18 yr old - Low Testosterone

Glad to see you found a suitable endo and started treatment. I just skimmed over the last page of posts, but I didn't notice you mention anything about starting/requesting HCG. Since you're so young, it's just about your only hope at maintaining fertility. If you don't mind walking around with the scrotum of a prepubescent boy for the rest of your life and don't wish to have kids you may be ok without it; however, there are still potential positive mental effects that men report from including HCG in their trt protocol.
 
He said like "We'll do 100mg a week and in 2 months come back to get blood taken the day before a shot, you'll likely be on for life but we will see what your blood work looks like at your lowest point".

Assuming he means to adjust dosage.

Would it be bad to wait 2 months before I ask about hCG?
 
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Also just did my first ever injection - heart was beating through chest.

Did it solo into glutes, pretty sure I did it properly (no bleeding, it stayed in etc). Is it possible to fuck up a test shot if it stays in? Like what if I didn't make it to the muscle (I'm pretty sure I did).


You will be fine....did your doctor mention anything about E2 or an AI?
 
You will be fine....did your doctor mention anything about E2 or an AI?
He said not to worry, as my E2 will only rise if I take "steroid" amounts that bodybuilders use.

He's the type of guy that if I asked and explained it however, I'm sure he would have no problem. I definitely will ask him in the next couple of weeks.

Hopefully an AI will also be covered on my insurance - as I'm not sure if hCG is.
 
He said like "We'll do 100mg a week and in 2 months come back to get blood taken the day before a shot, you'll likely be on for life but we will see what your blood work looks like at your lowest point".

Assuming he means to adjust dosage.

Would it be bad to wait 2 months before I ask about hCG?

Waiting two months to start HCG most likely won't be detrimental to your fertility, but I definitely would have advised you to bring it up during your last appointment. At the very least I'd call up your doc and tell him you're interested in HCG to help maintain fertility (you'll have to leave him a message, but if he cares about his patients he'll call you back personally).

But don't be surprised if your nuts shrink significantly over the course of the next two months; after one month I noticed they were half of their natural size. Unfortunately I was one of the (seemingly rare) unlucky ones that experience terrible aching pain when the testicles are shut down and atrophying. But yeah unless you experience this pain, you shouldn't worry too much if you have to wait a couple months before implementing HCG.
 
Hopefully this is all sorted out with the right treatment. No way should a 18 year old have to live hypogonadal.
 
Also just did my first ever injection - heart was beating through chest.

Did it solo into glutes, pretty sure I did it properly (no bleeding, it stayed in etc). Is it possible to fuck up a test shot if it stays in? Like what if I didn't make it to the muscle (I'm pretty sure I did).

Doesn't this doc have nurses in his office ?
He should have done the first shot at least in his office, so you could see it as well.
Just make sure you don't hit a nerve while injecting....
I don't know how lean you are but use 1" for delts and 1.5" for Glutes...
put it in till the whole needle disappears and press slowly as to not make a lump by injecting too fast.
 
Some people who have been shut down either genetically or due to chemical abuse have used clomid for a few months and been functioning with normal levels even after clomid treatment. I would recommend reading into this approach. If you really are looking to dip your test levels, alcohol lowers testosterone for a 24 hour period...Hence I do not drink unless I am on cycle, and even then very little. Read up on alcohols effect on test... guess you could drink the night before, not sleep, and bottom out.
 
I am 19 and suffered from low test from age of 17 onwards, my levels were in the 300~ range. TRT deffintly made me feel a lot better, it's really not a burden at all IMHO... pinning myself E5D is a breeze, it could be worse. I have nothing to complain about being able to live a quality life now.

If the injections really are an issue, why not ask your TRT Doc about Nebido? (Test Undecanoate)

It's a slow releasing ester and I only have 1000mg/4ml injection every 10 weeks...

Stable blood levels, no peaks and troughs, 5 injections a year...

The UK is way behind in most things - but with TRT they certainly seem to have got this one right!

Good luck guys :)

BigBen
 
If the injections really are an issue, why not ask your TRT Doc about Nebido? (Test Undecanoate)

It's a slow releasing ester and I only have 1000mg/4ml injection every 10 weeks...

Stable blood levels, no peaks and troughs, 5 injections a year...

The UK is way behind in most things - but with TRT they certainly seem to have got this one right!

Good luck guys :)

BigBen

I don't think nebido has gotten regulatory (FDA) approval in the US yet.
 
He said not to worry, as my E2 will only rise if I take "steroid" amounts that bodybuilders use.

He's the type of guy that if I asked and explained it however, I'm sure he would have no problem. I definitely will ask him in the next couple of weeks.

Hopefully an AI will also be covered on my insurance - as I'm not sure if hCG is.

You can get estragen problems on TRT doses of testosterone. Your doctor is misinformed. It is an imperative that you monitor your estradiol levels while on TRT.
 
But don't be surprised if your nuts shrink significantly over the course of the next two months; after one month I noticed they were half of their natural size. Unfortunately I was one of the (seemingly rare) unlucky ones that experience terrible aching pain when the testicles are shut down and atrophying. But yeah unless you experience this pain, you shouldn't worry too much if you have to wait a couple months before implementing HCG.
I've been having a strange feeling in my nuts, they haven't shrunk (still quite large) but I'm not sure if it is placebo or a result of my first injection. Either way, I'm confident if I brought up hCG he wouldn't mind. He'll probably counter argue with "Most people only take hCG when they are in need of conceiving a child" or something similar. I'm sure he'd let me try it. This is something I'll bring up when I phone him this Monday.

Hopefully this is all sorted out with the right treatment. No way should a 18 year old have to live hypogonadal.
That's an understatement, I'm pretty sure it's been the cause of a lot of negativity in my high school years.
*would also like to mention that I cannot create or send private messages for some reason

Doesn't this doc have nurses in his office ?
He should have done the first shot at least in his office, so you could see it as well.
Just make sure you don't hit a nerve while injecting....
I don't know how lean you are but use 1" for delts and 1.5" for Glutes...
put it in till the whole needle disappears and press slowly as to not make a lump by injecting too fast.
He simulated it with an insulin needle, he told me to wait until this Monday so I cannot put blame on him - I was the one who rushed to get my first injection without assistance (I think I did great though).

Some people who have been shut down either genetically or due to chemical abuse have used clomid for a few months and been functioning with normal levels even after clomid treatment. I would recommend reading into this approach. If you really are looking to dip your test levels, alcohol lowers testosterone for a 24 hour period...Hence I do not drink unless I am on cycle, and even then very little. Read up on alcohols effect on test... guess you could drink the night before, not sleep, and bottom out.
The way I see it, my FSH and LH were already quite low so I don't see why I couldn't use clomid later on if that was an option. I just want to make sure testosterone is the thing that has been making me feel awful you know? Aren't there people who can function on 300ng/dl and notice no problems? Either way, only time will tell.

You can get estragen problems on TRT doses of testosterone. Your doctor is misinformed. It is an imperative that you monitor your estradiol levels while on TRT.
Yeah I had a feeling. I really do not think my doctor will have a problem testing for it. He knows it can be a problem but didn't think it'd be a problem for me for 1 reason or another.

This Monday, I will call him and let him know.

Also, he's only testing bio-T, should I ask for serum as well?

All together, is CBC with differentials, TSH, T4 free, bio T, PSA.

Another question; I'm going to inject into quads with Tuesday, I only have a 1.5 inch needle though, should I go all the way in or just go like an inch in? I'm assuming like half.
 
Legitsrs u can contact me anytime for help when PM's are sorted out.
Wish you the best.
In my personal view, I think this doc should have put you on a HCG mono protocol and or use clomid first after addressing the thyroid problem....
A little rush into TRT....but its not the end of the world either.....
 
Legitsrs u can contact me anytime for help when PM's are sorted out.
Wish you the best.
In my personal view, I think this doc should have put you on a HCG mono protocol and or use clomid first after addressing the thyroid problem....
A little rush into TRT....but its not the end of the world either.....
APOLLON said:
what's the synthroid feel like when you take it ?
maybe it was best to wait how that treatment went first then do TRT....
why no HCG mono protocol or clomid used instead of T shots ?
Well the synthroid itself has been making me feel MUCH better.

My endo said my thyroid and secondary hypogonadism are two different things, meaning treating thyroid won't fix testosterone and vice versa.

Unsure about why he did it this way, but I do not mind personally. A shot a week or even a few times a week if I implement hCG in my TRT regimen is a small price to pay for feeling like my old self again.

It was also free, and covered by my insurance. Hard to say no when your life is in shambles you know?

Also, DEFINITELY appreciate that man. It's nice to know knowledgeable people in such a matter as this.
 
Also have a question.

I have an appt on March 24th.

I want to switch my injections to Mondays (currently Tuesday), but my doctor wants me to get tested the day BEFORE i would normally inject.

Could I switch it to Monday and just get blood tested Monday before my shot?
 
I want to switch my injections to Mondays (currently Tuesday), but my doctor wants me to get tested the day BEFORE i would normally inject.

Could I switch it to Monday and just get blood tested Monday before my shot?

Yes, but watch what you say to him. Act casual and cool. Don't bring up the AI yet.
Some of these guys get spooked easy with too much patient input.
Lay low a bit...
 
Well the synthroid itself has been making me feel MUCH better.

My endo said my thyroid and secondary hypogonadism are two different things, meaning treating thyroid won't fix testosterone and vice versa.

Unsure about why he did it this way, but I do not mind personally. A shot a week or even a few times a week if I implement hCG in my TRT regimen is a small price to pay for feeling like my old self again.

It was also free, and covered by my insurance. Hard to say no when your life is in shambles you know?

Also, DEFINITELY appreciate that man. It's nice to know knowledgeable people in such a matter as this.

Personally I would of liked to see how your body would have responded to HCG mono protocol....
350 i.u. 3 times a week EOD...
this helped me out TONS at 25 y.o.
took my TT to 970 ng/dl and balls were the size of walnuts....
Went partying and clubbing after the first week of treatment..
felt awesome!!!!
 
Well the synthroid itself has been making me feel MUCH better.

My endo said my thyroid and secondary hypogonadism are two different things, meaning treating thyroid won't fix testosterone and vice versa.

Legit: you either need to find some competent doctors or start hitting the books hard yourself. You need to be your own best advocate. Your Endo is wrong. Their is a connection between the thyroid dysfunction and hypogonadism.

The interrelationships between thyroid dysfunction and hypogonadism in men and boys.

Meikle AW.

Abstract
Thyroid hormone deficiency affects all tissues of the body, including multiple endocrine changes that alter growth hormone, corticotrophin, glucocorticoids, and gonadal function. Primary hypothyroidism is associated with hypogonadotropic hypogonadism, which is reversible with thyroid hormone replacement therapy. In male children follicle-stimulating hormone (FSH) is elevated and associated with testicular enlargement without virilization. Men with primary hypothyroidism have subnormal responses of luteinizing hormone (LH) to gonadotropin-releasing hormone (GnRH) administration and normal response to human chorionic gonadotropin (hCG). Free testosterone concentrations are reduced in men with primary hypothyroidism and thyroid hormone replacement normalizes free testosterone concentrations. In men with primary hypothyroidism, prolactin is not consistently elevated (except in men and children with longstanding severe primary hypothyroidism), but prolactin declines following thyroid hormone replacement therapy. Thyroid hormone is known to affect sex hormone-binding hormonal globulin (SHBG) concentrations. Men with hyperthyroidism have elevated concentrations of testosterone and SHBG. Thyroid hormone therapy in normal men may also duplicate this elevation. In addition estradiol elevations are observed in men with hyperthyroidism, and gynecomastia is common in them as well. In contrast to patients with primary hypothyroidism, men with hyperthyroidism exhibit hyperresponsiveness of LH to GnRH administration and subnormal responses to hCG. Radioactive iodine therapy (RAI) of men treated for thyroid cancer produces a dose-dependent impairment of spermatogenesis and elevation of FSH up to approximately 2 years. Permanent testicular germ cell damage may occur in men treated with high doses of RAI. RAI commonly increases serum concentrations of FSH and LH while reducing inhibin B levels without affecting serum concentrations of testosterone. Thus, radioiodine therapy transiently impairs both germinal and Leydig cell function that usually recover by 18 months posttherapy.


The interrelationships between thyroid dysfunction a... [Thyroid. 2004] - PubMed - NCBI


P.S. You can't send PM's until you reach 50 posts. (please don't start spamming to get your count up though)
 
Also, he's only testing bio-T, should I ask for serum as well?

All together, is CBC with differentials, TSH, T4 free, bio T, PSA.

Another question; I'm going to inject into quads with Tuesday, I only have a 1.5 inch needle though, should I go all the way in or just go like an inch in? I'm assuming like half.

Here is an overview on TRT you can read. It covers what blood work you should be checking.

http://www.steroidology.com/forum/testosterone-replacement-therapy/662394-basic-trt-overview.html


Needles are cheap. Just ask for pharmacy for 1 inch needles. If you use the 1.5 inch you probably only need to go in about 1 inch unless you are VERY fat.
 
The thing is, let me explain my thyroid situation.

I was first tested in november - FT4 normal, FT3 normal, TSH 5.1.

I was then tested December 21st, FT4 normal, FT3 normal, TSH 7.88.

I was THEN tested (this was 2 days BEFORE ever taking my 25mcg synthroid) and my TSH was 2.8, FT4 and all normal.

2.8 is normal (perhaps not ideal to some), so were my thyroid levels (all tests taken at same time of day) which leads me to believe that that study does not pertain to me, as I was barely hypothyroid in 2 tests, and in 1 test I wasn't.

I'll have a long talk with my doctor about;
-serum test
-liver/kidney tests
-hematocrit
-estradiol
-hCG

From what I know about my current doctor, he's open to anything.
 
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