Blood Tests, Thinking of Self Medicating

This isn’t the first time I’ve heard of smelly men with low testosterone, I experienced the same thing. I shed more water when testosterone is low, the cause is low estrogen because you lack the ability to hold onto water.

As for the prostate problems having low testosterone increases the risk of prostate cancer being an aggressive form of prostate cancer, men with high testosterone have less aggressive prostate cancer.

One personal trainer suggested hcg to fire up lh/fsh to raise test?

I want to give more info on my pituary gland, wich might cause the lowering of t and prolactin rising.

2 years ago Ive been put on cabergoline, due to high prolactin, MRT no adenoma found.
First year it was awsome and after that t started dropping, maybe the pituary is not working correctly?

Your pituitary is actually releasing optimal levels of LH… the problem seems to be that your testicles are not responding appropriately and producing enough Testosterone… Given your lower TT and optimal LH. This would signal Primary Hypogonadism as @systemlord stated.

HCG will not “fire up” LH, but instead mimics LH also HCG monotherapy can induce its own side effects.

In short: I started TRT right around the same levels as you and experienced a wide range of symptoms. FWIW I am 24, so we are very close in age. The decision is yours ultimately but there is no magical fix for this. If TRT is the route you decide, educate yourself and read through the stickies. 50mg twice weekly would be a good inital protocol. Stick with your intital protocol for at least 6 weeks and do not change anything. You need to create a baseline and see how your body reacts/responds to exogenous T. After 6 weeks draw complete labs and adjust accordingly. I am currently experiencing lack of symptom relief 4 weeks into my protocol but I know I need to stick with it for at least another 2 weeks minimum. Many run in circles looking for symptom relief for years and constantly change things. One last note, read my thread about calculated vs measured free T. On your next set of labs try to obtain a Direct or Equilibrium Dialysis measured Free Testosterone. Good luck with whatever you decide.

Unfortunately, there is no instant fix for low T. This takes time and 6 weeks minimum to reach “steady-state” plasma levels… do not look for instant gratification throughout your protocol if you decide to start. The important thing is to get on an appropriate protocol and to eventually find what works for you as an individual. No two identical protocols will result in the same effects for two different individuals. Patience and the willingness to stick with a plan will help you tremendously in the long run and will save you a ton of time.

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Thanks for your answer man. Sad thing is here no lab does free T. I’m having appointment with uro/endo next week, and hopefully we will start treatment. I was thinking more of 150-200mg/week but will see what the doc suggest’s

Ever had a sleep study done? Possible sleep apnea? Do you snore, TRT can and will make an exisiting sleep apnea condition worse. Also Sleep apnea is directly linked to lower T levels… You need full Thyroid labs (free T3,T4, RT3) to confirm a properly functioning Thyroid. A hypoactive Thyroid can cause lower T levels as well and the same symptoms you are experiencing. Commencing TRT with a under active Thyroid is a disaster waiting to happen and many will find no symptom relief until the Thyroid issues are treated. You are young like me… I think you should rule out all possible causes first before you jump on. Get a sleep study, properly check Thyroid.

200mg week is too high to start, much better to start lower and gradually increase the dosage unit you are at optimal levels. Also this will allow you to manage sides (E2 related) much easier. Remember this is a marathon not a sprint.

Sleep study no, but I don’t snore, but I wake up couple times a night.
My Thyroid labs were in Range TSH 1.72 range 0.27-4.20 , ft4 19.7 range 12-22 ft3 6.33 range 3.1-6.8

These labs basically tell you very little, no active thyroid hormone were tested. One should want to know how much thyroid hormone is making it into the cells.

So what thyroid blood tests I need? Becouse those are the free hormone Thyroid tests

I don’t think he read your post close enough to see that ft3 was there, which is supposed to be the active thyroid hormone.

The only other tests that I believe would be useful is reverse t3 and thyroid antibodies.

Get the sleep study done and perform a cortisol test… Read below Salivary Four-Point Cortisol Test

Remeber rule out everything first. Also reverse T3 could negate midrange T3 resulting in Hypothyroid symptoms. Causes of high RT3 can include lyme disease, untreated diabetes, calorie restricted diets…

As you can tell there are many reasons for your symptoms. You must first gather all of the necessary information (through labs and test results) to ensure you are treating the root cause. Your T is low… no doubt but rule out all of the reasons first. Just hopping on TRT especially the dose you are looking at could leave you worse off if your Thyroid can’t keep up, your diet is poor/lifestyle choices are poor, or you have Obstructive Sleep Apnea. One thing at a time… post here once you have tested all the above.

Ok I’m on it. I will try to get sleep apnea test if possible, might be hard in my country.
Cortisol test should be easy.
I will also get new thyroid labs done, because last one are done almost a year ago.
And then I will get another labs done on hormonal panel.

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Holy sht,I keep losing weight every week still, but I eat more and more, my gym suffers so bad,is this all to low t?

I also want to loose wait while eating more and more Im dreaming for that :frowning:

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Its muscles not fat :frowning:

Where are you from Lukas?

Eastern europe.
Anyone delt with lack of orgasm pleasure? And overall pleasure/ dick sensitivity?

UPDATE: new blood tests, everything else is in control, (sleep,cortisol etc) found good doctor!
Plan is try clomid therapy ED 50mg, 3 months,get peak levels and levels after 1 month after clomid.
If test falls down, he will prescribe me trt.

Im also in Eastern Europe.

Where did you find this good doctor and which country are you from? Im in Bulgaria

That’s way too much clomid, find a knowledge doctor already! You can’t ascertain if a doctor is good with only one visit under the belt. This doctor is following the prescribing recommendations of the pharma company who doesn’t even know the optimal dosing for clomid, doctors have to tinker around to figure it out, but very few doctors think outside the box and are worried about deviating from the recommended dosing and men.

More like 50mg EOD, 25mg EOD, 12.5mg EOD or you can take it every 3-4 days, but following the recommended dosing on a female fertility drug prescribed off label for men is ill advised. Dr. Saya has a lot of men on clomid indefinitely because he knows how to prescribe it. Dr. Saya prescribes clomid in microdoses much like how you can microdose T.

Going with the prescribed path is sure to end in failure because your doctor doesn’t know how to prescribe clomid.