If someone want on clomid and addressed the cause of the T decline like overtraining, iron deficiency or extreme dieting, then he stands a much better chance at seeing levels increase to an optimal level. If you’re going on restart protocol and you expect to magically see levels maintain high levels without searching/addressing the cause of low T, then I expect levels to decrease again to baseline.
Quick question do you think that doctors at Defy will help me do a restart or do you think its in there best interest to keep me on testosterone ?
If you are a patient and tell them you want a restart or you are going cold turkey they will obviously sell you the meds. Its a business after all. If You are not a patient and want a restart they will probably also help you withthe hopes of getting a customer after the failes restart. I am a client and the are convenient except when they give your wrong dates then argue with you about it for days until admitting they were wrong(office staff) but like i said its a business.
So your saying more then likely they not gonna help me and probably have to figure out how to do it on my own?
They will do whatever you want, within reason. If the Nurse Practitioner or PA that you inevitably start with gives you a problem, tell them you want a Doctor.
If I was going to do something as drastic as a restart I would defiantly go with a doctor because I would like to try a restart once I get my varicocele fixed to see if maybe that was the root cause but in the back of my mind I keep asking my self are these people actually going to give me a good fighting chance to restart or are they going to try to keep me around as a paying customer
They will give you someone who is not a doctor unless you ask specifically for a doctor. It’s standard practice in the US. Most of their clients can get by with someone with a little less schooling following a script. It’s the system, just work with it.
ok thank you
Litteraly said the exact opposite of that
And the guys in this thread have been shutdown for years and regained fertility using HCG and HMG.
Dude you need to read this
No, he doesn’t. It’s pretty awful and says some really incorrect things
"My approach is that the testes should never go into shutdown.
LH receptor support can be from low dose hCG or low dose SERM.
From my perspective anchoring the TRT forum, I am adverse to things that can contribute to hypogonadism or sterility." - KSMan
From the above referenced thread. LH receptor support is not going to happen on exogynous test. That’s stupid. If you are on test, your body sees plenty of test and is not bloody likely to stimulate LH or test production. And 20 mg as advocated in the thread as a blanket dose is also stupid. Nolvadex is fine at 20 mg, but on a restart that’s the taper not the starting dose. Clomid at 20 mg is pissing in the ocean. And running an AI on PCT is simply a great way to crash you E2.
Hey everyone, update for ya.
I’ve tapered off injections around the posting of this. Took Clomid for 6 weeks, slowly tapering down. As off July 15th or so, I am off everything.
Took a blood test on 8/10 and came back With…
TSH 5.480 uIU/ml high
TT 118 ng/dl low
FreeT 6.2 pg/ml low
LH <.2 mIU/ml low
Estradiol 18.6 pg/ml normal
Other values im willing to share but these were the most important to me. Curious about the high TSH (alerted as high on the results). ALT and triglycerides is ever so elevated. As with LDL. But it might have been the chocolate chip cookies my girlfriend made a few days before the test…
Thoughts? Do I need more time to normalize?
I feel OK, not bad, not incredible. No issues sexually, and I wake up with an erection as well as no trouble getting one. So that’s optimistic.
I hope this is insightful, and would like to hear thoughts and opinions.
Your pituitary is really hinting at a problem. Testing TSH alone is like testing LH without considering Total T and Free T, active thyroid hormones need testing.
You need a thyroid panel.
Can you explain more? Why?
Replied in post. But not directly so not sure if you got the notification.
A normal TSH is <1.5 which is where 95% of the population scores, those with higher TSH above 3.0 have an autoimmune thyroid disease. Then you have these normal TSH reference ranges which was thought to be normal, but the more sensitive TSH assays are showing previous testing methods included those with thyroid dysfunction, so the ranges are invalidated.
When the pituitary gland detects less than optimal thyroid hormones in circulation, it increases TSH in an attempt to increase the amount of thyroid hormones, TSH is screaming at your thyroid to step it up and according to your TSH levels, you thyroid isn’t getting the job done.
The severity of the problem can be ascertained by checking, Free T4, Free T3, Reverse T3 and antibodies. The latter will tell you if the thyroid is under immune system attack which happens in cases of autoimmune disease. There is usually some antibodies present in the bloodstream because tissues is always being renewed and old tissue removed.
Reference ranges for TSH and thyroid hormones
Though TSH remains the most commonly used endocrine test in clinical practice, the issue of an appropriate TSH, and to a lesser extent, free T4 and free T3 reference ranges is still under debate. First of all the distribution of TSH reference range is not normal, with median values (also depending on population iodine intake) usually between 1-1.5 mU/L. There is also an argument that significant number of patients (up to 30%) with TSH above 3.0 mU/L have an occult autoimmune thyroid disease.
The evidence for a narrower thyrotropin reference range
It has become clear that previously accepted reference ranges are no longer valid as a result of both the development of more highly sensitive TSH assays and the appreciation that reference populations previously considered normal were contaminated with individuals with various degrees of thyroid dysfunction that served to increase mean TSH levels for the group. Recent laboratory guidelines from the National Academy of Clinical Biochemistry indicate that more than 95% of normal individuals have TSH levels below 2.5 mU/liter. The remainder with higher values are outliers, most of whom are likely to have underlying Hashimoto thyroiditis.
@redballoon123
Google stop the thyroid madness
It’ll have all the answers you need about your thyroid in an easy to understand format
fully agree with systemlord. most likely ft3 and ft4 will be in range, which means you have a subclinical hypothyroidism. endo will tell you your thyroid is ok, but new studies have demonstrated a clear link between subc hypoth and low T.
Why is your LH basically undetectable?