Questions on TT B/W. What to do next?

[Ol.DirtyBastard]

Whats up, men

I just got numbers from Labcorp on TT

A little about me:
6 ft, 240 lbs ....and 52 yrs old
Pretty active in the gym about 4 times a week with heavy compound lifts and cardio 3 days a week for about 30 minutes....(fat burn)

About 2 years ago, I noticed lack of energy, low libido....loss of focus...etc
These symptoms were very subtle and I never really paid much attention to it until recently.
What I did notice was that I was spinning my wheels in the gym even with diet dialed in tight. Over the last 18 months, I lost 65 lbs and counting. I just wasnt seeing the gains....minimal at best. My macros are on point with an occasional cab refeed.

Last month i seen my GP and I asked for bloodwork for shits and giggles...just for piece of mind
It was a generic test to see wher my test levels were....It came back at 174ng/dl....mind you this was taken around 2:30 in the afternoon

He sent me to an Endo and he ordered a more thoruogh test. Here it is




Test Low Normal High Reference Range Units
comment: Adult male reference interval is based on a population of lean males up to 40 years old.
testosterone, serum 354 348-1197 ng/dL

fsh and lh



Test Low Normal High Reference Range Units
lh 3.6 1.7-8.6 mIU/mL
fsh 2.1 1.5-12.4 mIU/mL

hcg,beta subunit, qnt, serum



Test Low Normal High Reference Range Units
hcg,beta subunit,qnt,serum <1 0-3

estradiol



Test Low Normal High Reference Range Units
estradiol 8.4 7.6-42.6 pg/mL

sex horm binding glob, serum



Test Low Normal High Reference Range Units
sex horm binding glob, serum 41.4 19.3-76.4 nmol/L

triiodothyronine,free,serum



Test Low Normal High Reference Range Units
triiodothyronine,free,serum 2.6 2.0-4.4 pg/mL

vitamin d, 25-hydroxy



Test Low Normal High Reference Range Units
vitamin d, 25-hydroxy 32.4 30.0-100.0 ng/mL

tsh



Test Low Normal High Reference Range Units
tsh 2.940 0.450-4.500 uIU/mL

thyroxine (t4) free, direct, s



Test Low Normal High Reference Range Units
t4,free(direct) 1.30 0.82-1.77 ng/dL

My question is....do i still have an option for TRT? Because i feel like dog shit by mid afternoon most days and I force myself to hit the gym to keep my sanity. Depression is subtle, but evident. Sex drive is ok, but i rarely have morning wood.
I think with these numbers my chances are slim even for my age

Whats your take guys?

 

[Ol.DirtyBastard]

I also noticed the Endo didnt add a progesterone test...hmmmm
Nest week, I get my boys ultrasound (ed) and on he 18th is pretty much judgement day as far as being a candidate for TRT
It can be nerve wracking, I tell ya.....just need some advice on where I stand and what I can argue with endo if hes stuffy

 

[Megatron28]

You have Secondary Hypogonadism. Follow up and check your prolactin too.

Looks like you need TRT. Could try an HPTA restart but I will caution you that it isn't likely to work given you age. Guessing your body fat % may still be on the high side. If so that doesn't help either.

Get your Vitamin D up. Get some sun exposure and supplement it too. Probably 5000-10000iu daily.

 

[Ol.DirtyBastard]

I work outside all the time.....oh and my body fat is around 17to19 percent....guesstimating
Thanks for the reply Megatron

I will look into the Vitamin D.....I didnt know that played a role to an extent

 

[Megatron28]

Do you always wear sunscreen?

 

[Ol.DirtyBastard]

Do you always wear sunscreen?

No.....not at all. You think a sunscreen might help?
I already have a natural tan from birth....lol

 

[Megatron28]

No. Sunscreen would make it worse. Some people always wear it 24/7 which is problematic.

Good luck with the TRT. Make sure to read the Basic TRT Overview sticky thread.

 

[Ol.DirtyBastard]

No. Sunscreen would make it worse. Some people always wear it 24/7 which is problematic.

Good luck with the TRT. Make sure to read the Basic TRT Overview sticky thread.

I will comply....Thanks for your insight