24 Y/O Low T, Looking for Advice

Pharma / TRT Testosterone Replacement
1

Hey all
age -24
-height5-11

-waist -34-5in

-weight -204

-describe body and facial hair- not a very thick beard, can grow one though. Seems like I have genetic patches ( or the rest of my family has low t too) . the rest of my body has hair. Only thing that hasnt come in yet is my back but in the past year or so little darks hairs are poping up on the lats. Lots on the legs / low back.

-describe where you carry fat and how changed. Stomach and chest( more so on the outer pec lower than the nipple)

-health conditions, symptoms [history] no health conditions.

-Rx and OTC drugs, any hair loss drugs or prostate drugs ever some Nsaids. Used to take adhd meds but that was some time ago. Occasionally take fioricet for migraines. Its been quite some time since ive had one though.

-describe diet [some create substantial damage with starvation diets] whole food 80% of the time.focus carbs around workout . Pretty clean with the occasional night out or dessert never been on a starvation diet

-describe training [some ruin there hormones by over training] texas method 3 days a week, prowler 3 days a week. 531 before that

-testes ache, ever, with a fever? No never

-how have morning wood and nocturnal erections changed . donâ??t have morning wood unless I wake up having to pee . erections over all softer than they used to be. Soft around the edges I guess you could say. And they are prone to disappearing if im not paying attention. This is not an issue with my girlfriend only solo.

Labs done quest diagnostic at 815 am.

total test - 201 (250-1100 ng/dL)
E2 -16 (< or = 39pg/mL)
FSH - 3.8 (1.6-8.0 mIU/mL)
LH - 2.9 (1.5-9.3 mIU/mL)
Vit d3 57 ng/ml (30-100 ng/ml)
psa was done in the past- I can’t find the lab work but it was very very low.
FT is still being processed.

-Prolactin [optional in most cases] skipped
-DHT [sort of a waist of time and blood if your testosterone levels are low] - did not do it based on what was said

-DRE: the dreaded digital rectal exam, doc gives you the finger./ haven’t done this one yet

mainly asymptomatic ( I think?) other than the erection issues I am building muscle, alert, happy , have to shave daily etc. I had labs done in the past that showed low T ( they were done on a whim after reading john medows article about labs) so I just got total test figuring it would be normal and I would just be done with it . first time it came back at 126. figured it was a fluke, repeated it a month later . 278. with in range, apparently healthy 23 ( at the time) year old kid. Doctor didn’t really care. said not to worry about it.

well 201 is too low for me not to worry about so I’m posting here . With test low and LH/ FSH not that high I’m guessing its not primary from what I’ve gathered from the site. should I even worry about TRT or HRT if I’m not really noticing the symptoms?

2

“[S]hould I even worry about TRT or HRT if I’m not really noticing the symptoms?”

Usually the answer is yes, but since you’re so young I would say you need to nip this in the bud since your T levels won’t get better with age and you are so damn low. You may find out that once your T levels are up to normal levels that you did have symptoms, but you didn’t even notice. I had no idea I had ED until I felt what an erection is supposed to feel like with normal testosterone levels. Before you jump into getting on synthetic T you should do some more labs. In the Sticky “Lab Work…” there’s a list of thyroid labs, adrenal lab, and a couple others that don’t come to mind right now. This would rule out, or confirm, dysfunction in another area of the body that could be causing your low T.

If all that comes back clean you can try a SERM Restart.

Here is an interesting thread about another guy going through that: RESTART Attempt? Please Help with Labs? - Testosterone Replacement - Forums - T Nation

As is this one: Secondary Hypogonadism & Treatment Choices - Testosterone Replacement - Forums - T Nation

I don’t know if you’re the type that likes to know every single thing about a health issue when you’re going through it, but if you do those threads might be interesting and helpful to you. Let us know if you have any questions and keep us posted!

3

Thanks for the reply. I had a thyroid panel done when I had my first low T result. I think all systems were go but I’ll have my dr check my chart for the labs. I also forgot to mention that I have never done AAS or prohormones.

Is there a sticky or post that details a SERM restart? If it works is it a permanent fix or more like rewinding a watch.

4

What time of day were your labs taken?

Also what are your SYMPTOMS?

We really need to get that stickey updated with more pertinent information.

5

815 am

Well like I said in my post I dont have many symptoms. my erections have changed over the years. They are not quite as rigid any more. Sure I feel lethargic but I dont know if that is because of work and training or low T.I guess what I’m most worried about is my plumbing and fertility. I never thought that it could have been low T what was making me lethargic, like I said I was 23 and thought I was kind of buff . I was expecting a much higher result just to have a baseline for future reference .

6

I’m of the opinion that if there are no symptoms, there is no (immediate) issue. That said, you know you are below baseline and to keep an eye out for problems. Keep track of your health and try to optimize it, and keep this in your back pocket in case you need it down the line.

7

Well that is a bit of a relief. I think I psyched my self out over it more than any thing . I am still hitting pr’s and all that. Would it
Be worth doing a serm challenge to see if its primary or secondary or is it better just just let it be and wait for real symptoms of low t

8

I would not do a damn thing except for making sure you are not overtraining, getting plenty of rest, good nutrition, and taking care of your body.

9

Hey bud I’m 25 and in the same boat. TRT is the best thing you can do for yourself. i have been on treatment for 2 months now and my results are awesome. My levels were at 214 when i started treatment. But be prepared if your in good shape physically and go in for low testosterone they are more than likely going to raise a brow on you. I actually had to switch from an endocrinologist to an anti aging doctor.

10

[quote]w83emuscle wrote:
Hey bud I’m 25 and in the same boat. TRT is the best thing you can do for yourself. i have been on treatment for 2 months now and my results are awesome. My levels were at 214 when i started treatment. But be prepared if your in good shape physically and go in for low testosterone they are more than likely going to raise a brow on you. I actually had to switch from an endocrinologist to an anti aging doctor. [/quote]

sending you a pm, don’t want to high-jack this dudes tread.

11

[quote]w83emuscle wrote:
Hey bud I’m 25 and in the same boat. TRT is the best thing you can do for yourself. i have been on treatment for 2 months now and my results are awesome. My levels were at 214 when i started treatment. But be prepared if your in good shape physically and go in for low testosterone they are more than likely going to raise a brow on you. I actually had to switch from an endocrinologist to an anti aging doctor. [/quote]

Stupid reckless recommendation to suggest a guy that is ONE HUNDRED PERCENT ASYMPTOMATIC to commit to a lifelong therapy at 19 years old. Please don’t post here.

12

[quote]Beefcake627 wrote:

[quote]w83emuscle wrote:
Hey bud I’m 25 and in the same boat. TRT is the best thing you can do for yourself. i have been on treatment for 2 months now and my results are awesome. My levels were at 214 when i started treatment. But be prepared if your in good shape physically and go in for low testosterone they are more than likely going to raise a brow on you. I actually had to switch from an endocrinologist to an anti aging doctor. [/quote]

sending you a pm, don’t want to high-jack this dudes tread.[/quote]

unable to receive pm at the moment I’m guessing because I’m new to the nation

13

[quote]VTBalla34 wrote:

[quote]w83emuscle wrote:
Hey bud I’m 25 and in the same boat. TRT is the best thing you can do for yourself. i have been on treatment for 2 months now and my results are awesome. My levels were at 214 when i started treatment. But be prepared if your in good shape physically and go in for low testosterone they are more than likely going to raise a brow on you. I actually had to switch from an endocrinologist to an anti aging doctor. [/quote]

Stupid reckless recommendation to suggest a guy that is ONE HUNDRED PERCENT ASYMPTOMATIC to commit to a lifelong therapy at 19 years old. Please don’t post here.[/quote]

thats like saying well if your brain tumor isn’t causing any symptoms don’t worry about it. But I’m reckless

14

[quote]w83emuscle wrote:

[quote]VTBalla34 wrote:

[quote]w83emuscle wrote:
Hey bud I’m 25 and in the same boat. TRT is the best thing you can do for yourself. i have been on treatment for 2 months now and my results are awesome. My levels were at 214 when i started treatment. But be prepared if your in good shape physically and go in for low testosterone they are more than likely going to raise a brow on you. I actually had to switch from an endocrinologist to an anti aging doctor. [/quote]

Stupid reckless recommendation to suggest a guy that is ONE HUNDRED PERCENT ASYMPTOMATIC to commit to a lifelong therapy at 19 years old. Please don’t post here.[/quote]

thats like saying well if your brain tumor isn’t causing any symptoms don’t worry about it. But I’m reckless
[/quote]

Equating brain tumors to testosterone deficiencies is beyond idiotic…not to mention that your analogy doesn’t hold water because brain tumors are NOT operated on MOST OF THE TIME because most of them are BENIGN…Have you ever heard of a pituitary andenoma? Yup that is technically a brain tumor…guess how many fucking surgeons you are going to find to operate on it?

Im not going to sit here and argue with a mental midget as I’m afraid onlookers may not recognize the difference.

OP: the choice is obviously up to you, but your bloodwork and symptoms appear to show that you are in perfect health. Not everyone needs neanderthal T levels to thrive in life…I wish you the best.

15

[quote]VTBalla34 wrote:

[quote]w83emuscle wrote:

[quote]VTBalla34 wrote:

[quote]w83emuscle wrote:
Hey bud I’m 25 and in the same boat. TRT is the best thing you can do for yourself. i have been on treatment for 2 months now and my results are awesome. My levels were at 214 when i started treatment. But be prepared if your in good shape physically and go in for low testosterone they are more than likely going to raise a brow on you. I actually had to switch from an endocrinologist to an anti aging doctor. [/quote]

Stupid reckless recommendation to suggest a guy that is ONE HUNDRED PERCENT ASYMPTOMATIC to commit to a lifelong therapy at 19 years old. Please don’t post here.[/quote]

thats like saying well if your brain tumor isn’t causing any symptoms don’t worry about it. But I’m reckless
[/quote]

Equating brain tumors to testosterone deficiencies is beyond idiotic…Im not going to sit here and argue with a mental midget as I’m afraid onlookers may not recognize the difference.

OP: the choice is obviously up to you, but your bloodwork and symptoms appear to show that you are in perfect health. Not everyone needs neanderthal T levels to thrive in life…I wish you the best.
[/quote]

haha mental midget? learn how to read he is 24 ASYMPTOMATIC… learn the meaning, read the post again about erections not as ridged and being lethargic

children result to name calling

16

(

17

For what it’s worth, I’ll chime in and say that since you are largely asymptomatic you shouldn’t be too concerned, at least for the time being, and I would avoid jumping on to testosterone therapy if you’re having to strain to find a reason why it might be necessary. There are plenty of guys, like yourself, who only found out they had low T because of a physical or random health screening and then had to figure out, AFTER the result came back, if they have symptoms.

The best thing you can do in the interim is get the other labs done. If one of those comes back funny, then you know what your next step is. If they all come back clear you have to decide if your quality of life is poor, and if getting on TRT is something you need to do. It seems to me that you don’t think your “issues” are enough to justify getting on testosterone, and it would therefore be irresponsible to get on a life-long treatment if you can live well without it. Though side effects are often negligible, they do happen, and should be weighed against the “pro’s”. If you’re starting TRT because you may have erection issues, or mild fatigue (which may not be attributable to low T), then the “con’s” side of the scale vastly outweighs the “pro’s” at this point.

Some guys have really low T numbers and would never know it, save for a random screening. I don’t know a single guy who wouldn’t feel better from having more testosterone in their system, but that isn’t a reason to get on the stuff. Almost everyone feels better with some alcohol in their system too. The fact that you feel good and are still hitting PR’s in the gym tells me that you’re likely just one of those guys who has low numbers but functions really well. You know your body better than any of us, so only you can make the choice whether TRT is a necessity or just recreation (which it would be if you’d feel and function just fine without it).

Remember that you can always start TRT later in life if needed - there’s no rush at all, especially since you’re doing fine without it. When most of us started it we had one foot in the grave with a boat-load of directly-attributable symptoms, and not getting on TRT was NOT and option. If, after your other labs get back, you decide that the time isn’t right, just keep an eye on things and know what to look for should you get to a point where it does become a necessity. TRT is for life, you wouldn’t want to start it prematurely if you don’t have to.

We’re here to help, so make sure to ask any questions you have until your face turns blue. Make sure you are a well informed patient before making such a huge decision!

18

[quote]w83emuscle wrote:
learn how to read he is 24 ASYMPTOMATIC… [/quote]

LOL I’ll make you a deal–you learn how to actually use your words to communicate actual thoughts, and then I’ll learn to read. I have no idea what you are trying to say here. Ready? GO!

19

[quote]VTBalla34 wrote:

Not everyone needs neanderthal T levels to thrive in life…I wish you the best.
[/quote]

I actualy really appreciate that statment. I think “being low” was causing more issues than actualy have a low total T count . If its worth any thing, I got my free test back and thats actually gone up from 18 to 32

unless the doc finds somthing really cooky elsewhere in my blood work I don’t think I will persue TRT ( at this time in my life). Thanks for the insight from everyone.