Secondary Hypogonadism - Very Low T

Pharma / TRT Testosterone Replacement
1

I’m 38 years old, my weight is 193, height is 5’11", waist is 34. I started having all kinds of health issues a year after a vasectomy, neck pain, dizziness, low memory, low concentration, very low energy, testicular pain that comes and goes (supposed to be sperm back pressure from the vasectomy). I have suffered from anxiety before every once in a blue moon but after the vasectomy my anxiety has gone through the roof. I have also never in my life suffered from depression, now I feel depressed and low mood. I’m having a vasectomy reversal with the hopes that it would stabilize my system and regain some of my health. I was thinking of starting TRT but the doctor said that we would start it after the vasectomy reversal because he would not be able to tell if sperm is still flowing inside the vas before reconnecting them.

I’m writing to get some advice, I’m very new TRT and trying to learn as much as possible so I can make the best decision.

I’m not taking any mediation at the moment, i have used rogane in the past for 3-6months. I have never used recreational drugs, steroids, or growth hormones. I started exercising and paleo diet 3 times per week about 2 months. I have been active most of my life.

Questions:

  1. Can you help me understand my lab results, is there anything besides the low T and low LH that I missed?
  2. Is there a way to naturally stimulate LH hormone? I wanted to see if there is a natural way before trying the synthetic drugs.
  3. What treatment protocol do you recommend that I should discuss with my doctor?

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2

I hate to be the one to tell you this but your doctor is not knowledgeable enough to treat you for thyroid or TRT, reason is there are some red flags. Your doctor is a bit outdated in his knowledge about thyroid testing, T3 uptake is an obsolete and so is your doctor.

It’s a shame your doctor doesn’t believe in testing Free T3 and Reverse T3, something we see a lot here and on other forums. Free T3 the only active thyroid hormone and it’s where the rubber meets the road. It’s what free testosterone is to total testosterone, the free hormone that makes all the magic happen. No Free T3, no clue.

You can check thyroid status by taking oral body temps waking and afternoon, this direct reflects Free T3 status. You need to be 97.8 waking and 98.6 afternoon using a glass thermometer.

This doctor doesn’t believe in thorough testing and for TRT to be successful it requires extensive testing, testing estrogen using only the sensitive estrogen test (LC/MS/MS method) designed for men, prescribing an aromatase inhibitor when needed. I’m not certain that’s the sensitive estrogen test, it should specify and I’ll bet it’s the wrong one.

SHBG will determine your dosing and injection frequency, given your SHBG injections two or more times a week will provide stable hormone levels, anything less and you’ll soon experience what some refer to as the hormonal roller coaster and it isn’t fun.

I had similar SHBG levels at baseline and usually after you begin TRT it will decrease perhaps forcing you to inject your doses EOD, I only feel the effect of TRT when injecting 20mg EOD, twice weekly and I feel like I’m not even on TRT.

You need to understand the majority of doctors who take insurance rarely know anything about proper treatment of men on TRT, it’s not something they normally do or have done in the past do to the previous stigmata surrounding injectable testosterone.

Almost all the success stories are those who have gone private, anti-aging and sports medicine have been doing TRT for decades.

3

Thanks Systemlord, I have realized that I would have to go private doctor. I want to work with a good doctor. Which doctor do you recommend in Houston Texas, the state of Texas or anywhere near? I don’t mind traveling to go see a good doctor.

Thanks again

4

Your welcome,

Dr. William Parker, Google “Paradigm Hormones Dallas TX”. You can Google “Dr William parker TRT Revolution” to get a link to an hour long youtube video.

5

excellent, thanks for this, I will look into Dr. Parker. Quick question, have you heard of Dr. Mohit Khera in Houston?

6

Paradigm Hormones closed the office in Dallas TX. Dang it!

7

Defy Medical offers telemedicine, I went with Defy and it was the best decision I could have made.

8

t3 is obsolete?

9

T3 uptake is outdated, none of the experienced doctor rely on it anymore. Free T3 is another test altogether. I made no mention of T3, Free T3 is more useful.

10

Thanks Systemlord, are you seeing Dr. Saya or Calkins?

11

I’m seeing Dr Saya, he is the medical director at Defy.