Low T Since 19, Now 26. About to Start TRT?

GERD since birth: But there are other factors that can make it worse…

GERD medications can lead to multiple mineral deficiencies and B-12 deficiencies.

If you get leg/foot cramps, that is a magnesium deficiency and may also show up as an ability to tighten up a muscle and make it lock up. Almost everyone has some degree of magnesium deficiency, you have a high risk factor for this. Low magnesium can affect sleep and increase BP.

GERD can be a hiatal hernia caused by abdominal fat lifting the stomach upward and fat lost is best outcome for that.

Starvation diets can be harmful, increasing SHBG, increasing rT3 that interferes with fT3 the active hormone.

Some FT rages go up to 25 and some with different methods product higher numbers about 5-6 times higher.

TRT makes snoring worse.

You have never tested LH/FSH to determine if pituitary or the testes are the problem? If LH/FSH are low, prolactin needs to be testes to see if a prolactin secreting pituitary adinoma is the cause. This is not rare!

You had a thyroid problem or thyroid hormone problems caused by not using iodized salt? I have never seen a doctor ask about iodine intake or iodized salt.

Can you provide more labs: CBC, hematocrit [HTC], hemoglobin, RBC, ferritin

Routine labs should be:
TT
FT
E2
CBC
hematocrit
ferritin
AST/ALT
TSH
fT3
fT4

Diagnostic labs:

  • above plus
    LH/FSH - both!
    prolactin - if high, lowers LH/FSH, T and dopamine with mood problems

Supplements:

  1. high potency B-complex multi-vit with trace elements including 150mcg iodine and 150-200mcg selenium
  2. magnesium, see this site’s biotest store for ‘ZMA’
  3. 5000iu Vit-D3

TRT suggested options after I see more lab data.
With thyroid issues, you may not be a transdermal T absorbed.

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.