Military and TRT

brotherdan45

New member
I am currently active duty and am being looked at by my doctors for my supposed low testosterone. I had a bunch of blood work done and results are below(not sure why they took so many test??)
HCG-negative
TSH 2.84
FT4 1.3
Luteininzing HOR 4.03
TESTOSTERONE PNL(total)- 304
Estradiol 25.49

They ran a prolactin test today, i dont remember the number, but doc said it was normal.
He said alot of my issues (mental-cloudiness, anxiety, insomnia, memory loss; physical-weak feeling, sweating at night, pains) could all be related. He asked about steroid use, i said none(which is true) but he brought up a surgery that I had in 2008(bilateral testicular torsion surgery) . They are thinking that i might have had an effect from the surgery causing me to produce low testosterone, but i have no bloodwork from prior to the surgery. A different doc(friend of mine) says that even my combat related stress disorders could cause it as well. Either way, I just want to feel better. I am a 26 year old male and i just don't feel right. I am glad that they are looking in this direction because I have hopes for it, but I am not sure how well they are going to diagnose or treat it. For those that are currently military or prior military, I would like to know what I could possibly expect happening. They have talked about testosterone therapy, but they just made me do a series of test this morning, 3 blood test done 30 minutes apart(all Testosterone panels which will come back next week).
If I don't feel like I am getting quality treatment from my doctors, what are my options? but maybe they will do a good job??? This along with the budget cuts are making me crazy...
 
your total testosterone is low for your age indeed,before i started testosterone replacement therapy (TRT) 4 years ago,mine was like 180ng/dl and the range is from 250ng/dl-950ng/dl....so yours is low for your age,man i wish i could help you with the rest of your test results,but i dont know enough about it.If you arent satisfied with your doctors,Chip on this board will be glad to help you out with everything you are asking about,i was seeing my Endocrinologist fr the last 4 years and Im in the process of changing everything over to Chip and Maximus for thier help
 
thanks for the response. I have been reading a lot on this board today, it seems like there is some very knowledgeable people on here so that is why i joined. Sometimes my post might seems a little crazy and might not make sens, but that is the anxiety when I start to talk about this it kicks in and my mind goes a thousand miles an hour....

I had one doctor say my test level was normal and another say he is concerned about that range for my age. I just hope they know what they are doing, it would feel great to be normal i guess..... just basically I am not enjoying my life as much as I used too. Im not sad or anything, just not happy.
 
thanks for the response. I have been reading a lot on this board today, it seems like there is some very knowledgeable people on here so that is why i joined. Sometimes my post might seems a little crazy and might not make sens, but that is the anxiety when I start to talk about this it kicks in and my mind goes a thousand miles an hour....

I had one doctor say my test level was normal and another say he is concerned about that range for my age. I just hope they know what they are doing, it would feel great to be normal i guess..... just basically I am not enjoying my life as much as I used too. Im not sad or anything, just not happy.

man i totally understand were you are coming from,and from my knowledge,you are low to be 26 years old,you should be way on up there closer to 700 i would think,im 44,and i remember when i was 26,i was fit to be tied lol...i know ive messed around with doctors for the last several years with my low testosterone replacement therapy (TRT) and ive had it with them,i get the sme answeres all the time,thats why im switching to Chip,and you are correct,there is alot of smart people on this board,and ive learned alot just from reading,just like you will,dont be afraid to ask questions man,thats what everyone is here for,to help each other:)
 
My dr told me that some people are more "sensitive" to testosterone than others, and that may be why levels in younger men are lower than most others, so a number on the low end of the range might not necessarily mean that person needs replacement therapy.

I'm not sure if I like that reasoning (because how do they know we aren't LESS sensitive to T and would therefore need more- less sensitive + lower amounts = even worse than low amounts on their own).. But I thought I'd mention that since I haven't heard that mentioned anywhere else here on the forum.
 
That is the biggest excuse ever not to treat you. Apparently he didn't even run a free testosterone test/SHBG which would show you are probably bottomed out on free testosterone. Testosterone is testosterone. If your doctor was right, the studies wouldn't show that every diabetic has low testosterone (your levels). The average testosterone level 60 years ago was more than double what your levels are now, and a 300 level testosterone was almost never seen even in old men compared to today where it is rampant. Anabolic hormones are the hormones of life. It is amazing to me how docs can get away with these lies. It is malpractice not treating you for a serious deficiency like this. My grandfather probably has higher levels than you do. With a 300 level you will have limited sex drive and very little capacity for exercise in comparison to a 600-900 level. I suggest you contact Chip if you want this fixed. You already have witnessed the total incompetence of most of the medical profession in regards to this issue. I'm sorry you got lied to, but you just have to do your own research as you are doing now when it comes to health unless you get on with someone who is competent. Unfortunately all the studies and good information in the world aren't enough to change these doctors' minds. I mean any doctor could say, oh your growth hormone levels or cortisol levels are a third normal, but maybe you are just more sensitive to it. Of course receptors will upregulate when there is a hormone deficiency. Does that mean that this is the state of a healthy person? No. I know because my levels were 300 or lower my entire life and it is absolutely nothing like having a 600-900 level. From personal experience his argument doesn't hold water as well as science.
 
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You are right, I was stupid to think my doc may have been right about that... I had a momentary lapse in judgement.

Believe me, right now there is nothing that I want more than to become a client of Maximus Hormone Replacement Therapy (HRT). And I mean NOTHING. But unfortunately I live in Canada, so this isn't an option for me.


The only "good" thing that came from meeting with his is the referral he's going to make. I hope to god whoever I get sent to next will be even half as competent as Chip and his Dr.
 
hopefully my last bit of test come through this week and the dr. comes up with something that makes sense. I will let you guys know what they want to do.
 
Good luck dan

Hello dan im a few yrs older than you (39) lol, but i was feeling the same way, and i researched what it could b and my test levels were way off , very low, i seen a doctor had my blood work drawn and they tested for everything from my cholesterol to my colon my igf1 , they tested all, and i had my result's back in 24hr's , i currently just started my test therapy lst week, so hopefully i will start feeling more energetic, my mood swing's will balance out, i will sleep bttr, maybe my libido will be on track so i know what your feeling and if u do try this same thereapy i wish u the best, but i would check on that blood work they did, cause it shldnt take a week to come back they are very qucik with the technology they have today
 
i think all the testosterone panels that they did here locally at my base have to get sent off somewhere. Maybe UCLA??? I hope to get the results tomorrow when i check in at the medical records section. What sucks about military docs is that they are super busy and work with military and retirees all the time so you have to be very proactive in your healthcare and sometimes do the running around for your doctor... even at times deliver the blood results directly to them...
It would be nice if they said "ok, you got low testosterone, what do you want to do?" and I could recommend what could happen. what scares me is that they might suggest some messed up protocol and i will be worse off. and I am not even sure about an option of going to Chip. being that I am military I don't think I can go to an outside source unless my doctor approves it.
 
UPDATE!

So i went to the hospital to see if my results came back from my lasts series of labs and one result came in the SHBG but the other testosterone samples have not, they still say pending.

The test says:

07 APRIL 11 @0748 (Coll)
Order Comment:
Need 3 testosterone samples drawn 30-40 minutes apart and then pooled together

TESTOSTERONE........... PENDING

07 APRIL 11 @0747 (Coll)
Performing Lab: QUEST -PRODUCTION
SEX HOR BND GLO........ 11 (7-49) nmol/L


any thoughts? input?
I assuming my SHBG is low. Don;t know what to think. But I am really baffled about the testosterone test being pooled together????
 
I would assume they want to average out the results of your 3 samples. But I don't think samples taken 30 minutes apart would show much of a difference, so it's a bit odd if that's the reasoning behind it..
 
im not gonna go as far as saying they are stupid, i just hope they can admit it when they don't know enough about a certain matter(hrt) instead of just using me potentially as a guinea pig, because I have felt that way once or twice with other docs and I have a feeling they shouldn't mess around in the hormone department
 
Reservist on TRT

I aam a reservist and have just started testosterone replacement therapy (TRT). I am about to break the news to the medical dept. Any words of advice?
 
Let me know how it goes. I would like to know how the med unit thinks about testosterone replacement therapy (TRT) from an outside/non military source
 
It is really low I am afraid.

It is the same as 8.97 nmol/L and that is on the bottom the established normal range in men 20-30 years old.
 
Brotherdan,
I'm in the Canadian military and was diagnosed with low T back in Sept. I was experiencing the same symptoms as you mentioned and a couple of other ones to boot. One doc thought I had fibromialga (?) which was causing on going pain for nearly 2 years. Life was shiat to say the least. I was posted to a new base in June and a new doc completed all the blood work and the next thing I know I was starting treatment. Also this doc sent me to a specialist to confirm we were heading in the right direction.
I know you didn't mention it but when you talk to the doc mention that your libido is also low. I found that unless you mention libido the docs are quick to treat you for something else because of your other symptoms. There is definitely more to low T than the libido issue. If you get your levels back in the mid range you will be amazed what a difference this hormone can make in your life. You may want to check out a anti aging clinic for possible treatment if your docs will not treat your symptoms.
I hope you get the treatment that you need and best of luck!
 
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