Hello everyone,
about three years ago, I went to a urologist who had published a press/web about low TT (12 nmol/l was his limit) and the importance of TRT (especially for +middle aged men), and told him I’ve low T symptoms, after some tests, he showed me the door and told me … IT’S IN YOUR HEAD!
THREE YEARS OLD Results (not sure if it matters, but it shows that my TT has been low since then):
Total T. 12.29 nmol/L (Reference range 9.9 - 27.8)
Free T. 44.60 pmol/L (Reference range Adult men “20 to 39 years: 31.0 - 94.0”)
DHT 2.27 nmol/L (Reference range 1.13 - 4.13)
Glucose FBS:
5.70 mmol/L (Reference range 4.22 - 6.11)
102.71 mg/dL (Reference range 76.04 - 110.1)
Prolactin:
230 mIU/L (Reference range 86 - 390)
10.81 ng/ml (Reference range 4 - 18)
TSH:
1.05 mIU/mL (Reference range 0.27 - 4.2)
Triglycerides:
1.18 mmol/L (Reference range < 2.31)
103.25 mg/dL (Reference range < 202.12)
Cholesterol:
4.65 mmol/L (Reference range < 5.21)
179.77 mg/dL (Reference range < 201.42)
LDL Cholesterol:
3.1 mmol/L (Reference range < 4)
118.30 mg/dL (Reference range < 154.6)
HDL Cholesterol:
1.16 mmol/L (Reference range 0.9 - 1.56)
44.85 mg/dL (Reference range 34.79 - 60.31)
Lately, one of my symptoms became worrisome, and I got more abdominal fat, also, I’m planning to take Accutane, so I took some tests:
Total T: 3.82 (Reference range: Male 20-49yrs : 2.49 - 8.38 ng/ml)
Free T: 22.5 (Reference range: 4.5 - 42 pg/ml)
FSH: 1.02 (Reference range: 1.5 - 12.4)
LH: 3.73 (Reference range: 1.7 - 8.6)
E2: 37.25 (Reference range: 7.63 - 42.6)
TSH: 1.76 (Reference range: Euthyroid: 0.25 - 5.0)
Zinc: 84.30 (Reference range: 70 - 120)
Vitamin D3: 13.21 (Reference range: Sufficiency 29 - 100)
Vitamin B12: 376.7 (Reference range: 191 - 663)
I should get the results for DHT and SHBG in a few days.
Info/Life style:
I’m 27 years old, 5’10" 164lbs, I’m not sure how much fat % I’ve, but I think it safe to assume it’s about 20%.
I don’t workout, and pretty much set on my ass all day long, sleep hours/schedule is fucked up (sleep disorder)
Symptoms:
It’s hard to determine my low T related symptoms (thanks to my life style), but I think the most apparent symptoms I’ve is:
- Moodiness/Depression:
The problem is I’m not sure it’s caused by my T level, life is not going too well, nor do I see a light at the end of the tunnel, also my sleep disorder can cause this. - Libido/ED:
Naturally, this is somewhat based on the state of the first symptom (which fluctuate wildly), but lately, I think it became more obvious (can’t keep an erection without constant stimulation). - Rare spontaneous erections.
Questions:
-
Is my FT low? or just lowish and will improve once E2 is under control?
-
Why is my FSH low, and my TSH and LH normal?
-
Will Losing fat be enough to lower my E2? or do I need to take supplements/medication?
Should I consider taking AI, along with Vitamin D? and maybe try to push my Zinc closer to upper limit (how much AI/Zinc should I take?) -
Will lowering my E2 increase my TT significantly, or at all?
I’m wondering because, even if I were to convert all the E2 to T, it’s still a very small percentage of the TT. -
Does bound T matters? if not, then why does TT matters IF FT and E2 are within acceptable range?
-
Do I need TRT for my low TT? or would lowering my fat/E2 and working out should be enough for me?
I dread the idea of depending on TRT for the rest of my life, especially in this god forsaken place, where a decent doctor will be very hard (and very expensive) to come by, BUT, I’ll do what I must/can …
Thanks for taking the time to read my lengthy post, your advice is much appreciated.