33 years old, 450 pounds TRT level is 88 ng/dl

[INNeedOfTrT88]

So I've suffered from low test for years, I've also been a big guy for years as well. I've tried clomid and it really didn't help, but the main effects I've felt from low libido is ED BEYOND BELIEF. Libido is none existent, standing/missionary positions penis loses rigideness almost instantly. High blood pressure, diabetic. I'm scheduled for gastric sleeve in a couple months. Should I start taking TRT.

 

[Nelson Vergel]

I am glad you will get a gastric sleeve. Have you tried this? You can lose weight fast:

Semaglutide Forum: Game Changer for Weight Loss

Mark A. Moyad, MD, MPH & Martin M. Miner, MD, discuss the potential benefits of semaglutide, a newly approved weight-loss drug. Semaglutide is a medication that has been approved by the FDA to treat type 2 diabetes and has also been approved for obesity management under the brand name Wegovy...

www.excelmale.com

After you lose your desired weight, have your doctor run a lab test panel like this one:

ED Test Panel: Detecting Erectile Dysfunction

Do you suffer from erectile dysfunction (ED)? This lab test panel includes hormones that can affect erectile function and libido. Some physicians forget to test for hormones beyond testosterone in men with ED.

www.discountedlabs.com

I would start TRT.

Testosterone and weight loss: the evidence

"One may argue that testosterone therapy has been around for more than 75 years and no data have been reported on the effects of testosterone on weight loss, until recently. So, why now and how could this be explained? Several key reasons explain this deficit in the literature. First, most...

www.excelmale.com

Nelson's Top Tricks for Fat Loss

Get real. Ask yourself: What is getting in the way of my health? What excuses am I using to not start giving a damn? There is no perfect time to start. Do it now, even if it means one change per week in your lifestyle choices. You deserve to feel and look the best you can! You cannot change...

www.excelmale.com

ExcelMale.com Meal and Diet Plan for Muscle Gain and Fat Loss

ExcelMale.com Maintenance Meal Plan Monday -7am: 2 scrambled eggs, 2 oz of smoked salmon, 1/2 avocado, 1 small serving of berries. -11am: Kale Salad w/ 5 oz of shaved turkey or chicken breast, w/ avocado, almonds and EVOO/mustard vinaigrette (substitute any lean meat or fish as well as any...

www.excelmale.com

 

[Cataceous]

I'd say to hold off on TRT—first see what happens as you lose weight. However, that is a pretty low level for total testosterone, so there is uncertainty about getting back to normal. A more aggressive approach would have you using a testosterone nasal gel product, such as Natesto. These boost testosterone with less disruption of other hormones. Conventional TRT suppresses some hormones and may negatively affect many others. It's good to avoid this kind of confusion if possible, at least initially.

 

[Nelson Vergel]

Talk to your doctor about ED meds also:

ED Drugs May Help Metabolism and Fat Loss

Abstract The cyclic guanosine monophosphate (cGMP) signaling system is one of the most prominent regulators of many physiopathological processes in humans and rodents. It has been strongly established as an accomplished cellular signal involved in the regulation of energy homeostasis and cell...

www.excelmale.com

 

[Nelson Vergel]

Improvement in erectile function following weight loss in obese men

Obes Res Clin Pract. 2013 Dec;7(6):e450-4. Improvement in erectile function following weight loss in obese men: the SHED-IT randomized controlled trial. Collins CE, Jensen ME, Young MD, Callister R, Plotnikoff RC, Morgan PJ. Abstract In a randomized controlled trial 145 sexually active...

www.excelmale.com

 

[Systemlord]

Should I start taking TRT.

There isn't any reason why you shouldn't start TRT. If anything you want your testosterone high before surgery, because going into surgery with diabetes out of control can have disastrous consequences.

People with high testosterone recover from surgeries more quickly and are discharged from physical rehabilitation and hospitals sooner.

Also people with high testosterone are more likely to survive an emergency situation when compared to people with low testosterone.

 

[INNeedOfTrT88]

Talk to your doctor about ED meds also:

ED Drugs May Help Metabolism and Fat Loss

Abstract The cyclic guanosine monophosphate (cGMP) signaling system is one of the most prominent regulators of many physiopathological processes in humans and rodents. It has been strongly established as an accomplished cellular signal involved in the regulation of energy homeostasis and cell...

www.excelmale.com

I definitely wanted to start using cialis but I'm so ashamed, like how did I let myself get this bad. Will it ever get better?

 

[INNeedOfTrT88]

I'd say to hold off on TRT—first see what happens as you lose weight. However, that is a pretty low level for total testosterone, so there is uncertainty about getting back to normal. A more aggressive approach would have you using a testosterone nasal gel product, such as Natesto. These boost testosterone with less disruption of other hormones. Conventional TRT suppresses some hormones and may negatively affect many others. It's good to avoid this kind of confusion if possible, at least initially.

It's been this low like this for a long time. I'm scared, will it cause prostate cancer, will I get my libido back and erections. I just feel so darn ashamed.

 

[INNeedOfTrT88]

There isn't any reason why you shouldn't start TRT. If anything you want your testosterone high before surgery, because going into surgery with diabetes out of control can have disastrous consequences, and people with high testosterone recover from surgeries more quickly and are discharged from hospitals sooner.

Also people with high testosterone are more likely to survive an emergency situation when compared to people with low testosterone.

Do you think taking the jatenzo pill is better than using the shot?

 

[Systemlord]

Do you think taking the jatenzo pill is better than using the shot?

Absolutely!

My Experience On Jatenzo (Oral TRT) Log

I wanted to start a thread detailing my personal experience with Jatenzo (oral TRT) which is remarkable in how quickly it has shown results when compared with injections. The first week on Jatenzo was very pleasant unlike my experience after dosing changes on injections, all with minimal swings...

www.excelmale.com

I'm scared, will it cause prostate cancer

TRT doesn't cause prostate cancer, there was never any credible data that showed TRT or high androgen levels caused prostate cancer.

Does Testosterone Cause Prostate Cancer? Can Men Treated for Prostate Cancer Use TRT?

This is an excerpt from my book Ensuring Prostate Health—No Link Found Between Androgen Levels and Risk for Prostate Cancer The prostate is a gland that is part of the male reproductive system. Its function is to store and secrete a slightly alkaline (pH 7.29) a milky fluid which usually...

www.excelmale.com

 

[Vince]

So I've suffered from low test for years, I've also been a big guy for years as well. I've tried clomid and it really didn't help, but the main effects I've felt from low libido is ED BEYOND BELIEF. Libido is none existent, standing/missionary positions penis loses rigideness almost instantly. High blood pressure, diabetic. I'm scheduled for gastric sleeve in a couple months. Should I start taking TRT.

I know a few people that got gastric sleeve. It works! Short-term and then they learn how to cheat. They ate food that slip through the sleeve like chips, Fritos, dense food, loaded with calories. I would think first you should learn to change your diet, after you lose hundred pounds and stayed on a healthy diet for at least a year . Then I would considered the sleeve.

 

[INNeedOfTrT88]

I know a few people that got gastric sleeve. It works! Short-term and then they learn how to cheat. They ate food that slip through the sleeve like chips, Fritos, dense food, loaded with calories. I would think first you should learn to change your diet, after you lose hundred pounds and stayed on a healthy diet for at least a year . Then I would considered the sleeve.

I've already been approved, my surgery is in July.

 

[Vince]

I've already been approved, my surgery is in July.

I would check with your surgeon to see how many of his patients are success stories after one year, 2 years, and up to 5 years.

 

[Vince]

The number of laparoscopic sleeve gastrectomies (LSGs) performed worldwide as a primary bariatric procedure has grown exponentially in recent years, given the simplicity of the technique, the low complication rate and the good short- and mid-term results regarding weight loss and the resolution of co-morbidities. However, the long-term results of LSG still are an ongoing concern because a significant amount of patients may regain weight over time after LSG.

Five-year outcomes of laparoscopic sleeve gastrectomy as a primary procedure for morbid obesity: A prospective study - PMC

To prospectively evaluate the postoperative morbi-mortality and weight loss evolution of patients who underwent a laparoscopic sleeve gastrectomy (LSG) as a primary bariatric procedure during 5 years of follow-up. Since 2006, data from patients ...

www.ncbi.nlm.nih.gov

 

[Anonymon]

So I've suffered from low test for years, I've also been a big guy for years as well. I've tried clomid and it really didn't help, but the main effects I've felt from low libido is ED BEYOND BELIEF. Libido is none existent, standing/missionary positions penis loses rigideness almost instantly. High blood pressure, diabetic. I'm scheduled for gastric sleeve in a couple months. Should I start taking TRT.

Guy I know got one of those stomach procedures several months ago. He’s lost 40lbs since. Best not to mess with too many variables at once, so I’d hold off on TRT for now. You will recover faster from things on TRT, and hold onto more muscle while losing weight, but you also won’t get to know how the procedure itself on its own affects you, and how to differentiate that from a TRT protocol. If you went on TRT after that all weight through and you lost some weight, you’d eventually even out to about where you’d been body composition wise if you’d been on TRT from the beginning.

I will say that you will recover faster on TRT. I’m on a bunch of stuff including test and HGH peptides and BPC, and despite some issues I’ve had with things over the years, I recover like Wolverine. Still can’t compete with a good night of sleep and great habits based on how you feel and perform though. Sucks but it‘s true.

 

[MarcoFL]

3 years ago our then 29 year old son had gone through a tough few years and his weight went from 170 to 333 pounds! We talked with our son along with another of our kids and encouraged him to make a major life change! He at first was convinced he wanted to get the gastric sleeve operation! After a lot more research he went into a HRT doctor who did NOT put him on T but Metformin and others. He was seeing a trainer who helped him train 1 time in the morning and then again for an hour in the afternoon. The trainer became his main motivator to incorporate a total lifestyle of clean measured-timing eating, supplements and exercise! After 2.5 years of hard work he is now at 167 pounds at 6ft 2in and back to his old self like he was at age 22.

YOU CAN do this!!! Please give yourself a 3 year horizon to be realistic about a goal of weight loss! I would recommend you speak to your doctor as nelson mentions about Semaglutide. This is such a simple treatment if it works for you! just one injection a week!!!

You are a young man and have your whole life ahead of you! It will be so worth it! My son did what he thought was not possible and you can too! The 3 year journey will be worth the next 50-60 years ahead of you!