23 with Low T, Need/Want Help

Pharma / TRT Testosterone Replacement
1

Hello guys I’m new here, and I would really appreciate some advice/help!! I’m 23 and I’v been having issues with depression, extremely low libido, VERY bad brain fog some days, with okay, level, and normal days in-between. I knew something wasn’t right as I used to be very social/physically active then I started having tons of social anxiety, and some days Im so tired/mentally handicapped I literally feel worthless! I was on Propecia 3 years ago, and was on it for only a year but quit because of headaches, and the sexual side affects were very unpleasant. However after I quit my sex drive came back but was never near as strong as it once was before taking Propecia. Iv noticed over the last 1-1.5 years its slowly dropped off and its to the point where I have a completely non existent sex drive! Also my daily functioning is also lacking I’m always tired I always want to sleep I have little motivation for activities. After awhile I started seeing my local MD about this and recently we did blood work and my levels are as shown below.

hFHS- 3.97mlU/mL (1.27-19.26)
hLH- 2.60mlU/ml (1.24-8.62)
Test Free- 75pg/mL (47-244)
Test- 376ngdL (300-1080)
SHBG- 28nmol/L (11-80)
DHT- 15ng/dL (5-46)

My MD said he’s concerned about my LH levels are low and that I have Secondary Hypogonadism, he agrees my T levels are very low for my age. My Testosterone mainly stays borderline low normal, usually (in the 300s) with a highest iv seen of 476ng/dL. The posted blood test is the most recent (not the 476) and one thing to note I was feeling kinda more “normal” less brain fog and tiredness when I tested the level of 476 Iv been journaling how I feel so I can figure this out. I came here to see if you guys would be able to shed some light and possibly help and have information on what I should do and possibly if anyone knows a local very good endo in my area I live in the Longview, Texas area.

What do you guys think? I really appreciate any help/advice I can get! Thanks.

2

We have a lot of cases here similar at your age. Might be uncommon, but younger guys hit the internet and end up clustered here.

Propecia can trash some guys hormone systems. No there are not drug literature warnings [that I have heard of].

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Many here have thyroid issues, often from not using iodized salt. See below to evaluate. Do not ignore please Can have many of the same symptoms as low-T.

Please read the stickies found here: About the T Replacement Category - #2 by KSman

  • advice for new guys - need more info about you
  • things that damage your hormones
  • protocol for injections
  • finding a TRT doc

Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.

KSman is simply a regular member on this site. Nothing more other than highly active.

I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.

The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.