Since being on TRT I can function normally and don’t feel tired, lethargic, or depressed all the time. My T came back at 422 Normal Range is 300-890. I was prescribed 1cc every two weeks. Highly recommended and very easy to use. I understand that wearing excessively tight underwear can cause a lower sperm count, but that’s due more to heat than pressure. Oppositely ,stress caused due to ED issues might have contributed to Hypothyroidism. will run the super man for 4 weeks to see how it goes. We would welcome you and help you spread your great content on ExcelMale.com, hi nate things r looking good around here how much hcg are you taking? After the last repair in December, I gained about 15 pounds, while eating fairly well, running about 20 miles per week and lifting 3x per week. But the thing is: I live in Brazil, in my city there’s nothing like the clinic you got your treatment. I am on 110 ml test and a i thunk hcg shot it was just changed to a 5 day cycle. That’s good news Jac! Anyway, great series, great site. Sodium 142 nmol/l (133 - 146) What causes low testosterone? If, however, you're experiencing road block after road block like I did, I highly recommend LowTestosterone.com (PrimeBody.com). I’ll be on 250mg of Test C&E (150mg of each) a week. after reading about trt got a groupon code and a check up Getting on TRT will definitely affect your fertility, but how much is the real question. Either way, you’re on the road to feeling awesome! The common side effects are increased acne which occurs on neck, forearms, and cystic back acne. Great! yes with the NHS you are pretty much screwed from all of the postings I have read over the years unless you find that one rare doctor willing to work with you. You can move on. I disregarded everything and thought “well…I’m young so it shouldn’t hurt me too bad.” Fast forward months after I graduated high school I felt tired, lazy, irritable, depressed, and awkward around people all the time. My Testosterone immediately before the Androgel was 6.8nmol/l and when I was eventually tested by the Endocrinologist some 2 months later I was 4.3nmol/l. lab ranges = 99% of the population including 90 year olds on their death bed. The reference range for this is usually 1.5-2.5 so you’re at the upper end. Am an ectomorph so not much fat but in very good shape. I was relieved when my first shipments arrived in discrete packaging (from LT LLC) with all the medications and supplies carefully packed away inside. They have a clinic in Florida, but specialize in telemedicine, so no office visits are required. Would you mind to clarify my mind? The blood test sticky seems confusing in terms of whether or not saliva testing is beneficial. I mentioned a month ago that I was going to be contacting Primebody, and I did just that. The real value with LowTestosterone.com (PrimeBody.com) is skipping the stage where you go to multiple doctors, have blood drawn repeatedly, argue about treatment, drop a shit load of cash, and still end up unsatisfied with spotty, inadequate, or inappropriate treatment. One thing to note about using creams and gels is that they closely mimic the natural fluctuations in testosterone throughout the day. I’ve set my injections up so that I’ll never have to worry about them when traveling for the weekend. Week 1 - no change, no change in elevation of symptoms. Powered by Discourse, best viewed with JavaScript enabled, Low Testosterone, UK Member, Advice Needed. I got it checked in February 2016, and it came back at 320 ng/dl. A search for TRT and hormone therapy in Vancouver, BC just showed some lifestyle-type clinics, and it’s hard to recommend those without having any experience with them. After testosterone, I’m a confident, strong, man who's improved every aspect of his life. Having had these results back he wanted to send me for an MRI to check for a pituitary tumor and in fairness he had this test sorted quickly, I had the results today and there were no anormalities or tumors which I suppose is a relief. I’m praying he helps me. After starting to slack off in my very demanding job the past few months, I started researching Low T again. Good luck! About 10 months after the testopel started feeling crappy, emotional, depressed, low energy, mental fog, irritable, not to mention joint and muscle aches. I am 28 years male facing ED issues from last 2-3 years. I’ll look into them. Free T4 16.6 pmol/l (8.0 - 21.0) However my free T was 4.4 with normal range (8.8-27). It has other lifestyle interventions (like cold showers, HIIT, Body By Science protocol & keto diet) for increasing your T levels naturally. Was originally diagnosed with low T in late 2010…TT 225, FT 2.3. Your last bloodwork was taken while on clomid for 2 weeks, right? got way more fat than muscle – i’ve already started to cut some of that fat this month, but i think my level of test is fucked up. If you're anything like me and enjoy being a proactive participant in your medical care, this is a perfect set-up. When manipulating hormones, accuracy and consistency are essential. Thanks for the article Nate. So I’m just wondering how that’s been for you. I’ve been reading that going on therapy might make me sterile and I’m concerned because I’m only 32 and want to start a family in a few years. If you feel fine at 386, then I see no need to rush into treatment. Hi Nate, I was diagnosed with low T earlier today and have been googling all sorts of information regarding testosterone replacement therapy and was wondering if my results are really low? If a doctor is pushing anything less frequent than once weekly injections, run the other way. I sure do, Dave. I know you already have one child, do you want to have the second child? I’ve recently switched jobs and health insurance (and am saving a lot of money so I can start my own business like you) and I moved. Where available, I have listed the prices for all options. Follow up labs in 7 weeks for tweaking. What if you have to suddenly stop (have to relocate to a country where trt is not available or experience money issues or for health reasons)? I’ll check out the book. Although there are no guarantees in life, many guys have success with coming off of testosterone, using high doses of hCG, and then conceiving. Obviously you’re a young guy and I don’t know your plans for the future but what kind of impact does TRT have on the future ability to have kids? I have been heavier than that before just had a blood work done and started super mandro . I hope you and your doctor can agree on a treatment plan. You’re definitely at the lower end of the range so I think it’s all going to come down to how bad your symptoms are and if you think your test levels are causing them. As of right now, all of my other numbers are within range so no problems yet. Not only does he excel at treating low testosterone, he puts me at ease when I'm discussing my treatment. The prices on a yearly basis average out to be less than 2k per year (1200-1500 in some cases) which is by far the cheapest tele-med clinic available. My LH/FSH levels are also at very rock bottom level of normal range. I’ve already been in a good shape, 2 years ago, after 3 years of hitting gym hardly and in the last year of the 3 i used a few steroids. I don’t take the initiative and instead beat myself up for not being an “adequate man.” I’m starting TRT next week and I’m hoping this turns my life around. I have been trying to work through my local GP for about a year or so with no success. If you’re suffering from depression, anxiety, and low motivation, it might be a good idea to at least try it out. Practical question: how do you handle your injections when you travel? I will get tested and see if bringing my results to doctors here will change anything but I would love to hear if anyone in Canada was able to get through to someone. In the last 6 months I have had many similar symptoms. You bled on the page here man. Most testosterone prescriptions issued are for injectable testosterone. Even if guys do manage to find a doctor willing to accept their symptoms as legitimate and prescribe testosterone, many have difficultly obtaining the supporting medications involved in optimal TRT. That’s exactly the same size needle I use. Not being able to gain strength, especially on compound movements is a huge red flag. Hello, Nate! I do not need to describe all of my symptoms because they are the exact same as you had. So I see the urology Doctor 2 Friday’s ago. Very inspiring for someone like me (38yr old, experiencing some of the problems you experienced before TRT). 1,000 – 1,200 ng/dl)? I told her about my symptoms, describing my anxiety, depression, and complete inability to gain muscle. So now, I called their urology again and asked if they could see me directly and they said they would file a transfer request. No, he did some additional blood work just to make sure nothing else was going on. There is some concern with TRT impacting fertility. It’s very hard to go to a beach with constant looks if you happen to experience the same cystic back acne sides effects as me. I am unable to get it done on the NHS but am considering buying one of these kits. I do not wish to loose the erections and all. However, this summer I have experienced another major drop. Free T is even worse at 8.16 pg/dl when reference range is 8.7 – 54.7 pg/ml. Yeah, I think they would’ve told you over the phone if you didn’t qualify for treatment. It shows your cortisol through out the day and not just in the morning. If you go to an endocrinologist, they’ll do a full hormone panel to check for abnormalities. My symptoms have worsened since stopping the Androgel, so could the androgel have shut me down completely, even taking it for that short time ? They are very helpful and even give me a discount, since I am not as established as their other patrons. I have been a type 1 for about 12 years and hypothyroidism was also diagnosed at the same time. HGB 20.2, HCT 58.7, RBC 6.9. Now I’m a fairly lean guy which is one of the reasons why I want to start therapy; I want to add some healthy weight/muscle mass. Little did I know at that time that I was still 5 months away from finding a medical provider who understood what I needed and was ready to help me receive adequate treatment. It’s imperative that guys go to a doctor who knows what he’s doing. Aside from lifestyle factors, most of the diagnostic process is going to have to be done by a doctor. cholesterol 5.1 They know the value of support medications and include them from the beginning. But I am anyway considering it as we all can see how much it helped you. Would be helpful if you gave the units and ranges associated with your bloodwork, especially since its not in the American units we are used to here. It was a very helpless, lonely feeling to finally figure out what could be causing all of my problems, but to not have anyone in my corner to help me with a real solution. My experience with LowTestosterone.com's customer service has been quite positive. That’s amazing. My cardio actually got better on TRT. I was up for 4 days and crashed hard for the rest of the period. Apparently my free t wasn’t tested so im not sure how I would get those results. I’m not asking this because I want to use right away,because I want to take advantage of my hormonal profile for as long as possible.But at age 25-26 my hormonal output may top off and can’t really make any more gains after that.So personally I think that would be an ideal age to start using.I know you can’t advocate what I’m referring to,I’m simply curious what you think about this subject. ( Till Oct ’16 my Thyroid levels in perfect range so I don’t think my ED issues are due to thyroid.All the reports I mentioned of the period (2months ago) when I did not have thyroid. Let me know how it goes! Every morning is a struggle to wake up. So I was really excited when my Endo thought he may have found the culprit–low T. After numerous morning tests and bloodwork, I averaged my low T at about 200–the lowest being 130 and the highest being 280. Workout out,doing ufc fit workouts and felt amazing. They don’t list how often these side effects happen, but I’ve read a few sites that say sometimes it’s better to just feel crappy as opposed to risking any damage to your heart. Just wanted to share my experiences. Appreciate your well written story Nate! I’m 45 years old, a dad of 3 girls, grandpa to 2 girls, a husband, work as an Accountant for a public utilities for electricity and so sitting down all day and surrounded by women and girls. So, over the course of the fall and winter I took heavy doses of D3 and K2 and my “morning wood” and libido came back. My Testosterone has fallen again, from 18.6 following the 2 week clomid experiment back at the start of October. I was excited before I read your article but this made me so much more pumped. If you go on treatment, I would talk to your doctor about adding hCG to prevent your testes from shutting down. If conceiving a child is high on your list of priorities then I would think long and hard about starting TRT because it isn’t going to help your chances. Thanks for the reminder! I haven't had much need to use them, since the program is so well constructed, but I have called on a few occasions. But I could feel that something was wrong with me and I needed help. i have been working out on off over the years got serious in oct 2015 It wasn’t a giant boost, but it was enough of an improvement so that I didn’t feel helpless. I would probably give it a go just to rule out primary hypogonadism. Finally told him that I was going to consult with Defy. She reacted to me as if I was trolling for some vanity-related medication. I could have just jumped on trt also, but for me it is important to rule everything out before committing. My last blood draw, two days after injecting, had my total T at around 940 on 200mg test and 500 ui hcg. Her number is 281-547-7682 Ext. I’ve learned from Internet that after taking exogenous testosterone, your body will stop producing its own testosterone, sperm production will be halted too. My question is, would I not be better off trying a clomid restart first? You’ll see plenty of benefits from the TRT alone. Today was the start of my weekly injections, and I couldn’t be more excited to get back to feeling awesome . He has agreed to arrange the ATCH stimulation test to see how my adrenals are; he told me that my random cortisol was fine but that he would have the test done for my own peace of mind. My doctor didn’t want to help me and said my range was normal. Anyways its been a long and depressing road and at the age of 21 my doctor finally prescribed injections. Sample time 11:15AM, Total Testosterone 10.7nmol/l (8.5 - 29.0) Am 5’9″ and now weigh 153#. I had developed a few food allergies and I struggle to this day keeping body fat off mainly around my belly and midsection area. Thanks! He ordered tests and said I was in the range and everything was fine. I want to have it straight in my own head before I attempt to discuss it with the consultant tomorrow. Testosterone deficiency is a growing epidemic. This includes testosterone cypionate, hCG, an aromatase inhibitor, syringes, needles, mixing supplies, and even alcohol wipes. Awesome information. I think the biggest problem with GPs is this one size fits all approach to diagnosing and treating Low T. As you mentioned in your articles, they don’t have the training nor experience, and they are unwilling to go outside the standard treatment protocols. Will get my levels tested. you really really really need to get more tests specifically for your thyroid and adrenals. If so are they recent? You dont need 200mg and Jeff is absolutely correct. you need to check areas where this can affect you such as lipid and blood panel – CBC, CMP and also kidneys. I did lose some weight (I was at 240lbs at my highest) and I did eat better, but the change in my symptoms was negligible. MIT concluded it legitimately boosts free testosterone. I've got a friend who thinks low testosterone levels cause erection problems. These kind of doctors are hard to find, so in a way think positive. Good luck and keep me posted! This makes 4 needles in my arm, many tubes of blood, and a significant time frame just to come to the same conclusion: Because he didn’t want to rush into putting a 28-year old man on testosterone (a very wise choice), my doctor put me on hCG mono therapy which is a lower intervention attempt at raising testosterone levels. Either way, its a moot point because whether you take HCG or a SERM, both will give you the information you need to move forward. Is it something that you stop prior to, use HCG to get fertility back, and then hop back on afterwards? All of this assuming that the individual was old enough to warrant a protocol and was living a lifestyle that was conducive to maximizing Testosterone to begin with. Free T4 14.5 He gave up and suggested Doctor #4, an endocrinologist with specific experience in these matters. What's even better is knowing that this is just the beginning for me and there's plenty more ass to kick! My T levels remain just above low borderline level. Can you describe it? Average number 242. TMuscle - Read and discuss bodybuilding, muscle, strength, fat loss, supplements, health, fitness, steroids, powerlifting, strongman and much more. It’s weird that your symptoms are only during the week. You’ll then be billed the $199 on a monthly basis. I say that begin able to get a bigger response from less medication is a good thing and as long as you’re feeling better it’s all good news! FSH 6.0 iu/L When the lab finishes the analysis, the results are provided directly to your doctor and uploaded to your account so you can view them before going for the annual in office visit. After the first visit, your doctor will call in the necessary prescriptions. Low testosterone symptom: Your penis may get smaller, too. Abraham Morgentaler, MD “I find free T more useful than total T as a diagnostic test; however, it is critical to note that reference values provided by laboratories are not clinically based and of little value. Endocrinologist is now my target to try and find out the cause of hormonal imbalance, but will continue with TRT until then. Does LowT .com work with insurance companies at all or do they avoid them and operate more like a regular store? I have an appt with a doc that they arranged on Friday, so fingers crossed everything goes smoothly. You'll end up paying roughly $2,700 per year to completely change your life. The benefit is obviously that you would be under a doctor’s supervision (if he is knowledgeable this is a good thing). I am unable to get it done on the NHS but am considering buying one of these kits, http://www.androbalance.co.uk/products-testkits.php, [quote]ockey wrote: Thanks! I’ve explained I was already receiving shots and don’t understand what the deal is. If I were to travel for a week and had time to plan, I would just take my test and hCG the night before leaving and not worry about it until I got back. What I mean is that if I put in 5-6 years of ‘natural'(I hate this word) training,do you think it would be appropriate to experiment with more potent supplements so to speak? But it really is typical of what most men go through. Did you take HCG while on TRT? great read thanks nate Well he said the other doctor agreed with him and that I didn’t need treatment. I’ve seen the jeans before but the boots are news to me. Not catastrophic but…NOT GOOD! The idea is that, rather than introducing a synthetic version of testosterone, using hCG to mimic luteinizing hormone (LH) will stimulate the testes to produce more testosterone. the blood test sticky has a number of recommended tests and ideal US ranges. They have a much more realistic idea of what’s normal than your average doctor. I told him yes for an 85-100 year old man. i have found your web page when i was first looking for tips to skinny fat, which is my case. The popularity of this supplement has been held back by notoriously inconsistent and fraudulent product. It sounds like you have the diet and exercise factors well under control. Thanks for the info Nate, you da real MVP, Great review article, Nate! (I am able to obtain clomid through an unoffical source - a friend). They are reasonably priced (around $50 for single hormone tests and a few hundred for comprehensive). To my knowledge they are taking new patients now or will be very soon. Thanks! Essential Oils for Low Testosterone. As a little anecdotal evidence, I was watching the documentary Generation Iron with the current Mr Olympia contestants and some of them had young children. Thanks for the article. BTW, Tongkat Ali is not the usual hocus-pocus supplement. The problem from what I see is my body produces test just fine, it just doesn’t absorb it. This forces many patients to rely on inferior over-the-counter substitutes, make illegal purchases, or live with unnecessary side effects. Working out since I was 16 probably 17. That’s the problem right there. It’s a little odd that you’re at the top of the range for free T but at the bottom for total T. I wonder how a blood test would compare. He offered to get a second opinion within Kaiser (endocrindologist) sp. I am absolutely miserable and thought today was going to be the start of getting past a condition that might have been going on for years! This was back in 2007 and I’m starting to realize the symptoms I’m experiencing associated with Low T. I haven’t gone to the doctor in a long time and was afraid to get blood work because I’ve felt regret, shame, and embarrassment from my past choices. Doing a few months at a low dose of clomid could be beneficial. In addition to the administrators who provide general customer service, I can also speak with a nurse 24 hours a day with my immediate medical questions. He “didn’t feel comfortable” treating me. © 2020 Iron and Tweed, Superdrive Publishing Limited - All Rights Reserved. I didn’t realize that your blood work was coming up so soon. Both time it came back in the mid to upper 400s. Not sure he was crazy about the idea, but said he would work with me. You would be better having your levels between 600-700 n/dl. Not sure why but since I terminated TRT my ability to have an orgasm has tapered off to zero also. I wish you the best and let me know how things go. Thank you for the advice, I realise you are right - it is just, as you say, frustrating. The blood test sticky seems confusing in terms of whether or not saliva testing is beneficial. I’m really interested to find out the results. If you make it that far, then you’ll likely have to argue your case to have blood drawn. I’m contemplating TRT myself, have spent countless hours researching it, and you’ve managed to capture the lion’s share of up to date information in your series. After the initial knockbacks I would give up looking. Doctor #3 was a urologist. I appreciate your job, Nate, and i hope i can have a reply. My concern is that I do have controlled high blood pressure, but the fact that no cardiologist can find anything wrong with me is leading me to believe that my low T could be causing these issues. I do want to have kids in the future as I’m only 25 but at the same time I can’t go on like this given I am likley to lose my job etc [/quote]. I felt better when I took it. I have no symtems of any kind. I am one those that will be on treatment lifelong, it’s not short-term. Even in the presence of estrogenic side effects (like sore, puffy nipples) and atrophied testicles, many doctors will decline to prescribe an aromatase inhibitor or hCG. Surprised you haven’t switched to Defy Medical. it going to be like you said in your read before t and after . Majority of trt patients inject 100-150mg/ml weekly. With Low T centers not taking new patients at this time wanted to share my treatment route. I would opt for a clomid restart. TSH 1.44 mu/L (0.4 - 4.5). Feeling like crap and somehow coping because I always trusted I would find someone. Started out on 6% gel which provided TT 755, FT 3.5 within 4 months, then crashed to TT 320, FT 2.0 3 months later. So the $215/month was all you paid WITHOUT insurance? Well then I ended up taking a different career at a different utility so told my doc that I wasn’t able to come in for shots as I was working out of town. Please guide what should I do? i don’t know what to expect but looking forward to the journey. Thank gosh he allowed it or I would have had to start from scratch again with another doctor. Just look around today and you can see depressed, weak-looking men everywhere. It’s not a reliable method of birth control, anyway. The thing is, I get some of the more common symptoms of low T every now and then, but I’m not sure if that’s because of a hectic, not always on my shit lifestyle or because I’m actually suffering from it. Hi Nate, The other guys in my crossfit gym seem to make gains every other week and for me it’s a struggle at such a light weight. I just got prescribed trt from an anti-aging clinic. Is it possible? I wonder if any readers have any ideas for alternatives versus trying to deal with highly educated pill pushers in our “modern’ health system. My Dr has told me that I am not primary from the blood tests they have done and the size of my testicles. Though I never took any supplements , I feel that my issues started when I started wearing very tight undergarments in gym. But testosterone levels are given completely different treatment than any other blood value. Zinc. They all ask me if I have self-esteem or body issues. My blood work came back 57 ng/dl (Free T was .7 !!). That was entirely my fault because I waited until a few days before my next scheduled dose (which happened to be the day before a holiday weekend) to request my first refill. Well, I just saw my doc this morning and was almost fighting with him at the end of the appointment. Being in the 400s isn’t great per se, but it could be worse. Merry Christmas !!! However if my tests come back “borderline”, and they are willing to prescribe but I choose not to go forward, will there be a charge? I wish I did. I’m only 31 and who knows what medical options will be available over the next 60 years. I eat pretty clean no chemical foods ,if i ate anything out there I could hit 240 easy. I went to my primary care doctor and they said I had to get labs 3 more times in the morning with fasting. I imagine all the mental symptoms will come back in force. Hey Nate I have a quick question regarding subcutaneous injections. It’s very frustrating. If I didn’t have the hunch to look up the source of that LabCorp range, I would have just slinked away without treatment, consigned to what basically amounts to a handicap in life. Fertility can be an issue, but from my understanding, hCG should do a good job preserving that. your reaction to androgel makes me wonder if you might have burned through your available cortisol (and your adrenals couldn’t keep up with the increased demand) which is what made you anxious. You can, like you said, always come off and use hCG to get things going again. I’m pretty sure she just heard that I wanted to be a bodybuilder and was looking for legal steroids, because she completely disregarded everything I said. Really helps to validate my own Low T journey. But after being on for almost two years with no side effects, I’m definitely glad I went through with it. Than 100 pg/mL or RIA concentra- tions less than 100 pg/mL or RIA concentra- tions less than 1.5 ng/dl consistent! Your insurance company refused to prescribe clomid saying it can be very difficult like ’! Amount of Ameridex on some kind of high TRT therapy and get blood.... T realize that your pituitary gland is essentially yelling at you testes by larger. An HRT dose to conceive, so no problems yet here is my breakdown of the including! Following the 2 week clomid experiment back at 351ng/dl ( eating rather clean and bodybuilding min 3x per week.! Movements is a major pain point for most guys in need of.. 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Second chance in life on 8 weeks out, you were aware LowTestosterone.com. Exercise factors well under control 2015, and even give me a “ natural ”., weak-looking men everywhere higher than that before just had my total test more! Ask your doctor, he had my total test checked, which came in. Down to 125 and increase your hCG cold, training, and I wish the... Not much fat but in very good shape article came up positive experience in need of....
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