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If op is 17 and has a total of 100ng/dl the indication is to put that individual on trt, hcg, enclomiphene etc
There is a misconception that testosterone replacement therapy is strictly for adults
Men with klinefelters syndrome for instance often start using prescription testosterone at like 14-15. Men with idiopathic constitutional delay of growth and puberty who sometimes go on to have hypogonadism into adult years (idiopathic) start using testosterone (prescribed) at like 15 as well. Doses are generally lower to start with owing to the fact a 15 year old teenager may not have fused epiphyseal plates and you wouldn’t want to stunt growth in teenagers. Although interestingly oxandrolone (anabolic steroids that aren’t very androgenic and don’t aromatise) has been used to treat idiopathic short stature as the anabolic portion of AAS stimulates linear bone growth.
100ng/dl generally means something is actually wrong. Bad diet and phytoestrogens don’t get you down to 100ng/dl and you ain’t going from 100ng/dl to 500 through willpower alone
Unless OP is a recovering opiate addict etc those levels are indicative of something seriously wrong… you’d be very hard pressed to find someone that low for idiopathic reasons although I’m not saying it’s impossible
I originally thought my hypogonadism was idiopathic but turns out it was related to a genetic disease and my lowest test I think was in the mid 100’s and highest in the high 200’s
He isnt going to get mad gains from puberty and weightlifting… because he is in the bottom 0.1% of 17 year olds with such low levels. A doctor running a hormone panel on a symptomatic teenager isn’t out of the norm either… He is 17, not 13 where it’d be acceptable for someone like that to just be a late bloomer.
Brickhead is right the hypogonadism could be idiopathic, in which case treatment is still warranted but OP should also get worked up to make sure nothing serious is wrong e.g. genetic disease as if he does have something that say means he will never ever be able to father a child like klinefelters (although technology is getting better and better to the point where sometimes people with klinefelers have been able to father children with extensive intervention from doctors.
Treatment in this case could be TRT, could be HCG monotherapy, could be enclomiphene although with such low levels I wonder… and what is the consensus on using SERMS long term? I know even for cancer patients they aren’t nice drugs to take long term.
OP needs to figure out if it’s primary or secondary. Teenagers sometimes go through partial or incomplete puberty… This whole idea of “teenagers all have raging hormones and can make mad gainz” doesn’t apply to the true outliers, those with disease status. Also, the idea that a teenager who has finished puberty can make steroid like gains is also ludicrous, I understand people want to dissuade teenagers from taking steroids but lying to teenagers is often a gateway to teenagers thinking “well that wasn’t true, I wonder what else they’re lying about”. Teenagers can only make steroid LIKE gains during puberty (and that’s only some teenagers if they exercise right around the time they start filling out). A teenager with a total teststerone level of 100ng/dl ain’t mad gainz, and at 22% bodyfat he isn’t fat enough for that to be the culprit of his issue here. PAST obesity, not active obesity…
Reminds me of that episode of the doctors consisting of that 27 year old man with Kallman’s syndrome who looked somewhat normal, was a big dude (like 6’4) but never went through puberty. But by looking at him you’d just think he looked young, and during his formative years he didn’t stand out enough to be considered abnormal therefore he went his teens and 20’s without developing
250mg/wk ain’t TRT unless you’re the 0.1% who clears out testosterone very rapidly (Thomas O Connor talks about this in one video) or one of the very rare cases of someone who has a partial androgen insensitivity syndrome… and those people often present with normal or elevated testosterone but lack secondary sexual characteristics and need massive dosages just to reap TRT like benefits and it’s very sad when you have this as many of those afflicted have microschnoobies.
@Vivoty are you an opiate addict or recovering addict/alcoholic by chance? A friend of a friend of a friend of mine who isn’t my friend got addicted to heroin and now he is on TRT despite being clean… it wrecked his endocrine system, 9 months out and his total was apparently still consistently below 50ng/dl despite being 20 years old so now he is on testosterone undecanoate I believe (the shot you get every 7-12 weeks), although I only heard this through the grapevine.
If you are a recovering addict with secondary hypogonadism might be worth trying SERM’s/HCG/whatever
If you are really 100ng/dl just go on regular TRT, I mean the boost from say 100ng/dl to 600ng/dl is already akin to the boost a normie would get from running a proper cycle, the recomp actually would be “steroid like” without the capped delts and big traps.
Another fun fact… In boys with constitutional delay of growth and puberty the HPG axis is understimulated/not at all activating, in this case the introduction of anabolic steroids actually increases testicular size as opposed to when adults take T/AAS and atrophy generally ensues as the exogenous testosterone kickstarts the hpg axis into gear. Generally boys with CDGP can stop taking test after a year or so, but some will go on to become hypogonadal as adults, as after all they weren’t developing normally anyway.
