20 Yrs Old and Low Test

Pharma
1

I’m a 20 year old active male. Went in to get my bloodwork done mainly to educate myself and have a baseline if I were to ever get into AAS. Concerns of mine included fat distribution (love handles, below the belly button area, and chest) and erection quality.

Testosterone, Total 246 L…250-1100 ng/dL
Testosterone, Free Percent 3.29 H…1.50-2.20%
Free Testosterone 80.9…35.0-155.0 pg/mL

Although I was sure estradiol would be a concern, it suprisingly isn’t.
Estradiol 24…13-54 pg/mL

If any other lab results are wanted, please ask.

The question is: What now?? Obviously, I plan to see an endocrinologist ASAP due to the fact my testosterone levels are that of an 80 year old. The reason I’m posting this here is I want to learn the opinions of the vets so I can be armed with knowledge when I go in to see the doctor.

2

What were your LH, FSH values? Your free testosterone is not bad, close to mid normal.

3

My bad.

4

[quote]Detroitlionsbaby wrote:
What were your LH, FSH values? Your free testosterone is not bad, close to mid normal.[/quote]

Damnit, apparently didn’t have those tested.

6

Better to be at the over 35 forum. Read the ‘protocol for injections sticky’

Also need to test prolactin as that can be HPTA repressive.

E2=24 can be quite dominant with low T levels.

FT release is pulsatile and that level may not be representive.

With young men, problems like this should lead to a consideration of a pituitary adinoma. Any reduction in peripheral vision?

There can also be problems with the thyroid as well. Have thyroid levels checked.

When did this start? A blow to the head or whiplash can damage the pituitary.

The testes can be damaged by a fever. Any pain in the testes when sick?

At age 20, your levels should be near top of range.

height?
waist?
body hair distribution?
facial hair?
changes to skin, nails, growth rates?
Rx or OTC drugs?
Liver problems?
Gyno?

7

Same thing happened to me, I was 19 at the time though. Once you are TRT for a few months you will be g2g, just stick it out for the meantime and keep a smile on. Good luck

8

From what I gather from Bushido and KSmans posts, I should ask for another test that also includes LH, GNRH, Prolactin, and thyroid levels. Correct? Anything else?

[quote]KSman wrote:
With young men, problems like this should lead to a consideration of a pituitary adinoma. Any reduction in peripheral vision?

When did this start? A blow to the head or whiplash can damage the pituitary.

The testes can be damaged by a fever. Any pain in the testes when sick?

height?
waist?
body hair distribution?
facial hair?
changes to skin, nails, growth rates?
Rx or OTC drugs?
Liver problems?
Gyno?[/quote]

  1. I have not noticed any reduction in peripheral vision.

  2. I feel as though I’ve had unbalanced hormones for a while now. Even pictures from around the age of 12 show fat storage in the love handles and chest region. At age 17 I had a concussion playing football, but I feel that hasn’t really affected anything.

  3. No pain in the testes I would consider significant

Height: 5’11
Weight: 210
Waist: Size 35-36 pants
Body Hair: Normal. Chest hair, ‘love trail’ down my stomach, hair under my belly button.
Facial Hair: Hair going down the sideburns. Could basically grow a mexican ‘chin strap’, but very splotchy in other places. As Joe Dirt would say, “It grows in all trailer trash”.
No changes in hair, skin, or nails. No drugs except Flameout, CLA, B Vitamin, D Vitamin, and Zinc. No liver problems
Definite gyno. As I mentioned earlier, I have had a mixture of gyno and chest fat since I was younger. When its cold out, my chest looks normal, but it is definetly there.

I could post a picture of my body if necessary. I really do think I would be classified as somebody who is muscular with a little extra fat. Nothing that would indicate low testosterone as extreme as this.

It also would be prudent to point out that I did a 4 week cycle of Superdrol when I was 17. I know, i know, f*cking retarted. Although it was done with proper support supplements and a PCT of Nolvadex at 40-40-20-20, it definetly could not have helped my hormone profile.

9

Somebody I know is going into the doctor to discuss their blood results today, and can get her to order me another blood test. Are the tests that I listed all that I need? Please let me know asap.

Thank you everybody for your time.

10

[quote]KSman wrote:

With young men, problems like this should lead to a consideration of a pituitary adinoma.[/quote]
Are you joking? His FT is not horrid, its just about mid-normal. I am not saying he shouldn’t have it further checked, but seriously, don’t be so dramatic.

[quote]Nole wrote:

Free Testosterone 80.9…35.0-155.0 pg/mL

[/quote]

11

I would skip the GNRH test until more is known and one has a doc who understands those aspects. If the HP is not working, there is nothing that can be done to fix the hypothalamus functioning if that is the cause. From a pragmatic point of view, why test for something that you can’t fix or medicate. The only option is TRT or hCG. A MRI is conclusive. Cat scans and x-ray can image tumors that calcify which MRI cannot display.

and

Abstract Objective To examine the utility of the GnRH (gonadotrophin-releasing hormone) test in the management of patients with pituitary and parapituitary lesions. Patients and Methods A 5-year retrospective study of LH (luteinizing hormone) and FSH (follicle stimulating hormone) responses to GnRH test in patients with HP (hypothalamic-pituitary) disease in a regional endocrine centre.

Serum LH and FSH concentrations were measured at baseline and at 20 and 60 min after an intravenous bolus of 100 mcg (micrograms) of GnRH. The GnRH responses were categorised by tumour size, tumour type, and gonadal status. Results Of the 104 patients studied, 46 were male and 58 were female. There were 50 normal, 38 subnormal and 16 exaggerated LH responses compared with 34 normal 67 subnormal and three exaggerated responses for FSH. Seventy-four patients (71.2%) were hypogonadal.

Normal LH responses were achieved in half of the hypogonadal subjects and normal FSH responses in more than a third. Furthermore, the LH responses were exaggerated in nine hypogonadal patients compared with three for FSH. The GnRH test could not differentiate between pituitary or parapituitary lesions either by size or type of lesion. An exception was the male non-functioning adenoma (NFA) sub-group (10 patients, all were hypopituitary, seven were hypogonadal), which demonstrated significant subnormal LH and FSH responses compared with other male and female tumour type sub-groups.

Conclusions The data from this study indicate that the GnRH test is unhelpful in the clinical assessment of the HP axis in patients with HP disease.

12

Ok, will see if the doctor can order me a test of LH, FSH, Prolactin, and thyroid levels.

  1. Is there any reason to NOT go ahead and just get the GNRH tested for the hell of it? I assume it can’t hurt if it can be included in the same test…

  2. Would it be elementary to ask for a test of my “thyroid levels”? Just looking for the correct terminology to not sound so stupid.

13

Thyroid: TSH, fT3, fT4