Diagnosed with Low T at 26...Need some general info and advice please!

[Alpin]

this is a young man, I'm curious as to why the doc never put him on a Human Chorionic Gonadotropin (HCG) mono protocol with mild dose Aromatase inhibitor (AI) EOD...
This doc will need to monitor your E2, is this a family doc?
Curious as to also why he didn't use clomid for a bit and see if the HPTA is functioning

 

[JonnyBravo22]

Not sure on all those abbreviations.

Also I am pretty sure he tested my pituitary with the blood work...if that is possible. Again I will get the second blood work results on Monday and then on Wednesday ask him to test for what you guys asked.

Thanks again.

 

[Megatron28]

this is a young man, I'm curious as to why the doc never put him on a Human Chorionic Gonadotropin (HCG) mono protocol with mild dose Aromatase inhibitor (AI) EOD...
This doc will need to monitor your E2, is this a family doc?
Curious as to also why he didn't use clomid for a bit and see if the HPTA is functioning

Because the doc has diagnosed him with Primary Hypogonadism.

 

[JonnyBravo22]

Oh..I am guessing he was talking about things that would fix the Pituatary gland to kickstart the system?

Can you figure out with just a blood test if you are primary or secondary? Because other than him rubbing my testicles and bloodwork I haven't had any MRIs or on my upper body/brain/head/neck.

 

[Megatron28]

Oh..I am guessing he was talking about things that would fix the Pituatary gland to kickstart the system?

Can you figure out with just a blood test if you are primary or secondary? Because other than him rubbing my testicles and bloodwork I haven't had any MRIs or on my upper body/brain/head/neck.

Yes. That's why we want to see your blood work results. You can look at LH and FSH. You really should read the materials I gave you. It will help you learn this stuff. To get good treatment you need to be able to advocate for yourself.

 

[JonnyBravo22]

I understand...I will read over the article on my day off tomorrow. Thank you again for the help.

Also wanted to point out that I had a gluten, fish, and dairy allergen test done last week. All negative. But I am trying a gluten free diet anyway to see if it helps with my inflammation. It has been 5 days and no good news yet. I know it takes longer.

 

[JonnyBravo22]

Okay I got some of the numbers you guys wanted.

This test was done on 8/14

FER -Ferritin - 132.1 ng/ml Expected - 30.0 to 400.0

FSH - 5.3 miu/ml Expected 1.6 -11.0

LH - 3.5 miu/ml Expected 0.8 to 6.1


Now I am not sure what any of that means other than it looks to appear that I am right in the middle of normal. Megatron you were saying with those numbers the Doc should be able to tell if I am primary or secondary. Again he diagnosed me with primary and put my right on TRT.......Look okay so far?

 

[Megatron28]

Okay I got some of the numbers you guys wanted.

This test was done on 8/14

FER -Ferritin - 132.1 ng/ml Expected - 30.0 to 400.0

FSH - 5.3 miu/ml Expected 1.6 -11.0

LH - 3.5 miu/ml Expected 0.8 to 6.1


Now I am not sure what any of that means other than it looks to appear that I am right in the middle of normal. Megatron you were saying with those numbers the Doc should be able to tell if I am primary or secondary. Again he diagnosed me with primary and put my right on TRT.......Look okay so far?

Low Total T coupled with Above Normal FSH and LH = Primary
Low Total T couple with Below Normal or Normal FSH and LH = Secondary

So even though your Total T is low, your pituitary is not "yelling" at your testicles to make more test.


Based on your results I can't say you are Primary. You should look at doing a restart and finding put what the underlying cause it. It isn't because you have gotten old.

 

[JonnyBravo22]

Okay but my Doctor seems to know what he is doing and talking about....how am I supposed to ask him to refer met to a specialist without sounding like I am calling him an idiot.

I get more bloodwork on Wednesday to see how I reacted to 100mg a week.

I do not intend on ever having kids. Should I just go through with the testosterone replacement therapy (TRT) at this point?

 

[Megatron28]

Okay but my Doctor seems to know what he is doing and talking about....how am I supposed to ask him to refer met to a specialist without sounding like I am calling him an idiot.

I get more bloodwork on Wednesday to see how I reacted to 100mg a week.

I do not intend on ever having kids. Should I just go through with the testosterone replacement therapy (TRT) at this point?

You should try to figure out what is going on. Pituitary tumor is always a possibility. You need to have an MRI done to check that. There are certain diseases that can be at work. Sleep apnea can affect your Test. Life style. There are lots of things that can contribute to hypogonadism. But you should try to get to the bottom of it. You don't want to be self-injecting for the rest of your life. All the guys here on testosterone replacement therapy (TRT) would prefer to have our Natty Test back to normal if we could. testosterone replacement therapy (TRT) is a life saver if you need it, but it is better to not need it. Hopefully you can get your HPTA working again.

I'm not sure your doc is good. I would nicely tell him that you want to talk to an endocrinologist and ask him if he knows any good ones for Hypogonadism. Also ask your friends and family if they know a good one.

You should also consider giving the guys at IMT a call. They are experts in this testosterone replacement therapy (TRT) and will take good care of you. There are a lot of guys on this forum that would vouch for them. I don't use them personally, but I wouldn't hesitate to call them if I needed to.

 

[JonnyBravo22]

Okay well I have my last 100mg shot on Wednesday and the Doctors appointment and blood test. Are you saying I should not get the 4th shot. Or is it okay but I should see an endocrinologist in the mean time??

I am going to ask for all the blood test you noted above. Thanks again for all the advice.

 

[Megatron28]

If it was me, I would probably take the next injection and get in to see and endo as quickly as possible.

 

[JonnyBravo22]

Gong in tomorrow for 4th and bloodwork.

Going to ask for
CDC
E2
Estradiol
Vitamin D
Total and Free

Also going to talk to him about insulin shots in the delt. I am very low BF and could probably get away with it.

 

[Mprtz]

You mean CBC?
Also, I think E2 and Estradiol are the same thing.
And don't ask for insulin shots (I know what you meant).

 

[JonnyBravo22]

Yes typo. My bad.

And not arguing but why not? Seems like a less painful way and it pretty simple why I would want to do the insulin needles instead.

Thank you for the advice!

 

[Megatron28]

You don't feel anything with 25 gauge and it flows faster.

 

[Mprtz]

Yes typo. My bad.

And not arguing but why not? Seems like a less painful way and it pretty simple why I would want to do the insulin needles instead.

Thank you for the advice!

You want a testosterone shot using an insulin syringe, not a shot of insulin...

 

[JonnyBravo22]

haha I know that....I was hoping you guys would know what I meant. Sorry for the confusion.

So is it okay to talk to my doctor about writing the script for those as well?

 

[Mprtz]

haha I know that....I was hoping you guys would know what I meant. Sorry for the confusion.

No confusion, that's why I wrote "I know what you meant", I was just having fun with the idea of you going into the doctors office asking for an insulin shot.
The things you listed should be part of a pretty basic panel for testosterone replacement therapy (TRT), with the possible exception of vitamin D. The free T test is somewhat expensive and if your doc is cheap he might consider it optional.

 

[Megatron28]

If you really want to go for the gold standard, throw in things like: igf-1, shbg, sensitive estradiol, b-12, ferritinin, iron, thyroid panel, cortisol, dhea, and so on.