Testosterone levels when you started TRT?

A

azrairc

New member
Hello guise

I am 20 and I have been suffering from symptoms of low-T for about 4 months now, I have been to a few endos who unfortunately told me the following. Your T-levels are low normal, your too young for testosterone replacement therapy (TRT), etc. I have had my testosterone tested 3 times including a full profile of hormones most recently. Here are my T-levels and FSH
test 1 402 (no fsh testing)
test 2 307 FSH HIGH above reference levels
test 3 400 (all about a month apart) FSH HIGH above reference levels

everything else came out normal, my doc had no idea why my FSH is high

My Symptoms
-low energy
-erectile dysfunction
-lost strength
-extreme fatigue at times
-depression (too embarrassed to tell people this but I really think its due to my test and I will tell my doc next time)

Am I just to high for testosterone replacement therapy (TRT)? I am not concerned about having kids, I am gay (op is really a phaggot) My doctor has offered no treatment and said I am "Normal" my next meeting with him is on monday but I am thinking about canceling because he already told me the results on the phone.. should I go or look for another endo? I know something in my body is not right (the stickie about Hormone Replacement Therapy (HRT) doctors is really motivating me).
 
Your testosterone level is that of an 80+ yo man, so is this normal? Of course not. I really hate when people make the argument that you're too young, would this same argument be made for diabetes? Again, of course not. Look you are struggling, which is obvious by your symptoms. You will soon learn that just because it's within range, it may not mean it's normal, as the range doesn't reflect age, and as I have assumed, the range is already off and needs to be changed. Anyway, the way I look at it is, you are 20 with borderline low T. You will def need T replacement sometime in your life, and probably within 5 or 10 years, maybe sooner. So, do you suffer during those years until your levels fall below normal and a doctor will finally treat you, or do you seek out a doctor who actually knows something about testosterone replacement therapy (TRT) and will help you feel better so you can enjoy your life now?
 
I'm going to be seeking.. I'd love to find a doctor that specializes in this or an endo who could actually help me (I've been to 2 already). I live close to Washington DC.. I wouldn't find going a far way either to find a specialist.
 
azrairc said:
Hello guise

I am 20 and I have been suffering from symptoms of low-T for about 4 months now, I have been to a few endos who unfortunately told me the following. Your T-levels are low normal, your too young for testosterone replacement therapy (TRT), etc. I have had my testosterone tested 3 times including a full profile of hormones most recently. Here are my T-levels and FSH
test 1 402 (no fsh testing)
test 2 307 FSH HIGH above reference levels
test 3 400 (all about a month apart) FSH HIGH above reference levels

everything else came out normal, my doc had no idea why my FSH is high

My Symptoms
-low energy
-erectile dysfunction
-lost strength
-extreme fatigue at times
-depression (too embarrassed to tell people this but I really think its due to my test and I will tell my doc next time)

Am I just to high for testosterone replacement therapy (TRT)? I am not concerned about having kids, I am gay (op is really a phaggot) My doctor has offered no treatment and said I am "Normal" my next meeting with him is on monday but I am thinking about canceling because he already told me the results on the phone.. should I go or look for another endo? I know something in my body is not right (the stickie about Hormone Replacement Therapy (HRT) doctors is really motivating me).
Click to expand...
You're low but not insanely low, most docs go by a range with the low end on anywhere from 250-350 so your doc is saying you're basically still in "normal" range which is bullshit. A good doc will not only go by the numbers but by how you feel, that's important. A lot of the old school docs won't prescribe it to you ESP because of how young you are. I would def cancel your appt, he's just making $ every time you step in there cuz they bill the shit outta your ins, or you. Find a new doc. If u have to go through an online Hormone Replacement Therapy (HRT) clinic for a while do that-they are plentiful.
 
fame2002 said:
start researching and do a few google searches and youll get an idea.
Click to expand...

Admitedly, I don't know much about them, but my only concern is what happens if they go under or something to where they wouldn't be able to supply you with testosterone, which ur body then depends on?
 
I've read you can actually stop testosterone replacement therapy (TRT) without dying.. opposite to popular belief that it's some life alternating decision you can never go back on.
 
your young, you need to look into causes of your testosterone and rule out some things before you go on TRT.
 
Great idea, should I expect some answers from my endo on monday? He doesn't even seem to be concerned with my T levels though :/ I am going to try to make a case for myself at least. Who knows how low my T-levels would be if my diet/sleep/sat fat and training weren't in check like they are.. I could easily manipulate them by going on a low fat cut and get the "Definition of low testosterone" but I already feel like chit all the time.. I'm trying to get in the business of feeling better not "watch" this chit and do nothing for the next 6 months which is the explanation that will most likely be given to me on monday. For god sakes you know the last time I got a random boner? I don't remember but it's been months.. this is not right I'm suppose to be in my prime /rant :/

here is even some research saying people with a can gain a significantly more amount of muscle with T-levels in the normal range opposed to low-normal.

ajpendo.physiology.org/content/281/6/E1172.long

cliffs

Two test groups - one at around 300 and other at around 600 had the following differences in muscle mass change over 20 weeks:

Roughly 2-3kg (Depending on the method of measurement) of fat free mass increase over 20 weeks, without exercise stimulus. So that's like around a pound of muscle a month without lifting a finger, just by increasing test. levels from borderline low, to solid levels. (from about 300 to 600) There was no lifting but it's an interesting study and shows it really can make a difference just by increasing test levels to normal ranges.
 
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azrairc said:
Great idea, should I expect some answers from my endo on monday? He doesn't even seem to be concerned with my T levels though :/ I am going to try to make a case for myself at least. Who knows how low my T-levels would be if my diet/sleep/sat fat and training weren't in check like they are.. I could easily manipulate them by going on a low fat cut and get the "Definition of low testosterone" but I already feel like chit all the time.. I'm trying to get in the business of feeling better not "watch" this chit and do nothing for the next 6 months which is the explanation that will most likely be given to me on monday.
Click to expand...

If I had to guess, because of your age, its probably one of the following:

Vitamin D

Thyroid

Adrenal Problems

With all the stimulants and shitty food nowadays, unless you have had some injury to the HPTA, chances of boosting your T levels naturally are possible, and probably a good idea since their potential is large at your age.

You need extensive blood work and maybe even a some saliva checks to rule out adrenal fatigue before going into thyroid.

We have a program that can asses all this.
 
Does Vitamin D effect test? mine was a bit below the normal range and I already started supplementing it but I researched and found no link with it to testosterone.

Adrenal and Thyroids came out fine. I have had a lot of thing tested i.e. hormones and a lot of micros. I can post them up here if you'd like. How does your business work with offering prescriptions, through online consultations?
 
T4 FREE NON-DIALYSIS 1.0 REFERENCE RANGE 0.8-1.8ng/dL
LH 5.7 REFERENCE RANGE 1.5-9.3
FSH 13.8 REFERENCE RANGE 1.6-8
TSH 1.37 REFERENCE RANGE 0.4-4.5
Vitamin B12 & Folate 14. REFERENCE RANGE >5.4
Vitamin B12, Serum 492 REFERENCE RANGE 200-1100

Free Test 84.7 REFERENCE RANGE 46-224
Test Bioavailability 185.3 REFERENCE RANGE 110-575
Test Total 421 REFERENCE RANGE 250-1100

Sex Hormone Binding Globulin 18 RR 10-50
Albumin 4.8 RR 3.6-5.1

T4, Free Direct Dialysis 1.0 RR 1.0-2.4
AFP, Tumor Marker, Serum 1.0 RR <6.1
Vitamin D, 25-OH Total 23L RR 30-100ng/ml
Vitamin D 25-OH, D3 23
Vitamin D, 25-OH, D2 <4

Prolactin 3.6 RR 2.0-18
Sodium 142 RR 135-146
Potassium 3.9 RR 3.5-5.3
Chloride 104 RR 98-110
Carbon Dioxide 24 RR 21-33
Glucose 76 RR 65-99
Urea Nitrogen 17 RR 7-25
Creatine 0.73 RR 0.60-1.35
Bun/Creatine Ratio N/A RR 6-22

Calcium 9.1 RR 8.6-10.3
Protein Total 7.1 RR 6.2-8.3
Albumin 4.9 RR 3.6-5.1
Globulin, Calculated 2.2 RR 2.1-3.7
A/G Ratio 2.2 RR 1-2.1
Bilirubin Total 0.3 RR 0.2-1.2
AST 32 RR 10-40
ALT 20 RR 9-60
Alkaline Phosphatase 92 RR 40-115


Edit: just did some more searching, Vitamin D can increase testosterone if it is deficient.. could of I found the problem? brb taking 80 vitamin D pills. But seriously how much of a boost am I looking at from getting enough Vitamin D?
 
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interesting I wonder how long I've been deficient and how much supplementation will improve my total T. I'd would be great if it turns out supplementation bumps me up to the normal amount. I am currently on 4000 IU a day and have been for about a week but I might bump it up a bit. It would be amazing if this deficiency was the source of all my problems.
 
You definitely need another doctor. I have primary hypogonadism caused from renal failure and now from one of the meds I take for the transplant. Before testosterone replacement therapy (TRT) my FSH was through the roof even though my test levels showed low normal (300's) too. Believe me when I tell you how hard it was for me to get a doctor to check my T levels ( I was 26). They'd just always say "Of course you feel like shit, you're sick!", lol! Now I'm not saying you've got kidney problems. You clearly don't have kidney issues from looking at your bloods, but get everything checked out by somebody else anyways. Something's not right if you're feeling "different".
 
Just get onto injectable T for six to twelve months. If you like what it does for you then stay on it. You are learning that most doctors are ignorant. If you keep learning at this rate you will know more than any of them within six months.

Unfortunately, because you are only twenty, you will have a hard ime getting someone on side. Bastards.

Don't be shy about your depression being caused by low T. What do you think is the cause of the depression of 95% of guys who kill themselves?
 
Azrairc, I am currently 28 and have had low normal testosterone levels sense age 26. I am not as young as you but I am in the same boat as you are as far as having low normal testosterone levels. In a way we are worse off than people who are below the 300 total testosterone range because we are to high for most doctors to want to treat us and at the same time to low to feel like guys in their twenties should be feeling.

I am curious to know if the three different total testosterone levels you posted (400, 402 and 307) are results from total testosterone blood tests that you had in the morning or in the afternoon?

This may seem like a dumb question as I am sure you are already aware of the fact that natural testosterone levels will always be or are usually higher in the morning and therefore doctors prefer to do this test in the morning so they can see the maximum amount of testosterone that your body has the ability to produce.

The problem with this logic however is what happens in a situation where you have good looking testosterone levels at 9AM but as of the early afternoon time they are now falling below healthy ranges. It is obvious that every guy***8217;s testosterone levels fall as the day goes on but I still think common sense applies and that if you are below the 300 range or are low normal for a good portion of day that you do not have overall healthy testosterone levels.

Now for me I was testing in at about 350 for my total testosterone at 3PM in the afternoon. This was confirmed by more than one total testosterone test that was done around the 3PM time period. However at 9AM my total testosterone was testing in at about 500.

Now it is obvious that I am not straight up low because I have never tested below 300 for total testosterone regardless of the time of day. But even with that said there are still two ways to look at these results. You could say I have straight up normal testosterone levels because at 9AM it is 500 or you could say a majority of the day seeing that I am well below 500 (at 350) I have low normal testosterone levels for a twenty six year old man.

I have consulted with three different endocrinologists (sense I have been concerned about my testosterone levels). All three where giving all of the above posted information. Two said I have normal testosterone levels. One said I have low normal testosterone levels and could probable benefit from testosterone replacement therapy (TRT). I am sick of having low normal testosterone levels for a majority of the day (I have been like this for two years) and I have taken the third endocrinologist up on his offer and now I have been on testosterone replacement therapy (TRT) for 5 days.

So like I said I am wondering exactly what time of the day your total testosterone levels where tested at. If those levels that you posted are your morning levels than the best possible situation that you can be in is that you are low normal for a 20 year old and are probable actually legitimately low (below 300) for a majority of the day.

I was at 500 in the morning and still got an endocrinologist to agree with my above mentioned point and to agree that at no point of the day should you be below 300 or even 500 for that matter and if you are you will not feel like a healthy guy in their twenties.

But even with that said when it comes to this whole low normal testosterone level situation the higher you are naturally the bigger risk you are taking going on testosterone replacement therapy (TRT). So it was still a hard decision for me to go on testosterone replacement therapy (TRT) and I can honestly say that I am taking a risk because after all testosterone replacement therapy (TRT) was designed for men who test below 300. I guess it comes down to personal opinion and how big of a risk that you are willing to take to achieve optimal androgen levels and health. (lol and if you want to look like skinny little bitch..JK)
 
My first T test was 240 but my thyroid was way low so we started with that. Next test was 210. Both times my endo ask if 'my little man' stood up when I needed him to. Libido has never been a problem so I talked to him about how I felt and that if erections were the issue there are other drugs for that. I've spent 40+years feeling tired and now I'm at the far low end of the T range. I simple asked to feel what it was like being at the high normal range. And he was fine with that. Next visit I told him how I felt and when I felt the effects wear off... script in hand with instructions to try variations on his suggested injection amount and frequency.

I think once I got him to talk to me about how I felt and not the labs, he was on board. But I suspect they get a lot of people testing the waters who don't need testosterone replacement therapy (TRT), just want the prescription. IF you're open and honest about what you WANT from them and they won't help you, find another doctor or try what the folks here recommend. my 2cents.

BTW, I never had an issue with erections.... but holy sh!t. I think I could drive it into a concrete wall now. Feeling better alone was not a reason to go back... and now there's another!
 
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