Waiting on corisol levels to start HRT, at the end of my rope.

[WhatTRTmayCome]

I've begun to notice that many guys on here with T problems, have anxiety or panic attacks. For the first time in my life, I had few panic attacks since I started TRT. If you don't mind answering this, could you tell me what helped you get over the panic attacks. Was it meds? a little help with some counselling? Some self education with books, etc? Just wondering what is most effective.
Thanks

Yeah man, a book called The linden method for anxiety,panic attack and phobias cured me. It obviously doesnt cure anxiety full stop, but I havnt had a panic attack in the longest time, must be years and I cant even remember when I got the last one.

You should definitely get it, hope that helps.

 

[halfape211]

Yeah man, a book called The linden method for anxiety,panic attack and phobias cured me. It obviously doesnt cure anxiety full stop, but I havnt had a panic attack in the longest time, must be years and I cant even remember when I got the last one.

You should definitely get it, hope that helps.

Very impressive, on conquering the panic attacks. Some people spend most of their lives with disabling panic attacks. I'll check out the book. thanks

 

[Alpin]

Very impressive, on conquering the panic attacks. Some people spend most of their lives with disabling panic attacks. I'll check out the book. thanks

If your hormones are in a mess that in itself can cause panick attacks and anxiety.
I.e. not having Estradiol dialed into the optimum range.

 

[WhatTRTmayCome]

If your hormones are in a mess that in itself can cause panick attacks and anxiety.
I.e. not having Estradiol dialed into the optimum range.

Yeah so that has me thinking that it is gonna be off and ill have to treat that first. Ill know more on Wednesday, thats when I was told the bloods would be back. Hoping its going to be ok do.

 

[WhatTRTmayCome]

Very impressive, on conquering the panic attacks. Some people spend most of their lives with disabling panic attacks. I'll check out the book. thanks

I hope it gives you relief man, it was a life changer for me. This coming from a guy who had them all day long, tight chest and afraid to walk.

 

[halfape211]

I hope it gives you relief man, it was a life changer for me. This coming from a guy who had them all day long, tight chest and afraid to walk.

Thanks. It's amazing the variety of symptoms from panic attacks. Afraid to leave house, eat, breath, etc. It's endless I guess. Anyways I was given a few tips from someone who read Linda Bassat's books on panic attacks and it seemed to work. It's been about a week since my last panic attack. And even though they are mild, I don't want anymore panic attacks.

I'll get the Linden Method Books if the panic attacks start up again. I found that the knowledge of how to beat panic attacks (Books/self education) was what had helped people I know. But everyone is different, and I was curious what worked for you with those very intense panic attacks.

 

[WhatTRTmayCome]

Ok guys got my fasted 9am blood results back. I had been fasting for 15 hours.

Testosterone 13.6 nmol/l [392ng/dl-1000ng/dl] ... 9-34.72

FSH 1.8 U/L ... 0.8-9.0

LH 1.6 U/L ... 0.8-7.6

Prolactin 105 MU/L ... 53-360

cortisol 494 ... nmol/l 140-690



Total protein 83 g/l ... 60-80

albumin 50 g/l ... 35-50

bilirubin (total) 19.1 umol/l ... 3.5-20.5

alkaline phosphatase 78 iu/l ... 30-130

gamma-GT 50 iu/l ... 12-64

ALT (GPT) 117 iu/l ... 10-55

cholesterol total 4.6 mmol/l ...3.5-5.2

HDL-Cholesterol 1.8 mmol/l 0.2-1.6

LDL cholesterol 2.0 mmol/l ... 1-2.6

triglyceride 0.9 mmol/l ... 0.3-1.7

urea 6.7 mmo/l ... 2.5-7.8

Creatine 107 umol/l ... 64-111

Wbc 6.99 ... 3.7-11.1

RBC 4.95 ... 4.32-5.66

Haemoglobin 15.9 g/dl ... 13-17.5

Pcv 0.482 l/l ... 0.36-0.50

MCV 97.5 fl ... 76-96

Mch 32.2 pg ... 27-33

Mchc 33 g/dl ... 31-36..9

Hdw. 2.20 g/dl ... 2.2-3.2

Platelets 293 ... 140-400

Neutrophils. 2.57 ... 1.7-6.1

Lymphocytes. 3.56 ... 1.0-3.2

Monocytes. 0.33. ... 0.2-0.92

Eosinophils. 0.25. ... 0.03-0.46

Basophils. 0.13. ... 0.02-0.16

Luc. 0.14. ... 0.09-0.50

glucose serum blood sugar 4.1 mmo/l ... 3.9-5.8




My power is after going so trying my best to update through phone. Tried my best.

So my test is gone back up. Was 8.9 and 5.6 before but they weren't fasted. What do you guys make of it. Its still low but now its in range where as it wasnt before.When talking to the endo he said he would try to get me up to 15 anyway, will he treat me now at all that im close to that?

So what kind of response should I expect here guys. When im unfasted im at 5.6, but when fasted im 13.6. Would it throw it off that much?

 

[Alpin]

You're 391 ng/dl TT. Just barely hypo by that labs measurements.
In North America conventional docs usually don't touch anything over 330 ng/dl.
You are secondary hypogonadal. You might benefit from HCG or Clomid mono therapies before commiting to life long TRT.

 

[WhatTRTmayCome]

You're 391 ng/dl TT. Just barely hypo by that labs measurements.
In North America conventional docs usually don't touch anything over 330 ng/dl.
You are secondary hypogonadal. You might benefit from HCG or Clomid mono therapies before commiting to life long TRT.

Thanks for the reply apollon, really appreciate it.

Did a quick search on that and it makes sense what you said, that is more to try and make your testes produce the T naturally themselves in comparison to just replacing it altogether with TRT is that correct?

Also while searching that, it seems that the LH hormone is responsible for testosterone production? Mine is LH 1.6 U/L ... 0.8-7.6 so its pretty low.

What wikipedia says on it..

High levels of AASs, that mimic the body's natural testosterone, trigger the hypothalamus to shut down its production of gonadotropin-releasing hormone (GnRH) from the hypothalamus. Without GnRH, the pituitary gland stops releasing luteinizing hormone (LH). LH normally travels from the pituitary via the blood stream to the testes, where it triggers the production and release of testosterone. Without LH, the testes shut down their production of testosterone.[30] In males, HCG helps restore and maintain testosterone production in the testes by mimicking LH and triggering the production and release of testosterone.

 

[Alpin]

Thanks for the reply apollon, really appreciate it.

Did a quick search on that and it makes sense what you said, that is more to try and make your testes produce the T naturally themselves in comparison to just replacing it altogether with TRT is that correct?

Also while searching that, it seems that the LH hormone is responsible for testosterone production? Mine is LH 1.6 U/L ... 0.8-7.6 so its pretty low.

What wikipedia says on it..

High levels of AASs, that mimic the body's natural testosterone, trigger the hypothalamus to shut down its production of gonadotropin-releasing hormone (GnRH) from the hypothalamus. Without GnRH, the pituitary gland stops releasing luteinizing hormone (LH). LH normally travels from the pituitary via the blood stream to the testes, where it triggers the production and release of testosterone. Without LH, the testes shut down their production of testosterone.[30] In males, HCG helps restore and maintain testosterone production in the testes by mimicking LH and triggering the production and release of testosterone.

Yup!

 

[WhatTRTmayCome]

Yup!

Thanks again man, when I read the result I thought well im back to square one but at least now I know theres still another treatment option.

 

[WhatTRTmayCome]

If anyone else would like to chime in on my latest bloods I posted id really appreciate it.

 

[methos0123]

I seriously doubt any "endocrinologist" will treat you with a level like that....you're "normal".

That is what they will say.

 

[Megatron28]

What's up with your liver (ALT)?

 

[Alpin]

I'm curious if Triptorelin might be able to fix this.
It's one shot of 100 mcg and it stimulates the hypothalamus to put out GNRH then stimulating pituitary LH/FSH.
None the less someone knowledgeable should administer this. This is not for messing around.

 

[Alpin]

I seriously doubt any "endocrinologist" will treat you with a level like that....you're "normal".

That is what they will say.

Thats true. Its unfortunate though cause the patient with levels like that is already at the bottom of the hill.

 

[Alpin]

Btw 0.8 is no healthy ref. Range for LH/FSH.
2 IU/L and up is "normal" for both of those in North America.
This is the first time i seen ranges of LH/ FSH that low.

 

[WhatTRTmayCome]

I seriously doubt any "endocrinologist" will treat you with a level like that....you're "normal".

That is what they will say.

Yeah thats what im expecting and my heart dropped when I saw the results. But then I was thinking, is there anything to be said for the fact that the second I eat something im cruising on 162ng/dl for the rest of the day, that doesnt seem right to me, I want to say that to him and see what he says, but man its not like I want to jump on TRT, APOLLONS HCG sounds like the better option for me.

BTW do you think im a candidate for that?

What's up with your liver (ALT)?

I dont know, any ideas?

I'm curious if Triptorelin might be able to fix this.
It's one shot of 100 mcg and it stimulates the hypothalamus to put out GNRH then stimulating pituitary LH/FSH.
None the less someone knowledgeable should administer this. This is not for messing around.

Yeah man keep the suggestions coming, when I go in to him on the 30th I want to discuss alternatives like this with him incase he doesnt mention them.

Thats true. Its unfortunate though cause the patient with levels like that is already at the bottom of the hill.

What way would you approach the next consultation, should I give up on the TRT notion, should I try and push some sort of trial with him, or focus on getting HCG or Triptorelin trial? I really dont want to come away empty handed.

Btw 0.8 is no healthy ref. Range for LH/FSH.
2 IU/L and up is "normal" for both of those in North America.
This is the first time i seen ranges of LH/ FSH that low.

Sure what can I do man, there the ranges I was given, should I mention that?

In saying all that guys what way should I approach the endo. Will I push a trial TRT/HCG/Triptorelin? Is there anything else you would do or say in my situation to help me get some treatment?

 

[Alpin]

You could try clomid 50 mg 3 times a week for 4 months and show them the Lahey clinic study.
Triptorelin is something only knowledgeable TRT docs know about. Most endos dont have a clue on what they are doing with TRT. Keep in mind.

 

[WhatTRTmayCome]

You could try clomid 50 mg 3 times a week for 4 months and show them the Lahey clinic study.
Triptorelin is something only knowledgeable TRT docs know about. Most endos dont have a clue on what they are doing with TRT. Keep in mind.

Man you really are a fountain of knowledge. So looked up Clomid and testosterone and came across this article, very informative.

shiramillermd.com/blog/clomid-men-testosterone-alternative.html

Looking at the fact that my test is now in range, all be it on the low side and coupled with the fact that my LH is really low it seems that the likes of Triptorelin, HCG and clomid are my best options, but which one, if you had the choice would you go for and I guess just as importantly which one might the endo be more inclined to offer me?

You said the Triptorelin is tricky to administer so would I be right in saying I should steer away from that and TRT and aim for HCG and clomid? It also said that administrating clomid is somewhat "taboo" among doctors, is it something I could buy myself?

Which one of those to go for, or are they synergists that can be used at the same time?

Any other advise appreciated pal.