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<blockquote data-quote="JerseyMatt" data-source="post: 124518" data-attributes="member: 28060"><p>All, sorry for the long post and appreciate all the advise but here is my story. I am a 40 yr old male. Work has been stressful the last few years with long hours, bad food, lots of travel and shitty work. About 4 years ago, I noticed that I was having issues maintaining erections, then I noticed I was feeling fatigued, had a lot of body fat, some anxiety, was getting lazier, etc. All this happened over a course of a couple of years. I was overseas and happened to go to a doctor (for something else but mentioned these symptoms as a side note). He suggested I get my T levels checked. They turned out to be low so he suggested I come back to the US and follow up with my doctor. Upon returning, I asked my primary care physician that I wanted to take these tests. Here are the results over time (all AM/ ~10am):</p><p></p><p>06/2017 - 289/54.3 (Total/ free), Prolactin - 9.1, TSH - 2.34, FSH - 1.8, LH - 2.2</p><p></p><p>08/2017 - 290/59.5 (total/ free)</p><p></p><p>He still wanted one more test to be sure. **I also happened to take a one month vacation from work** and got another test done in 09/2017. Results were:</p><p></p><p>09/2017 - 455/96.5 (Total/ free), Prolactin - 8.5, PSA - 0.3</p><p></p><p>With these latest numbers, he said everything was fine and not to worry. He gave me some Viagra for the erections but that didnt help much tbh. A year later at the next physical, I requested another set of tests. This time they were:</p><p></p><p>08/2018 - 222/41.1 (Total/ free), Cortisol - 16.6, FSH - 2.3, LH - 1.5, Estradiol - 36, </p><p></p><p>These were lower than the tests last year. So he almost agreed to put my on TRT. However, wanting to double check the tests again, he requested another set a month later. It was August again and I had another vacation coming (I usually dont get these long vacations but have started saving up vaca to take) and had a month off again. At the end of the month, the results were: </p><p></p><p>09/2018 - 455/79.9 (Total/ free)</p><p></p><p>Again, he said everything is fine and no need for TRT. But here are my questions:</p><p></p><p>- Why are my TRT levels fluctuating so much? Its the same labs (quest) and same times.</p><p>- Could the vacations be a factor? (Work is crazy stressful at times).</p><p>- Sometimes I do take some herbs (Ashwagandha) but dont think the levels should fluctuate that much with them.</p><p></p><p>I almost just wanna try TRT for a year to see if it makes a difference but want to avoid long term issues like loosing ability to have kids, make own T, etc. I definitely feel I have all the symptoms so know something is up but the numbers are confusing me. Any thoughts or suggestions? Are these variations normal? Thanks!</p></blockquote><p></p>
[QUOTE="JerseyMatt, post: 124518, member: 28060"] All, sorry for the long post and appreciate all the advise but here is my story. I am a 40 yr old male. Work has been stressful the last few years with long hours, bad food, lots of travel and shitty work. About 4 years ago, I noticed that I was having issues maintaining erections, then I noticed I was feeling fatigued, had a lot of body fat, some anxiety, was getting lazier, etc. All this happened over a course of a couple of years. I was overseas and happened to go to a doctor (for something else but mentioned these symptoms as a side note). He suggested I get my T levels checked. They turned out to be low so he suggested I come back to the US and follow up with my doctor. Upon returning, I asked my primary care physician that I wanted to take these tests. Here are the results over time (all AM/ ~10am): 06/2017 - 289/54.3 (Total/ free), Prolactin - 9.1, TSH - 2.34, FSH - 1.8, LH - 2.2 08/2017 - 290/59.5 (total/ free) He still wanted one more test to be sure. **I also happened to take a one month vacation from work** and got another test done in 09/2017. Results were: 09/2017 - 455/96.5 (Total/ free), Prolactin - 8.5, PSA - 0.3 With these latest numbers, he said everything was fine and not to worry. He gave me some Viagra for the erections but that didnt help much tbh. A year later at the next physical, I requested another set of tests. This time they were: 08/2018 - 222/41.1 (Total/ free), Cortisol - 16.6, FSH - 2.3, LH - 1.5, Estradiol - 36, These were lower than the tests last year. So he almost agreed to put my on TRT. However, wanting to double check the tests again, he requested another set a month later. It was August again and I had another vacation coming (I usually dont get these long vacations but have started saving up vaca to take) and had a month off again. At the end of the month, the results were: 09/2018 - 455/79.9 (Total/ free) Again, he said everything is fine and no need for TRT. But here are my questions: - Why are my TRT levels fluctuating so much? Its the same labs (quest) and same times. - Could the vacations be a factor? (Work is crazy stressful at times). - Sometimes I do take some herbs (Ashwagandha) but dont think the levels should fluctuate that much with them. I almost just wanna try TRT for a year to see if it makes a difference but want to avoid long term issues like loosing ability to have kids, make own T, etc. I definitely feel I have all the symptoms so know something is up but the numbers are confusing me. Any thoughts or suggestions? Are these variations normal? Thanks! [/QUOTE]
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