Should I Consider TRT - Fatigue and had Testicular Cancer

Pharma / TRT Testosterone Replacement
1

Hi everyone. I am new here and excited to have found this site and appreciate all of your help.

I will try to keep this as brief as possible and list my labs and details.

I am 42, 195lbs, and exercise 5 times per week including weights.

The past 2 years I am getting more and more tired and not motivated. I am so frustrated with feeling this fatigued. I still accomplish all my goals but by 2 in the afternoon I am worn out and my brain doesn’t remember things well.

For background I had Testicular Cancer it had spread and I had one testicle removed and did 3 rounds of chemo. This was 4 years ago.

I have done everything I can think of to raise my energy levels but nothing has helped much. I get solid 8 hours of sleep each night, I am not on any medications, I exercise almost everyday and even do HIIT. I keep stress to a minimum. Eat right. I don’t drink alcohol at all and don’t do any drugs. I eat well and watch my intake daily. I hardly ever eat out and prepare all my own meals. I have tried lifting real heavy weights for a while but it didn’t help. I even tried Nugenix Total T and hardly noticed I was on it.

All of you guys with experience I would love your opinion and ideas. The urologist wants to start with Androgel 2 pumps daily. He said my levels are normal but because I am missing one testicle he thinks it may help my energy.

I just don’t want to start TRT too early. I never thought I would have to at 42. I always took care of myself and thought I would be fine for a while.
Labs listed below. Thank you all so much.

Latest Total Test. was 453 in August 2022

June 2022
Total T 416
Free 13.4
Estradiol 23
FSH 6.4
LH 3.6
Prolactin 5
PSA .42

April 2022
Total Test 311
TSH 2.86 (one before that was 3.59)

Dec. 2021
Total Test 422
Free Test 66.3 pg/ml (this was done by Quest and there chart seems different than the other one. The list their normal range as 35-155 for Free T)

June 2021
Total 321
Free Test 50 (this was done by Quest and there chart seems different than the one at the top. The list their normal range as 35-155 for Free T)

2020
Total Test 396
Free 62.2 (scale 35-155 Normal)

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This Free T is below the lower limit and barely in range on the other tests. TRT is inevitable. Men can get symptoms far sooner even with levels higher.

There’s just no way one testicle is going to make you whole again, you’re being short-changed on T and you’re feeling it.

The longer you wait, the worse your health will get.

The University of Miami just published a new study, 20 percent of men between adolescent age and 39 have a testosterone deficiency.

The number is higher above 50 and it’s only going to get worse with time.

Fertility rates are plummeting and have been for decades.

My point is you can do everything right and still end up with a testosterone deficiency.

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3

This usually doesn’t end well, guys just don’t absord topicals well. Androgel gets a bad rap around here.

Injections is the king of effectiveness and convenience in most cases.

See if you can get Jatenzo covered by insurance and no absorption problems, because it’s oral.

Recommended starting dosages is 237 mg twice daily.

A new oral testosterone undecanoate therapy comes of age for the treatment of hypogonadal men

4

Why?

So many, after starting, regret not having done so earlier.

Injections. Though, perhaps with hx of cancer, you could get insurance to cover the Jantezo (I am not familiar with it).

Good luck.

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