Heading to Endo Soon - 22 YO

So after being a long time lurker, and reading the stickies like a mad man, I was wondering if anyone could have any advice or past experience they can lend in what I should do/what I’m going through. First lemme start off with this, I used gear stupidly when I was 19, for 10 days. A friend on my collegiate baseball team gave me anavar to take at 40mg. It was going to be a 12 week cycle. Stupidly, I just took it and didn’t do my research. After a week I did start googling what kind of results to expect, and read the horrors of juice before your endocrine system is fully developed, so i stopped cold turkey. I felt completely fine libido wise, never had issues in the sheets, or adding muscle. And felt completely fine up until December of this year.

I’ve also been through some serious physical trauma, a car accident 10 years ago left me a broken femur in three places and a hairline fracture in my skull.

Now fast forward back to this year, still aged 22. In December I was drunk with a couple of friends, and one hit me in the balls really, really hard. Threw up immediately, had achy nuts for about a month, then the pain dissipated. I also noticed (Through people telling me, family, parents etc) that I wasn’t myself. That i was moody, secluding myself more often. I noticed I had a lack of sex drive and just didn’t feel right. Wasn’t as motivated, wasn’t pooping as often, but didn’t think anything of the issue. I also noticed I was cold all the time, and had an extreme intolerance to cold temperatures. I didn’t wanna get bloodwork because I truly didnt think anything was wrong, but finally after months of not being myself and feeling miserable I went in July.

I asked for a full hormone panel, but Dr said wasn’t necessary for someone at my age… so he didn’t request it. Turns out my thyroid was underactive and had a “minor case of hypothyroidism.” After returning from vacation I’ve been prescribed Synthroid (T4) at 25mcg per day. I began to notice increased bowel movements, but still the intolerance to cold (Temp upon waking while in bed has ranged from 96.2-97 degrees F) was there as was the lethargy. I didn’t think of the issue being solved right away, but this past week I had my one month in blood test. This time i demanded the hormone panel, but the Dr agreed to only include Total Testosterone.

Well, I was shocked. 55. Not 255, or 155, but 55. My jaw literally dropped when he called me. He asked me to schedule a visit to the endo right away, and I’m trying to do so, but I was curious about what tests I should ask for and what methods to pursue. I was going to beg for a kickstart (Clomid/HCG Protocol), as I really don’t want to be on TRT at 22 years old.

Here’s the other thing, as I am aspiring to do men’s bodybuilding one day, I did not have trouble dieting down to 8-9% bodyfat with a coach. My fats were never ridiculously low, neither was carb intake. I’m 5’4", and lowest bodyweight was 138. I was 160, but had reconstructive elbow surgery and that brought me down to 122. Worked my way back to 150, and did a mini 12 week cut. Nothing ridiculous, 12 lbs in 12 weeks. Kept all my strength and even added some. My diet is spot on, I track everything and my training is pretty good I think too. At 138 I deadlifted 385 with ease (Max is 425 at 142 lbs), 255 bench press, and 325 squat. Currently reverse dieting, and I while I do feel like I have more energy in the gym, it could be my newly acquired plazma protocol i adopted during the cut.

So I ask, when I make my scheduled appt with the endo, what should I be asking for, looking for, demanding for, and what should I push for? and has anyone ever experienced someone with this issues? I’m still taking the synthroid at 25mcg per day, but again i have absolutely no idea why my test levels are that low. I’m pretty scared to be honest and just trying to find a way to get info.

Any response is much appreciated.

That’s the only numbers I have right now, Will be getting a full hormone panel shortly and then I will post all results

What are your conclusions relative to the stickies. Have you really read “thyroid basics”?

You first need to have LH/FSH testes. If high, sue the guy who kicked your nuts. In this case, TRT is your only option.

Get sperm checked out, are you sterile. If marginal, TRT without hCG may mean no children. If sterile, sue the bastard.

Forget the body building, focus on the basics.

Are you iodine deficient and getting treated with Rx thyroid meds?

[quote]KSman wrote:
What are your conclusions relative to the stickies. Have you really read “thyroid basics”?

You first need to have LH/FSH testes. If high, sue the guy who kicked your nuts. In this case, TRT is your only option.

Get sperm checked out, are you sterile. If marginal, TRT without hCG may mean no children. If sterile, sue the bastard.

Forget the body building, focus on the basics.

Are you iodine deficient and getting treated with Rx thyroid meds?[/quote]

I’ve started adding iodized salt in greater amounts in my diet. My body temp after 4 weeks of Synthroid is still between 96.2-97.2 (This morning was 96.4). Seeing an endo this week to get a full panel… i asked many times from my GP for a full panel but he never “deemed it necessary.” I’ll follow up with more info, but my free test was 0.8 with a 9.6-26 range and my total test was 55 as stated above. Free T3 (1.5; range 2.0-4.4) total T3 (45; range of 71-180) of are low. T4 improved into normal ranges (Albeit low normal - 1.01; 0.81 - 177 is range). My T3 uptake is completely normal too which is confusing, 32 with a range of 24-39 and as is free thyroxine index - 2.1 with a range of 1.2 - 4.9

Unfortunately this all the numbers I have until i see the endo and get another blood test

fT3 should be near 3.2
Your labs and your body temperatures indicate that your thyroid meds are inadequate.

“”“I’ve also been through some serious physical trauma, a car accident 10 years ago left me a broken femur in three places and a hairline fracture in my skull. “””

  • your pituitary may be damaged, a MRI can detect that.
  • need LH/FSH first to see what your pituitary is doing.

Some do not convert T4–>T3, but you may simply be under-dosed.

Maybe you need a different doc.

[quote]KSman wrote:
fT3 should be near 3.2
Your labs and your body temperatures indicate that your thyroid meds are inadequate.

“”“I’ve also been through some serious physical trauma, a car accident 10 years ago left me a broken femur in three places and a hairline fracture in my skull. “””

  • your pituitary may be damaged, a MRI can detect that.
  • need LH/FSH first to see what your pituitary is doing.

Some do not convert T4–>T3, but you may simply be under-dosed.

Maybe you need a different doc.

[/quote]

thank you so much KSMan for the response.

as for the Dr., the GP gave me the original dose, and when he saw my test being so low, he immediately referred me to an endo. The endo where my Dr can get me in asap, of course, is on vacation this week and the rest are booked until the end of October. So i’ll be seeing him early this week and attempting to get another bloodtest at the end of this week for a full panel.

So I got my bloods back from my latest test. Feeling a bit better, upped my fat intake, limiting time in the gym, and focusing on recovering. no longer dieting, and after reversing I am in maintenance calories. i’m beginning to think my low T was from overtraining and lack of fats in the diet. Now up to 70g (was at 40-45g during my diet). Breaking PR’s in the gym and again and sweating in the gym. Still cold all the time, but feeling a tad better. Total test two weeks ago was 55, and free T was 0.8.

New results 2 weeks after the last ones:

TSH: 3.53 (.40-4.50)
T4, Free: 1.2 (0.8-1.8)
T3, Free: 2.2 Low (2.3-4.2)
Creatine Kinase: 552 high (44-196) - After heavy leg day

LH: 1.8 (1.5-9.3)
FSH: 2.8 (1.6-8.0)
Prolactin: 9.3 (2.0-18.0)
Estradiol: <15 (< or = 39)
Cortisol: 20.6 (4.0-22)
DHEA Sulfate: 295 (85-690)
ACTH: 14 (6-50)
Growth Hormone: 3.8 (<= 10)
Androstendione: 102 (50-220)
IGF-1: 199 (83-456

Total Testosterone: 200 Low (250-1100)
Free Testosterone: 40.4 (35-155)
SHBG: 25 (10-50)

Everything else was good, but seeing that Free T hit low normal after two weeks and total T nearly quadrupled has to be encouraging right?

Any advice or comments KSMAN would be much appreciated!

bump

T3, Free: 2.2 Low (2.3-4.2)

“”"
fT3 should be near 3.2
Your labs and your body temperatures indicate that your thyroid meds are inadequate.
“”"

You need more thyroid meds. fT4 is close to mid range, but fT3 is very low. To me, this suggests that you are one of the types that has poor T4–>T3 conversion. You need thyroid meds that contain T3. The dried thyroid extracts, such as Armour Thyroid, would work well. As for combo pharmaceuticals, you will need to ask about your options.

You are still highly symptomatic of hypothyroidism. T3 in your meds may change your life!

Please let muscles recover prior to lab work!

No need to test GH, only IGF-1

[quote]KSman wrote:
T3, Free: 2.2 Low (2.3-4.2)

“”"
fT3 should be near 3.2
Your labs and your body temperatures indicate that your thyroid meds are inadequate.
“”"

You need more thyroid meds. fT4 is close to mid range, but fT3 is very low. To me, this suggests that you are one of the types that has poor T4–>T3 conversion. You need thyroid meds that contain T3. The dried thyroid extracts, such as Armour Thyroid, would work well. As for combo pharmaceuticals, you will need to ask about your options.

You are still highly symptomatic of hypothyroidism. T3 in your meds may change your life!

Please let muscles recover prior to lab work!

No need to test GH, only IGF-1

[/quote]

thanks for the response! means a lot!

i just got off the phone with my dr, he said no to t3 as of now. he is upping my dose of synthroid (t4) from 25 mcg to 50 mcg.

he also wants me to get an MRI on my pituitary gland…

and he told me low dietary fat intake has nothing to do with testosterone which i know is false, so idk what to do

Doc does not understand that there are those who suffer because they cannot convert T4–>T3 like others.

He does not appear to really understand what fT3 does.

Check this out: http://laughinggrapepublishing.com/stop-thyroid-madness-ii-book/

I just ordered that.

Yeah I’m concerned with this endocrinologist. Might find a second opinion, as I think I’m recovering fine with more dietary fat and more rest from the gym. I mean going from 55 → 200 for total test and 0.8 → 40.8 for free test in two weeks is very good, no? albeit not “normal” for someone my age, but a huge improvement.

how he can say dietary fat intake has nothing to do with testosterone is extremely concerning too. I learned that in my third physiology class in college.

Total Testosterone: 200 Low (250-1100)
Free Testosterone: 40.4 (35-155)

TT is below range
FT is near low range. As FT peaks and drops, a single lab value is not very useful. TT is a better measure of your status.

Endo’s are rather useless for these things.

[quote]KSman wrote:
Total Testosterone: 200 Low (250-1100)
Free Testosterone: 40.4 (35-155)

TT is below range
FT is near low range. As FT peaks and drops, a single lab value is not very useful. TT is a better measure of your status.

Endo’s are rather useless for these things.[/quote]

glad i know now. my jaw literally dropped when he said that about dietary fat intake.

what’s encouraging to me at least is 2 weeks prior, my TT was 55, and my FT was .8. So that’s a big improvement I believe in just two weeks.

Your biggest improvement might be a new doctor.

got my ultrasound back. seems i have a pretty large varococele on my left testicle. that would probably be the issue. seeing a urologist shortly to see if microsurgery is required, from what i understand that’s a very minor surgery correct?

also getting an MRI on my pituitary early next week to rule that out. cold sensation seems to be gone with the increased dose in synthroid. just still no sex drive, libido, low semen volume, etc

contemplating doing my own restart, then giving my self 5 weeks to normalize before my next blood test

was thinking

clomid: 50/50/50/25/25
nolva: 20/20/20/10/10/10 EOD

don’t think i’ll need an AI right?

one last bump for quick advice, starting restart soon

[quote]WannaBeHyoooge wrote:
contemplating doing my own restart, then giving my self 5 weeks to normalize before my next blood test

was thinking

clomid: 50/50/50/25/25
nolva: 20/20/20/10/10/10 EOD

don’t think i’ll need an AI right?[/quote]

praying for a KSMan response :frowning:

on hand AI wise i had Liquid Adex, Formestane, and Liquid Letro. Liquid Torem and nolva, and more nolva/clomid on the way

alright well if anyone’s interested in me logging it here, let me know. bloods will be done Jan 21st. and Starting on Nov 1st, possibly earlier. ordered it for my rats and so i’ll let you know what they think

Clomid: 52.5 / 52.5 / 35 / 35 / 17.5 / 00
Nolva: 20 / 20 / 20 / 10 / 10 / 10 EOD

^Dosing both before bed. On hand AI’s: Liquid ADex, Formestane, and Pharma Grade letro should the need arise. If I notice nothing from the Clomid (IF it’s bunk) I have Torem on hand as well and hopefully that can suffice.

Praying this works, as I don’t really trust my Dr, and I know he mentioned HcG with no AI as possible treatment. Also seeing a Urologist on November 4th to have my Varococele looking at