Thoughts - To TRT or Not !

[earlyriser]

40yo Male
Two blood tests three weeks apart:
1st Test - Total Test. 277 - No other values were taken

2nd Test
Total Test - 376
Free Test 20.5
Est - 20.5
DHEA 598

Height 5'9 1/2
Current Weight - 202lbs
Body Fat % 28

Was Prescribed 80mg twice a week of Test cyp. ***I have not started yet***

My Concerns -
Do my Test values warrant getting on TRT? Is 277 to 376 normal for a 40yo?

I recently have started working out and doing cardio. In the gym at least 3 times a week. Before this I was pretty sedentary and ate like shit. Eating habits have dramatically changed for the better as well as losing 20 pounds.

I was diagnosed with Severe Obstructive sleep apnea however I could never get use to the mask ( Tried Multiple masks) and abandoned the cpap. Now, that was when I was 20 pounds heavier. Not sure if I still have it or not. So I heard that TRT can cause it and make it worse if you do have it, so this is also a concern.

If I do go through with it and decide to go off for whatever reason, how bad is it? Will my test go back to what it was prior to trt? If trt helps with muscle and weight loss and I go off, will I gain weight and lose muscle, even if my diet is still good and im hitting the gym.

Lastly, would you do it if you were in my shoes?

Thanks in advance for the feedback.

 

[Megatron28]

First of all, where are labs for LH, FSH and Prolactin?. You need that before you make any decisions.

Sleep Apnea can cause Hypogonadism. I would make sure you have that under control before making a decision on TRT.

Once you gonon TRT it is usually for life. If you try to come off, the beat you can usually hope for is to return to your current levels. And the longer you stay on the less likely you will even be able to achieve that.

If you want to try holding off on TRT, lowering your body fat % and treating your sleep apnea would help a lot. You could try an HPTA Restart as well. Make sure your diet is healthy too as it makes a huge difference. Given your body fat %, it is likely that your diet is poor.

Walking is great exercise for lowering your body fat and improving your health. Try walking for an hour during lunch for example. Park far away from the entrance at work or when you go shopping. Take the stairs. And so on.

 

[THE-DET-OAK]

Free T is kind of low.

 

[earlyriser]

I'm going back in December for blood tests to see if my Test has gone up since I've lost weight and eating healthier. As far as the information that i have provided thus far, what are you thoughts on my levels? Would I benefit from TRT?

 

[THE-DET-OAK]

Yea your free t is low and your body fat is high. There is a good chance you will benefit from testosterone therapy. As Megatron said it would be good to check into sleep apnea. It is in my experience though that fixing sleep apnea is suppose to increase T levels but unfortunately it usually doesn't.

This does not mean its not important to fix the sleep apnea, it is important to try and balance all issues.

The biggest symptoms of a testosterone deficiency in my opinion is low morning libido, trouble sleeping at night and Android fat. This is the fat in the abdomen, chest and back of the neck. These are usually sure signs of a deficiency for someone at your age.