Help regarding testosterone gels (Androgel 1.62 and Fortesta)
I have three questions and truly appreciate any help that can be offered:
Question One: If using Angrogel 1.62% for a month or so, shouldn't I have a higher total (serum) testosterone level than before I first started?
Question Two: Is it a problem that my "% free testosterone" is now outside of (i.e. higher than) LABCORPS reference range for the percentage (whereas it was normal before I started taking the Androgel 1.62%)?
Period (2012) Total tesosterone | Free Testosterone | % Free testosterone
Early June 171
Late June 241 | 7.90 | 3.27%
Early September 200 | 8.14 | 4.07%
Early November** 164 | 7.53 | 4.59%
**After a month on "Androgel 1.62" noticed that I dropped to my lowest serum levels but now slightly exceed the reference range for the free testosterone percentage.
If it helps, My LH scores were 6.5 in June and 4.2 in Sept. My FSH scores were 3 in June and 2.5 in Sept. My Prolactin was 16.1 in June and 7.4 in September. I did not start the TRT until October.
Question Three: In a bid to get my numbers up, my doctor has switched me from Androgel 1.62 to Fortesta since Fortesta is stronger. What I do not understand is that my doctor had me taking 4 pumps of Androgel 1.62% (which is 81mg of testosterone) but now has me taking 4 pumps of Fortesta (2% version) which is just 40mg of testosterone. Is the difference between a 2% solution and a 1.62% solution so significant that I need 40mg less testosterone while still giving me a stronger serum/total level? It seems to me that if I cut my testosterone mg by 40mg, even if I am using a 2% solution, I am not getting nearly as much total testosterone as I was with Androgel 1.62% ! When I brought this to my doctor's attention, I was simply told (via voicemail) that "Fortesta is more concentrated."
I'm having serious doubts about all of this because the gels have not helped with my fatigue so far -- so your collective insight is MUCH appreciated.
Last edited by thunderhearer; 11-25-2012 at 05:56 PM.