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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Primary Hypogonadal?
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<blockquote data-quote="SMOS44" data-source="post: 241727" data-attributes="member: 44788"><p>Background: 36yo male. Low T symptoms such as low libido, fat accumulation in belly, and difficulty recovering from workouts. I should note that I am not overweight and lift weights regularly. What I mean to highlight here is that I've always had an easy time remaining lean and that's markedly changed over the past 4 years. I have Crohn's, but it is largely under control with Stelara. Finally, I have taken ADHD medications like Ritalin on and off for decades.</p><p></p><p>Data: I have done labs 3x over the past 18months with the following results</p><p>TT: 370-425 ng/dL</p><p>FT: 11-13 pg/mL</p><p>LH: 6.2-7 mIU/mL</p><p>FSH: ~2.5 mIU/mL</p><p>Estradiol: usually ~20 pg/mL, but one result showed 73.4. (I was taking Tongkat + Fadogia at the time)</p><p></p><p>Question: given that my LH levels seem relatively high, would it be fair to conclude I am primary hypogonadal? I've linked below some research that indicates methylphenidate may damage leydig cells. I would note that my consumption has been relatively low (mostly 10mg per day or less with breaks), but I wonder if that might be the cause.</p><p></p><p>I ask because my doctor is finally willing to look into pharmaceutical treatments and I need to weigh my options. The wife and I plan to start trying for kids next year so that makes me cautious of TRT. I have banked sperm (3y ago) and the count/quality was good, so that's a backup at least. Would HCG monotherapy even work for someone with these levels of LH? Would T+HCG injections preserve fertility?</p><p></p><p>[URL unfurl="true"]https://pubmed.ncbi.nlm.nih.gov/23926551/[/URL]</p></blockquote><p></p>
[QUOTE="SMOS44, post: 241727, member: 44788"] Background: 36yo male. Low T symptoms such as low libido, fat accumulation in belly, and difficulty recovering from workouts. I should note that I am not overweight and lift weights regularly. What I mean to highlight here is that I've always had an easy time remaining lean and that's markedly changed over the past 4 years. I have Crohn's, but it is largely under control with Stelara. Finally, I have taken ADHD medications like Ritalin on and off for decades. Data: I have done labs 3x over the past 18months with the following results TT: 370-425 ng/dL FT: 11-13 pg/mL LH: 6.2-7 mIU/mL FSH: ~2.5 mIU/mL Estradiol: usually ~20 pg/mL, but one result showed 73.4. (I was taking Tongkat + Fadogia at the time) Question: given that my LH levels seem relatively high, would it be fair to conclude I am primary hypogonadal? I've linked below some research that indicates methylphenidate may damage leydig cells. I would note that my consumption has been relatively low (mostly 10mg per day or less with breaks), but I wonder if that might be the cause. I ask because my doctor is finally willing to look into pharmaceutical treatments and I need to weigh my options. The wife and I plan to start trying for kids next year so that makes me cautious of TRT. I have banked sperm (3y ago) and the count/quality was good, so that's a backup at least. Would HCG monotherapy even work for someone with these levels of LH? Would T+HCG injections preserve fertility? [URL unfurl="true"]https://pubmed.ncbi.nlm.nih.gov/23926551/[/URL] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Primary Hypogonadal?
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