need advice

[Gooner_nate]

Hi,

I am a 28 year old male. I am slim and eat a clean diet, veg/fruit/fish minimal dairy. I was in relatively good shape aerobically but since April I have barely been able to run. Since then I have fallen into quite a deep depression, I have a whole host of neurological issues along with this, very bad memory and concentration. I am undergoing a few tests with various people (neurologist etc). I got my testosterone tested in January it was at 10 nmol, then again in April where it was at 8nmol, then again in May 4.4 nmol. I want to get to the bottom of why this is happening before jumping into any therapy. I got a full male hormone check done privately.

D.H.E.A. SULPHATE 9.150 umol/L 0.44 - 13.40
FOLLICLE STIM. HORMONE *1.32 IU/L 1.50 - 12.40
LUTEINISING HORMONE *1.52 IU/L 1.70 - 8.60
TESTOSTERONE 10.1 nmol/L 7.60 - 31.40
FREE-TESTOSTERONE(CALCULATED)*0.181 nmol/L 0.30 - 1.00
SEX HORMONE BINDING GLOB 36.3 nmol/L 16.00 - 55.00
FREE ANDROGEN INDEX 27.82 Ratio 24.00 - 104.00
17-BETA OESTRADIOL <18.4 pmol/L 0.00 - 191.99

At this stage all I know is my testosterone has averaged between low and very low (especially for someone my age). But I basically know nothing else about the subject and was hoping for some about the intricacies of my results from someone with a bit more knowledge.

Thanks very much

 

[Vince]

Nelson has a nice thread you should read over.

Suggested Lab Tests and Questions Before and After Initiation of Testosterone Replacement

https://www.excelmale.com/forum/sho...-After-Initiation-of-Testosterone-Replacement

Also make sure you get a complete thyroid panel with TSH free T4 free T3 reverse T3 and antibodies.

 

[Gooner_nate]

1. Do you have a decrease in libido (sex drive)? Yes
2. Do you have a lack of energy? Yes
3. Do you have a decrease in strength and/or endurance? Yes
4. Have you lost height? No
5. Have you noticed a decreased "enjoyment of life" Yes
6. Are you sad and/or grumpy? Yes
7. Are your erections less strong? Yes
8. Have you noticed a recent deterioration in your ability to play sports? Yes
9. Are you falling asleep after dinner? No
10. Has there been a recent deterioration in your work performance? Unable to work

HEALTH AND QUALITY OF LIFE INFORMATION:

Age: 28

Height: 5 11

Weight: 11stone

Waist size: not sure

Neck size: not sure

Marital status? Engaged

Do you have small children? no

Do you still want to have children? no

Have you lost weight in the past 6 month? If yes, how many pounds?10

Have you gained weight in past 6 months? If yes, how many pounds?



Has your body tone changed in the past 6 months (harder, softer)? softer

When was your last complete physical examination? n/a

What were the results of that exam? n/a

(FOR OVER 40) Did you have your prostate examined by digital rectal exam?

(FOR OVER 40) Did you have your PSA checked?

If so, what was it?

Are you taking testosterone now? no

If answer to above question is NO, have you taken testosterone in the past? How long and when did you last stop? no

Do you urinate alright (you fully void)? yes

How many times do you get up at night to urinate ? none

Does it hurt when you urinate? no

Is there any blood in your urine? no

Have you had prostatitis (prostate/urinary infections) in the past? no

Describe any acne history: no

Did you have gynecomastia (increased breast tissue swelling) when young? no

Do you have cold intolerance? no

Do you bruise easily? no



Do you have:

Depression yes

Anxiety yes

Decreased sexual potency (erection quality). If so, is this causing stress in your relationship? yes

Decreased sex drive: yes

Do you have morning erections? 2 or less

Do you feel your testicles are smaller than they used to be? no

Sleep disturbances: Sleep 6/7 hours a night but have had bad night terrors most of my life

Generalized muscle aches and pains: lots

Joint pain yes

Fatigue yes

Lethargy yes

Diabetes no

Previous heart attack no

Previous clotting issues no

Leg/ankle swelling no

Sensitive or swollen nipples? no

Can you feel any lumps around your nipples? no

Are you losing your hair? no

Have you ever taken Propecia or Proscar (finasteride) for hair loss or prostate inflammation or Accutane for acne? no

Have you had a traumatic head injury? Fell skiing, didn't hit my head directly but suffered concussion like symptoms after

Have you taken pain killers (opiates) for several months? no

 

[Vince]

I was wondering are you on any SSRIs.

 

[Gooner_nate]

I was wondering are you on any SSRIs.

I was on Lexapro for 6 weeks but came off because it made me feel awful. I wasn't feeling great before that but it tipped me over the edge. I'm VERY reluctant to try anything else like that due to it's effects.

 

[Vince]

Because of you age 28, you may be interested in trying a restart with low dose Clomid. It seems that younger men have a better chance with Clomid then older men.

 

[Systemlord]

I was on Lexapro for 6 weeks but came off because it made me feel awful. I wasn't feeling great before that but it tipped me over the edge. I'm VERY reluctant to try anything else like that due to it's effects.

These SSRIs only make things worse, there was a guy who before going on Lexapro had a total T in the 900's, after 6 months on Lexapro he was in the 300 ranges.

Decades on medications is why I'm on TRT in the first place.