]My Family Doc is ready to offer me TRT but I was hesitant given my age (32). He said we could try a round of HCG Mono to "jump start" my system. I just finished my second week of HCG - 1,000 its every 72 hours.
I've been experiencing low T symptoms since my early 20s - biggest symptom being low libido. I asked my previous doctor if I could have my levels checked when I was 24. He reluctantly tested total T. Came back at 390 ng/dl which he said was completely normal and I had nothing to worry about. I did not do any of my own research at the time and just believed him. Had my levels checked in May. Total T was 312 ng/dl (264-916) and Free T was 15.2 pg/ml (8.7-25.1). I told him I wanted additional labs to determine if I was Primary or Secondary before jumping on treatment.
I ended up ordering labs myself since my high deductible insurance plan wasn't helping at all with cost of additional labs. Here are my results from the June test:
I am 5'8" 190lbs. Probably 17% body fat. Pretty muscular build (not overweight: ). I live a very active lifestyle. I perform HIIT and weightlifting 4 days a week. I have a healthy diet. I sleep around 7 hours each night. Biggest symptoms are low libido, brain fog, trouble concentrating, general lack of motivation to get anything done. I take vitamin D, Creatine, multivitamin, and recently started Tongkat Ali. I also had a CMP14 run and results look normal.
Low normal FSH and LH show most likely Secondary. Lower SHBG. Do you guys think I'd be a candidate for TRT? Should I suggest a round of low dose Clomid to my Doc to kickstart the system? Grateful for the collective wisdom here.
I've been experiencing low T symptoms since my early 20s - biggest symptom being low libido. I asked my previous doctor if I could have my levels checked when I was 24. He reluctantly tested total T. Came back at 390 ng/dl which he said was completely normal and I had nothing to worry about. I did not do any of my own research at the time and just believed him. Had my levels checked in May. Total T was 312 ng/dl (264-916) and Free T was 15.2 pg/ml (8.7-25.1). I told him I wanted additional labs to determine if I was Primary or Secondary before jumping on treatment.
I ended up ordering labs myself since my high deductible insurance plan wasn't helping at all with cost of additional labs. Here are my results from the June test:
- TESTOSTERONE, TOTAL, MS 411 (250-1100 ng/dL)
- TESTOSTERONE, FREE 73.0 (35.0-155.0 pg/mL)
- SEX HORMONE BINDING GLOBULIN 16 (10-50 nmol/L)
- PROLACTIN 6.6 (2.0-18.0 ng/mL)
- ESTRADIOL 28 (< OR = 39 pg/mL)
- FSH 3.1 (1.6-8.0 mIU/mL)
- LH 2.9 (1.5-9.3 mIU/mL)
- DHEA SULFATE 334 (106-464 mcg/dL)
- CORTISOL, A.M. 11.2 (4.0-22.0 mcg/dL)
- HEMOGLOBIN A1c 5.1 ( <5.7 % of total Hgb)
- TSH 1.69 (0.40-4.50 mIU/L)
- T4, FREE 1.4 (0.8-1.8 ng/dL)
- T3, FREE 3.9 (2.3-4.2 pg/mL)
- T3 UPTAKE 34 (22-35 %)
- T4 (THYROXINE), 8.5 (4.9-10.5 mcg/dL)
- TOTAL FREE T4 INDEX (T7) 2.9 (1.4-3.8)
- INSULIN 3.3 (< or = 19.6 uIU/mL)
- PSA, TOTAL 1.0 (< OR = 4.0 ng/mL)
- VITAMIN D, 25-OH, TOTAL 63 (30-100 ng/mL)
- GROWTH HORMONE (GH) <0.1 (<=7.1 ng/mL)
- IGF 1, LC/MS 155 (53-331 ng/mL)
- Z SCORE (MALE) 0.1 (-2.0 - +2.0 SD)
I am 5'8" 190lbs. Probably 17% body fat. Pretty muscular build (not overweight: ). I live a very active lifestyle. I perform HIIT and weightlifting 4 days a week. I have a healthy diet. I sleep around 7 hours each night. Biggest symptoms are low libido, brain fog, trouble concentrating, general lack of motivation to get anything done. I take vitamin D, Creatine, multivitamin, and recently started Tongkat Ali. I also had a CMP14 run and results look normal.
Low normal FSH and LH show most likely Secondary. Lower SHBG. Do you guys think I'd be a candidate for TRT? Should I suggest a round of low dose Clomid to my Doc to kickstart the system? Grateful for the collective wisdom here.
