ExcelMale
Menu
Home
What's new
Latest activity
Forums
New posts
Search forums
What's new
New posts
Latest activity
Videos
Lab Tests
Doctor Finder
Buy Books
About Us
Men’s Health Coaching
Log in
Register
What's new
Search
Search
Search titles only
By:
New posts
Search forums
Menu
Log in
Register
Navigation
Install the app
Install
More options
Contact us
Close Menu
Forums
How to Use This Forum and Introductions
Introductions
New Member - Seeking Advice - Have Labs - Really lost and need some help on right direction of TRT
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Reply to thread
Message
<blockquote data-quote="Ole007" data-source="post: 105117" data-attributes="member: 18227"><p>Hello Everyone,</p><p></p><p>After months of reading post from this forum I have decided to become a member and see what you guys think as to starting TRT. First I am very grateful to this site. Without you guys I wouldn't even know the difference between what primary and secondary hypogonadism is.</p><p></p><p>Personal History:</p><p>I am 35 years old and have a large build. I am 6'4" 255lbs. I am over weight but not what you may consider obese. I am very broad and hold my weight pretty well. I am a pretty active person and regularly exercise, not as intense as my younger years but still average 3 times a week. Over the past 5 years I have noticed a steady decrease in energy and libido. I have also noticed it is much harder to maintain my weight ( 5 years ago I was 230) and I have increased anxiety and am less clear headed. I use to be extremely sharp. I recently went to my doctor for something unrelated to TRT and while I was their I opened up a told them I do not feel like myself anymore and have low confidence with the other symptoms I have noted. Oddly I do not have an ED problem. Although my libido is very low the every once in a while I do get in the mood I have no problem with everything working as it should (this is rare however). I rarely get "morning wood" and I have trouble sleeping through the night. I wake up many times. I told the doctor all this and they responded by asking if I have ever had my testosterone levels checks. I in fact have. I actually have results from over the past 5 years (I will post below). I guess I never put 2 and 2 together. The doctor asked if my wife and I were planning on children. We haven't decided so my primary referred me to a endocrinologist as they usually only treated TRT for older men and wanted to ensure I would not impact my fertility.</p><p></p><p>I had a pretty unpleasant experience at the endocrinologist. I met with the female nurse practitioner for about 10 mins. She gave me the ADAM test as the primary had. I asked a couple questions about treatment options at which she seemed to get annoyed. One of the questions was about TRT with low dose HCG to maintain testicular function. She seemed to have no idea what I was talking about. She walked out to get the actual endocrinologist. He came in for about 90 seconds and says he doesn't treat people with HCG. The nurse practitioner stated they would like to try Clomid to start.</p><p></p><p>I am not opposed to trying Clomid to start as I think I am secondary hypogonadism. The endo didn't event diagnose if I was primary or secondary. So I was ready to try Clomid as a trial and at the very least use it as a diagnostic tool. My labs also suggest I might respond well to it (I think). So, the endo requested I do one more round of labs and then start therapy. And as you see below my total t came back a little higher than it normally is. They had their office assistant call me to tell me they were not treating me and to come back for labs in 4 months. I'm sure you guys have heard this song and dance before.</p><p></p><p>So I have Labs starting back in 2012. They all have different things that were tested through the years as I was not specifically getting test done for TRT related issues. Hopefully they will provide data to formulate some opinions. Test were done fasting and drawn before 10am.</p><p></p><p>2012</p><p></p><p>Total T=476 (348-1197ng/dl) , TSH=1.59 (.45-4.5 uiU/ml)</p><p></p><p>2015</p><p></p><p>Total T=416 (348-1197ng/dl), Free T= 8.0 (8.7-25.1pg/ml) , LH= 4.8 (1.7-8.6mIU/ml) , FSH= 2.1 (1.5-12.4mIU/ml) , Prolactin= 13.3 (4.0-15.2 ng/ml), TSH 2.69 (.45-4.5uiU/ml)</p><p></p><p>2016</p><p></p><p>Total T=373 (348-1197ng/dl), Free T= 10.0 (8.7-25.1pg/ml), LH= 3.1 (1.7-8.6mIU/ml), FSH= 1.6 (1.5-12.4 miU/ml), Prolactin= 16.8 (4.0-15.2 ng/ml), SHBG 31 (16.5-55.9nmol/L)</p><p></p><p>2017</p><p></p><p>Total T=299 (348-1197ng/dl)</p><p></p><p>3/2018</p><p></p><p>Total T= 281 (264-916ng/dl), Free T= 8.3 (8.7-25.1pgml)</p><p></p><p>4/18/18</p><p></p><p>Total T= 324 (264-916ng/dl), Free T= 62 (range 52 thru 280pg/nl), LH= 5.0 (1.7-8.6miu/ml), FSH= 1.9 (1.5-12.4miu/ml) , Prolactin= 10.5 (4.0-15.2mg/ml), TSH= 2.24 (.45-4.5uiu/ml)</p><p></p><p>Couple things I'm seeking advice on:</p><p></p><p>At 35 years of age do my symptoms and labs suggest I should try TRT?</p><p></p><p>I believe I am secondary?</p><p></p><p>Would Clomid be a good starting point? Or Test Cyp with HCG?</p><p></p><p>Although my numbers may not be the lowest my symptoms are real. I appreciate any guidance.</p><p>THANK YOU!</p></blockquote><p></p>
[QUOTE="Ole007, post: 105117, member: 18227"] Hello Everyone, After months of reading post from this forum I have decided to become a member and see what you guys think as to starting TRT. First I am very grateful to this site. Without you guys I wouldn't even know the difference between what primary and secondary hypogonadism is. Personal History: I am 35 years old and have a large build. I am 6'4" 255lbs. I am over weight but not what you may consider obese. I am very broad and hold my weight pretty well. I am a pretty active person and regularly exercise, not as intense as my younger years but still average 3 times a week. Over the past 5 years I have noticed a steady decrease in energy and libido. I have also noticed it is much harder to maintain my weight ( 5 years ago I was 230) and I have increased anxiety and am less clear headed. I use to be extremely sharp. I recently went to my doctor for something unrelated to TRT and while I was their I opened up a told them I do not feel like myself anymore and have low confidence with the other symptoms I have noted. Oddly I do not have an ED problem. Although my libido is very low the every once in a while I do get in the mood I have no problem with everything working as it should (this is rare however). I rarely get "morning wood" and I have trouble sleeping through the night. I wake up many times. I told the doctor all this and they responded by asking if I have ever had my testosterone levels checks. I in fact have. I actually have results from over the past 5 years (I will post below). I guess I never put 2 and 2 together. The doctor asked if my wife and I were planning on children. We haven't decided so my primary referred me to a endocrinologist as they usually only treated TRT for older men and wanted to ensure I would not impact my fertility. I had a pretty unpleasant experience at the endocrinologist. I met with the female nurse practitioner for about 10 mins. She gave me the ADAM test as the primary had. I asked a couple questions about treatment options at which she seemed to get annoyed. One of the questions was about TRT with low dose HCG to maintain testicular function. She seemed to have no idea what I was talking about. She walked out to get the actual endocrinologist. He came in for about 90 seconds and says he doesn't treat people with HCG. The nurse practitioner stated they would like to try Clomid to start. I am not opposed to trying Clomid to start as I think I am secondary hypogonadism. The endo didn't event diagnose if I was primary or secondary. So I was ready to try Clomid as a trial and at the very least use it as a diagnostic tool. My labs also suggest I might respond well to it (I think). So, the endo requested I do one more round of labs and then start therapy. And as you see below my total t came back a little higher than it normally is. They had their office assistant call me to tell me they were not treating me and to come back for labs in 4 months. I'm sure you guys have heard this song and dance before. So I have Labs starting back in 2012. They all have different things that were tested through the years as I was not specifically getting test done for TRT related issues. Hopefully they will provide data to formulate some opinions. Test were done fasting and drawn before 10am. 2012 Total T=476 (348-1197ng/dl) , TSH=1.59 (.45-4.5 uiU/ml) 2015 Total T=416 (348-1197ng/dl), Free T= 8.0 (8.7-25.1pg/ml) , LH= 4.8 (1.7-8.6mIU/ml) , FSH= 2.1 (1.5-12.4mIU/ml) , Prolactin= 13.3 (4.0-15.2 ng/ml), TSH 2.69 (.45-4.5uiU/ml) 2016 Total T=373 (348-1197ng/dl), Free T= 10.0 (8.7-25.1pg/ml), LH= 3.1 (1.7-8.6mIU/ml), FSH= 1.6 (1.5-12.4 miU/ml), Prolactin= 16.8 (4.0-15.2 ng/ml), SHBG 31 (16.5-55.9nmol/L) 2017 Total T=299 (348-1197ng/dl) 3/2018 Total T= 281 (264-916ng/dl), Free T= 8.3 (8.7-25.1pgml) 4/18/18 Total T= 324 (264-916ng/dl), Free T= 62 (range 52 thru 280pg/nl), LH= 5.0 (1.7-8.6miu/ml), FSH= 1.9 (1.5-12.4miu/ml) , Prolactin= 10.5 (4.0-15.2mg/ml), TSH= 2.24 (.45-4.5uiu/ml) Couple things I'm seeking advice on: At 35 years of age do my symptoms and labs suggest I should try TRT? I believe I am secondary? Would Clomid be a good starting point? Or Test Cyp with HCG? Although my numbers may not be the lowest my symptoms are real. I appreciate any guidance. THANK YOU! [/QUOTE]
Insert quotes…
Verification
Post reply
Share this page
Facebook
Twitter
Reddit
Pinterest
Tumblr
WhatsApp
Email
Share
Link
Sponsors
Forums
How to Use This Forum and Introductions
Introductions
New Member - Seeking Advice - Have Labs - Really lost and need some help on right direction of TRT
This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register.
By continuing to use this site, you are consenting to our use of cookies.
Accept
Learn more…
Top