Need advice: 24 years old, Low Test, Time to get these levels up

[Megatron28]

Got the results from my most recent blood test. Still haven't gotten the results of the liver enzymes test I did after abstaining from lifting weights for a week, won't get that till my visit, some kind of error from allowing me to get it online. I see the doc in 2 weeks to talk things over.

Estradiol 7.7 pg/ml (7.6-42.6)
Total Testosterone, Serum 414 ng/dl (348 - 1197)
Testosterone % Free+Weakly Bound 15.7% (9.0-46.0)
Testosterone Free+Weakly Bound 65.0 (40.0-250.0)
TSH 2.16 uIU/ml (.450 - 4.50)
LH 2.4 mIU/ml (1.7-8.6)
FSH 2.9 mIU/ml (1.5-12.4)
Prolactin 7.3 ng/dl (4.0-15.2)
SBHG 46.0 nmol/L (16.5-55.9)
AST 67 IU/L (0-40)
ALT 83 IU/L(0-44)

Thoughts?

Thyroid looks a lot better. Your TT is higher than before. You aren't hypogonadal per these numbers, but you also are not where you should be for your age. Not many docs would put you on TRT, but you might want to discuss trying a restart with them to see if you can get things working better.

Liver still isn't looking good.

 

[jakesonyou]

Thyroid looks a lot better. Your TT is higher than before. You aren't hypogonadal per these numbers, but you also are not where you should be for your age. Not many docs would put you on TRT, but you might want to discuss trying a restart with them to see if you can get things working better.

Liver still isn't looking good.

Right now I'm looking of going the restart route. I was really confident about going with IMT until I saw their assortment of costs here: https://increasemyt.com/imt-services/how-we-compare
Hopefully I can do it with my new doc or maybe I can find someplace that is reasonably priced.

 

[jakesonyou]

Update!

First the liver, here are the results of my liver enzymes from 1 month ago, while lifting weights 5 days a week:

AST 67 IU/L (0-40)
ALT 83 IU/L(0-44)

These are my new results after abstaining from weight training for 1 week:

AST 35 IU/L
ALT 60 IU/L

Better, eh? Doc said although he is not any expert, my ALT is nothing to be overly concerned about, just something to keep an eye on.

Now the visit. Went well, we talked fro about 25 mins. He said we have four different options we can explore: (1)Do nothing, (2) Clomid, (3) TRT, or (4) a referral to another more experimental doctor (possible HCG usage). I said I would like to stay under his care if possible and that I would like to use TRT as a last option. I choose the Clomid (25mgs ED). I will get BW done in 3 weeks and I have a follow up appointment in 2 months. He said Clomid might not have a high success rate, but it does have something of a success rate.
I really like this doctor as he really seems to listen to my concerns. Only downside is he is not going to check my E2 in 3 weeks and did not want to prescribe an AI. But he did understand my concerns and said he would keep an eye on it (my guess is in 2 months he will recheck everything, E2 included).

Pretty pleased with the visit. I may start a log of my expereince on Clomid or may just do the log in this thread.
Any advice on when on the best time to take the Clomid, anything I should take with it (supplement wise), etc...?

 

[Megatron28]

You can get your own blood work, including estradiol. Go to Private MD - Buy Lab Tests Online and get the Hormone Panel for Females. Cheap, quick and easy.

 

[Alpin]

Take a good quality vit. E daily. I had liver enzymes like u once and never drank or ate garbage etc.
I went to a liver specialist and he said that he sees the levels come down after his patients take vit. E daily.
Bout 400 I.u. of a good brand with a fat soluble meal should suffice.

 

[Alpin]

Bump

 

[relax.]

Just wanted to throw this out there. I think you should get tested for free T3 and Anti-Thyroid Peroxidase (antibodies). Your TSH is "in range" but it's not optimal just yet. Your free T3 is the active thyroid hormone, that dictates your sense of well being. The antibodies will tell you whether or not you have an autoimmune disease called Hashimoto's Thyroiditis, which is what I have. If you have it, your TSH can fluctuate. For years I thought I was just slightly hypothyroid, taking a T4 medication and feeling like crap. Once I found an endo who finally checked my T3 and ATP, he diagnosed me with Hashimoto's. My Test was 415 two months ago. Getting my TSH down to 0.4 has brought my Test up to 832.

The thyroid is a huge player in all these symptoms you're experiencing, so make sure you get it fully optimized, especially before you begin some serious TRT treatment.

 

[jakesonyou]

Update:
Latest Labs (Taking 25mg of Clomid ED for 3.5 weeks)
Total Testosterone, Serum 930 ng/dl (348 - 1197)
PSA 0.6 ng/ml (0.0 - 4.0)
Hematocrit 42.8 (37.5-51)

Someone tell my body my test levels have almost tripled! No increase in sex drive, strength, muscle mass, no changes at all. I honestly feel exactly the same. Don't understand it. Only thing I can think is my E2 increased? I'm going to inquire with the doc about getting it checked.

 

[Alpin]

Update:
Latest Labs (Taking 25mg of Clomid ED for 3.5 weeks)
Total Testosterone, Serum 930 ng/dl (348 - 1197)
PSA 0.6 ng/ml (0.0 - 4.0)
Hematocrit 42.8 (37.5-51)

Someone tell my body my test levels have almost tripled! No increase in sex drive, strength, muscle mass, no changes at all. I honestly feel exactly the same. Don't understand it. Only thing I can think is my E2 increased? I'm going to inquire with the doc about getting it checked.

Probably elevated SHBG, Estradiol, maybe prolactin which makes all that TT less bio available to do its job in the androgen receptors of your body. Its when you come off it that you may feel some improvement.
How old r u btw?

 

[Alpin]

Update:
Latest Labs (Taking 25mg of Clomid ED for 3.5 weeks)
Total Testosterone, Serum 930 ng/dl (348 - 1197)
PSA 0.6 ng/ml (0.0 - 4.0)
Hematocrit 42.8 (37.5-51)

Someone tell my body my test levels have almost tripled! No increase in sex drive, strength, muscle mass, no changes at all. I honestly feel exactly the same. Don't understand it. Only thing I can think is my E2 increased? I'm going to inquire with the doc about getting it checked.

Why didn't doc test your LH/FSH ?
are you breaking 50 mg clomid tabs in half in order to dose 25 mg ED?
Reason I ask is I can only get 50 mg tabs here from pharmacy.

 

[jakesonyou]

Why didn't doc test your LH/FSH ?
are you breaking 50 mg clomid tabs in half in order to dose 25 mg ED?
Reason I ask is I can only get 50 mg tabs here from pharmacy.

Don't know, this is by far the best doc I've had so I'm not too pushy with things.
Pill cutter. Talked to doc, he is going to check my estradiol. I'll go get it done on Thursday.

Probably elevated SHBG, Estradiol, maybe prolactin which makes all that TT less bio available to do its job in the androgen receptors of your body. Its when you come off it that you may feel some improvement.
How old r u btw?

24

 

[Alpin]

Good Jake. As long as its working for you.
Come back and tl us Estradiol.

 

[Alpin]

Don't forget LH & FSH.

 

[jakesonyou]

Blood results:

Estradiol 49.6 pg/ml (7.6-42.6)

I thought so. I guess I'm going to pick up some DIM. Any thoughts on how to dose it, also how long before it takes effect?

 

[Megatron28]

Blood results:

Estradiol 49.6 pg/ml (7.6-42.6)

I thought so. I guess I'm going to pick up some DIM. Any thoughts on how to dose it, also how long before it takes effect?

Given that you had the regular assay, your E2 is probably really at 29.6-39.6 which is right in the sweet spot. Unless you are having any negative side effects of high estradiol I don't think you need to do anything.

 

[jakesonyou]

Given that you had the regular assay, your E2 is probably really at 29.6-39.6 which is right in the sweet spot. Unless you are having any negative side effects of high estradiol I don't think you need to do anything.

I'm not experiencing any negative side effects but I'm nor experiencing any positive effects either. I'm picked up some DIM at the store, would you recommend I not use it?

 

[Megatron28]

I'm not experiencing any negative side effects but I'm nor experiencing any positive effects either. I'm picked up some DIM at the store, would you recommend I not use it?

Your blood work indicates that your E2 is fine. Low E2 is about the worst feeling in the world so you need to be very careful about lower E2 levels too far. Be careful.

If you are still concerned about your E2 get the Sensitive Assay next time so we know where it is truly sitting.

 

[jakesonyou]

As weird as it might sound, I don't feel any different w/ E2 @ 49 than I did when E2 was @ 7. Libido feels like it it might be a little higher now, but nothing dramatic.
I think I am still going to hold on the DIM, rather than return it. If I ever have E2 problems in the future, I suppose it is good to have it on hand.