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Mike Shaw 09-30-2008 08:12 PM

Testosterone test confliction
Hello all,

Im questioning some results i have received from my doctor regarding Testosterone levels and would appreciate any explanation.
Ive been on a strength type program (heavy cleans, dead's, squats) with mixtures of CF & BJJ thrown in for good measure.
I eat mostly Paleo yet for a long time i have lacked energy levels, suffered mood swings and irritabilty and thought it was time to get something checked.

Blood work was done and my T levels produced conflicting results:
Testosterone level was: 23 (0 - 24)
Free Testosterone Level: 34 (60 - 110)

The following note was applied:
The free testosterone assay is subject to marked post prandial interference from fatty acids in the foods.
Apparent values may halve in the hour or 2 after a meal.
In males total Testosterone seems to be a more reliable indication of Androgen Status.

The morning of the test I ate what I eat every day, 3 egg omelete with fruit and fish oil, the test would have been approx 3 hours after this.

The doctor feels from his position as an athlete and doctor he would try Testosterone (shots) but said another doctor would look at it and may not be so understanding??? Im on the top of the T levels but well below Free T levels which is apparently what flows through the bloodstream and the body has access to????

Many thanks in advance for any advice offered....

Kind Regards

Jason Lopez-Ota 09-30-2008 08:20 PM

Re: Testosterone test confliction
I think overtraining lowers your testosterone.

Blair Robert Lowe 09-30-2008 09:48 PM

Re: Testosterone test confliction
More than likely you don't have any free Test due to how much you're working out and how much is being used/bound. Maybe you're not eating enough with this workload as well.

Frank E Morel 09-30-2008 10:41 PM

Re: Testosterone test confliction
your lab values are on the SI scale which is different than the usa scale.

I need to do some conversions and get back to you.
But you need to include a whole lot more information. like your age, wt,

I have a funny feeling that your not that bad that you warrent test injections. But give me some to time to convert this over.

Overtraining doesnt necessarily mean over training but did the MD do any other tests ???
What is the md speciality? a general practise md or a endocrinologist?

Mike Shaw 10-01-2008 12:10 AM

Re: Testosterone test confliction
Firstly, Many thanks for all your input...

Frank, I am 24, M, 85kg (187 pounds), Retail Manager, usually 8-9hrs sleep (average)
I eat mostly Paleo, im a creature of habit, working day daily intake rarely varies from
3-4egg omelete w fruit - breakfast
1 1/2 scoops protein, tin coconut milk, banana - snack
1/2 whole chicken, broccoli, EVOO - lunch
1 1/2 scoops protein, tin coconut milk, banana - snack
300g steak, sweet pot or vegies - dinner
Usually another protein shake before and occassionally during sleep......

I dont have a regular doctor and he is a general practice MD, I baulked at the mention of steroids (think he was questioning whether i wanted them for "jacking" purposes)...

As far as test's, I believe it was iron levels etc.. he mentioned cholesterol, triglycerides.. about 3 pages worth of which the testosterone was the only one in the red....

From an overtraining perspective... possible.... blood test's where done on a deloading week after an intensive month of 5 x 5's & 1RM 90 - 100%'s, looking at the last sentence I dont know if that's "it"... Ive been on the low for some time now.... Just pushed through it...

Again, many thanks

Camille Lore 10-01-2008 06:22 AM

Re: Testosterone test confliction
I don't know what your total daily intake amounts to in terms of calories, but I would first suspect not eating enough when you mention low energy levels, irritability and mood swings. I felt all of those while zoning strictly. I now eat more and all three have really gone away.
Occam's Razor- the simplest answer is usually the correct one. At least, that's what I fall back on when I look at puzzles like this.

Blair Robert Lowe 10-01-2008 03:23 PM

Re: Testosterone test confliction
Sure that is enough protein given the heavy lifting, metcon and BJJ and your body size.

I can't find the exact numbers for protein in a half chicken but at best you're only around 150 grams of protein. Given that per the zone diet at the highest intensity level it's 1g per pound...

Frank E Morel 10-02-2008 11:32 AM

Re: Testosterone test confliction
I think I would consider consulting another doctor.. Offering to supplement at this point is a bit dodgy. Especially with no other testing done to source out your reason for it. Consider an endrocrinologist or a urologist with infertility focus. There is a lot of money being made on hormone supplementation for anti aging, and for getting buff.

so.. the difference in levels and such:

Laboratories vary in how they perform testosterone tests. To be sure
of the result, have all your testosterone tests done at the same
location at roughly the same time of day. And to make matter more confusing...
Different labs measure free testosterone differently. Throw this in to the mix
that few men have baseline measurements of their testosterone (free or
total) before feeling blah, or disinterested in sex. So its kinda hard to know what your normal was verses a text book. And the text book is only now being altered as Men's health issues and the acceptance of andropause... male menopause.
But since you in your 20s ... something else should be looked at verses.. low levels
testosterone production increases rapidly at the onset of puberty and decreases rapidly after age 50 and are near depleted by your 80. So its not a chronic issue with you. And since its not old issue like something you were born with as in a congential problem like undescented testes ( i am assuming here)
Leaving the aquired /acute onset, which doesnt have alot of good things to it. Are you a big alcohol drinker? or were you drinking within a couple of days of your bloodwork? As alcohol intake is big in this.
other causes are Head trauma that affects the hypothalamus, Infection (e.g., meningitis, syphilis, mumps) I think Mono maybe in this too but not sure so dont hold this as gospel. , Isolated LH deficiency ( body not producing female counter part., Radiation ,Testicular trauma , Tumors of the pituitary gland, hypothalamus, or testicles

The comments about your nutrition maybe something to look at.. try tweaking your diet and seeing how that goes. Far cheaper than buy test and less side effects for a young guy.

inbox me if you need a name of a good gp in cairns.. I know one. you can get a second opinion with him, and if need be a referral to a specialist.

Jay Cohen 10-02-2008 11:39 AM

Re: Testosterone test confliction
Good post Frank.
Definite asset to the CF boards.


Mike Shaw 10-03-2008 12:25 AM

Re: Testosterone test confliction
Your assistance is so greatly appreciated...
Having your background and knowledge of physical fitness is a huge asset. The doctor became a little "testy" when asked questions including why the levels conflicted and why my choice of outlet (squats, deads - heavy stuff) wouldnt in fact help these matter's.

I thought lifting heavy things assisted in the testosterone production / release?
He couldnt answer this which resulted in a quiet standoff....

As far as nutrition I didnt think it was too bad but please anyone correct me in where to change or look if willing... Alcohol based on your description above is no threat, I drink minimal and it was weeks prior to the test the last drink was consumed...

I have asked for a second test after fasting so the fatty acid from breakfast did not conflict with the results and will ask for your assisstance again soon.

I second that Jay, Frank is a great asset to the CF boards

Kind Regards

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