29 y/o considering TRT

Checkdis · Jan 31, 2018

CSI007 said:
Not trying to alarm you about it because I certainly am not expert. But my father had cirrhosis of the liver and had ALT levels far lower then yours. Do you drink a lot? Or perhaps took Tylenol before the test?

I’m sorry to hear that your father went through that, is he okay now? No I don’t drink, nor took any Tylenol. I don’t have yellowing of the skin, and bowl movements are normal. When I had my ultrasound the liver was not enlarged nor showed any signs of fat. I mean I could look into it further, possible biopsy.

Yeah i’m kind of lost of what to do. Only thing I suffer from is frequent urination.

CSI007 · Jan 31, 2018

Checkdis said:
I'm sorry to hear that your father went through that, is he okay now? No I don't drink, nor took any Tylenol. I don't have yellowing of the skin, and bowl movements are normal. When I had my ultrasound the liver was not enlarged nor showed any signs of fat. I mean I could look into it further, possible biopsy.

Yeah i'm kind of lost of what to do. Only thing I suffer from is frequent urination.

Unfortunately we lost my dad a few years ago (He was 68). He had a massive brain hemorrhage. Not sure if it was related to the cirrhosis or not. No warning signs, just one night it hit him and 30 days later he was gone.

I can tell you this. He was in stage 4 (final) cirrhosis. It was idiopathic in nature - No obvious cause - He didn't drink or do drugs and tested negative for HEP virus. We have theories, my dad used to always take Tylenol at the first sign of headaches and he had many because of a TMJ problem (debilitating). He took it for years until it was found out that Tylenol causes liver cirrhosis. Even tough he was in stage 4 (biopsy confirmed) his bilirubin was just slightly elevated, he had no visible jaundice. And of course the elevated ALT.

I'm not saying that is where you are at but I would certainly look for a reason why it's so high. Maybe it was a bad test. Test again perhaps and see. There are many things that can elevated it temporarily.

I can't offer anything really beyond that with regards to your low T. I know nothing about steroid use. My low T was probably from 6 months of chemotherapy about 20 years ago.

Good luck with your search for answers. Don't give up and be your own advocate every step of the way!

CoastWatcher · Jan 31, 2018

Checkdis said:
Hey guys, so my endocrinologist appointment is on the 02/06.

Should I try HCG? Then Clomid? Originally my other doctor put me on Clomid for a few months saying this will work, and avoided HCG altogether. I'm not sure what to suggest to my new doctor but from my labs I posted earlier I really want to try my best to jump start my system before resulting in TRT.

Given your age and - appropriate - ambivalence about initiating TRT, a Clomid trial is perfectly reasonable. If you've not read it, the attached thread initiated by Dr. Saya is an excellent overview of the potential of Clomid therapy. It also reviews many of the issues that can complicate or frustrate the patient on Clomid.

Checkdis · Feb 23, 2018

So I just wanted to give a quick update guys. I saw an Endocrinologist which reviewed all my blood work and basically told me he did not see any evidence of long term permanent damage to my body. And told me to stop everything....and only take Benzodiazepines (Ativan) when needed, which doesn’t seem to be working anymore. But now I am seeing a top notch Urologist to figure out my bladder symptom.

I have no issues with ED, Gyno, Libido, and other signs of possible hormonal imbalance. I have morning wood once and a while, but my sleep has steadily declined. I go to bed consistently at 9:30pm and sometimes wake up at 1:50am. Other times it can be around 2-3am. My dreams are vivid, but never have nightmares. Besides that I have had several doctors tell me I am perfectly healthy. My BP has improved 120/67/60, as well as my weight which I am getting down now. I am 209lb and want to try for 185-190lb. I may find that lowering my weight will help my overall health since when I was I kid I was always around 160-170lb (medium frame). Growing up around age 21 I did experience Gyno only on my right side which went away on it’s own. Felt like this was from all the weed I smoked in college being a dumb kid. It was not until age 24 I started experimenting with AAS and peptides. That is where everything went down hill. Luckily I found a great girl who is supporting me through this 10 month difficultly in my life and and handsome 1 year, 7 month year old son who is my joy in my life. I am suffering and struggling for 10 months now with bladder symptoms which has given my anxiety and depression. From all the tests so far taken, has proven to be negative for serious problems.

My next step is to have Systometrics or Urodynamics to make sure all the nerves are functioning the way they should be. Possibly a Cystoscopy if this Urologist feels if it is necessary.

I will include my more recent lab work again, being on Clomid for several months, then coming off.

Systemlord · Feb 23, 2018

This morning wood once in awhile is the moment you should reflect on, it's common to see guys having issues with erections in the ranges you're scoring and the cause with your erection troubles is low E2 and not necessary low T. Poor sleep is also a common occurrence when testosterone and E2 is low for you, forget about these ranges. I have issues with your doctor wanting you on bezos instead of addressing the real underlying problem, low testosterone that's all to typical of today's doctors wanting to throw drugs at the problem.

LH is at the bottom of the range, E2 is below the threshold of low and testosterone is low. You're going to have to leave the bullshit medical system that trains doctors to throw drugs at you instead of addressing your testosterone levels, it's funny how doctors are so willing to throw drugs at you that are unnatural and dangerous to the body that cause pituitary disorders and testosterone deficiencies to those who take them.

Bezos are the reason why I'm on TRT in the first place (30 years usage) because our medical system doesn't concern itself with how these mind altering drugs that damage our hormones production over time, these chemicals in our environment are KILLING US and the last thing you need are other medical problems down the road cause by these drugs. Taking these benzs will not fix your problem, it will mask it and you will slide down a deep dark hole and one day you'll wonder why you feel like your beno isn't working anymore.

You have a hormonal imbalance and our medical system is hesitant to prescribe testosterone because of the bad stigma surrounding TRT purported by big pharma and the media demonising it as somehow cheating or bad that only the worse low T cases get treatment. These ranges are misused a cost saving method to reduce healthcare costs, don't you think your doctor would be delighted to see your testosterone levels at high normal?

Well that's because it's healthier and insurance companies aren't in the business to optimise health, only to treat the most extreme cases of low testosterone men to save on healthcare. It's ok to throw drugs at you though cause it's healthy isn't it?

Checkdis · Feb 23, 2018

Systemlord said:
This morning wood once in awhile is the moment you should reflect on, it's common to see guys having issues with erections in the ranges you're scoring and the cause with your erection troubles is low E2 and not necessary low T. Poor sleep is also a common occurrence when testosterone and E2 is low for you, forget about these ranges. I have issues with your doctor wanting you on bezos instead of addressing the real underlying problem, low testosterone that's all to typical of today's doctors wanting to throw drugs at the problem.

LH is at the bottom of the range, E2 is below the threshold of low and testosterone is low. You're going to have to leave the bullshit medical system that trains doctors to throw drugs at you instead of addressing your testosterone levels, it's funny how doctors are so willing to throw drugs at you that are unnatural and dangerous to the body that cause pituitary disorders and testosterone deficiencies to those who take them.

Bezos are the reason why I'm on TRT in the first place (30 years usage) because our medical system doesn't concern itself with how these mind altering drugs that damage our hormones production over time, these chemicals in our environment are KILLING US and the last thing you need are other medical problems down the road cause by these drugs. Taking these benzs will not fix your problem, it will mask it and you will slide down a deep dark hole and one day you'll wonder why you feel like your beno isn't working anymore.

You have a hormonal imbalance and our medical system is hesitant to prescribe testosterone because of the bad stigma surrounding TRT purported by big pharma and the media demonising it as somehow cheating or bad that only the worse low T cases get treatment. These ranges are misused a cost saving method to reduce healthcare costs, don't you think your doctor would be delighted to see your testosterone levels at high normal?

Well that's because it's healthier and insurance companies aren't in the business to optimise health, only to treat the most extreme cases of low testosterone men to save on healthcare. It's ok to throw drugs at you though cause it's healthy isn't it?

Well I DO NOT have ED, Libido issues (if misread or I had a typo) just frequent urination. I agree my hormones for my age is low, but I have no idea if TRT (taking cypinate) will fix my urination issue. I rather be on Clomid for life if my levels have shown improvements. I never had bladder issues ever, and from all the doctors we are starting to conclude there is nothing wrong with my prostate, bladder, bacteria, STD’s, diabetes, kidneys or any other abnormalities. And I have been repeatedly tested for all of those things as well. Benzodiazepines act as a muscle relaxer which makes sense why my frequency slows down since it relaxes the bladder. But I hope it isn’t due to anxiety. Not really sure how to fix bladder issues from anxiety. Gyno you can live with, ED you can live with and other symptoms, but when your output in fluids are higher than your intake and dehydration kicks in, you are stressing the kidneys which could lead to renal failure. But hey i’m no doctor, I just assume if this doesn’t get corrected something will fail.

Saul · Feb 23, 2018

Checkdis. My only comment is that I was having similar bladder issues last year. Up in the night to go, strong urge to go and had to be right now, no waiting, and frequent urination. Sucked. All of those symptoms are gone now. I don't know what caused it to go away, but I did the following: Started TRT, Lowered my iron (ferritin) level, gave up dairy, cut back on alcohol by about 90%, started working out several times per week. Doctor said it was likely the TRT, or cutting out the dairy or booze. Maybe this helps you.

Systemlord · Feb 23, 2018

Checkdis said:
Well I DO NOT have ED, Libido issues (if misread or I had a typo) just frequent urination. I agree my hormones for my age is low, but I have no idea if TRT (taking cypinate) will fix my urination issue. I rather be on Clomid for life if my levels have shown improvements. I never had bladder issues ever, and from all the doctors we are starting to conclude there is nothing wrong with my prostate, bladder, bacteria, STD's, diabetes, kidneys or any other abnormalities. And I have been repeatedly tested for all of those things as well. Benzodiazepines act as a muscle relaxer which makes sense why my frequency slows down since it relaxes the bladder. But I hope it isn't due to anxiety. Not really sure how to fix bladder issues from anxiety. Gyno you can live with, ED you can live with and other symptoms, but when your output in fluids are higher than your intake and dehydration kicks in, you are stressing the kidneys which could lead to renal failure. But hey i'm no doctor, I just assume if this doesn't get corrected something will fail.

I forgot to mention I had frequent urination and bladder issues when I became low T, my low T was cause by withdrawing off Klonopin (benzo) and my testosterone plumited rather fast within a few weeks, that's when my bladder and urination issues started and had diarrhea for over a year. Restored my testosterone levels and frequent urination and diarrhea magically vanished, stool became hard again.

Checkdis · Feb 23, 2018

Systemlord said:
I forgot to mention I had frequent urination and bladder issues when I became low T, my low T was cause by withdrawing off Klonopin (benzo) and my testosterone plumited rather fast within a few weeks, that's when my bladder and urination issues started and had diarrhea for over a year. Restored my testosterone levels and frequent urination and diarrhea magically vanished, stool became hard again.

Yeah man it sucks, there is no way beating it. Luckily I do not exceed 2mg of Ativan a day. I am just turning 29 very soon and I am very young for TRT. I just want to try my best to maybe dodge this bullet but it seems I am going to have to commit to the life long testosterone injection. The urination is ruining my normal day to day life. I cannot function an it has created an anxiety. Trenbolone was a hell of a drug... shit really shuts you down.

Just thought it wouldn’t take longer than a few months, but now that I am getting close to a year, and it’s miserable. I am getting actual complete labs done on Tuesday, Urologist on the 28th... I won’t leave without self inject Cypinate. I know it will fix me, but I thought I could recover naturally... guess I was wrong.

Lab work on Tuesday:

* Total Testosterone
* Bioavailable Testosterone
* Free Testosterone
* Estradiol sensitive
* LH
* FSH
* CBC
* Comprehensive Metabolic Panel
* Lipid Profile
* DHT
* SHBG
* Prolactin
* DHEA
* TSH (Complete Thyroid)
* FT3
* FT4
* RT3
* a
* Antibody panel
* Cortisol
* ACTH

* ADH
* ALD

Let me know if I missed anything guys. Thank you for the feedback it helps me get through my day.

Systemlord · Feb 23, 2018

You might want to get a baseline pregnenolone labs, I've heard that do to the suppression of LH and FSH that this hormone can decline after awhile for those on TRT only without back filling with HCG. Symptoms of declining pregnenolone are memory and cognitive difficulties, the best hormone specialists are seeing issues with pregnenolone deficiencies in some men after 6 months to a year.

Checkdis · Feb 23, 2018

Systemlord said:
You might want to get a baseline pregnenolone labs, I've heard that do to the suppression of LH and FSH that this hormone can decline after awhile for those on TRT only without back filling with HCG. Symptoms of declining pregnenolone are memory and cognitive difficulties, the best hormone specialists are seeing issues with pregnenolone deficiencies in some men after 6 months to a year.

Do you happen to know the labcorp # for this? And a lot of my friends think it’s psychosomatic. But if it is... that means SSRI’s, therapy and probably sedatives. I rather just go back on testosterone.

Systemlord · Feb 23, 2018

Checkdis said:
Do you happen to know the labcorp # for this? And a lot of my friends think it's psychosomatic. But if it is... that means SSRI's, therapy and probably sedatives. I rather just go back on testosterone.

You must ask yourself if there is a hormonal cause for psychosomatic? Sorry I don't know the code number.

1Draw · Feb 24, 2018

[
I have no issues with ED, Gyno, Libido, and other signs of possible hormonal imbalance. I have morning wood once and a while, but my sleep has steadily declined. I go to bed consistently at 9:30pm and sometimes wake up at 1:50am. Other times it can be around 2-3am. My dreams are vivid, but never have nightmares. Besides that I have had several doctors tell me I am perfectly healthy. My BP has improved 120/67/60, as well as my weight which I am getting down now. I am 209lb and want to try for 185-190lb. I may find that lowering my weight will help my overall health since when I was I kid I was always around 160-170lb (medium frame).

Ever had a sleep study done? From what I am reading, you've had every test under the sun but, couldn't find where you have had a sleep study. Is your neck over 17" which at 209 lbs it probably is which can cause of sleep apnea.

I couldn't find a link between sleep and frequent urination but, anything is possible if you are getting good quality of sleep.

Just a thought.....

Checkdis · Feb 25, 2018

1Draw said:
[
I have no issues with ED, Gyno, Libido, and other signs of possible hormonal imbalance. I have morning wood once and a while, but my sleep has steadily declined. I go to bed consistently at 9:30pm and sometimes wake up at 1:50am. Other times it can be around 2-3am. My dreams are vivid, but never have nightmares. Besides that I have had several doctors tell me I am perfectly healthy. My BP has improved 120/67/60, as well as my weight which I am getting down now. I am 209lb and want to try for 185-190lb. I may find that lowering my weight will help my overall health since when I was I kid I was always around 160-170lb (medium frame).

Ever had a sleep study done? From what I am reading, you've had every test under the sun but, couldn't find where you have had a sleep study. Is your neck over 17" which at 209 lbs it probably is which can cause of sleep apnea.

I couldn't find a link between sleep and frequent urination but, anything is possible if you are getting good quality of sleep.

Just a thought.....

I have not had a sleep study done. That is actually on my todo list. Last night I hardly got any sleep. Even taking 5mg of Melatonin with 1mg of Ativan made me feel relaxed, but I feel I can never achieve REM. I do not think my neck is great than 17” but sleep apnea is a good possibility. I remember nights when I was a kid, I would be up all night and never felt like sleeping.

Yesterday I probably only urinated like 4-5 times which is very normal. I sometimes have normal days like this. I know sleep is very important for regulating hormones, but insomnia is probably more what I have, but who knows.

Anabaptist · Feb 27, 2018

"It all started when I was experimenting with anabolic steroids in large quantities and eventually it caught up with me. "

I think the site members here have given you some good advice. But can you please explain what exactly you were doing when you were on testosterone ?? How much of what ?? How did it affect you ?? Where did you get it from ?? And why did you stop that ??

I want to better understand why you are reluctant to restart T therapy.

You aren't by chance, on a water pill for high blood pressure ??

Checkdis · Mar 5, 2018

Anabaptist said:
"It all started when I was experimenting with anabolic steroids in large quantities and eventually it caught up with me. "

I think the site members here have given you some good advice. But can you please explain what exactly you were doing when you were on testosterone ?? How much of what ?? How did it affect you ?? Where did you get it from ?? And why did you stop that ??

I want to better understand why you are reluctant to restart T therapy.

You aren't by chance, on a water pill for high blood pressure ??

This is my original thread which I started a long time ago.

https://www.excelmale.com/forum/sho...-Frequent-Urination-Hypogonadism-(crashed-E2)

My new endocrinologist has just given me my first 24 hour urine analysis. So I will be completing this over the weekend. He also concerned about my FSH and LH from all my lab work over the last year and was wondering why I never had an MRI of the brain. He said it would be a good thing to get and the results would more than likely come back normal.

I am just waiting on my labs (02/27/18) to come back, which this time I have completely covered all areas and will have a better idea soon of everything.

And no, my BP is 120/80 and I do not take water pills, ever. The only thing that actually has shown improvement is my BP, last year it was as high as 160/110

Checkdis · Mar 9, 2018

I just got my recent labs in, which will have everything needed to critique my issue. Any advice would be greatly appreciated, thank you.

nurselyfe · Mar 9, 2018

Checkdis said:
I just got my recent labs in, which will have everything needed to critique my issue. Any advice would be greatly appreciated, thank you.

It has to be the low T and low E2.

What was your clomid dose and what did it bring your LH & FSH + Total T to?

If your LH and FSH were still low on Clomid you probably have pretty bad anabolic steroid induced hypogonadism. TRT + HCG at this point would not be a bad idea. From the looks of it, your quality of life is terrible because of your bladder issues are causing you depression and anxiety. I definitely do not think it is psychosomatic. Your hormones regulate your water retention. It is not worth it. In my opinion, if you're under the care of a good doctor, TRT can be quite healthy, cause I shit sure know that low T and low E2 in ANYONE is not.

Checkdis · Mar 9, 2018

nurselyfe said:
It has to be the low T and low E2.

What was your clomid dose and what did it bring your LH & FSH + Total T to?

If your LH and FSH were still low on Clomid you probably have pretty bad anabolic steroid induced hypogonadism. TRT + HCG at this point would not be a bad idea. From the looks of it, your quality of life is terrible because of your bladder issues are causing you depression and anxiety. I definitely do not think it is psychosomatic. Your hormones regulate your water retention. It is not worth it. In my opinion, if you're under the care of a good doctor, TRT can be quite healthy, cause I shit sure know that low T and low E2 in ANYONE is not.

With Clomid 25mg ED I got it up to mid 400’s and FSH and LH were around 4-5.

I hope with these recent labs my insurance will allow an MRI of the pituitary. That is one thing I have not really had tested for. We will see I guess.

1Draw · Mar 9, 2018

Checkdis said:
I just got my recent labs in, which will have everything needed to critique my issue. Any advice would be greatly appreciated, thank you.

The glaring result that I see in addition to your low T is your Reverse T3. It is 30.9 ng/dl (9.2-24.1) which can cause a lot of health issues all bad including sleep. Here is a great website by Dr. Westin Childs - Thyroid Expert that recommends RT3 to be less than 15 ng/dl and lower if possible.

Here are optimal thyroid ranges from Dr. Childs - https://www.restartmed.com/normal-thyroid-levels/

Also, another great source is here - https://www.restartmed.com/reverse-t3/

My RT3 was 28.1 after a severe sinus infection in January and a few rounds of antibiotics which is bad for your Rt3. I have also been on a beta blocker last 5 years which causes high RT3.

My DR at Defy put me on Liothronine 5mcg 2 x day which will lower the RT3. I'm just starting my 2nd week and can feel a small difference in how I feel.

I would get your DR to look at the Liothronine or Cytomel to get your RT3 down and find a doctor that can treat your low T. Defy is a choice of many members here. Good luck and keep us updated.

29 y/o considering TRT

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