Total testosterone 689 Free testosterone 3.7 What steps can I take to increase the T and feel better? Six weeks of hCG mono therapy brought my TT up to 451 ng/dL. […] you've been in the performance enhancing arena for any sort of time or have been to a Doc for low testosterone then you've probably heard about HCG (human chorionic gonadotropin) by […]. If you’re experiencing symptoms, it’s very likely you’ll qualify for treatment. If conceiving a child is high on your list of priorities then I would think long and hard about starting TRT because it isn’t going to help your chances. I've shared a lot with you throughout the articles in this low T series. Hope ya don’t mind the q and a session LowTestosterone.com essentially acts as a manager between you and a network of doctors, labs, and a pharmacy that provides your treatment. 57 ng/dl is probably the lowest I’ve heard of. Essential Oils for Low Testosterone. If you were to start injections you’d probably gain some muscle mass, but you would lose most of it if you ever stopped and you would just be risking your natural levels. Doc said it’s due to high shbg. i have found your web page when i was first looking for tips to skinny fat, which is my case. LH 3.1 iu/L Lately I’ve been finding myself moody and lethargic and unable to find energy for the gym. I only took it for 2 1/2 weeks at 50mg a day but stopped due to getting feelings of agitation and anxiety. I told her about my symptoms, describing my anxiety, depression, and complete inability to gain muscle. Please feel free to do your own research and read forums on the subject. I’ll definitely consider that in the long run, but for now it’s kind of difficult to think about scaling back on something that has made such a huge improvement to my life. But now I’m extremely happy that I went in to get checked because I know now that life doesn’t have to be that hard. Had CBC panel done in late Aug 2015, and discovered that my blood count was completely out of control. Yeah, I think they would’ve told you over the phone if you didn’t qualify for treatment. Men with low T do tend to have lower sperm counts. I’ll check out the book. Free T4 16.6 pmol/l (8.0 - 21.0) Give them a call. Just know that weekly or twice weekly injections are best. Being patient is the most difficult part for me. Has since developed into zero libido and no erections without Cialis. To get to 842ng I was doing 250iu hcg E3D and 40mg test E3D which is 100mg test per week and about 600iu hcg per week and this blood test was drawn 2 days after shot so that is my peak I assume. Jason, our stories are so similar it’s unbelievable! Great series of posts Nate. Is it HCG and anastrazole are fine for PCT and how do I take it ,if I would inject 50 mg cypionate twice a week for 12 weeks then what for PCT ? Furthermore, when somebody is on TRT, will his sperm be healthy? I have been unbelievably depressed, having anxiety attacks, no energy, lethargic, can’t focus, can barely read, just a wreck, a total sob story. I ended up being billed $930 for blood work alone! I waited for a year for treatment because my wife and I were trying to have a baby, and once my son was out and healthy, I was all about slapping that patch on. Apparently the polytythemia was induced by TRT. You’ll then be billed the $199 on a monthly basis. However, my free T was still at 7.2 with a reference range of 9.3 – 26.5. When manipulating hormones, accuracy and consistency are essential. Total T is 330 ng/dl when reference range of that lab is 250 to 827 ng/dl. Just look around today and you can see depressed, weak-looking men everywhere. I think the biggest problem with GPs is this one size fits all approach to diagnosing and treating Low T. As you mentioned in your articles, they don’t have the training nor experience, and they are unwilling to go outside the standard treatment protocols. Every other time I've had to call them my questions and concerns were always addressed appropriately. My first step was to see my existing general practitioner. I’m not asking this because I want to use right away,because I want to take advantage of my hormonal profile for as long as possible.But at age 25-26 my hormonal output may top off and can’t really make any more gains after that.So personally I think that would be an ideal age to start using.I know you can’t advocate what I’m referring to,I’m simply curious what you think about this subject. typically addressing just a single system doesn’t work for us hard-to-fix cases. I eat pretty clean no chemical foods ,if i ate anything out there I could hit 240 easy. Most do just fine on gels or injections, etc. So I asked hey it’s 8:40 am, why don’t I go over and do the blood draw now. Most males only hover in the upper limit during puberty and those levels are not. I did the same thing and was hesitant to pull the trigger. Non smoker non drinker. The doctor is trying to prescribe Androgel to me at the moment and I was wondering what I should do if I plan on having children in the future? Your extremely well detailed articles have gotten me motivated to fix this problem. Injecting myself doesn’t seem that fun lol. I had a quick question for ya regarding TRT. Now, if your current doctor is on board with the tests (and potential treatments) necessary and you're able to get the doctor visits, diagnostics, and medications/supplies covered through your insurance, by all means, DO THAT! Hypogonadism Support Group. To my knowledge they are taking new patients now or will be very soon. TRT is more established as a therapy treatment in the US but awareness of it in the UK is growing among men who are suffering the effects of low testosterone. I have been heavier than that before just had a blood work done and started super mandro . My question is, would I not be better off trying a clomid restart first? For trips lasting longer than a week I would have to pack my test and hCG, which should be fine as long as you have your prescriptions and medication in labeled bottles. This blood test was taken about 3 or 4 hours after I woke up so I was showing a normal decline throughout the day. That was entirely my fault because I waited until a few days before my next scheduled dose (which happened to be the day before a holiday weekend) to request my first refill. Alternatively, you could try hCG mono therapy. But let me leave you with this – I now view my life as having two chapters: Before testosterone, I was physically, emotionally, and mentally weak. We are absolutely in the “wild west” days of TRT. Also, there are no risks of birth defects that I’m aware of. Good luck and keep me posted! TRT (Testosterone Replacement Therapy) in the UK is a growing treatment are for men who are feeling the effects of low testosterone. When I went in for my first visit, he told me that my levels were low enough to proceed and he began discussing treatment. I can tell him about my initially shrunken testes, emotional progress, and body composition changes without fear. My plan is to go into a hospital for a general check up first to see where my health is at. My urologist started talking about creams and gels. I work outside doing hard manual labor and I lift hard at the gym 3 x a week. I have just started my TRT and I am using Prime body. Like being in cold water, right? Really it’s just to keep my options open. I think a good reference for determining low levels of free testosterone would come from this article: http://www.menshealthboston.com/pdf/2014_Who-Is-a-Candidate-for-Testosterone-Therapy%20-a-Synthesis-of-International-Expert-Opinions.pdf, Mohit Khera, MD “I diagnose TD based on two criteria: low serum total or free T and signs or symptoms of TD. The dose was too small to have a real effect, something like that could have ruined my natural test. Although I use a total T value of less than 350 ng/dL (12 nmol/L) as indicative of TD, if the free T value is low, I consider the total T concentration irrelevant.”. Though I never took any supplements , I feel that my issues started when I started wearing very tight undergarments in gym. Keep me posted on your progress. That and the fact there are no doctors within 150 miles that are knowledgeable enough to either diagnose or correctly treat this problem. 27year old male here. Can you shed some light please. Nate, My biggest fear with going that route at this point is that I still may decide to have kids and I’m worried I may not function sexually the same after reading so many horror stories. And I started taking Tongkat Ali, which did wonders for my free-T levels. I do want to have kids in the future as I’m only 25 but at the same time I can’t go on like this given I am likley to lose my job etc [/quote]. Just be patient and don’t be discouraged if you don’t feel amazing within a week. Below, I'm going to share my struggles with two different doctors and then my experience with the good folks at LowTestosterone.com. He should also do a physical exam, including checking your testes for lumps. Not being able to gain strength, especially on compound movements is a huge red flag. Nate For example, a 45-year-old man with 10 mmol/l total testosterone … You can look into that a little further as option. I just read all 4 of your articles and I was thinking maybe I should give it a shot. Globulin 2.5g/dl. I think your life is about to take a turn for the best, DG! The blood test sticky seems confusing in terms of whether or not saliva testing is beneficial. he wants to do yet more labs, despite already having the previous ones and an ultrasound of my testes along with a sperm test before he will prescribe anything. Among men who have genuinely low testosterone – officially called hypogonadism but also known as "low T" – and are experiencing certain symptoms, testosterone replacement may … Nate, many thanks on your openess on this topic! As you’ve illustrated, where there’s a will there’s a way. After starting to slack off in my very demanding job the past few months, I started researching Low T again. Started out on 6% gel which provided TT 755, FT 3.5 within 4 months, then crashed to TT 320, FT 2.0 3 months later. Since you’re in the diagnosis process, I don’t think you should run super mandro at all. Blood Work: Or could you have your old tests results sent over? Also rapid hair thinning if prone to male pattern baldness. And that's with the highest commonly prescribed dose of testosterone, so I have to get a refill more often than others. Would an ATCH stimulation test be useful? I am a 71 yr old and have been on various levels of trt gel since 2011. some need to be high but not that high. I want to thank you for this 4 part personal series on TRT. This fact sheet has been prepared by Women’s Health Concern and reviewed by the medical advisory council of the British Menopause Society. The main reason I've had to reach out to customer service was because I missed a dose of testosterone. Great blog and keep the content coming. If you go on treatment, I would talk to your doctor about adding hCG to prevent your testes from shutting down. Week 3 – very irritable and very moody, lots of anger, energy and frustration. 55 years old lost 40 lbs got stronger but just worn out from construction and the gym Bence. Obviously you’re a young guy and I don’t know your plans for the future but what kind of impact does TRT have on the future ability to have kids? If you make it that far, then you’ll likely have to argue your case to have blood drawn. Hematologist then did more test to rule out polycythemia vera. If everything comes back normal, great! But to be 1090 almost 1100ng is high. You get a spike of testosterone in the morning after application, and then a dip as the day goes on. I just barely got insurance over the weekend and it will start at the beginning of November. That’s a tough question to answer. But I could feel that something was wrong with me and I needed help. They do both injections (test and cbg or whuddeverdafuck it’s called.) I will get tested and see if bringing my results to doctors here will change anything but I would love to hear if anyone in Canada was able to get through to someone. That sucks that the doctor couldn’t find a cause but that seems to be the common theme these days. Very happy so far. Thanks for the recommendation! I don’t want to lose my trust / treatment from the NHS and this specialist who does seem keen to help, but from what I have read, I would rather try and stimulate my own HPTA than go straight to using HCG. Apologies, the letter I have been sent just lists those values, it doesn’t list units or ranges. Being only 25 years old they would not treat me unless I was under 300ng/dl (which is crazy to me). Just this year i started to fight back against my life issues, bought some equipment, dumbbells, bars and weight to start lifting, but at home this time, i can pretty much say to you, if you’re doing it right, you’ll have great or even the same results as you were in gym, i had 3 years of experience on the gym and that really counts when i’m lifting at home. Unfortunately, I’m only familiar with the options available in the US (and even then, it’s slim pickings for proper TRT protocols) and Primebody doesn’t operate outside the United States at this time. Are you kidding me? For TRT, there is no cycle, PCT, or time off. These medical professionals were basically useless and I was tired of being jerked around. I am then due to have the ACTH Stimulation test on December 5th to investigate my adrenals. It’s very frustrating. I write all of this to hopefully help others too know that it can be very difficult like you shared. Zinc. I would opt for a clomid restart. He told me I had to come in first thing in the morning and have zero sex for 48 hours before coming in as my levels would be at the lowest. Worst case, you plan a once yearly trip to New York and make a little getaway out of it. Got my total test checked, which came back at 351ng/dl (eating rather clean and bodybuilding min 3x per week). These kind of doctors are hard to find, so in a way think positive. I wonder if my low sperm count (hence inability for my wife to get pregnant) is due to my having not only an extremely roller coaster overall T – level but also a low Free-T level. I’m asking myself for how long you do your test cycle, and how long do you take a break of it and how you do – if you go into something like post cycle before starting it again. Are you aware of any alternative methods to test if you have low T? Anyway, great series, great site. I’m really interested to find out the results. Very glad to hear your reply, thanks! My muscles take forever to bounce back, they don’t feel as strong, and I just generally feel weak and crappy. the blood test sticky has a number of recommended tests and ideal US ranges. Is it better, worse or okay? Many doctors are hesitant to provide treatment, while others are willing but unfamiliar with the most current, safe, and effective methods and complementary medications. They have done everything that you stated they would and its been a smooth process. Little did I know at that time that I was still 5 months away from finding a medical provider who understood what I needed and was ready to help me receive adequate treatment. Hey Nate I have a quick question regarding subcutaneous injections. The blood test sticky seems confusing in terms of whether or not saliva testing is beneficial. you need to check areas where this can affect you such as lipid and blood panel – CBC, CMP and also kidneys. In the last 6 months I have had many similar symptoms. The problem from what I see is my body produces test just fine, it just doesn’t absorb it. About CJA-Balance and our Testosterone Replacement Therapy in the UK. The first thing that I have to point out is that this isn't an anti-aging clinic with salesmen dressed in lab coats. Doing a few months at a low dose of clomid could be beneficial. My conclusion: we are still in the “wild west” days of understanding T. Most doctors don’t care enough to educate themselves before pronouncing some nonsense and sending you on your way. Total T reference 250-1100ng/dl I have low T and various symptoms, so I’m thinking about TRT. Merry Christmas !!! I appreciate your job, Nate, and i hope i can have a reply. My low levels of testosterone are caused by a pituitary adenoma diagnosed from an initial blood test where this showed an elevated level of the hormone prolactin. Man, i gotta tell you, i’ve been through a lot since january 2015, i’ve lost my bride, dropped the college, got into depression, and there i was until the end of the year. I’m not sure how much success I will have with the NHS and exploring the adrenal route as officially, for them at least, adrenal fatigue doesn’t exist. 29 year old male, and like you, I have amazing exercise routine but have seen little to no results over the years. The nurse told me they want me at 800 i think it should be higher plus now i has to go to there office 2 times a week then once a week So I’m just wondering how that’s been for you. I called prime body and am actually going to a lab in the morning to get my blood drawn and levels checked. I have now since switched to self injecting into thighs; sometimes it’s painful but lasts a week. I’m thinking that the explanation for your high lean mass but low T points to a decline rather than lifetime low levels. Word of mouth is kind of the best tool at your disposal at the moment. Having finally got tested after many appointments where they tried to tell me I was just depressed I came out with the results of 4.6nmol/l and convinced my GP to refer me to an endocrinologist. It’s possible that your testes will respond and you can “wean off” the hcg and your pituitary will pick back up where the hcg left off. Have you had any side effects from the TRT that you were aware of? This post isn’t meant to demeaning but to inform those to consider lifestyle changes before starting the lifelong TRT treatments. TSH 1.44 mu/L (0.4 - 4.5). really not sure what to do. Is the kit you ordered a saliva test? Anyway, I wish you the best young man! Some of these signs and symptoms can be caused by other factors, including medication side effects, obstructive sleep apnea, thyroid problems, diabetes and depression. The thickness of the skin at the application site can affect absorbency. I’ve seen the jeans before but the boots are news to me. will run the super man for 4 weeks to see how it goes. Dee, you can calculate your Free T from your Total T, Albumin, and SHBG using online calculator (google it). I was curious the needle size/gauge you use to inject yourself since I’m fairly lean as well. HGB 20.2, HCT 58.7, RBC 6.9. The medications included are testosterone, hCG, and an aromatize inhibitor if you need it. Cited estrogen therapy issues, and basically concerns that did not include ANY science or related facts about treating me (women’s medical issues and men’s are not apples to apples!) Hey great writeup! When the lab finishes the analysis, the results are provided directly to your doctor and uploaded to your account so you can view them before going for the annual in office visit. Most of the time, a family doctor isn’t going to cut it. I have never used steroids or pro hormones of any variety. My Doctor informed me to bank sperm before starting treatment in case IVF is needed. In addition to the administrators who provide general customer service, I can also speak with a nurse 24 hours a day with my immediate medical questions. Everything seemed to be okay, so he felt confident starting me on test and hCG once a week. I just don’t want to die to feel better, y’know? Can I use a 27 inch gauge needle, 1/2 inch needle length? If a doctor is pushing anything less frequent than once weekly injections, run the other way. And we know they’re on more than 200 mg of test. Make sure to use the code Lewis27 to get the Iron & Tweed reader benefits. it didn’t go at all well with the andrologist today, I am at my wits end to be honest. But the thing is: I live in Brazil, in my city there’s nothing like the clinic you got your treatment. I went to my primary care doctor and they said I had to get labs 3 more times in the morning with fasting. After getting off of the cycle, I felt an immediate crash. [quote]ockey wrote: I disregarded everything and thought “well…I’m young so it shouldn’t hurt me too bad.” Fast forward months after I graduated high school I felt tired, lazy, irritable, depressed, and awkward around people all the time. I’m actually prescribed 1 cc per week. I want start cycle with tes cypionate,hcg,anastrazole but I am not an expert at all so need your advice. 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