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What Do These Serum Cortisol Levels Indicate?
Question: Hi, Continuing the previous thread on query, I got few tests done. Sharing the test results.
Cortisol Serum : 4.63 ug/dL
Testosterone - Total : <0.025 ng/mL
Luteinising Hormone (LH) : 0.59 mIU/mL
Follicle Stimulating Hormone (FSH) : 1.21 mIU/mL
Prolactin : 3.80 ng/ml
https://www.healthcaremagic.com/AskDoctorInboxServlet?page=viewQuery&queryId=181944
As per your advise I have stopped taking cabergoline and started taking Eltroxin. Please see above test results and suggest about testosterone threapy.
Cortisol Serum : 4.63 ug/dL
Testosterone - Total : <0.025 ng/mL
Luteinising Hormone (LH) : 0.59 mIU/mL
Follicle Stimulating Hormone (FSH) : 1.21 mIU/mL
Prolactin : 3.80 ng/ml
https://www.healthcaremagic.com/AskDoctorInboxServlet?page=viewQuery&queryId=181944
As per your advise I have stopped taking cabergoline and started taking Eltroxin. Please see above test results and suggest about testosterone threapy.
Brief Answer:
Testosterone very low - needs replacement
Detailed Answer:
Hi XXXXXXX
Welcome back.
Gone through your reports. Your testosterone levels are very low. You need to be on replacement.
The usual dose we start is testosterone injections- 100 mg initially every 2 weeks for 2 doses- to look for side effects if any- followed by 250 mg every 2-3 weeks. The injections are available as 100mg and 250 mg ampoules IM injections. After 3 months I usually test for testosterone levels between 2 injections.
Your cortisol levels are low. You should have a synacthen test(stimulation test) done for cortisol - if low has to be started on steroid replacements.
Please consult an endocrinologist before starting medications. Your quality of life and sexual functions are going improve significantly with testosterone injections. Wishing you good health.
Regards
Dr Ajish TP
Testosterone very low - needs replacement
Detailed Answer:
Hi XXXXXXX
Welcome back.
Gone through your reports. Your testosterone levels are very low. You need to be on replacement.
The usual dose we start is testosterone injections- 100 mg initially every 2 weeks for 2 doses- to look for side effects if any- followed by 250 mg every 2-3 weeks. The injections are available as 100mg and 250 mg ampoules IM injections. After 3 months I usually test for testosterone levels between 2 injections.
Your cortisol levels are low. You should have a synacthen test(stimulation test) done for cortisol - if low has to be started on steroid replacements.
Please consult an endocrinologist before starting medications. Your quality of life and sexual functions are going improve significantly with testosterone injections. Wishing you good health.
Regards
Dr Ajish TP
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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