Starting HRT at 25 with normal levels???

[bio33]

I am 24, soon to be 25. I have been to the clinic about possible TRT/HRT. I used designer steroids back when I was 19 completely ignorant to the fact of what they actually were. That actually was what sparked my interest in biochemistry/pharmacology. Anyways I figured it may have ruined my test levels because my energy has just sucked lately, no ambition, motivation in gym has dwindled. The only thing that hasn't dropped is sex drive.


Surprisingly my levels were 690ng/dl
Estro was 30
Everything else was fine.


The Dr is pretty up with the times so instead of shooing me away because of age she actually is giving me the option of 200mg a week to help me reach the upper medical threshold. She believes my levels are fine BUT low for my age technically.


The one thing we never discussed was starting at my age without the ABSOLUTE medical need. Would you believe it to be perfectly safe to start now and do this for life?
Thanks guys!

 

[Vettester Chris]

You DON'T need TRT! I'm 49yo, on TRT, I aim for a balanced program that usually puts me close to 700ng/dl. That's where you're at without any exogenous treatment.

When does a person need TRT?? That's a question that gets asked a lot. For me, I was in the 280ng range, LH was 2.3 if I remember correctly, and 42yo. We get some guys here that are in the 100's, and some 300's ... Around 400ng/dl, there's usually a few comments made to look at other methods, especially if someone is real young. Sorry, but at 24 with a 690ng/dl, that would just be a bad move IMO. Besides, what's the doctor's diagnosis going to be to justify this treatment?

Take a look at your thyroid, your symptoms could be in that area.

 

[bio33]

You DON'T need TRT! I'm 49yo, on TRT, I aim for a balanced program that usually puts me close to 700ng/dl. That's where you're at without any exogenous treatment.

When does a person need TRT?? That's a question that gets asked a lot. For me, I was in the 280ng range, LH was 2.3 if I remember correctly, and 42yo. We get some guys here that are in the 100's, and some 300's ... Around 400ng/dl, there's usually a few comments made to look at other methods, especially if someone is real young. Sorry, but at 24 with a 690ng/dl, that would just be a bad move IMO. Besides, what's the doctor's diagnosis going to be to justify this treatment?

Take a look at your thyroid, your symptoms could be in that area.

Well to be honest, I want to be up in the 11-1300 range. I want the energy, muscle gain, ambition it can bring. I just want to know.the downside, if any. I can afford it so I can't see why not if diet and supplementation is kept in check. But that is why I'm asking your guys opinion.

 

[Vettester Chris]

Well to be honest, I want to be up in the 11-1300 range. I want the energy, muscle gain, ambition it can bring. I just want to know.the downside, if any. I can afford it so I can't see why not if diet and supplementation is kept in check. But that is why I'm asking your guys opinion.

OK, the downside is that this will suppress your HPT Axis, which also produces FSH. That (and LH) work in conjunction to produce endogenous test and sperm. Not saying you can't have children, but you might have to work tightly with a fertility specialist(s), especially if an extended period of time has lapsed with no endogenous LH or FSH to stimulate the testes.

If your physician is not closely covering your program, your goal of achieving a higher serum level "could" lead to other imbalances downstream (primarily speaking E2), and you will find other issues evident like a climb in RBC's/Hema, possibly hypertension, insomnia, acne, ...

Consider this ... Ask another opinion. Truthfully, I'm not sold on your female doctor ... Not because she's a she, but because she's loosely willing to write a script for a guy at 24, at 690ng/dl. Even if it was a 44yo with a 250ng/dl, the 200mg/wk wouldn't be that good of a starting point. Back on topic ... Consider asking a Dr. Saya or a Dr. Crisler, or someone is an HRT physician, and get a 2nd take, if anything to either confirm your thoughts, or to provide a balance of differing opinions. Review both sides then make the best choices you can.

 

[bio33]

OK, the downside is that this will suppress your HPT Axis, which also produces FSH. That (and LH) work in conjunction to produce endogenous test and sperm. Not saying you can't have children, but you might have to work tightly with a fertility specialist(s), especially if an extended period of time has lapsed with no endogenous LH or FSH to stimulate the testes.

If your physician is not closely covering your program, your goal of achieving a higher serum level "could" lead to other imbalances downstream (primarily speaking E2), and you will find other issues evident like a climb in RBC's/Hema, possibly hypertension, insomnia, acne, ...

Consider this ... Ask another opinion. Truthfully, I'm not sold on your female doctor ... Not because she's a she, but because she's loosely willing to write a script for a guy at 24, at 690ng/dl. Even if it was a 44yo with a 250ng/dl, the 200mg/wk wouldn't be that good of a starting point. Back on topic ... Consider asking a Dr. Saya or a Dr. Crisler, or someone is an HRT physician, and get a 2nd take, if anything to either confirm your thoughts, or to provide a balance of differing opinions. Review both sides then make the best choices you can.

Thank you for your feedback!!
I will be sure to get frequent bloodwork if I decide to get on. The good thing is I do have 2 kids already hah! As willing as she is I will say she told me it wasn't recommended but it was up to me. I asked if I wanted to get on anyway to get to the higher end and she was ok with it. It would be along with Adex,HCG and optional Sermorelin. I also am huge on supplements for heart health and feel it too would help with longevity.

 

[CSI007]

Hormone therapy is not something that I would recommend to anyone unless they are in dire need of it. A lifelong commitment to injections and all of the possible problems that can arise from various secondary problems is not worth it. Not to mention the life long costs involved in the frequent lab work, injection supplies, prescriptions etc.

 

[ERO]

Many of us on TRT would love to have a natural level of 690 and get off TRT altogether. Its not as wonderful as it sounds on paper.

 

[James]

I must have had 5 tests prior to making the decision to move forward with trt. The highest of the five had my total test at only 290 ng/dl, in my early 40's. I agree with everyone above. I wouldn't start TRT, at your age, and with your levels.

 

[Ramrod]

I would stay away from her. She does not have your best interest. 690 is fine. Guessing you don't have insurance? Insurance won't help you at all on any of that. Being 25 and 2 kids. Paying for Test, Adex,HCG and optional Sermorelin. That's damn near a Nice Car Payment monthly...


My guess your looking for a short cut. I've been there. I've used every DS PH on the market since 2000. I even worked for a Large PH/Supplement company for 5yrs.

I would just get on a good Nutrition plan and Start a good strength program and not some BS BB routine. Start with 5/3/1 program. It's easy to learn and good progress for most. The older I've gotten the least amount of Supplements I'm using. I have learned a few things. I'm now the strongest, heaviest and leanest I have ever been. Only supplements I use is PWO and Protein. At times. BCAA when I can afford them.

 

[lcvl]

You can't attach your sense of well-being to a number.
Being at 1100-1200 doesn't necessarily mean you're gonna feel better than at 600,700 or 800. Actually many men on TRT are finding out they feel better overall at slightly lower levels.
And I can assure you that ambition in life is not regulated just by your T levels!!!


P.S. I started TRT at 42yo with Total T at about 550. My problem was that Free T was really, really low. Too low even for a 60yo man. Did you check your Free T?

 

[Vince Carter]

Could be a Free T problem, or DHT that is lacking for him absent his completely acceptable TT.

 

[Weasel]

Could be a Free T problem, or DHT that is lacking for him absent his completely acceptable TT.

Excellent advice. No chance in hell I would do TRT with those numbers. I honestly wish I would have been more knowledgeable about it prior to starting TRT as I just jumped at the chance.

Where are your thyroid numbers? A slacking thyroid can cause fatigue like you describe.

 

[Jackie Treehorn]

OP,

You're too damn young to be on TRT for the rest of your life.

Normally, I would suggest a Clomid restart for a young guy like you, however your T levels aren't that low, and your HPT axis appears to be working. As others have suggested, a more thorough look at all your levels (full thyroid too) is warranted.

If I were you, I would call Defy and get a phone consult with Dr. Saya. It will be the best money you ever spent. Even though you may not be a candidate for TRT, he can look at all your labs, and determine a course of action that would be beneficial to you. Good luck.

 

[johndoesmith]

OP,

You're too damn young to be on TRT for the rest of your life.

Normally, I would suggest a Clomid restart for a young guy like you, however your T levels aren't that low, and your HPT axis appears to be working. As others have suggested, a more thorough look at all your levels (full thyroid too) is warranted.

If I were you, I would call Defy and get a phone consult with Dr. Saya. It will be the best money you ever spent. Even though you may not be a candidate for TRT, he can look at all your labs, and determine a course of action that would be beneficial to you. Good luck.

damn a lot of people are saying in this thread that 25 is too young for TRT. It's making me feel bad, because I am younger than that. Although I am primary so I guess that's the exception.

 

[CoastWatcher]

damn a lot of people are saying in this thread that 25 is too young for TRT. It's making me feel bad, because I am younger than that. Although I am primary so I guess that's the exception.

Twenty-five is too young for TRT if you present with levels such as the initiator of this thread did, clocking in at 690. Any man presenting with 690 would be a poor candidate for TRT.