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Low T Miserable/Please Help

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Trtdoc said:
Are you kidding me mr T? i am a hormone specialist, so obviously I have seen this type of case hundreds of times. And btw, I can calculate his free t and its 75, sufficient for a diagnosis of secondary hypogonadism. Tisk tisk, sometimes It is best to listen to the doc and not get ALL your info from Google :nono:

sir please see your doc and discuss TRT, don't listen to peeps on the Internet

Dr. B
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Dr. B,
There are many Google PHDs on this forum. You only have 8 years of medical school which puts you at a distinct disadvantage. Good luck!
 
Haha, ya this is nothing abnormal. Deal with it everyday. Should have skipped college and stuck to google university, probably would have saved a couple of bucks! :D
 
Oldschool said:
Dr. B,
There are many Google PHDs on this forum. You only have 8 years of medical school which puts you at a distinct disadvantage. Good luck!
Click to expand...

Trtdoc said:
Haha, ya this is nothing abnormal. Deal with it everyday. Should have skipped college and stuck to google university, probably would have saved a couple of bucks! :D
Click to expand...

Hey fuck you guys! If it's on the internet it's true!

Chem-trails, black helicopters, all that shit.
 
Dirty93 said:
Hello guys I'm new here, and I would really appreciate some advice/help!! I'm 23 and I'v been having issues with depression, extremely low libido, VERY bad brain fog some days, with okay, level, and normal days in-between. I knew something wasn't right as I used to be very social/physically active then I started having tons of social anxiety, and some days Im so tired/mentally handicapped I literally feel worthless! I was on Propecia 3 years ago, and was on it for only a year but quit because of headaches, and the sexual side affects were very unpleasant. However after I quit my sex drive came back but was never near as strong as it once was before taking Propecia. Iv noticed over the last 1-1.5 years its slowly dropped off and its to the point where I have a completely non existent sex drive! Also my daily functioning is lacking, I'm always tired I always want to sleep with little motivation. After awhile I started seeing my local MD about this and recently we did blood work and my levels are as shown below.


hFHS- 3.97mlU/mL (1.27-19.26)
hLH- 2.60mlU/ml (1.24-8.62)
Test Free- 75pg/mL (47-244)
Test- 376ngdL (300-1080)
SHBG- 28nmol/L (11-80)
DHT- 15ng/dL (5-46)


My MD said he's concerned about my LH levels are low and that I have Secondary Hypogonadism, he agrees my T levels are very low for my age. My Testosterone mainly stays borderline low normal, usually (in the 300s) with a highest iv seen of 476ngdL. The posted blood test is the most recent (not the 476) and one thing to note I was feeling kinda more "normal" less brain fog and tiredness when I tested the level of 476 Iv been journaling how I feel so I can figure this out. I came here to see if you guys would be able to shed some light and possibly help and have information on what I should do and possibly if anyone knows a local very good endo in my area I live in the Longview, Texas area.


What do you guys think? I really appreciate any help/advice I can get! Thanks.
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Go find yourself a reliable doc that believes in TRT. Those numbers are screaming for assistance. It's one things to have low numbers at an advanced age such as 40pkus but to have those in your 20s is not going to be an easy journey doing it without help. You feel like crap and the numbers justify it. Don't settle for waiting


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Trtdoc said:
Lol, glad to know, I had absolutely no clue that supplements and pharmaceutical drugs are different? Did they teach you that in pharmacology....? i must of slept through that lecture

Dr B
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Beleive it or not a lot of your colleagues consider them the same and a vast majority recommend against supplementation because they are clueless what it does. So while you may be well versed in pharmacology(what red blooded pill pushing doc isnt) most are totally fucking clueless when it comes to nutrition.

I can tell you right now if I listened to my "real doc" and followed his advice taking his meds I would probably be dead by now. Just because you're a doc and have a degree doesn't make someone competent. Ive got plenty of documentation to prove it. Also for the record, I am not against TRT, I am against waddling up to the pharmacological merry go round to treat symptoms instead of problems when the docs almost always overlook the cause and head right to the merk manual because thats all they know. Im a proponent of TRT but as previously mentioned its usually a t least a partial symptom of something else being wrong and I mean wrong beyond "the labs state I can legally prescribe you this now, thank you and have a good day".

P.S. Keep the sarcasm coming, it's generally quite well received.
 
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You are 110% correct with your whole statement. I even tell my patients not to ask my about diets or nutrients etc. unfortunately, there are a lot (probably a shit load) of horrendous docs that have killed multiple people and still practice.... Scary!

anywhoo, love the reference to the Merk Manual.

Btw-I love sarcasm, I am a marine :popcorn:
 
Trtdoc said:
Are you kidding me mr T? i am a hormone specialist, so obviously I have seen this type of case hundreds of times. And btw, I can calculate his free t and its 75, sufficient for a diagnosis of secondary hypogonadism. Tisk tisk, sometimes It is best to listen to the doc and not get ALL your info from Google :nono:

sir please see your doc and discuss TRT, don't listen to peeps on the Internet

Dr. B
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Still can't calculate it buddy. Not with what he gave. free, total, and bioavailable. You have 50 posts and I've watched you give horrible advice, besides having 12 years of my own experience with this I'm an rn. And your full of shit

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Have you ever had or come into contact with syphilis...? Might want to get check out for that, and probably by a medical provider, not an RN.

sir, play nice


that is all

Dr B
 
Trtdoc said:
Have you ever had or come into contact with syphilis...? Might want to get check out for that, and probably by a medical provider, not an RN.

sir, play nice


that is all

Dr B
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Lol
 
Just because you put trtdoc as your name doesn't make you a doctor.
You didn't even know what bioavailability testosterone was OR how to calculate it. I bet your just some kid one here playing around.
Do do yourself a favor, Google it, since you haven't studied it. Which EVERY endo or " trtdoc " would know.
Fuck outta here...


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Get Shredded!
All joking aside, we are here for one reason and that is to help the great members of this board. I will try my best to help in anyway possible.

Mr. T, I am sure you are a great guy. You seam knowledgable and are a great asset to members here. Hope you are doing well, sir

Dr. B

- - - Updated - - -

All joking aside, we are here for one reason and that is to help the great members of this board. I will try my best to help in anyway possible.

Mr. T, I am sure you are a great guy. You seam knowledgable and are a great asset to members here. Hope you are doing well, sir

Dr. B
 
Trtdoc said:
You are 110% correct with your whole statement. I even tell my patients not to ask my about diets or nutrients etc.
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Thanks for your honesty, this is why I have a HUGE problem with modern medicine. How can you possibly create a whole discipline around health and wellness yet almost completely ignore the very thing that gives life (ie nutrients)? There is a huge disconnect and any doc that doesn't take nutrition seriously and in turn just dished out meds to solve symptoms and ignores the underlying cause to me is in direct violation of the Hippocratic oath.

I've worked with some older folks, 60_ on a handful of meds and whose condition was deteriorating every year. Within a couple years they have made drastic improvements in health and cognitive function and gotten off ALL medications with virtually no changes in diet just by adding needed supplements to their diets.

Could these folks benefit from TRT? Almost certainly but just giving them TRT would have done little to nothing to improve their declining health, it would have just masked some of it and possibly exacerbated some things if the underlying nutritional issues werent addressed first.
 
Well guys, my endocrinologist put me on TRT she agreed my levels are low, but after I started it the first 2-3 days after I was VERY VERY tired and felt really bad brain-fog, just completely spaced out. Do you think I should check my E2 levels? I usually have all these symptoms to begin with I just feel so mentally foggy and can't think Clearly at all and have trouble comprehending things, but when I got my first shot it was considerably worse making me wonder if maybe E2 is to blame based on the reading I have done.

Also to note the shot was a 200mg shot.
 
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Dirty93 said:
Well guys, my endocrinologist put me on TRT she agreed my levels are low, but after I started it the first 2-3 days after I was VERY VERY tired and felt really bad brain-fog, just completely spaced out. Do you think I should check my E2 levels? I usually have all these symptoms to begin with I just feel so mentally foggy and can't think Clearly at all and have trouble comprehending things, but when I got my first shot it was considerably worse making me wonder if maybe E2 is to blame based on the reading I have done.

Also to note the shot was a 200mg shot.
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What was your E levels at before TRT? Did she prescribe any anti-e? If so, what, dose and frequency? How frequently are you going to be getting 200mg?
 
Just one shot? Are they planning on just giving you one shot every 2 weeks?

I doubt your E jumped that high for you to have symptoms. You are though more likely to have a higher E with your body having aromatize that much Test all at once. Twice a week injections are best. Once every two weeks is stupid. That's a hormonal roller coaster
 
Agreed, one injection every 2 weeks just does not work. Most people will start to feel the "crash" around day 6. I prefer two injections a week for mores stable levels, however most patients feel this is too many injections. once a week is sufficient IMO

Research suggests that there really isn't a "too high" E2 level. Once you start becoming symptomatic thats when it is too high. It is much worse to have deficient E2 than elevated per research.

Dr. B
 
Trtdoc said:
Agreed, one injection every 2 weeks just does not work. Most people will start to feel the "crash" around day 6. I prefer two injections a week for mores stable levels, however most patients feel this is too many injections. once a week is sufficient IMO

Research suggests that there really isn't a "too high" E2 level. Once you start becoming symptomatic thats when it is too high. It is much worse to have deficient E2 than elevated per research.

Dr. B
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Doesn't it go both ways? I think it depends a lot on the duration the person is either elevated or deficient. When my e2 is elevated my BP skyrockets which obviously has a very negative effect on many things, kidneys etc.. But when it's low, my libido is diminished, I'm fatigued, and I suppose there's the risk of hypercalcemia, but what's worse? I don't know. I'm guessing it's mostly genetic and individual.
 
Definitely individualized. Hypertension would be a symptom, so you would need treatment since you are "symptomatic". There is no relevant research that shows the magic number to start treating high e2, again its if you are symptomatic.

Just for laymans terms, we try and keep in therapeutic range so we do not see negative aspects of therapy. Therefore, it is always best to treat and keep within those normal ranges.

Dr. B
 
The first 'loading dose' was 200mg and then every week after Ill be doing 100mg I just got my 100mg shot today, the thing that I don't understand is that a couple hours after receiving my shot..again I feel like total shit. I started to feel better towards the end of the week, so maybe E2 is getting way to high when I first dose? Ill be doing my first blood test in 4 weeks.

Note-When I start feeling really bad I have bad brain-fog/anxiety as well as heavy hot flashes and night sweats, Ill feel just bizarre and out of it. Dumbed down is a good way to describe it, as well as pretty fatigued and bloated.

What do you guys think?
 
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Dirty93 said:
The first 'loading dose' was 200mg and then every week after Ill be doing 100mg I just got my 100mg shot today, the thing that I don't understand is that a couple hours after receiving my shot..again I feel like total shit. I started to feel better towards the end of the week, so maybe E2 is getting way to high when I first dose? Ill be doing my first blood test in 4 weeks.

Note-When I start feeling really bad I have bad brain-fog/anxiety as well as heavy hot flashes and night sweats, Ill feel just bizarre and out of it. Dumbed down is a good way to describe it, as well as pretty fatigued and bloated.

What do you guys think?
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Some people are very sensitive to fluctuations in hormones and get some sides. Others are sensitive to the additives in the test injection. Usually, these things subside within a few weeks so I guess I would recommend just riding it out and see if things improve. That being said it would also be a good idea after 8-10 weeks to get labs again and see where you sit.
 
I just started my first week of TRT. Im taking 200mg of test once a week and 50 units if HCG twice a week. I can tell you so far im starting to feel better by the day. I was having a lot of the same problems and have hopes for more improvement. Im 43 years old 6-1 245 lbs and have been training all natural for almost 30 years now with tremendous results. But now ive come to realize that i need some help to maintain what im used to doing in the gym.
 
I just did my first round of blood-work after 8 weeks of TRT. Total Testosterone is 769ng/dl, however I noticed my E2 seems high and maybe thats why Im not feeling the effects of the testosterone as much as I should be? My E2 levels are 43 pg/ml, isn't that on the high side? I still have poor libido/erections and days where Im really tired. What do you guys think?
 
What do you guys think about my current blood results on TRT? Estradiol seems really high, right? Could that be causing my tiredness, brain-fog, and sex drive issues??
This blood work was on a peak period a day after injection. I take weekly trt injections

Total Test: 1233 Ng/dl
Free: 33.3 pg/dl
DHT: 56 ng/dl
Estradiol, Sensative: 62.9 pg/ml
Progesterone LCMS: <10 ng/dl
DHEA: 197.3 ug/dl
 
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