Do I need testosterone replacement therapy (TRT) at 23? (blood tests)

Mike177

New member
Do I need TRT at 23? (blood tests)

Hello,
First some stats: 23, 6'2, 210 lbs., total testosterone 315 ng/dl (tested about an hour after I woke up)
For a while I was thinking about doing a prohormone cycle to make some good gains in the gym. I had never done any kind of cycle, so while I was at my psychiatris's office for a regular check-up I had him check my testosterone levels so I could establish a pre-cycle baseline. I did not expect them to be low, but my total test level was 315. After doing some research I have become even more alarmed at my low test level, mostly because I have several symptoms of low testosterone that I feel may have been misattributed to depression, as it's statistically the most likely explanation. I have been on several anti-depressants in the past several years, but eventually stopped them, switched to another, stopped taking that one, and so on. The primary reason I stopped taking them was because I saw little to no improvement. Before this recent test I had never had my testosterone levels checked, but suffered the same symptoms I do now.

Currently and in the past several years I have felt pretty "blue", it's like I'm at a constant low-grade depression that never goes away. I am always VERY low on energy even though I am physically healthy and have been for a long time. My sex drive is low and even when it rises up a little I lethargically weigh the options of going out looking for tail vs saving the energy and doing nothing on my couch (I hate myself for even thinking this). I can still get an erection, but it's not as hard or powerful as it was, and it takes more manipulation. There have been times when I just knew I could have a girl if I wanted her, and I did (want her), but then I just sit around and take no real action. Later when things didn't work out the way I wanted them to I feel like shit and I blame myself for doing nothing (appropriately placed blame), it really sucks. I don't sleep very well; I can't even remember a time when falling asleep was easy. I am also very smart and do very well in school, but I have been losing a lot of my motivation and drive. Not just with school but with every single area of my life!

Something else I have noticed, but not as frequently as the other symptoms listed above is, on occasion, in the past I have just felt "like a girl". I mean this in that I have gotten emotional over trivial issues. I understand how irrational my thinking is and how irrational my emotions are, but can't seem to change my emotional state and feel like my reactions are more in line with the normative reactions of a female. This is not very common issue at all, but just popped into my head. As said, it's not common or chronic.

So I have low energy, depression, low sex drive, poor sleep, and low motivation/drive. I can see how this would be interpreted as being caused by depression, but factor in 5 years of unsuccessful treatment of stable symptoms with psychiatric medications and a recent blood test showing a low testosterone level.... I'm thinking it just could be"Low T".

On one end I'm very unhappy with my low testosterone level, but on the other if it is in fact the cause of my issues then I need to know and would be just happy to know what has been causing me to feel like this for so long. My understanding is that a testosterone level of around 700 would be normal for a male at age 23, so I can't help but suspect that my level of 315 has to be having some effect (or lack thereof) on my body and well-being.

What do you all think? Do I have "Low T"? I would obviously like to prevent having to go through injections for the rest of my life, but not as much as I would like change my current state. Have those of you on testosterone replacement therapy (TRT) felt a big improvement from it? If you could turn back the clock would you do it again? I was thinking about doing a 12 week cycle of test c to see if my symptoms improved so I could know for sure if "low t" was the cause of my problems. Is this a bad idea or should I go see an endocrinologist or urologist first?

Any and all help is appreciated!

**edit: I also wanted to add that my follicle stimulating hormone (FSM) is "in range" at 4.3 miu/ml and my lutenizing hormone (LH) is "in range" at 4.9. I also had my estradiol tested and at 36 pg/ml. I am also not taking any prescriptions. Thanks!
 
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Mike, You very much sound like me before I got on testosterone replacement therapy (TRT) about 2 months ago besides the school part (I was never good lol). And yes I am also 23 years old just like you my Testosterone levels tested at 351 and I felt just like you. You are not suffering from any kind of depression and if you are taking any meds for depression I would advise that you stop immediately.

You do have low T. I know you want to prevent from injecting rest of your life but the pros out weigh the cons by far my man. Your hormones affect almost every part of your body from the way you feel, work to your digestive and immune system. I have felt a huge improvement and if I could turn back the clock I would definately do it again. Actually, I would start testosterone replacement therapy (TRT) even earlier then I did. I would not start a 12 week cycle because you will only ruin things for your self. This is a therapy not a cycle. I would not go see your local endo or urologist either because there are high chances that they wont know how to administer proper TRT. The best thing for you to do is go to Maximus website and get your physical and blood work done and consult with Chip. If you do some research almost every one here uses him and is very happy with him because he gives you the right medication to keep your body functioning properly.
Good luck
 
my best advice to you is to check all your hormone levels...including cortisol and aldosterone...dhea. you might have more than one deficiency. you might have panhypopituitarism. just cover your bases since you are really young to be having testosterone problems. i know from experience
 
Dude, your symptoms are very similar to mine. Mild depression, low libido, mild ED issues, lack of motivation, etc. I'm a little older at 35 but feel I'm way too young for low t levels (326). I've never done an steroids.

Like others i would advise you get a full hormone panel, and not doing any cycles, that could mess things up more. Don't just stop your anti depression mess as that could cause problems. Either get with a good endo ( almost impossible to find) or call chip. Also do a lot of reading and ask the guys questions on here.

Ive been on Human Chorionic Gonadotropin (HCG) for 4 months but not seeing much imrpovement. I see an expert in
androgen issues tomorrow but if that doesn't work out I'm calling chip.
 
Update:

So I had another blood test taken, this one was even worse then the last at 263 ng/dl! I also had DHT levels checked and they were at 57.1. My thyroid levels were taken and they are all normal. Having LH and FSH checked again even though they were all normal when I had my 315 result. Looking at my estradiol levels from my last test my estradiol level was 36 pg/ml and test 315 ng/dl. How is this as far as a testosterone to estradiol ratio?

I may have a third blood test taken, but if the next one is as low as these two I think I'll have to start looking for some professional help.
 
Update:

So I had another blood test taken, this one was even worse then the last at 263 ng/dl! I also had DHT levels checked and they were at 57.1. My thyroid levels were taken and they are all normal. Having LH and FSH checked again even though they were all normal when I had my 315 result. Looking at my estradiol levels from my last test my estradiol level was 36 pg/ml and test 315 ng/dl. How is this as far as a testosterone to estradiol ratio?

I may have a third blood test taken, but if the next one is as low as these two I think I'll have to start looking for some professional help.

What did you check...T3, T4, TSH? What were the results? Thyroid is another one of the hormones that may fall into the "normal" range but you can still feel like crap. My dad will literally fall asleep in the middle of the day if his T3 & T4 aren't in the upper 1/3 of the normal range. Just a thought.
 
Mike, I complained (over time) to at least 5 different doctors about the types of symptoms that you are describing; which I will call "classic" symptoms of low testosterone...

Anyways, I came across an endo one weekend, as he was the only person open and I needed flu meds. As and aside I raised the issue and...he too said I was just "depressed" and tried to dissuade me from getting my testosterone levels tested. I went ahead anyways...and tested low (1.8 ng/ml free test). The doctor was shocked.

Very soonafter a second doctor, a urologist, also tried to then dissuade me from getting tested as a "second opinion" sort of thing and was equally shocked when almost identical readings came back.

In short, my life changed after I was put on testosterone entanate...which I nailed as being perfect when injected every 11-12 days. Longer than that and I started to feel blue, etc.

Even if an individual had low test and other issues (psychiatric, for example) I would still encourage them to get tested and go on testosterone replacement therapy (TRT) if advisable. I'm sure it would clear up alot of issues and give them a better base to tackle any remaining ones.

Basically testosterone replacement therapy (TRT) improved my quality of life immeasurably. I also rarely get sick, have better muscle tone, skin, hair, etc, etc.

Alan
 
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Wow. Dude, you just described me. Like I'm amazed at how spot on this is. I just posted the same thing. However, I did the cycle to see if things would improve... and guess what? They did. Dramaticly. I felt better then I have EVER felt. MY depression went away completely, My sex drive was uncontrollable (In a good way, because I didn't have one....ever), and I felt like a MAN for the first time in my damn life.

But... now that i've come off... I feel the same way I did before. Not fun. I say go for it, only thing that holds me back is my worry of infertility in the future when I want kids.
 
yep low T and all the classic symptoms too, had and still got most of those (on gels)

Same as you was on anti depression meds and couselling for years even after they tested me for testosterone which was a miserable 8.1 nmol (9-29) docs here failed to see what was really wrong.

As said above if you are taking any meds for depression STOP they wont help, infact if its SSRI band of anti depression pills they can lower T even more I hear.
 
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