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Same here. One urologist claimed that only TT matters. That's why this forum is so helpful in obtaining objective state-of-art information as well as anecdotal experience.

$$$ or €€€

Change your doc/provider and be honest about your dosage.

Maybe TRT is the solution for you. I guess you need to try it.

Meant also ft3, ft4 because of your complaints (body fat, sleep, libido). Imho everyone has a different set point for body fat. It can be within a healthy range, however, just not fitting your/our expectations of a lean body. Even on super physiological levels of testosterone many men have to...

You could vary carbs during the day, having in the evening or before bed a higher carb meal/snack.

Don't know what your off keto diet is but maybe a lower-carb diet is beneficial. I would also look at thyroid hormones.

See an urologist for "sort of a tenderness or pain in my right testicle"

The gel seems to work well for you. Did you also test the trough T level? You can always go back to gel if the injections turn out to be inferior. If the gel is androgel 1%, you could switch to androgel 1.6%, so that you need only 2-3 pumps of gel instead of 4 pumps and benefit from quicker...

DHT is missing in this summary (studies) and its ratio to E

That seems to work very well for you (profile pic). Are you training more volume or mentzer style? Basic exercises like squats, deadlifts. Machines, cable? I trained few years exclusively on eGym machines. Eventually I ditches the eGym leg machines and got back to squats what i did in my early...

They probably don't care about that. Whenever I read conclusions based on the traverse trial, I miss the note regarding the T levels they used which were far from teenage levels.

Not that again. Got a bit boring here though. Please post something about exercise routines, stretching etc... ;)

Do you mean detrimental to muscle building? No, only maybe regarding CNS activation and strength.

I would only add the dhea and observe if there is an improvement in symptoms. Imho this is reasonable because your dhea-s tested deficient twice.

If “essential” means absolutely required in the same way as some amino acids or certain vitamins, then fiber isn’t considered "essential" in that strict biochemical sense because the body doesn’t require it to perform basic metabolic functions or synthesize essential compounds.

Had anyone tried MOTS-C or SLU-PP 332?

I think that one can avoid mood swings and other initial side effects if one slowly increases the blood serum T and avoids overshooting. The baseline natural T level then matters because natural production decreases after TRT initialization. E.g. starting at 150 or 450 and aiming at 800 would...

You could donate blood to calm your mind. I would also take an iron supplement as well as the psych meds if they help with the symptoms, and also talk to the psychiatrist. Edit: I'm not sure about the iron supplement after reading @Guided_by_Voices post. Edit2: Reading up on TIBC, saturation. I...

Imho you should compare the current lab report with previous ones in order to identify significant changes. Compare the hematocrit and estrogen values. PCP's reaction is typical... Question is what would be next on the list of possible causes. Your ferritin is further off range than the hct. I...

Exactly that has been the problem here. It sounds like it's damn sure that something is broken "this suppression disrupts the entire steroidogenesis pathway[1][3][4]."

This theory was popular at excelmale Regarding dhea, pregnenolone (the majority doesn't need to supplement it): Post in thread 'Supraphysiologic testosterone (350 mg weekly)' Supraphysiologic testosterone (350 mg weekly) - Page 3 - Excel Male TRT Forum I believe most issues occur only if men...

@Cataceous I meant if we had example cases it would be easier to comprehend. We both had a bit discussion about the topic and I think you are right. The details are hard to evaluate. E.g. some TRT clinics prescribe a dht derivative in order to increase free T by lowering shbg. They claim that is...

@Nelson Vergel and @Cataceous Can you find evidence for both theories/explanations (shbg on TRT etc)?

Rule out overtraining: 1-2 weeks no weight training.

Could keep the remainder in another syringe.

Do you mean the 1ml ampoules?

That's correct.

I took daily 20,000IU and this got my levels only to 40. Maybe underdosed pills? Switched to liquid D3 dissolved in MCT oil. Here the threshold for deficiency is 20.

Hello @madman, are you still using that combo? How about creatine post workout? Do we have a thread on how to improve recovery besides the general 'eat and sleep' advice? What impact has cardio and stretching?