Low T/Low SHBG After Steroid Abuse, Help?

Pharma / TRT Testosterone Replacement
1

30 years old male . 190 cm height / 101kg

I have a long story of steroid abuse starting from 18 or 19 years old ,don’t remember exactly . From 18/19 till 25 i used every possible supplement on the market , and 3-4 times per year i took only oral steroid cycles for 30-40 days (stanozolol and anavar and all kinds of prohormones - like epistane,superdrol etc…) I never made PCT (with hcg,clomide or nolva) only used tribulus after cycle . Every year the same . I was totally unaware of what PCT is :slight_smile:

Then at 25 i crashed hard after one long oral cycle (3-4 months stanozolole with anavar with oxyelite and tons of other supplements ) - I got depressed , anxious , ocd , like couldnt get out of home for 2 months probably … isolating socially etc …
Since then I am feeling not the same . I started reading a lot , visited all kind of doctors possible .

So i tried restarting first with clomid - lh / fsh went up , total testosterone went to 600 ( using 12.5 mg ed for 30 days ) … then crashed again to 250 .

Then when I was 26 years old because i was totally unfunctional i made 3-4 months cycle with testosterone cypionate , masteron , anavar and hcg … then good PCT with 4 months HGH . I felt good during the cycle and during the PCT with HGH , after that crashed again .

So … from 26 till today (30 years old) i was trying to fix my health - i have personal nutritionist , personal trainer etc … I have probably over 30 Bloodworks…

The last four years i tried Several HPTA restarts , took several times low dose HGH …every time was crashing after . This year(2019) i have not taken any supplement or steroids or pill.
Only healthy eating , training , working .

I will post my last bloodwork from last month with this post .

I am 100% fertile , i tested myself this year in fertility clinic.

My current symptoms are
Very Very Low Libido (no problem with Erection)
Light depression and anxiety with some ocd
sparse facial hair (never grown full beard) … probably because I am blond , dont know .

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I dont have any known illnesses . I am colorblind and flatfeet . Have some fat around abdomen and waist … nothing major .

I will upload pics from when I was 25years old on steroids and now

I dont know what to do - to feel better - TRT ?

I will wait for your advices , may be someone will see something what I and the doctors are missing .

Thank you !

2

Just do add few things :

I used to live abroad from 18-25 years old and i was training 2 x times per day and was constantly low carb , low fat … constantly undereating …compensating with whey proteins and pills …my cholesterol was under the lowest range when I crashed hard

At time only smoking cigarettes pack/per day

IGF is on the upper range
cortisol AM is also on the upper range
dhea-s is middle range
Free Testosterone this year is 13 pg/ml (ref. 1.0-29.0 )
And one more bloodwork from this year .

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3

If PCTs haven’t worked then you are probably going to need TRT. Your body is signaling for test but your nuts aren’t delivering…primary hypogonadism. Secondary would be if your pituitary wasn’t signaling. Steroid abuse can lead to issues:

https://www.fertstert.org/article/S0015-0282(14)00140-X/fulltext

Do you still lift weights? What is your diet like now? Quit smoking, its taxing to your body in general.

4

I thought i am secondary , because when i stimulate with clomid only low dose , my LH doubles and my total testosterone nearly triples ??.

But then LH goes down and Test goes down few weeks after clomid cycle.

I dont lift weights since 3 years , only play tennis and do cardio 5-10 km running and HIIT , also i was undereating long times …like years .
Now from 3 months i started weight lifting plus higher calorie healthy diet again … i dont know if that can fix me ??

Thank you

5

You have secondary hypogonadism because you never did PCT’s every 8 weeks while doing cycles, I see this a lot on these boards and most fail multiple restart attempts. If you have failed multiple restarts, then recover is likely not possible.

Your SHBG is low which means you should dose T very frequently, or estrogen may become an issue…

6

I upload now bloodwork during clomid only therapy

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Should i try long nolva or clomid therapy with tapering ? I mean i tried clomid only therapy for no more then 20-25 days ?

Is it possible to have kallmann syndrome , as i have low facial hair , really sparse and low test ?

and on the bloodwork u can see HTG on the lowest range ?

What should I do ?

7

Your natural Test production is finish, not coming back and you need to accept it and move on to TRT.

8

Then yeah secondary. You could try a cycle of nolva, it couldn’t hurt, but I wouldn’t hold out too much hope.

9

Welcome, training twice daily? Were you a competitive weightlifter? I wouldn’t beat yourself up, many guys did more than you and ended up fine. PCT was unheard of in the 70s and into the 80s and guys survived.

However, you are where you are today. Moving forward, as mentioned above, you’re a TRT guy. Thankfully, you have that option. I’d start with 150mg a week. You could start lower, but I think you’ll end up at 150 or even higher. I would also start with once a week injections and see how you respond until you see how you metabolize the test ester, unless you’ve already established that previously, but that would likely be difficult to determine since you were stacking other anabolics. You could inject twice weekly but most do fine with once.

You are perfect for TRT. Good luck.

10

I was competing on kick boxing , was doing morning weights , afternoon kick boxing … but abusing too much steroids without doing proper pct…

I have energy and strength , just no libido and i got some phobias since i am low T - like from heights , planes , claustrophobia … dont know why and what is the connection with Hormones .

When i am on anabolics , i dont think so much about anything - what can happen , if … like ocd wise :smile: fears are gone

I think I broke my hormonal system and hpta with so many steroids , without thinking .
I probably will start TRT , as i dont feel well mentally .

I may be will try some months with calorie surplus and weights … as i was calorie deficient for like 6-7 years , but was strong and muscular because of the steroids and supplements … but i broke my body and stomach also … i have IBS and bloating after eating no matter what .

11

Systemlord , i read in your posts that u have tourette tic syndrome , i had some motor tics when i was teenanger , which then disappeared later , but now the last years when i crashed hard and stopped the steroids some motor tics reappeared … i dont know what is the connection

12

My tics disappeared after high school, but stayed on klonopin, taped off and got low testosterone.

When not on TRT I do have minor motor tics on occasion, on TRT the tics are wiped out. I eat and get bloated as well, but is do to a iron deficiency which doctors missed before starting TRT.

My gut health is still in repair mode, I keep finding more mineral deficiencies.