Diagnosing low testosterone begins with a simple blood test, along with Dr. Bissoon’s review of your medical history and a physical exam. Blood test results are usually available from the lab 5-7 days after your sample is taken.
The blood test ordered by Dr. Bissoon measures:
CBC or complete blood count
LH & FSH
SHBG (sex hormone binding globulin)
PSA (prostatic specific antigen) for prostate cancer screening
AFP (alpha feto protein) for liver cancer screening
CEA (carcino-embryonic antigen) for colon cancer screening
Growth Hormone panel
DHEA and DHEA-s
What Does That Mean?
What does all of this mean to you?
CBC: This is a screening test for infections, anemia, allergies and high blood count, as well as the ability of your blood to coagulate.
Chemistry Profile: This offers a snapshot of your liver, kidneys, gallbladder and heart, as well as the levels of electrolytes, blood sugar and calcium.
Total Testosterone: The test measures the amount of testosterone in your blood, but does not indicate how much is available for the body to use. A great deal of testosterone is attached to protein, and is not available to the body.
Free Testosterone: This is the amount of testosterone available to the body for use.
Estradiol: It’s important to measure this estrogen, because the body converts testosterone to estrogen.
LH & FSH: LH is a signal from the brain to the testicles to produce testosterone. FSH is a signal form the brain to the testicles to produce sperm.
DHT: Testosterone is also converted to DHT, which can cause acne, hair loss and liver cysts.
SHBG: This is a protein that attaches to testosterone, decreasing the amount of available testosterone.
Cancer Screen: Dr. Bissoon orders a cancer screening for all patients before starting testosterone replacement treatment.
Thyroid Panel: Low thyroid function can cause some of the symptoms associated with low testosterone.
Human Growth Hormone: Deficiency of HGH can cause (or exacerbate) the symptoms associated with Low T.
DHEA & DHEA-s: DHEA becomes DHEA-s, which is a molecule needed to produce testosterone.
Based on this information Dr. Bissoon chooses the most appropriate options for testosterone replacement treatment, and also makes nutritional recommendations to optimize your health.