Typical cost is $1200-$2000 yearly for “everything”, the higher end is for those on HCG, AI’s or those on higher than average T-cyp dosages.
Thank you. You have been very helpful and informative. It has helped ease my anxiety on my situation knowing that it can get better.
Re posting this comment so that It is the most recent comment because I would still like to see discussion on this topic:
Would anyone have any guidance on my situation as far as could I have caused these issues with over training and overly restricting a diet? If so, could it be possible to repair? Or has the damage been done at this point? Or am I just overthinking it and just accept that maybe this was going to happen at some point and I just happened to feel the symptoms once I bottomed out for a lack of better terms? I guess I may never know, but it just helps me feel better the more I understand.
Man I don’t know a doc would be your best choice. Someone like Nelson Virgil or dr Nichols and not a clinic. I’ve seen other guys who posted about being on a diet and never recovering no matter what they do. It’s hard to say. The human body is complicated and Only a doc who will
Investigate and test can help you. Problem is clinics won’t try to fix you: they want you on the meds. Majority of other docs are sick care and will treat your symptoms and not treat the cause. I would not schedule appoibtmenrd with endos asking for help. Unless there one of a kind and specifically say on there site otherwise. All your going to do is walk in and walk out with scripts and tons of frustration.
You have to look deep and through to find a doc who will fix you. Expect to pay out of pocket for this type of help.
I am about to have another appointment with a doctor to have a more complete set of tests instead of just the total testosterone that my primary care doctor ordered. I was told to stop my current protocol in preparation so that my numbers are more true to what they were before I started injecting. I only did 4 weeks of injections and by the time my appointment comes around, It will have been 12 days since my last injection. Will that even be enough time for things such as LH and FSH to recover even slightly given that I only took 4 injections? Or is that a waste of time? Of course this is all assuming that those numbers weren’t too low in the first place and the cause of my low T diagnosis in the first place.
Lots of good suggestions here, but IMO you need to get off of TRT and get an actual diagnosis with more thorough blood work.
Your are shut down, LH and FSH are suppressed which usually happens in 1-3 weeks, your GP jumped the gun before you were properly diagnosed and is a idiot! It could take 1-2 months to recover from HPTA suppression.
I’ll refer to my original statement, odds are your next doctor to be equally as incompetent.
That is why I am trying to be as well informed and prepared as I can be. I want to be able to ask for the tests I need for a proper diagnosis and give input as to my treatment options. Where I stand now, I feel like I need a very complete blood work done to check for pituitary adenomas, adrenal issues, etc. Anything that could be a treatable cause. If all those show nothing then maybe my best choice would be to try a HPTA restart if it isn’t my testes that are causing problems. If I then make it to that point with no luck, I guess a proper TRT protocol would be the only thing to do.
Newguy, before you make any move please read the thread that I will create today or tomorrow the latest. I have virtualy identical case to yours and we are the same age as well, maybe we can try to help each other.
HPT restarts work well for guys who cycle on and off anabolic and etc.
I don’t think guys with naturally low T can restart and increase production without finding the cause first.
That’s just the thing. I don’t think I have naturally low T. I think something happened along the way to cause it and that’s why I’m looking into finding a cause and trying to see if a nolvadex or clomid could restart me if the low T was caused by my diet which has since been corrected.
@zmud I will definitely check your story out and keep updated. I have been looking for someone who may have been in my situation before and came out of it eventually. I just need to know there’s a chance.
Interesting and worth a try. Can’t hurt.
@physioLojik just responded to another comment saying it can take years for the body to course correct after dieting chaos.
I always think the same thing. I felt it happened so acutely. Basically during a period of weeks I broke down mentally and physically. Heart paps, sweats, insomnia , no feeling in dick…
Testosterone measured near 300 even under.
Then I started trt and I actually have a full mustache. Need more frequent haircuts. So am thinking I was always on the low end much of my life.
But I had a high libido my entire life. So I question if it was something acute. Like I was drinking oolong tea and pureh tea in good amounts leading to this. And green tea extract pills.
But I think an comfortable with continuing trt. Am 42. Never took my testosterone prior to my issues so I have no base.
I did try clomid B4 trt it raised my LH to upper range and that brought my total t to 500 free t mid range or maybe slightly lower that mid range.
So after the clomid I went to trt.
I actually think am primary and secondary hypogonadism. Clomid I believe should have raised my t more. Testicles always on the small side. Dick never hung nice. Always crawled up look my entire life. So more reason I won’t stop trt.
Again, I have virtually EXACTLY the same situation like you. It is going to take quite some time before i prepare the correct thread because I want to give a full and detailed story including ALL labs I had in the time.
Good thread. I’m 42 I had My symptoms after dropping 30} over three months. Could do a 21 minute 3 mile and doing calisthenics I thought I was over training. My levels were 174. Then a month later 319. Then 180,s. Then back up 312 can recall exact number. Weird I could actually feel the difference. Every time it creeps back to 300 I it feels bearable but not great. First low I thought it was diet/ over exercise tribulous. Next low I had no tribulouse. 500 more calls a day and no running. The body is a strange thing.n
Those are my new labs. Looks like the HPTA was definitely already shut down with the 4 weeks of injections. Total T levels are actually lower than before I started (probably due to HPTA being suppressed). Help interpreting all the new tests would be helpful. I realize that with normal prolactin levels, pituitary tumors can most likely be ruled out. Are E levels that low a problem or does that just go along with the low T numbers and suggest that I do not convert much of what little T I have to Estrogen? Still no reason as to why my numbers are so low which is a little discouraging, but I have convinced this doctor to start me on a SERM to see if I can get my HPTA releasing LH and FSH again and see if I can regain normal T levels this route as I would like to have children in the near future once all of this is sorted out.
Unless your doctors finds and corrects the cause of low testosterone, once you stop the SERM’s your levels will drop back down to baseline. So if poor sleep was the cause of low testosterone and sleep improves in clomid, you may stand a chance.
Clomid protocols are 12.5-25mg ED or EOD is a good starting point, but note even with excellent levels often men feel no different on clomid and some may feel good in the beginning.
Surely poor sleep wouldn’t cause levels that low would it? I was thinking the poor sleep was because of the hormones being off and not the other way around.
How quickly would clomid begin to work if it is going to work at all. Weeks? Months? Would it be a good idea to take my last injection, that I skipped in order to get these labs, and then start taking the clomid or would this just cause the clomid to delay its effectiveness?
Is there any reason to believe based on my labs that clomid wouldn’t raise my levels?


