Should I start TRT

Mickey_mouse

New Member
Hello everyone!
I am new here .

In a past two months I gained 27 lbs, so from 230 I went to 257 lbs, I have a lot of muscle in my upper body, but can't lose visceral fat. I work out every day heavy lifting, I do HIIT cardio, I am on Atkins diet (low carb diet), but nothing seems to work for my body. I start gaining weight in past two years. Before that I was 220 lbs 10% body fat.

I went to see doctor who tested my blood and it appears I have low testosterone. So he put me on HCG twice a week 100 units, sermorelin (every night) and T3/T4 because of my thyroid problem.

Currently I am on medication for two month, I gained more muscle but didn't lose any fat. I'm fact I increased in 2 inches in by waist. My doctor wants to put me on testosterone to bring it up to normal levels , but I am concerned that my own production will be shot down and I won't be able to conceive a baby ( my wife and I trying for two years).
My question is: If I have low testosterone level and doctor puts me on TRT to bring it up to normal levels will I still produce sperm (because levels won't go over board) or it still will effect my fertility and I should try something else?!

P.S. Sorry for mistakes, English is not my native language (I am European).
 
If you continue to take HCG while taking T (Which you should) you should maintain your ability to conceive. Do you have any LOW T symptoms?

Because you are now on HCG your natural system has already shut down (or is well on it's way to doing so) You produce your own T on HCG but it shuts down the other side of the equation - i.e. the hormones that tell your testicles to make T.
 
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I don't really buy the whole low T causing large amounts of weight gain. It gives you poor results from workouts and worse body composition, but packing on massive weight quickly isn't just low T. If you are looking to treat low T it would be for side effects it actually causes. You didn't include a blood test to say why you think T is low or symptoms.

I'd fix the thyroid issue. That would effect your metabolism and could be affecting testosterone. Keep a close eye on testosterone as the doc dials in the thyroid.
 

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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.

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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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