Yes, I could barely walk to the bathroom without getting insanely fatigued. My heart was pounding every time I try to move. My eyes were heavy. I felt lightheaded and also when my T dosage wasn’t high enough.
Now my energy levels are almost endless, because my T is peaking at 1052 ng/dL. If I hadn’t gone on TRT 7 years ago, I probably would have had my first heart attack by now.
You need to start thinking about the consequences of not having healthy T.
As far as i know primary is indicated by a low LH level, where mine is in the middle of the range. 4.3 IU/I (1.7-8.6) Is it lowish?
I went to see an Andrologist, Urologist & Endocriniologist and they were saying all is good, thats the problem for my head to accept i have to take shots for life with possible unknown side effects later the years.
Thats me in the light version. I am still able to workout 3xweek and able to work (office job) but in late afternoon its hammering me down. After work its hard to keep up with the kids. The lightheadedness is also a big concern for me.
I believe low LH means secondary hypo not primary. It means your pituitary is not working. Primary means your boys are not working. Please correct me if I am wrong.
Your LH is near midrange, yet your testosterone is abnormally low. This points to combined (mixed) hypogonadism. You see this is people with metabolic syndrome where the metabolic abnormalities are causing the testicles to not function normally as well as the pituitary gland.
It’s as if your pituitary doesn’t detect low-T and attempt to increase the LH to get the T to increase. A classic secondary hypogonadal male has low LH, FSH and low-T.
I had a Total T at 91 ng/dL and an LH at 3.6 and FSH 4.6, that’s because I have mixed hypogonadism caused by metabolic syndrome/Type 2 diabetes.
The only way to cure me and restore my normal testosterone is to reverse the diabetes, but I can’t do that without TRT.
Mixed hypogonadism is often included within the secondary hypogonadism category. It should be noted that low testosterone can be caused by a combination of both primary and secondary hypogonadism (also called mixed hypogonadism) that reflects defects in the hypothalamus and/or the pituitary as well as the testes .
Correct but you need FSH and LH to diagnose. Primary would show elevated levels of FSH/LH and low T. You need both because FSH is more stable of a measurement.
The side effects of high testosterone is longevity and the effects of low-T are grim. Just look at the covid data, the low-T group of people had the most severe cases and higher death rates.
Interesting. I will start to read the metabolic syndrome right away. But is my T that abnormally low? Thinking it’s kind of lowish. Compared to yours mine is 3.3 times higher.
Last FSH reading has been 2.4 (1.5-12.4) so yes, that’s kind of low. But isn’t FSH more for sperm production? Thought LH is the main driver for T development.
Correct. My boys had been ultra sounded and seemed fine volumewise.
Give it 10-20 years. You’ll come around.
The majority of secondary cases find no problems with the pituitary or testicles. The cause is unknown. Difficult to treat something when you don’t know the cause.
What manifested your metabolic syndrome?
My lipids don’t indicate it:
Type 2 Diabetes, metabolic syndrome and obesity.
I plugged your low HDL into Google and it spit out metabolic syndrome and a much higher risk of heart disease. Your risk factor for heart disease is at least doubled from having low-T.
You have metabolic syndrome for the fact you have low energy at midday. The experts in this field say there are three reasons for secondary cases of low-T, one is obesity, metabolic syndrome and type 2 diabetes.
The treatment is lifestyle changes, diet and TRT/hCG/clomid.
What happens with HDL when going on trt as it might lower it further? Doing more cardio?
Mayoclinic:
HDL levels are typically lower in people who have metabolic syndrome — a cluster of conditions that include obesity, increased blood pressure and high blood sugar levels.
Im not obese, blood pressure and blood sugar is fine.
Good Morning. Have compared my old labs, in 2021 when i was on TRT, my HDL was down to 44. So without TRT i have worked it up by 13 points. So to be honest, my current value doesnt look that bad to me.
Just an update for whoever is following this thread. I have restarted my TRT 3 weeks ago with 50mg twice a week SubQ.
Couldn’t stand it anymore to feel that down.
@systemlord you were right I was trying to talk my self out of it, but only 3 weeks in I feel that it’s the right decision to be on it again. Thanks for convincing me.
