Labs in "Normal Range?"

[thedeparted]

I am a 29 y/o male, with history of steroid use (10 years ago/ 3 cycles), and a few years of pro hormone usage. Although my totals fall within "normal range" after my research online it appears healthy males in my age group should be around 600 for total test. Is this something that needs, or will likely need to be addressed with testosterone replacement therapy (TRT)? My father and grandfather are both on testosterone replacement therapy (TRT) for low t.

Test time was at 8:30am.

The only health condition I have is hasimotos thyroiditis, but all of my levels (ft3, ft4, tsh, etc) are "perfect" besides a positive antibody test.

As far as symptoms, my libido is definitely not what it used to be, and have only had morning wood maybe once a month for the last few years.



Component Your Value Standard Range Units Flag
TOTAL TESTOSTERONE 402 250 - 1100 ng/dL
FREE TESTOSTERONE 104.4 35.0 - 155.0 pg/mL

Component Your Value Standard Range Units Flag
ESTRADIOL (ADULT) 25 8 - 43 PG/ML


Thanks for any and all help/clarification!

 

[Megatron28]

First of all, what did your TT used to be? Can you look up your old baseline labs from back when you cycled?

True, 600 is about the normal level for your age. Look up an earlier post from me today for a chart with normal TT and FT ranges.

You should get some follow up labs done to figure out what is driving this. Check your LH, FSH, Prolactin. And can you post your most recent thyroid results?

How's your sleep? Have you ever had a sleep study done? And how many hours are you getting a night?

 

[thedeparted]

Thank you for the quick reply! Never had any previous TT labs ran, I was 19 and had no clue/business running cycles. Never an issue with sleep 7-7.5hrs night, I sleep soundly. Although I am always tired and need a midday nap after work and on weekends.

Thyroid results:

Component Your Value Standard Range Units
TSH 1.09 0.3 - 5.5 uIU/mL
FREE T3 3.5 2.4-4.4 pg/mL
THYROGLOBULIN ANTIBODY 3.7 0.0 - 4.0 IU/mL
FREE THYROXINE 1.39 0.9-1.8 NG/DL
THYROID PEROXIDASE ANTIBODY 456.3 0.0-6.0 IU/mL

Narrative
[HST]: 28 yo male with enlarged thyroid on exam. no discrete nodules.

[SAS]: see above

Thyroid ultrasound and neck ultrasound

Comparison: None available.

The right lobe measures 53 x 25 x 21 mm in length, AP diameter, and
transverse diameter respectively.

The left lobe measures 53 x 20 x 22 mm in length, AP diameter, and
transverse diameter respectively.

The thyroid gland is diffusely abnormal. It is diffusely
heterogeneous with innumerable tiny hypoechoic nodules as well as
hypervascularity. The pattern is most consistent with that expected
with Hashimoto's thyroiditis. A circumscribed hypoechoic mass
adjacent to the lower pole of the left lobe, inferior to it, is most
consistent with a prominent lymph node that can be associated with
Hashimoto's. It measures 13 x 8 x 11 mm in diameter. Please correlate
clinically, including laboratory tests such as thyroid peroxidase
antibodies.

Std/normal size by US = 4 cm long x 2 cm wide x 2.5 cm thick.
Isthmus < 3 mm.

Impression
IMPRESSION:
Probable Hashimoto's thyroiditis
2. Prominent lymph node inferior to the lower pole of the left lobe
is probably related to the suspected Hashimoto's thyroiditis

POSITIVE ALERT

 

[Megatron28]

That's too bad that you didn't run labs back when you cycled. So we will never know if your TT has fully recovered after the cycles.

I still think the next steps are to get the labs I listed below. This will help us see if you pituitary or testicles may have an issue. And get a sleep study performed to rule out things like sleep apnea. That can make you feel tired and lower test levels.

At your age, you want to avoid going on testosterone replacement therapy (TRT) for the rest of your life. You want to try and fix the problem if you can. Depending on your lab results, you might be able to try a restart (aka PCT). That could help restore your levels.

Just wondering, when you ran cycles, what did you run and what did you do for post cycle therapy (pct)? How long did you run the cycles for? I'm just wondering how badly you messed yourself up.

One other thing to consider: getting a good doctor's help would be the smart thing to do here. One who has experience doing restarts. You really should at least call and talk to the guys at IMT. They sponsor the forum and a lot of guys here use their services. I don't use them personally, but I wouldn't hesitate calling them if I lost my doctor. You will see their ad on the right of the screen.

 

[Alpin]

The moment you started cycling...it takes out of your optimum T production you once had.
I don't know your PCT after those cycles or what your levels were before them.
But if you are 29 now and you did 3 steroid cycles from 19 and on....
that is way too young. Your endocrine system was developing at 19 and there was no need for you to take that stuff..
I'd take it up with the person that advised you to run AAS at 19...
where are they now, what are they doing today, what is their situation like?

 

[thedeparted]

I really have no one to blame but myself, I was young and bigger was better in my mind. I started with the 1-test when that was legal and just wanted more.

I ran Test E 10weeks @500mg wk w/naprosims for weeks 1-4 don't remember the dosage. I ran the 2nd one very similar, and the 3rd I switched the naps for Anadrol, and added Tren and i think i pushed out the cycle to 14weeks or so.

PCT was Nolva/Clomid with whatever dosage recommendations I found online at the time.

And with the Pro-hormones I would run similar post cycle therapy (pct). With Superdrol being the exception, where I slacked on the PCT...a $4000 mistake there.


Thank you guys for all of the info so far, it is really appreciated!

 

[Megatron28]

I really have no one to blame but myself, I was young and bigger was better in my mind. I started with the 1-test when that was legal and just wanted more.

I ran Test E 10weeks @500mg wk w/naprosims for weeks 1-4 don't remember the dosage. I ran the 2nd one very similar, and the 3rd I switched the naps for Anadrol, and added Tren and i think i pushed out the cycle to 14weeks or so.

PCT was Nolva/Clomid with whatever dosage recommendations I found online at the time.

And with the Pro-hormones I would run similar post cycle therapy (pct). With Superdrol being the exception, where I slacked on the PCT...a $4000 mistake there.


Thank you guys for all of the info so far, it is really appreciated!

So you didn't run an Aromatase Inhibitor? Any signs up gynecomastia?

 

[caladin]

I know this is going to sound crazy but what does your breakfast consist of? and Meg beat me to the sleeping question...

You might want to raise your ingestion of cholesterol for a bit and see if that helps. I'm talking 4-6 whole eggs and 4-6 pieces of bacon every morning. Something as simple as this can... oddly enough give you a 100 point raise.

 

[thedeparted]

Megatron-that's where the $4000 mistake came in, surgery for that, was after that Superdrol cycle when the gyno hit.

Caladin- Breakfast daily is a homemade shake; oats, almond milk, egg white pro, PB, honey, oilve oil.

 

[Megatron28]

Megatron-that's where the $4000 mistake came in, surgery for that, was after that Superdrol cycle when the gyno hit.

That sucks. Make sure you do you homework this time before you do anything else. And hopefully you can avoid getting on testosterone replacement therapy (TRT). That isn't cheap either.

 

[BoBoy]

Hold on there.....take another look at your free test . It looks great for natty, infact I sometimes don't hit 100 free test even on a heavy cycle . And your E2 also looks great , nice & low. Total test is not near as important as free test . I wouldnt be worried at all .......~Bo


PS- I"d just get some Cialis for that wood problem and see if that helps....

 

[Megatron28]

Hold on there.....take another look at your free test . It looks great for natty, infact I sometimes don't hit 100 free test even on a heavy cycle . And your E2 also looks great , nice & low. Total test is not near as important as free test . I wouldnt be worried at all .......~Bo


PS- I"d just get some Cialis for that wood problem and see if that helps....

Total Test matters.

 

[BoBoy]

Total Test matters.

......for bragging rights only , free test is more important (according to my testosterone replacement therapy (TRT) doctor and every article I have ever read)

 

[BoBoy]

......for bragging rights only , free test is more important (according to my testosterone replacement therapy (TRT) doctor and every article I have ever read)

You can have a full tank of gas in your car but the only thing that matters is how much is getting to your carb . Thats the metaphor my doc used (Im a mechanic).

 

[Alpin]

......for bragging rights only , free test is more important (according to my testosterone replacement therapy (TRT) doctor and every article I have ever read)

My testosterone replacement therapy (TRT) doc says the worst thing to measure is Free Testosterone....
He said Total T gives the overall picture of what your total production is like....
followed by BIO AVAIL. T
They all have their own opinions.

 

[BoBoy]

OK - I'm sure "thedeparted" is nice & confused by now . He should hook-up with a qualified testosterone replacement therapy (TRT) doc or IMT here like Megatron said to get the best solution . I hate to see someone 29 years obligate himself to a regime of testosterone replacement therapy (TRT) unless its necessary .

Yes 402ng of total test is low -normal , and might because of past prohormone use , but alot of doctors wont talk testosterone replacement therapy (TRT) until you go under 300ng total test . My TT was 322ng , 284ng and 265ng . It wasnt until I went under 275 nanograms that my doc would agree to testosterone replacement therapy (TRT) . And I was 51 at the time (2 years ago).

IMT will probably be more then happy to sign you up , but at your age I would try a re-start or 2 or 3 before just jumping on the testosterone replacement therapy (TRT) train . You might come back high normal and not have to commit yourself at such a relatively young age . ~Bo

 

[Megatron28]

OK - I'm sure "thedeparted" is nice & confused by now . He should hook-up with a qualified testosterone replacement therapy (TRT) doc or IMT here like Megatron said to get the best solution . I hate to see someone 29 years obligate himself to a regime of testosterone replacement therapy (TRT) unless its necessary .

Yes 402ng of total test is low -normal , and might because of past prohormone use , but alot of doctors wont talk testosterone replacement therapy (TRT) until you go under 300ng total test . My TT was 322ng , 284ng and 265ng . It wasnt until I went under 275 nanograms that my doc would agree to testosterone replacement therapy (TRT) . And I was 51 at the time (2 years ago).

IMT will probably be more then happy to sign you up , but at your age I would try a re-start or 2 or 3 before just jumping on the testosterone replacement therapy (TRT) train . You might come back high normal and not have to commit yourself at such a relatively young age . ~Bo

Bo: the simple truth is that Total and Free Testosterone matter. They are interconnected. I'm sure you or your doc can come up with a car analogy for this.

 

[BoBoy]

^^^^Ok - without hijacking this guys thread much more -dont we both agree he should try alternatives to testosterone replacement therapy (TRT) first ? Clomid restart or such ? Theres days i wished I didnt have to jab myself twice a week or go to Walmarts for my test,needles,syringes,swabs,etc.etc. I would have hated it at 29years old......

 

[Megatron28]

^^^^Ok - without hijacking this guys thread much more -dont we both agree he should try alternatives to testosterone replacement therapy (TRT) first ? Clomid restart or such ? Theres days i wished I didnt have to jab myself twice a week or go to Walmarts for my test,needles,syringes,swabs,etc.etc. I would have hated it at 29years old......

Of course. That's why early on I said,

At your age, you want to avoid going on testosterone replacement therapy (TRT) for the rest of your life. You want to try and fix the problem if you can. Depending on your lab results, you might be able to try a restart (aka PCT). That could help restore your levels.

 

[Alpin]

^^^^Ok - without hijacking this guys thread much more -dont we both agree he should try alternatives to testosterone replacement therapy (TRT) first ? Clomid restart or such ? Theres days i wished I didnt have to jab myself twice a week or go to Walmarts for my test,needles,syringes,swabs,etc.etc. I would have hated it at 29years old......

that stuff doesn't work...TRT docs put young guys on HCG mono protocols before testosterone replacement therapy (TRT) if they are under 30...
once your body stoops elevating T from that...clomid will do nothing.