Ok. Lipid numbers going up suggests that his lipid numbers are going up. It is better for lipid numbers not to get too high. This should be addressed, at a minimum with a conversation with the doctor who ordered the numbers and whose job it is to interpret them. The answer might be “well, you weren’t fasting. Tune up your sleep, exercise, and diet and we’ll check them again in 6 months.” If you’re not going to address these numbers, you shouldn’t check them.
My comment about testosterone fluctuating was aimed at his worry that something “weird” is going on because his total testosterone went up compared to 7 years ago. My point was that that may not represent a real increase.
The difference between the two is that we have massive amounts of data correlating lipids with cardiovascular disease. So assuming the lipids were tested properly, I wouldn’t ignore that possible trend, especially as your numbers approach the high-risk levels in the setting of abdominal obesity. Testosterone looking higher 7 years later doesn’t convince me that testosterone is actually higher, and we know that testosterone numbers don’t correlate very well with low-t symptoms.
Whether I am dense or not: not for me to say. None of us is a good judge of our own density.
Did your free T actually go down?
Usually, over time, men’s T goes down and lipids go up. You might think they are causally related, and they might be (this is unclear and complicated), but then you might think that taking TRT would improve lipid profiles or cardiovascular outcomes, and so far that does not seem to be the case.