27 YO, Low Libido, Low Test, Low LH

Pharma / TRT Testosterone Replacement
1

Hello Everyone, I have been having some problems with Low Libido and low energy for a while now. I have just had some tests done and they show low testosterone, LH, TSH, & Progesterone. Any advice on next steps would be greatly appreciated. I would rather not rely solely on the advice of my doctor. Thanks!

Age: 27
Height: 5â??7â??
Waist: Not sure, but I am not fat.
Weight: 168 lbs
Describe body and facial hair: Facial & neck hair grows thick and fast, Thick hair on chest stomach, & legs. Small amount of hair on back.
Describe where you carry fat and how changed: I consider myself to be fairly lean. However, I would say most of my fat is carried in my midsection. When I was around 178 lbs I did have a â??beer bellyâ??.
Health conditions, symptoms [history]
-Hypothyriodism
-Vitiligo
-Low Libido
-Foggy Thinking
-Intermittent Erectile Disfunction
-Agree with this one: really hot looking women and girls now look like art instead of lust
-Stressful situations leave me feeling physically beat up
-Achy neck, upper back, shoulder, wrist
-Lack of motivation
Rx and OTC drugs:
-Armour Thyroid (1 Grain, 2x/day)
-Citalopram 20mg (DISCONTINUED approx. 5 months ago, was on it for approx. 9 years)
Supplements:
-Vitamin D (5000 IU, 1x/day)
-Fish Oil (1080 EHA, 720 DHA 1x/day)
-Multivitamin (Kirkland Signature)
Lab results with ranges (Taken 4/24/14 while fasting @ 8:50 AM)
-Total Test 171 ng/dL 332-896 LOW
-Free Test 5.6 ng/dL 5.0-40.0
-DHEA-SO4 335 ug/dL 232-531
-FSH 4.9 mIU/mL 1.4-11.2
-LH 0.7 mIU/mL 1.7-8.6 LOW
-Prolactin 3.6 ng/mL 1.6-18.8
-Progesterone .26 ng/mL 0.28-1.22 LOW
-Total Estrogen <50 pg/mL 130 or less
-Homocystene 8.1 umol/L 4.0-12.0
-T3, Free 3.9 pg/mL 2.3-4.2
-T4, Free 1.3 ng/dL 0.9-1.8
-TSH .23 uIU/mL 0.45-5.10 LOW
-Reverse T3 14.1 ng/dL 9.0-27.0
-Prostate Exam Normal
-PSA 0.7 ng/mL 0.0-4.0
-Testicular Ultrasound Benign Cysts Present on both Canâ??t remember the exact terminology but no cancer)
Describe diet:
-Breakfast- Spinach, Kale, Strawberry, Blueberry, Protien Shake
-Mid Morning Snack- Rice Crackers & Hummus
-Lunch- Usually Leftovers from Dinner (Mediterranean Diet)
-Afternoon Snack- Hard Boiled Egg x 2
-Dinner- Varies, (Mediterranean Diet)

-Alcohol- 2x/week, approx. 2-5 Drinks
Describe training:
-Elliptical: 5 min warm up, 15 Min HIIT, 5 Min Cool Down (5x/week)
Testes ache, ever, with a fever?
-They have ached before but it is very infrequent.
How have morning wood and nocturnal erections changed
-I get them infrequently (or at least it seems that way)

2

Your TSH is low due to the armour. Since you’re getting exogenous hormones, your body doesn’t need to pump out TSH to increase thyroid hormones production. This TSH reduction is perfectly normal and expected.

Your test is really low, but before hopping on TRT, I’d take morning temperatures, check iodine intake, and then, if that doesn’t give me a cue, try a Nolvadex/ Clomid restart, and see if that increases your testosterone permanently.

Other thing, the total estrogen test is really low. I’d test estradiol (E2) on its own with an ultra-sensitive array and see where you’re at. Your aching shoulder and neck tell me your E2 might be dangerously low, we need healthy E2 ranges to function properly.

Do you feel like someone gave you sleeping pills after 4 PM? Because the not dealing well with stress part might be slight adrenal insufficiency. Any dandruff, acne, or chronic infections (ie tonsilitis)?

3

Fingerstyle, thank you for the advice. I just completed a 24 hour saliva cortisol test today but probably won’t have the results back for about a month. As for my temperature, this morning when I woke up it was 97.6 when taken orally with a digital thermometer. Sounds normal to me since rectal is supposed to be more accurate and is typically about one degree higher. I didn’t take that measurement but adding the one degree would put me right at 98.6.

As for the iodine, I am going to have to look into that more and get back to you.

Again, thank you so much!

4

Hello everyone, so I got my cortisol labs back and the levels were slightly low. However, there still doesn’t seem to be a good explanation for my secondary hypogonadism. My doctor suggested some natural options. Maca & some expensive amino acid and adrenal supplements. I let her know that I would like to try clomid to see if we could restart my natural leutunizing hormone production. However she was not familiar with the use of clomid in men.

She wanted me to send her some articles to review, which I have. I also let her know that if we go the route of trt then I would like a test, hcg, amiridex protocol. She said she would be fine with all but the hcg. She wants me to send more info on hcg too. Do any of you have a link to a study that demonstrates the use of test, hcg, and an ai at the same time? I will need to provide something like that.

Any help is much appreciated!