30 Year Old Male TRT?

I am a 30 year old male. I’ve been having issues with my drive an libido. I had my test levels taken and my levels are 493. And my free test is 18.6. I have to set up an appointment with the doctor to go over the results. Just looking for some insight and thoughts?

Hows your sleep?
Diet?
Overall stress level?

Unless you’ve taken an aromatase inhibitor, then you probably have an aromatase deficiency due to the very low estrogen, which can cause osteoporosis.

The low estrogen is very concerning as its important for libido.

Men create most of our estrogen from aromatase, where T (Free T) is coverted to estrogen and some is made in the testes.

The direct Free T measurement is junk.

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Sleep hasn’t been the best, I usually take cbd to help me get to sleep. My diet up until the last 2 weeks has been good(vacation). Just normal stress nothing crazy. I’ve just had a lack of drive and my sex drive is awful right now

I did a cycle about 6 months ago. I haven’t used an AI for at least 4 months

Would Trt help with my low estrogen levels?

I don’t think so, not without HCG.

Of course TRT would help it! He just did a cycle not long ago, so his own endo test is likely low, which explains the low E2.

Op any baseline blood work to show what you were at prior to using anabolics? You may just need time to recalibrate, so to speak, and not TRT.

You cut off the units and the reference ranges.

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No I’ve never had my levels checked before. I’m supposed to have a follow up with a doctor next week. I’m just looking for insight on how everything looks. Thanks

Well you’re low, but its likely because of your anabolic use, although it’s been 6 months, so you probably should be back to where you were prior. Was it only 1 cycle?

I wouldn’t go on lifetime TRT unless you get a few sets of bloodwork, confirming low T.

Of course. We make estradiol from testosterone, increasing it will increase E2. Often, dramatic improvement in lipid levels is seen when estradiol increases.

It could be that you haven’t recovered from using the AI. I have heard of guys (outliers) using AI’s taking months or years to recover estrogen.

I’ve done a few cycles but all of the other ones I e done have been 6-7 years ago. The last 2 months my drive has been absolutely awful and my chest and back are always broken out. I’ve never had acne issues even on cycle.

Did you run any PCT?

Yea I ran clomid for my pct

Well you’re clearly not hypogonadal. So an ethical doctor will not provide TRT.

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I really don’t see anything in these labs that would indicate a need for TRT.

Of course, there’s always justification for TOT, but ‘treating’ you for anything in these labs would not be “TRT”.

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