TRT will vastly improve your quality of life. But you cannot ignore adrenal or thyroid problems. Think of these as the three legs of the tripod of male health and vitality. Sometimes young men can fix their problems and avoid TRT.
Please directly edit your post and put the labs in list format and add the lab ranges. Look for pencil icon below your post.
Labs:
LH/FSH - both, cannot do after starting TRT
TSH
fT3
fT4
AM cortisol - at 8AM or 1 hour after waking up
You have low T. LH/FSH will show if the testes or pituitary are the problem.
What is compound testosterone? Injected with anastrozole in it? Nope, probably a T cream…
Many guys here have some degree of low thyroid function which robs one’s energy, mood and libido while leading to fat gain and lethargy. Please evaluate your overall thyroid function via oral body temperatures - see below.
And your thyroid needs iodine to work. Discuss your history of using iodized salt.
Transdermal T has highest potential for increased T–>E2, highest cost and lowest absorption. 10% absorbed at best and with thyroid problems can be very low or nil absorption.
Self-injected T is least cost.
We need:
age
weight
height
waist size
list health issues/concerns
list medications
Describe time line of how and when you felt your symptoms.
Now the fun part…
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys - need more info about you
- things that damage your hormones
- protocol for injections
- finding a TRT doc
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.
KSman is simply a regular member on this site. Nothing more other than highly active.
I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.
The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.