Hormones/Bloodwork/Gynecomastia Help

Pharma TRT
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Hi Guys,

I’m making this thread just to get some advice, and it will hopefully help to talk… I’m 25, based in the UK, height is about 5’10", weight is about 78kgs, go to the gym often but i have never done anything like steroids etc.

Recently i’m 99% sure that i’ve started to develop gynecomastia - Amongst quite a few other symptoms… At first i thought that i was being paranoid and it was just fat stores (i’d just finished a 12 week bulk - fairly clean, quite high carbs, alot of brown rice and wholegrains etc) but i’ve been on a 500 calorie deficit the last 5-6 weeks (low carbs, good fats) with plenty of HIIT/heavy weight sessions - And they now seem more pronounced if anything. A few weeks ago they were tingling and looked slightly bigger than normal, now there is what feels like a hard mass behind each nipple aswell as some soft, rubbery tissue (?) around the outside - They are not really painful but feel a little tender at times.

It is really getting me down and affecting my life in most areas - Relationships, work, etc. My confidence has dropped massively and i just haven’t felt myself for a while… When i go to the gym or out with friends i’m wearing tape over my nipples otherwise they stand out through tops and i hate it.

Other symptoms other than the puffy nipples/gyno include:

  • I’m really tired most of the time, constantly yawning etc.
  • Even though i’m trying to cut i feel like i am constantly bloated and storing fat around my stomach and chest.
  • Sometimes i feel agitated and get annoyed easily, at other times i feel low and upset.
  • My sex drive seems to have almost gone, and i rarely get ‘morning wood’ or random erections.
  • Sometimes i feel almost like confused and tend to forget things.
  • I’ve been getting short of breath when doing weights/cardio… Well more than usual anyways!
  • Not as common but at times i’ve been getting a dull ache in my testicles, and around my armpits/chest.

I’ve been to see my GP a few times but it seems a rather long winded affair. During my first visit she sort of disregarded my worry about my nipples and said i should take some blood tests (You can see the results attached).

When i went back she told me that all my results were normal and within range - I think she was about to mention antidepressants to me (i do feel low but i think this is because of everything going on), so i asked her to check my chest/nipples again and practically showed her where i could feel the hard mass and soft rubbery fluid/tissue (?)… She could also feel them but said she would need to look into it and speak to a colleague to talk about what we do next. The next day she called me to say they want me to come in and do some more blood work, she also checked my testicles after i told her about the pains/aches and she said they seemed fine and normal.

So now i’m just waiting for the bloodtest results which she said could take up to a week (Took them yesterday - the 12th)… She said if there is anything wrong with the results then i will more than likely be referred to an endocrinologist, if not then i will be referred to the breast clinic to investigate the lumps etc.

I really want to get this sorted, i’m scared that the gynecomastia will become permanent and the only option will be surgery - Although if that was what it would take to feel like myself and confident again then i probably would.

I’ve been taking various vitamins/supplements the last week or so to try and help but i’m not sure whether i should carry on or stop everything for now (They seem to have improved my energy levels abit)… The things i’ve started to take are:

  • Multivitamin
  • Magnesium & B6
  • Zinc (50mg)
  • Vitamin C (2000mg)
  • Vitamin D (5000iu)
  • Vitamin B Complex
  • Cod Liver Oil
  • Fish Oil w/ Vitamins A & E
  • Maca (300mg - To try and help with the sex drive)
  • Grapeseed Extract (500mg)
  • Natural Resveratrol

If anyone has any idea of what could help, what i should/shouldn’t take etc… That would be great and i appreciate any comments… Also i don’t know whether to carry on cutting, incase it makes it even more visible? And i don’t like the idea of bulking since this has happened around that time.

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You need to have your E2 (Estradiol) tested. Unless I somehow missed it you don’t say whether you are currently on TRT. It is possible to develop gyno and E2 symptoms without taking Prohormones or steroids. Your symptoms scream elevated E2 levels.

Read the Estradiol sticky on the front page of this forum if you are not familiar with E2, causes, treatment or symptoms. Most guys on this forum who experience high E2 seek a prescription for Anastrozole which inhibits the enzyme that converts testosterone to E2.

I experienced spontaneous gyno priot to TRT which I had surgically removed. I also experienced a rapidly forming case of gyno while on TRT which my Endo treated with Raloxifene. It worked very well.

Good luck.

3

Thanks for the reply, i really appreciate it.

No i’m not currently on TRT - I just came across this site and you all sound quite educated on the subject so i thought i would try my luck and post. Tbh this is all quite new to me, and until the last 5/6 weeks i’ve never really experienced any of these symptoms before.

From researching on google, it sounded like i had all the symptoms of high estrogen - But it wasn’t something i knew too much about and i didn’t want to put something in my head. I am guessing that these new blood tests my gp has taken will include that? If it was the case, could she not prescribe me something for it or would i definitely have to see an Endo?

What would you advise supplements wise, i know they won’t cure anything but would they help until i find out more… Also, i don’t usually drink often - Maybe once every couple of weeks, but i am at a 30th tomorrow, England are on and we’ll be watching it in a club! Normally i wouldn’t hesitate to drink, but this whole ordeal has got me reserved about it… So depressing.

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Judging from your symptoms it seems as though you have high estrogen. I would suggest an AI although it is not commonly prescribed as a solo treatment. If your GP doesn’t prescribe you anything you can easily purchase an AI online. I used Letrozole at fairly low doses and it cured all my low T symptoms.

From your blooodwork it seems like you have low LH. This likely due to the high aromatization which tells your body to stop producing LH/testosterone (test converts to estrogen) as it has too much estrogen. If you are not comfortable self-prescribing you can take a natural supplement called DIM which is meant to lower estrogen.

I have some study results saved on my computer but unfortunately I lost the source.

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I wouldn’t worry about the drinking if it’s for a special occasion. Your doctor could prescribe any of these options but one of the biggest hurdles most of us have dealt with is the reluctance to prescribe something “off label” and/or lack of knowledge relating to TRT. Make sure to get the “sensitive assay” test and figure out what is going on with your E2 levels. Good luck brother.

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Okay, so i’ve had some more results back today… Within a week my testosterone seems to have gone up from 13 nmol/L to 17 nmol/L? Not sure why… I have sorted out my diet and introduced Zinc, Vit C & D etc.

Anyways the results were:
Test - 17 nmol/L (9.9 - 27.8)
SHGB - 44nmol/L (14.5 - 48.4)
Oestradiol - < 50pmol/L (28.0 - 156.0)
Free Androgen Index - 39% (34.0 - 106)
HCG - < 2iu/L (<5.0)

Also, using Free & Bioavailable Testosterone calculator i’ve calculated the following (using the Albumin reading from my first tests - Not sure if that would be diff now?)

Free T - 1.7%
Bio T - 42.4%

And the results from last week:
Test - 13 nmol/L (9.9 - 27.8)
FSH - 2.1 iu/L (1.5 - 12.4)
LH - 2.2 iu/L (1.7 - 8.6)
Prolactin - 148miu/L (86 - 324)

I didn’t get chance to ask for the Sensitive Test as they had already taken the blood etc before i came on here… Alot of these numbers don’t mean much to me but i just don’t feel myself at the moment. The nipple thing is really getting me down, i think that could be why i feel so low?

Once again she said everything was ‘within range’, so she has referred me to a breast clinic (This was over the phone)… I don’t know whether it’s just me or the fact i’m cutting but they seem to be getting bigger or more obvious. I just haven’t got a clue what’s going on. Do these numbers look alright to you guys?

She said it’s more than likely they will say at the consultation that there’s not alot they can do… And i’m probably in the 50% of gynecomastia sufferers whose cause is unknown (If that is definitely what it is, guess i’ll find out soon, the way she spoke sounded like it was.)