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Consider that optimal testosterone levels for a male can range widely from 250 to around 1,000 ng/dl (nanograms per deciliter). Here’s the problem: No one will tell you to seek out hormone replacement if you’re slightly above the base level of 250, but some men feel tired, listless, and lose their drive unless their levels are between 700 and 900 or higher. Tests to measure hormone levels and their impact on your life are essential to maintain strength along with optimal levels of mental and physical performance.

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Likewise, in men a careful assessment of clinical symptoms, physical examination, lifestyle factors, and biochemical lab data are all necessary not only to determine if you are a candidate for HOT with true testosterone deficiency, but also to rule out any important red flags that would require a deeper investigation and may lead to alternative therapeutic options.

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Below are recommended optimal ranges for key metabolic blood tests. Falling outside of these ranges is an indicator that you could have brewing dysfunction. The remainder of Part 2 and the plan in Part 3 will give specific steps to increase Good Energy and improve these biomarkers: Triglycerides: Less than 80 mg/dL HDL: 50 to 90 mg/dL Fasting Glucose: 70 to 85 mg/dL Blood Pressure: Less than 120 systolic and less than 80 diastolic mmHg Waist Circumference: <80 cm (31.5 inches) for women and <90 cm (35 inches) for men (South Asian, Chinese, Japanese, and South and Central Americans) <80 cm (31.5 inches) for women and <94 cm (37 inches) for men (European, Sub-Saharan African, Middle Eastern, and Eastern Mediterranean) Triglyceride-to-HDL Ratio: Below 1.5. Above 3 is a clear sign of metabolic dysfunction. Fasting Insulin: From 2 to 5 mIU/L. Above 10 mIU/L is concerning and above 15 mIU/L is significantly elevated. HOMA-IR: Less than 2.0 High-Sensitivity CRP (hsCRP): Less than 0.3 mg/dL Hemoglobin A1c: From 5.0 to 5.4 percent Uric Acid: Less than 5 mg/dL for men, and from 2 to 4 mg/dL for women

male animals have a finite sum of energy that they can spend on testosterone or immunity to disease, but not both at the same time.

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