Help with a health issue, slightly different.

bl00

New member
Hi all, been checking out the forums the past few months as I've been researching starting a cycle sometimes in the near future.
But this post is unfortunately about something more important. I know it's not exactly a medical site, but any help and advice would be more than appreciated, since I've seen that some members have knowledge beyond basics. Please knowledgeable members, chime in. Might be long-ish so I can explain it.

Ok, so my younger brother is 28, diagnosed with progressive MS 4 years ago (don't get freaked out, I'm not looking for a cure for him ;). About 6-7 months ago he started having issues with extreme fatigue, urinary symptoms, sex drive, said erections became rare too. The prostate and pipes were checked out, came back fine, he was prescribed Cialis and all he got was headaches and barely any change in erections, but apparently not sex drive. So, likely it's all neurological, as anything else with MS.
Recently, he explained to me that he found out how many men with MS have low-T, and after treatment many symptoms improve. After a talk with the Dr., his neuro discussed it with endo, and he was sent to do quite a few blood tests, thyroid, different vitamins, Testosterone (which as expected came back low).
So after results they talked about possibilities, HCG, and Clomid was discussed too but no Androgel. He's going back on Monday I believe, to see what they'll decide. I only wanted to get some info since that's as much as I can do for him. From reading the forums, I've learned a lot about what to do during cycles, post cycles, etc, but this is a little different.
I'm gonna ask him for the lab results when I see him in few hours, but in the meantime if anyone can suggest for the pure purposes of raising T, would HCG be the best/safest option since he's young and fertility is important if he ever gets better. I wouldn't want the Dr., to give him something not as beneficial (I know they're Dr's, but many had bad experiences with them), or any other suggestions, questions? I'll get his labs today, so that'll follow. Sorry if I didn't post in the appropriate forum, I'll move it if necessary. Thanks.
 
Effectiveness of hCG and clomid depend one what is causing his Low T. Post his labs and we can try and give you some advice.

Also, at the top of the TRT forum is a new sticky that I just posted giving you an overview on TRT. Give it a read. It should answer a lot of your questions.
 
Sorry, we had to wait till today for his lab results. Thanks Megatron, I've read through the sticky too, very informational.

There's about 3 pages of stuff here, so I'll put the ones I remember are usually mentioned (CBC and Metabolic have few more than this so let me know if anything else is needed).
Also any suggestions if he should test for anything else he maybe doesn't have. The T wasn't as bad as I thought it'd be, but still on the low side.
Looks a little messy since I had to type it, hopefully you'll be able to read it.
Forgot to mention, he drew at 9:00AM.

Total T 411 (292-1052)
Free T 5.5 (4.8-25.00)
Estradiol 22 <63
DHEA 421 (240-549)
SHBG 65 (16-94)

Free T3 3.1 (2.3-4.2)
Free T4 1.22 (0.73-1.95)
TSH 2.0 (0.5-4.7)

Vitamin B12 1158 (250-1100) *High
Vitamin D25, OH 76 (Optimal 30-100)

WBC 7.6 (4.0-11.0)
RBC 5.11 (4.10-5.70)
Hemoglobin 15.8 (13.0-17.0)
Hematocrit 47.0 (37.0-49.0 %)
Lymphocytes 41 (19-48 %)
Platelet count 178 (130-400)

PSA Total 1.2 <4.0

Calculated Bun/Creat. 11 (6-28)
Creatinine 1.5 (0.8-1.4) *High
Glucose 85 (65-100)
eGFR Non-Afr.American 56 >60ML/MIN/1.73 *Not sure what it is, but it's low.
eGFR African Amer. 67 >60 *This one is apparently normal
Carbon Dioxide 28 (18-30)
Albumin 4.6 (2.9-5.0)
 
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doesn't look like he specifically has "low t"

That's what I thought too. Initially I mentioned what he told me (what the Dr. told him)

And I don't believe I see LH and FSH, unless they can be labeled differently?
 
That's what I thought too. Initially I mentioned what he told me (what the Dr. told him)

And I don't believe I see LH and FSH, unless they can be labeled differently?

no thats how they get labelled
 
Total T is on the lower side, but not at hypogonadal levels per say. Free T is on the lower side though. I would reconfirm the results along with LH and FSH. Check Total T, Free T, LH, FSH, Estradiol Sensitive again.

eGFR measures your kidney's clearance rate. That with the elevated creatinine indicate that his kidneys could be working better.
 
Thanks fellas, I'll show him about these few tests that he should do. In the meantime should I suggest that he holds off on any T treatment?
Like I said, the Dr is ready to prescribe it to him, I don't necessarily want to go over the Dr's head but since he's not critical don't know what's better.
 
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