finger prick blood test Total testosterone - 17.100 Free testosterone - 0.202 SHBG - 57.800 The second test: Intravenous blood test Total testosterone - 23.60 Free testosterone - 0.365 SHBG - 54 I live in the UK and have been told I am not eligible for TRT. However, I have many of the symptoms of low T. My question is, is there an approach such as taking hCG or something similar that I could take to promote higher total and free testosterone. Also, what is the desired free-testosterone range you would typically aim for when on TRT?
AlphaMD's Answer
Our opinion would be to rethink the goal & metrics a bit. For TRT & why you've been denied care, many institutions like insurance companies or very old school providers who are uncomfortable with their hormone knowledge will fall back on "normal ranges". These "normal ranges" are such a wide range that they may as well not be there.
The truth is that each man is going to have a wildly different ideal Testosterone level & that there are many forms of hypogonadism. So in that case, and what good TRT is based on, should focus on the symptoms.
Do you have classical low T symptoms? Have you made sure that it's not an underlying condition or that you don't only sleep 3 hours a night? Have you felt this way for 3-12 months now?
If those things are true, should you be a candidate for TRT & your test results should be used to guide your treatment, not deny you.
HCG monotherapy would help you, yes. I would encourage you to get a second opinion on TRT though.
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