Suggest remedies for low testosterone levels in men

default
Posted on Fri, 23 Sep 2016 in Thyroid Problem and Hormonal Problems
Question: I am using testosterone due to my natural deficiency.
On my first prescription I read that it should be kept at temperatures between 64.F and 72.F.
I also read that light may negatively affect its strength.
I therefore keep it in a wine cooler at 66F and I wrap it up in aluminum foil.
Wohever I occasionally noticed that new viles seem not to deliver the usual strenght.
Since I am assuming strict quality control at the manufacturing level, I am instead concerned by the treatment that my prescriptions are subjected during storage and or delivery. (exposure to high temp. and light. (Incidentally if manufacturer are concerned about the effect of light on the testosterone, they should NOT package it into standard light cardboard boxes that would not prevent "residual light" to penetrate the thin package walls. Thank you for your attention. XXXXXXX
doctor
Answered by Dr. Shehzad Topiwala 7 hours later
Brief Answer:
Testosterone

Detailed Answer:
I understand your concerns.

You may wish to discuss this with your prescribing doctor to get his inputs or preferably with the manufacturer or pharmacy.

But here is the main thing:

As long as your blood levels are in the target range, it is concluded that the injections you are receiving from the vials have a proper ingredient which is doing the expected job well.

Sorry to learn about your lack of strength. This could be due to other medical reasons too.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)

25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

None of these tests require any fasting and can be done at any time of the day.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Drug/Medication
Lab Tests ,   ,  
Medical Topics ,   ,   ,  

Recent questions on  Alkaline phosphatase

doctor1 MD

I had a vaginal hysterectomy and pelvic repair 9 weeks ago. Went through menopause 18 years ago. I still am dizzy and feel nauseous - sometimes so...

doctor1 MD

Hi, may I answer your health queries right now ? Please type your query here...Doctor ,last year 2009 i had gone through spleenectomy surgery and...

doctor1 MD

Hi I am Laxmi Gupta age 57 and have spotted S.SGOT 105 and S,SGPT 120, S,alkaline phosphatase 135, Having swalling in both leg and little bit pain...

doctor1 MD

HI

AS MY BLOOD TEST REPORT FOR LIVER FUNTION TEST RESULT AS BELOW :-



TOTAL PROTEIN 71

ALBUMIN 45

GLOBULIN 26

A/G RATION 1.7

BILIRUBIN 7

ALKALINE...

doctor1 MD

Im a 70 year old stage two diabetic. I woke up in the night with dry heaves...I just went to the store and fell faint and nauseated. I rested for...

doctor1 MD

I feel completely dumb I can't concentrate I can't think straight I feel like I can't function has the time even though I am I'm having memory loss...

doctor1 MD

Hi my ferritin level is 555, I am female. I take ferrous sulfate . 2x a day. What would be the treatment, is it as easy as stopping the iron? I...

Get personalised answers from verified doctor in minutes across 80+ specialties

145 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2