Seeing Urologist Soon - Any Major Points?

Cheers mate

Any thoughts on above lads

@systemlord @middleages @highpull @mrmeeseeks

You’re at rock bottom, why in the world would you want to go back to this state?

Your LH, the stimulating hormone is perfectly fine, but your Test is low, so no I don’t think this is going to be fixed by lifestyle changes. Clearly something is interfering with your test production.

I had similar results, LH wasn’t terribly low, FSH midrange but Test was extremely low and metabolic syndrome, diabetes was the cause.

I think you might have metabolic syndrome and a lower end SHBG value would only reinforce it.

No sorry i mean, at the moment test is being created even though low… once i start taking gels/injections im guessing this will stop completely.

I’ve heard about plenty of problems when people have started the gel and their test has been even lower when started or it just didnt work at all. So worried about it dropping down further.

I think i’m just wanting to try to explore and complete all avenues before starting TRT as this will most likely be a commitment for life. Really not keen on injections and regular blood work/labs etc, however if its needed then just want to make sure i’ve exhausted everything.

Would clomid not boost up test as from information in a source from HPTA states, if you’re above 300 then this may well be possible?

My doc just said its not an option they would provide, but its the same thing as them not providing anything else as test undecanoate.

BMH state that they have various options and clomid may well be one, before starting on TRT etc.

Yes, like you said and the doc has said he’s happy with everything else, checked kidneys and prostate and happy with it all. So if there’s something thats causing an issue and maybe resolved by not starting TRT, then im very keen on exploring this, my sleep has been all over the place, was smoking a lot and drinking not been in any gym for years etc… ive recently started looking after myself a little better… and hoping to get into gym to see if i do feel any better after

Hmmm, yes metabolic syndrome what is this and how can it be confirmed/resolved if you know please or can shed any light on this?

Ive had tests for diabetes and all fine? Blood pressure fine, sugars fine, yes definitely abdominal weight but what else? What else could be causing it?

Yes, not that any of this should concerned you because your body isn’t producing enough Test to sustarin you anyway.

If your test drops lower than pretreatment, then you go on injections.

I don’t think your Test will increase much, because again your problem isn’t a lack of LH, you produce plenty.

Well if something is keeping your body from producing adequate amount of Test, you go around the issue by replacing it. As far as confirming it, that’s not always possible for the same reason most secondary hypogonadism cases are unknown because everything checks out yet LH and Teste are low.

A lot of symptoms people experience alongside low-T are idiopathic, meaning the symptoms persist without a known cause. Some cases of metabolic syndrome without a diabetes diagnosis are not known.

Yes this is what i mean, ill be dependant on TRT them for life, i think its best i exhaust all avenues before starting on gels which will then lead me onto injections?

I think after a complete lifestyle change, eating, sleeping and gym. If nothing changes then its definitely best to start but may as well try to see if it increases without first.

If im struggling in the gym and not putting much muscle on, its definitely the way to go… but if start putting mass on which i believe may be the case then thats a good sign surely?

What timeframe is best for this do you think and then can test bloods?

I’ve been given some further advice as follows:

New

Your LH and FSH is not suppressed or shutdown. Test is low end of normal.

I wouldn’t take TRT based on them results.

If you have come off a steroid cycle in past, or recent months then keep off any TRT or AAS and adjust lifestyle and retest hormones in 6 months.

If you choose TRT it will be for life, think about that.

If you push yourself too hard, this can decreases or even supress testosterone. The double edge sword is if you have high cortisol levels, this will quickly erode muscle mass by inhibiting protein synthesis.

To be honest with you if your testosterone was going to recover naturally, I think it would have by now, but there’s no harm in trying.

Ok thank you, yes im just going to start goimg gym and slowly increase and see how it goes, atm im just a complete couch potato and just walk daily, i feel it will be completely different once in gym as will definitely motivate me to progress and will be first time in over 7 years.

Ok from the blood tests that ive had i cant see anything about Cortisol? And when i asked doc about this he said didnt need to worry about it?
How do i know if its eroding muscle mass?
Is there any signs of this i should maybe look out for please?

Yes totally get what you’re saying just thought its best to exhaust that avenue, then if nothing really changes ill get on gels/injections but at least i know before im comitting to something for a lifetime, ive had no other option to do so :+1:t4:
What kind of timeframe would be adequate to see if anything has changed before getting bloods again to confirm please?

[quote=“Ami41, post:50, topic:276983”]
Ok thank you, yes im just going to start goimg gym and slowly increase and see how it goes, atm im just a complete couch potato and just walk daily, i feel it will be completely different once in gym as will definitely motivate me to progress and will be first time in over 7 years.

Ok from the blood tests that ive had i cant see anything about Cortisol? And when i asked doc about this he said didnt need to worry about it?
How do i know if its eroding muscle mass?
Is there any signs of this i should maybe look out for?

@systemlord can you let us know your thoughts on above points whenever possible please :pray:t4: thanks much appreciated :+1:t4:

This is usually the response one gets when the doctor is clueless on the subject.

The most important thing is get adequate rest, and by rest I mean sleep, because this is when the important stuff happens.

I would say 3-6 months.

This might exactly be the point, i was getting 4/5 hrs at the most every night sometimes even less. I’m going to change this and see if it makes a difference, start going to bed at a decent time :+1:t4:

Ok ill ask to get tested in 3/4 months to see if anything has changed, in that time i plan to eat well, go gym and sleep much better.
How do i know if my test is getting worse in that time, i mean aside from a blood test, is there any major symptoms should look out for or be aware of at all etc please?

Thanks for all your help as always :pray:t4: :+1:t4:

@systemlord @highpull

Ok lads, I’ve joined a gym and been going to the gym for a few visits now, firstly just 1 x wk (full body workout) and just to ease into it, and now recently 2 x weekly chest, back triceps on wed n legs shoulders biceps traps on friday, (going to expand to 3 x weekly soon and spread out more when work permits - monday chest triceps, wed - back n biceps, friday - legs shoulders, traps) added with some cardio before and after just to warm up and warm down.

Definitely been putting some muscle on and got stronger in many areas, and got better and doing some cardio, was doing fine, been getting a little more sleep where possible too. Was eating a lot of fruit before but have cut this down as heard a lot if sugars even if natural doesnt help with estrogen? So been eating higher protein lower carbs, more chicken brown rice salad, eggs etc
Have been taking a test supplement just tablets 2 x daily (had real good reviews, contains tribulis n few other boosting elements), and a protein shake sometimes to see if that helps at all, which i feel it has a bit. I thought i’d come off the test supplement as sometimes stomach a bit dicky etc.
Everything been going fine apart from tiredness/aching at times and maybe a little longer for recovery.
However, in the last week i’ve noticed that my forearms have been really aching, n pains in bones really knees/elbows, recovery taking longer this week, (some irritatability is there and mood swings, low libido ed issues all still present as before, did start feeling a little spike in being horny which may have due to test supplement but didnt want to rely on this or maybe just due to training, ive come off to see if still feel like it without so will know soon) i’ve not trained this week as was away on hols but plan to start again next week…
Ive also tried doing some abs workout with planks and sit ups after (supersetting) but not seeing much difference in belly fat, (i know this is one of the main symptoms of low test) everywhere else seems to be firmimg up a little bit by bit.

but im thinking shall i get a blood panel done now independently by BMH or something similar (if these are accurate? I think its £100 to see full panel - or any recommendationswhich to use in UK) or i have testogel waiting to start? Is it best to do something now or just push it more… (wait till stop aching obviously)?

Whats your thoughts please let me know, cheers :+1:t4:

Sounds as though you may have been overtrained. Purely a guess. Sets, reps and load schemes need to be manipulated to allow for adaptation. Something like this:
week 1: 70% 8 sets 5 reps
week 2: 80% 6 sets 4 reps
week 3: 90% 5 sets 2-3 reps
week 4 100% 4 sets 1-2 reps
week 4 75% 7 sets 5 reps
etc.

The week break may be just what you needed.

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Thank you, @highpulls yes i may have overdone it a little at times :+1:t4:but you wouldn’t say that these pains are due to me making my low T worse? I’m just worried about making the situation worse? ? Hopefully it has increased a little but of course i wouldn’t know until i have another blood test.
I’m just a little concerned as don’t want to be eroding muscle instead of putting it on @systemlord advised that may happen?

I returned to the gym yday and tbh dont feel too bad today n forearms are not as bad so thats good, thought id be aching real bad but not too bad so thats a good sign

@systemlord please let us know your thoughts on this too (all the above), thanks mate

It does seem like you’re over training, dial it back a little. When I started out at the gym, I went overboard and wore myself out in the beginning.

I tend to be all in or not at all. I had to learn to pace myself.

@systemlord Ok cheers mate, you dont think this is to do with eroding muscle and making things worse etc, just been concerned with when you said it can make things worse etc?
Definitely feel stronger and have put muscle on, but just joints aching more etc? However, im not as young as i used to be so probably that has a factor too :+1:t4:

Ok im going split it into 3 days a week so wont have to do as much on those days and might go a little lighter on some areas rather than push myself, just read that to increase test its good to go heavy, not silly like (as i know it can be detrimental from experience) but just enough to push, ive gained on all what ive been doing so far, but yes best to dial back a little? My sleep is ok at times but then not as good, which might be to do with low T? You dont think its worth getting an independent blood test yet no?

Starting to feel hornier at times which is great, still got ED and cant get hard at times, sometimes i can but ED messes it up :sob: (got some avanafil, spedra for emergencies lol which is a lighter version of sildenafil, viagra and shouldn’t be as bad with headaches as far as apl reviews state). Im gonna try another supplement which has tribilus, daspartic acid, maybe some ginseng magnesium and other vits it usually comes with, tried one previous but stomach started getting a bit dicky but defo felt some benefits off it etc!

Any ideas of which is the best to get, im trying not to take too much tablets (happy to take a few, ive got some milk thistle powder to aid any liver issues if rise up), so im having a protein shake and looking for powders if poss?

Not that this opinion helps you, it’s more of a rant, I don’T understand why docs just don’t test everything in one lab draw. The needle is already in there, you’ve already taken the time to go in and get the draw, it’s just a few clicks on a computer and you get all the results at once. The fact they only check a few things at a time is ridiculous

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Thanks mate, definitely agree with you 100%, was really confused with this too? Surely if they’re testing for certain areas then others can be tested too, really does my head in when ive had a blood test and ask what the results are, and the answer is oh sorry we didnt test for that, will have to do another test!

Can i just ask when testing for estrogens, is Oestradiol what they test for? And Cortisol whats the test for this? Ive been looking at BMH and its £100+ for an advanced test, and they test for so many things but cant see Cortisol on there?

Please let us know if poss? Thanks👍🏽

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