Low testosterone? Have some questions .

[ziggity]

Just got my total testosterone checked and it came back 280, didn't get lh and fsh checked. The drs office said everything is in range but this seems low for my age. I'm 28, working out since I've been 20. I'm 5"11 205 lbs. just wondering what other ppl think and what people have done that have got this result. I have done a couple cycles in the past but haven't touched anything in two and a half years, I know I could try nova/clomid treatment but would like to hear some other options. Thanks for the input.

 

[Mprtz]

What was the lab range? What time of day did you get the blood drawn?

 

[halfape211]

Just got my total testosterone checked and it came back 280, didn't get lh and fsh checked. The drs office said everything is in range but this seems low for my age. I'm 28, working out since I've been 20. I'm 5"11 205 lbs. just wondering what other ppl think and what people have done that have got this result. I have done a couple cycles in the past but haven't touched anything in two and a half years, I know I could try nova/clomid treatment but would like to hear some other options. Thanks for the input.

A couple questions Mr. Ziggity! What made you get you TT numbers checked? Did you any problems with your physical or mental wellbeing? I will be glad to give my opinion on the number once you give me a little more info.

And welcome to the board. This is the place to learn.

 

[ziggity]

Morning around 9 am , their reference range is 242-827.

 

[ziggity]

I had to go back for a checkup and get bloodwork and knowing I did a couple cycles in the past I wanted to get my test checked. I have been dealing with anxiety and depression for the last couple years especially and I know it can be associated with low test so I wanted to rule that out.

 

[halfape211]

I had to go back for a checkup and get bloodwork and knowing I did a couple cycles in the past I wanted to get my test checked. I have been dealing with anxiety and depression for the last couple years especially and I know it can be associated with low test so I wanted to rule that out.

(1) You have problems that can be addressed by having proper levels of T
(2) 300TT is generally the number that Doctors use to define Low T

Now as far as restarts, that's out of my league, but you definitely need some kind of help to increase your T. So looks like you should be on TRT. Your doctor is a liar. You need help. 242-827 includes those that have Low T . It is not a range of healthy people. It a range including both healthy and unhealthy

 

[ziggity]

(1) You have problems that can be addressed by having proper levels of T
(2) 300TT is generally the number that Doctors use to define Low T

Now as far as restarts, that's out of my league, but you definitely need some kind of help to increase your T. So looks like you should be on TRT. Your doctor is a liar. You need help. 242-827 includes those that have Low T . It is not a range of healthy people. It a range including both healthy and unhealthy

Thank you for the input, I'm going to call the drs office tomorrow and inquire about my results.

 

[halfape211]

Ok I'll try to give you a little heads up on what is coming your way from the medical community.. At this point you really need to read up. Read all the posts in the TRT section about people in the same situation as you are in.
First, Doctors do not want the liability of dispensing steriods and most do not know how to medically treat you with steroids. AND most doctors truly believe that steroids are bad for your health. So it is mandatory that you arm yourself with all the education you can get here before seeing your doctor. Otherwise the odds are against you getting the medical treatment you deserve!!! (See why your doctor said you were within range and sent you away). So, get yourself educated in the next day or two and then see your doctor. List ALL your symptoms. Look for symptoms of Low T to see if you have them.

Start reading the threads and then start asking questions.

 

[Sedg1]

I had the first discussion with my urologist after getting two TT tests that were approximately 300 - just on the cusp. But that was not enough to prescribe. He did not take a paint by numbers approach. He wanted to know how I was feeling, and I told him about my malaise, lack of energy, mental fog, loss of muscle tone and other symptoms that he ultimately associated with low T, in the absence of any other explanation. Blood tests confirmed primary vs. secondary andropause. Bone density test also showed loss of mass, other telltale consequence of low T. On the strength of clinical and lab results, he not only prescribed cypionate, he presented my case to my insurance carrier which has paid for my therapy for the past three years.
Moral - as suggested above. Do not go in blind. Prepare for the appointment. Take control of the conversation. Make it as easy as possible for the doc to prescribe. Ask him what the differential diagnoses are and tell him that you are prepared to explore them. Remember, my friend, you are 28. If you start this therapy, it will be for the duration, which could be 60-70 years. I was in my late 50's when I started and have utterly no regrets. Indeed, I can not imagine what my life would be like without this therapy. But I have made three boys, have been married since the dawn of creation and am a very different stage of life than you are.
If testosterone proves to be the right treatment choice, I along with most on this board recommend injections vs gels, pellets or whatever else big pharma my throw at you. Keep it simple. Pinning is no big deal. And even if it is, consider it an expression of commitment to your health. Ain't no skin in game when you are rolling on a steroid-infused deodorant.
Wish you all the best.

 

[halfape211]

I had the first discussion with my urologist after getting two TT tests that were approximately 300 - just on the cusp. But that was not enough to prescribe. He did not take a paint by numbers approach. He wanted to know how I was feeling, and I told him about my malaise, lack of energy, mental fog, loss of muscle tone and other symptoms that he ultimately associated with low T, in the absence of any other explanation. Blood tests confirmed primary vs. secondary andropause. Bone density test also showed loss of mass, other telltale consequence of low T. On the strength of clinical and lab results, he not only prescribed cypionate, he presented my case to my insurance carrier which has paid for my therapy for the past three years.
Moral - as suggested above. Do not go in blind. Prepare for the appointment. Take control of the conversation. Make it as easy as possible for the doc to prescribe. Ask him what the differential diagnoses are and tell him that you are prepared to explore them. Remember, my friend, you are 28. If you start this therapy, it will be for the duration, which could be 60-70 years. I was in my late 50's when I started and have utterly no regrets. Indeed, I can not imagine what my life would be like without this therapy. But I have made three boys, have been married since the dawn of creation and am a very different stage of life than you are.
If testosterone proves to be the right treatment choice, I along with most on this board recommend injections vs gels, pellets or whatever else big pharma my throw at you. Keep it simple. Pinning is no big deal. And even if it is, consider it an expression of commitment to your health. Ain't no skin in game when you are rolling on a steroid-infused deodorant.
Wish you all the best.

Good post!

 

[IMT staff]

280 is really low. Anything under 300 ng/dl is widely considered hypogonadal. Due to your age it would be beneficial to try and find the root cause.

Are you by chance idiopathic?

http://www.nejm.org/doi/full/10.1056/NEJMoa066494

BACKGROUND
Idiopathic hypogonadotropic hypogonadism, which may be associated with anosmia (the Kallmann syndrome) or with a normal sense of smell, is a treatable form of male infertility caused by a congenital defect in the secretion or action of gonadotropin-releasing hormone (GnRH). Patients have absent or incomplete sexual maturation by the age of 18. Idiopathic hypogonadotropic hypogonadism was previously thought to require lifelong therapy. We describe 15 men in whom reversal of idiopathic hypogonadotropic hypogonadism was sustained after discontinuation of hormonal therapy.

 

[Megatron28]

I had to go back for a checkup and get bloodwork and knowing I did a couple cycles in the past I wanted to get my test checked. I have been dealing with anxiety and depression for the last couple years especially and I know it can be associated with low test so I wanted to rule that out.

Tell us about your cycles and PCT. Please be specific. You may need to try an HPTA restart. But we would need to see your LH and FSH results to determine that. If a restart doesn't work or isn't viable, it looks like you will need TRT as you are Hypogonadal.

 

[ziggity]

I did var, tbol and dbol over the course of about 2 years (I know I know). I did nolvadex after each cycle for about 3 to 4 weeks. I got everything together for a test cycle and did one shot of sust 250 (1 ml) but something came up and I had to stop. Just went back to the dr and I got to go back for blood work tomorrow. Getting lh, fsh, prolacitin, estradiol, bio available test, and CRP Checked (not sure what that is). This should give more of a idea what's going on and I'll go from there.

 

[Megatron28]

I did var, tbol and dbol over the course of about 2 years (I know I know). I did nolvadex after each cycle for about 3 to 4 weeks. I got everything together for a test cycle and did one shot of sust 250 (1 ml) but something came up and I had to stop. Just went back to the dr and I got to go back for blood work tomorrow. Getting lh, fsh, prolacitin, estradiol, bio available test, and CRP Checked (not sure what that is). This should give more of a idea what's going on and I'll go from there.

Bad cycle indeed! Sounds like you didn't do any research.

Let us know what the blood work results are and we can go from there. Get your TT checked again as well.

 

[ziggity]

Got some results back
Estradiol 106.3 pmol/l
Fsh 2.2
Lh 3.86
Prolactin 7.3 ug/l
Bio available test 5.51 nmol/l
Test 15.74
Shbg 21

 

[Mprtz]

Please include the lab ranges if at all possible

 

[ziggity]

Bioavailable 2.5 to 10
Tt 8 to 32
Shbg 13.5 to 71
Fsh 1.4 to 18.1
Lh 1.5 to 9.3
Have a range for prolactin but it's for females.
Albumin is 41 range 35 to 50.

Also the tt was done at a different lab then my first results.

 

[ziggity]

Anyone got any input?

 

[Batmann]

Your last blood test says that you don't need T. Take Vitamin D3 5000 IU everyday, take zinc with copper, train heavy, fix your diet you'll be fine.

 

[ziggity]

Yeah my last blood tests look a lot better. I haven't really changed anything since the first tests though, my diet has been pretty clean for years now and training is good. I have some gyno from years ago and I noticed the last few months it's been tender.