New guy here, few questions

Jetvictor

New Member
Hello all. I been lurking on these forums for sometime now, and after going through my doctor, I gave up and went to a clinic to try to fix my problems. I'm 28 years old, having all the symptoms of fatigue all the time, memory fog, hard to remember stuff, low energy and no improvements at the gym, maintain libido for 1 minute or less and then it dies. (wife supportive and tries her best) I've been suffering for years. Although I can't make the relationship but I felt that accutane messed me up when I took it 4 years ago. I never thought testosterone could be a problem for me but it is. So my blood work came back kinda OK but still low for my age. I'm tired of being tired all the time. I strength train on and off for 5 years and can't make progress/always tired/skipping days.

Total test: 425ng/dL (348-1197)
Free test: 11ng/dL (5-24ng/dL)
Estradiol: 24.4pg/mL (25.8-60.7)
FSH: 4.5mlU (1.5-12.4)
LH: 4.3mlU (1.7-8.6)
SHBG: 20 (10-80)


My doctor want to put me on clomid 15mg everyday for 30 days to see if it can jumpstart my testosterone and improve symptoms. If it works, does the testosterone continue staying high after being off of it or do people take clomid forever if it keeps working? Is it a permanent fix long term?
 
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Some people can jump-start their natural T production with Clomid, for example bodybuilders that use it as part of PCT after a cycle to get their natural T production back. For others it only works as long as you stay on Clomid. The only way to know for sure is to try it and then see if you maintain a high enough T level after, say 60 days on Clomid and then see what happens without it. If it doesn't work then going on twice weekly T injections may be the way to go.
 
Based on the ranges associated with the estradiol value you posted, it is likely that you did not have your estradiol measured via the so-called sensitive assay. Meaning: your E2 is probably even lower than the posted reading. For future testing make sure your doctor orders the sensitive test. It is the only one that is of value to men working to balance their hormones.
 
Based on the ranges associated with the estradiol value you posted, it is likely that you did not have your estradiol measured via the so-called sensitive assay. Meaning: your E2 is probably even lower than the posted reading. For future testing make sure your doctor orders the sensitive test. It is the only one that is of value to men working to balance their hormones.


Hmm, that's interesting. Okay, I will go on it for 4 weeks and get my blood work done again with the results. I'll ask to get the e2 done. If men do get low estrogen, how do they raise it?
 

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TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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