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Old 07-03-2012, 08:43 AM   #11
SCI-Nurse
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I agree with gjnl- if you have fatigue and/or pain you should have labwork for testosterone levels, TSH (thyroid), vitamin d, etc. If you have a testosterone deficiency my experience is that you are treated with injections to get levels to within normal limits. You should only take testosterone if you are under the care of a provider who is monitoring your levels.

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Old 07-03-2012, 10:00 AM   #12
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I thought you could increase your testerone by working out and so forth. I know its natural to lose muscle mass over time.
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Old 07-03-2012, 08:10 PM   #13
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When I got really overweight I had a doctor recommend that I get my testosterone checked. It was extremely low and after I started using supplements (Testim rubbed on my back), a much better diet and lots of exercise I'm down 100 pounds from my maximum weight of 235 lbs.. I also have a lot more energy and I'm able to concentrate much more than I was. I read somewhere that's a very common problem with quads since there's no connection with your testosterone makers. I wish I could remember where I read that. Hope this helps
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Old 07-03-2012, 08:26 PM   #14
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SCI-Nurse:

I had my t-levels checked recently and found the results a bit confusing. My overall testosterone was a respectable 557.5 ng/dl; my free serum testosterone was low normal (8.51 pg/ml -- normal reference range us 7.20 - 23.00); but my % free testosterone was below normal (1.5 -- normal reference range is 2.0 - 4.8)

My SCI specialist uro said the % free reading "is basically irrelevant. It's just a calculated value so i generally ignore it!" and that I am not a candidate for supplementation. My cardiologist friend said that there are lab ratios that are similarly ignored in his practice.

Searching the Web for info on the protocols for choosing to treat low T all seem to revolve around the % free reading. Why do you suppose my urologist is dismissive of this ratio?
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Old 07-04-2012, 01:19 AM   #15
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I went online to a site on where to apply the gel. It said to put it on the inside of the wrist and rub it in with the other.
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Old 07-04-2012, 07:20 AM   #16
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I have cauda equina, and fatique, but I'm also a walker. Would this be something for me to look into? I thought it just went with the injury.
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Old 07-04-2012, 01:16 PM   #17
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The overall testosterone level is the one I too am familiar with. An endocrinologist would be better to understand the free testosterone levels. The % number you listed was not too far below the normal range.

If you are looking at overall fatigue to address? then it would be best to look at other potential causes.

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Old 07-04-2012, 01:27 PM   #18
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look into the implanted pellets, its done in the office. read a good article in muscular development on them. i may switch from the inj to this.
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Old 07-06-2012, 11:06 AM   #19
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I use patches. It isn't helping, been on them for seven months or so. Later this month, I believe I will be switching to a gel.

My low-t isn't ascribed to the paralysis, but my mTBI. I guess those influence test.
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