Going for a restart....MAYBE found a good Doctor!

[JonnyBravo22]

Oh believe my I am trying. First doctor threw me right on it. But he didn't want me going above 80mg 2x a week. Even though my levels were only 670's. So I tried to go elsewhere for another opinion and he got butt hurt and I knew that he was never going to work with me to adjust the dose. I have had thyroid test done and it was fine. Mri of the brain fine. Sleep apnea not tested.

I wanted to rule out everything before getting on TRT forever as I am only 27. This whole thing has been a circus and frustrating.

Edit: First doctor said I was primary. Second doctor said nothing was wrong with me. And then one of the high up Doctor memebers on here said I was secondary.

 

[jomamma007]

Have you attempted a restart? Should rule out sleep apnea regardless.

 

[JonnyBravo22]

No....would never find a doctor around here that would agree to that.

If this doctor in 2 weeks gives me some BS I guess I will try a restart through Increase My T.

 

[Alpin]

Bro no wonder that endo's antennas went up. You look better than guys on TRT....
Lookin thick bro.
What the hell is your Bio Avail. T has anyone even tested it ?
These morons should now this as well along with your other baselines....

 

[JonnyBravo22]

This was after no medication since Dec 10th I believe and tested a few day days go around 8am.

FSH: 3.3 miu/ml (1.6 - 11.0)
LH: 5.2 miu/ml ( 0.8 - 6.1)
SHBG: 22 nmol/L ( 10-50 )

Total Testosterone: 275 ng/Dl (250 to 1100)
Free Test : 46.0 pg/mL ( 46.0 - 224.0 )
Bioavailable Test: 100.5 ng/DL ( 110 - 575 )
Albumin: 4.8 (3.6 - 5.1 )

 

[Alpin]

Oh believe my I am trying. First doctor threw me right on it. But he didn't want me going above 80mg 2x a week. Even though my levels were only 670's. So I tried to go elsewhere for another opinion and he got butt hurt and I knew that he was never going to work with me to adjust the dose. I have had thyroid test done and it was fine. Mri of the brain fine. Sleep apnea not tested.

I wanted to rule out everything before getting on TRT forever as I am only 27. This whole thing has been a circus and frustrating.

Edit: First doctor said I was primary. Second doctor said nothing was wrong with me. And then one of the high up Doctor memebers on here said I was secondary.

80 mg 2 times a week is a hefty dose...
I wouldn't knock him. Are you saying your trough was in the 670's ??
If you run HCG with your TRT you would feel a bit of difference....you would have to anyway you are young and you don't want to shut down your balls.
Did that TRT doc give you HCG or ADEX ?
Get sleep apnea tested!!!
I had it for years and had 670 ng/dl natty T and still felt like crap....

 

[Alpin]

sorry....
ya its low man.

How did he find out you went elsewhere for the TRT second opinion ?

 

[JonnyBravo22]

I am sorry just to be correct the highest I ever got was 839 on TRT. But when he saw this he immediately wanted to pull back on the dosage. He wanted to keep me around 600 to 700 while on TRT.

 

[JonnyBravo22]

The TRT doctor only gave me test. He would not try a restart. Nobody around here will. I have tried...trust me.

 

[jomamma007]

Agreed, it's a shame docs look at your build and age when contemplating whether or not to prescribe trt.

Shit a young guy in his 20's needs it more then a guy in his 50's imo. A 400 Total t isn't going to hit the older guy as hard as the young buck.

LH and FSH aren't that bad.

 

[jomamma007]

IMO I'd run your own,
it'd cost around 200 dollars to due yourself , then just go to doctor for blood work through insurance after completion and test.

 

[Alpin]

I am sorry just to be correct the highest I ever got was 839 on TRT. But when he saw this he immediately wanted to pull back on the dosage. He wanted to keep me around 600 to 700 while on TRT.

how many days from shot was this level of 839 ?
you need to put your foot down with him or anyone else that wants to bring levels down.
I have found the best luck with docs who have gone thru this themselves. The ones that haven't have some kind of underlying contempt for optimum T levels.
There was one doc that I went to and I was using HCG 500 i.u. EOD and my TT was 384 ng/dl.....he told me this was great and to go on.
F him!!!
My baseline is 288 ng/dl and I'm wasting $160 bucks on meds every 2 months that don't even get me to mid range and I'm supposed to tolerate it ?
no thanks!!
walked!!!

 

[JonnyBravo22]

Well for shits and giggles I will see what happens in 2 weeks on clomid. Since coming off TRT I have noticed my depression increase, recovery from gym decrease, and sex drive is gone again. I am newly married and maybe have sex once a month. No morning erections and 0 sex drive. I will have a random day when I have sex drive.

After the clomid test I will also look into a sleep apnea test. I am very high stress and and high anxiety.....it takes me a long time to fall asleep but I usually sleep pretty well through the night.

 

[Alpin]

The TRT doctor only gave me test. He would not try a restart. Nobody around here will. I have tried...trust me.

Tons like that....
they don't really want to go the "off label" route even if they know it might spare you from TRT.
They go by the book and what's approved for hypogonadism.
I had a doc promise me a script for clomid and then disappear on me and say never mind...
we only use HCG and T here.

 

[Alpin]

LH and FSH aren't that bad.

My LH ranged from 3-4 IU/L and FSH was always at 2 IU/L....
TT was 265-288 ng/dl
I was able to get my TT to 500 ng/dl with 1500 IU/Week(divided in 3 doses) of HCG.

 

[Alpin]

Make sure you test your Estradiol after this 14 week Clomid run. You are taking a hefty dose.
If he doesn't tick it off on the lab requisition....write it in!
I always do when they leave out anything!!!

 

[JonnyBravo22]

Okay so I finished my 14 day Clomid run at last Thursday and had blood tested at 8am.

Before Clomid:
FSH: 3.3 miu/ml (1.6 - 11.0)
LH: 5.2 miu/ml ( 0.8 - 6.1)
SHBG: 22 nmol/L ( 10-50 )

Total Testosterone: 275 ng/Dl (250 to 1100)
Free Test : 46.0 pg/mL ( 46.0 - 224.0 )
Bioavailable Test: 100.5 ng/DL ( 110 - 575 )
Albumin: 4.8 (3.6 - 5.1 )



After Clomid ( I have not picked up the bloodwork yet so I don't have all the fancy values like above)

Total Testosterone: 752 (250 - 1100 scale)
Estradiol: 52 ( 2 - 48 scale)


Doc said with this he now can say I am not hypogondic and that the 250 to 275 range might just be normal for me. He said he wants to see me again in 6 months and that maybe the Clomid will have jump started my system and stay higher now. A bunch of maybes and no medicine for 6 months doesn't sound fun for me.

Thoughts?

 

[Alpin]

ridiculous.....
sounded like a stunt to me from the get go. He should have ran a proper restart....
who could have left you on it for another 2 weeks or did 50 mg EOD for 4 months...
He is basically saying: You are not primary....therefore I won't/can't treat you.
Has he given you another lab to do a month or two from now?
how can he say no medicines for 6 months?
F'n ridiculous.

 

[Alpin]

I'm pretty sure most guys on here got HRT easy with 348 ng/dl being the minimum for hypogonadism..
I'd suggest finding that lab. You are in the U.S.
most labs I've seen guys post here had TT ranges of 348-1148 ng/dl....
250 ng/dl is on the low end for T as a range.

I'm not sure if the Estradiol is going to mess with your hormones causing them to crash further because it is high...
Most guys on here Stay between 30-42 pg/ml for Estradiol...
He should have ran this restart longer and at more moderate doses....
you could get the same if not better effect by running the clomid 50 mg EOD and staying on it for 4 months like I said in previous posts...

 

[Megatron28]

So basically the clomid did what it is supposed to do. This just proves that you have secondary hypogonadism. The good news is that there is a chance that the restart works and you stay at a decent Natty T level. But you have to wait a month or two to see it is holds. In many guys it does not and they return to their hypogonadal levels.

Give it a month or two and get new blood work to see what is going on. Get the Hormone panel for Females at Private MD - Buy Lab Tests Online. cheap and fast!