Suffering Low T 15 Years After Teenage Steroid Use, Labs Included

And finally these are a few months after the previous TRT attempt in 2016 after PCT

Took two samples from different labs a day apart

surprisingly quite a difference between the reports why??? ?
Do you think one of the labs is not competent ???
Or maybe because one test was around 11am and other around 9am different days?

I’m a trt fertility success story myself. You should invest a bit of time learning the ins and outs before trt to be conservative. You also have to deal with spouses to be ready when they are, and manage that on the home front.

Also:

  • you need to work on your insulin sensitivity. It isn’t certain you’ve got a problem, but there are low risk interventions that could help you - if not now, then down the line. Get your a1c down and test your fasting insulin. try some chromium and lipoic acid otc first. Trt may help your insulin sensitivity but I wouldn’t depend on it alone.
  • the b12 fix is simple and cheap. I wouldn’t depend on food. If you do, clams, liver and mussels (less so) are about the only foods with large amounts of b12.
  • you could thry 100 mcg of t4. I’ve had friends with similar labs as yours that noticed an improvement with a trial.

just fyi, most don’t need 200 mg of T/week. You may have other issues, so if you set on trt, at such a high dose, I don’t know if you’ll get all you can out of it. there might be other unresolved issues still causing symptoms and 200 mg/wk can provide odd mild symptoms itself. 50-60 mg 2x a week should be great for almost anyone imo.

Why do you think I need to improve my insulin sensitivity?

Should I go for igf1 test or insulin serum? Or are they similar ?

It is a gene mutation which effects the body’s ability to make the COMT enzyme which plays a role in regulating some hormones and effects brain chemistry by breaking down neurotransmitters.

Any idea how physioLojik was going to correct it??

And do you think I should go for b12 shots for the low levels?

There is a normal variation in levels day to day, then you have lab testing is not 100% accurate. Than you have thrown in another variation, testing at different times. I still believe lab testing is in the stone age, Free T measurements can be off by as much as 40%, hardly considered acceptable.

You split two blood samples and get two completely didn’t results on the same sample of blood, which is why you require two separate test showing <300.

Your a1c is borderline prediabetic. It’s not a perfect test but you want to stay far away from that. Plus it can cause many similar symptoms.

the tested glucose was also high but perhaps it wasn’t fasted. If it was, then that’s another sign.

Actually The tests were done with a 12 hour fast

Yea, that was the mean calculation from the a1c, not fasting. I didn’t notice the mean in front.
the a1c is still an issue.

It’s still high. I suggest you work on that immediately. Metformin is the go to pharmaceutical but you can try chromium and lipoic acid otc. take one of each with each meal for a few months.
Getting 2,000 iu vitamin d / day may help a bit if you’re low. You can get a mix with vitamin k2 for not much more, that’s probably a good idea.

Test fasting insulin. igf-1 is a different hormone.

You may want to get a b vitamin with a higher dose of b12, such as 1 mg b12. Your folate is at the bottom of the range and I usually see that much higher. Make sure your diet’s decent too, as you only tested two vitamins and both were lower than you’d like. Get something ~100% rda. No need for anything much higher.

Electrolytes won’t be in multis as you need too much by weight. A basic plan would be a multi, calcium/magnesium, vitamin d to hit 40 ng/ml and a choline supplement if you’re not eating yolks. Just an example plan. Don’t eat <100 g of protein or carbs per day.

Wanted to add apart from more than 15 years of bad sleep I occasionally get sleep paralysis and night terrors… generally when am really exhausted and haven’t slept till late
any link ??

These are not particularly different, actually. They both suck for a Total T. How far after PCT was the second one? Were they both the same time of day? Fasted?

Not fasted …one test was around 11am and other around 9am different days … these tests were a around 4 months after PCT

That could be just the difference between 9 AM and 11 AM, actually. Your number is pretty fluid when you’re natural. Techically being fasted isn’t supposed to make a difference for testing Test, but it’s good to know if the conditions were the same.

Systemlord do you still think I need to go for TRT ? What do you think about what mr inquisitive said about a1c levels ,insulin etc could they be a cause ?

Or are they another side issue which needs to be addressed separately and not linked ?

You’re lost without TRT, there is just no way you will ever produce enough testosterone to get Free T to where it needs to be, not approaching 40 when decline is seen. You will have to get used to donating blood to keep HCT from getting out of control, it’s already at 49% with Free T very low.

Some would say let HCT run wild, not many doctors will allow 54%>.

I was thinking what if I go for 100mg e5d test enanthate without consulting a doc for 1-2 months to see how it goes ?

and later than get blood labs done to fine tune maybe with defy labs later

Defy labs require the below tests do you think it’s necessary after all the tests I’ve done?
Igf1
shbg

Do you think I need any other tests done ?

For my low vitamin b12 can I go for oral supplements 1000mcg/day sublingual or injections are better?

Please need some guidance

I have decided to try out TRT by myself for a a few months and see how I feel

Also using oral methylcobalmine b12 sublingual 1000mcg for low b12 levels

I was thinking of going for once a week T of shots of the below injection which would be a total of 135mg/week?? or maybe twice weekly what do you all suggest?

Btw the Testosterone I have says it contains 110 mg enanthate and 25mg propionate so it would be a total of 135mg test per ml right?..but at the same time it says 100mg/ml what’s the deal with that’s?
Attaching a pic of the injection

I am not being able to find any doctor any my country who is qualified or knows about TRT …so please need some guidance in doing this myself appreciate all the help I can get