Damn low T!

[emguru71]

Hey guys,

Just got diagnosed, love the good things I'm hearing scared of the negative. My insurance covers the depo, but nothing else. I would like to start with 100mg a week injected. I will be doing self injections if I decide to do this. I have never had a problem with sexual function in fact I can go 2 to 3 times a day every day when I'm in a relationship. I do have fat on my stomach that I can't get rid of and my attitude has sucked for a long time. I don't have an issue pushing myself to get things done I just don't enjoy life like I did when I was younger this has gone on a long time. I would have never guessed my T was as low as it is, but it does correlate with a lot of feelings that I have. I'm 42 and have been unhappy for at least 12 years. I have trouble staying focused and was on adderall for 4 years but had to quit it because I was starting to rage as the doses kept climbing to help me stay focused. My question I guess is there anything that I can take naturally to get my T back in the 6-700 range. Once starting this can I ever stop? I have an appointment at a TRT clinic Thursday and want to get this steered in the right direction. Should I start and estrogen blocker immediately? without wanting children and not concerned with my nuts shrinking is HCG necessary. With the 4 vials of 100mg depo covered at $30 a month what are my out of pocket HCG and estrogen blocker going to run me a month? My numbers are below. I'm glad there are sites like this to try and gain information. I have never been a fan of the doctors office as they always find something wrong....

Tests: (1) CBC W/AUTO DIFF (1000)
WBC 9.4 K/UL 4.0-11.0
RBC 4.92 M/UL 4.10-5.70
HEMOGLOBIN 14.4 G/DL 13.0-17.0
HEMATOCRIT 42.7 % 37.0-49.0
MCV 86.8 fL 80.0-100.0
MCH 29.3 PG 27.0-34.0
MCHC 33.7 G/DL 32.0-35.5
RDW 13.5 % 11.0-15.0
NEUTROPHILS 74 % 40-74
LYMPHOCYTES [L] 18 % 19-48
MONOCYTES 6 % 4-13
EOSINOPHILS 1 % 0-7
BASOPHILS 1 % 0-2
PLATELET COUNT 248 K/UL 130-400

Tests: (2) LIPID PANEL (173)
CHOLESTEROL 177 MG/DL <200
TRIGLYCERIDES 78 MG/DL <150
HDL CHOLESTEROL 59 MG/DL >39
CALCULATED LDL CHOL [H] 102 MG/DL <100
RISK RATIO LDL/HDL 1.74 RATIO <3.55

Tests: (3) TSH REFLEX TO FREE T4 (2834)
TSH REFLEX TO FREE T4
0.9 UIU/ML 0.5-4.7

Tests: (4) BASIC METABOLIC PROFILE + e-GFR (145)
GLUCOSE 82 MG/DL 65-100
BUN 15 MG/DL 8-25
CREATININE 1.1 MG/DL 0.8-1.4
eGFR AFRICAN AMER. 89 ML/MIN/1.73 >60
eGFR NON-AFRICAN AMER.
73 ML/MIN/1.73 >60
SODIUM 136 MEQ/L 133-146
POTASSIUM 4.0 MEQ/L 3.5-5.3
CHLORIDE 103 MEQ/L 97-110
CARBON DIOXIDE 28 MEQ/L 18-30
CALCIUM 9.7 MG/DL 8.5-10.5

Tests: (5) LIVER (HEPATIC) FUNCTION PANEL (9175)
PROTEIN, TOTAL 7.1 G/DL 6.0-8.4
ALBUMIN 4.5 G/DL 2.9-5.0
BILIRUBIN, TOTAL 0.5 MG/DL 0.1-1.3
BILIRUBIN, DIRECT 0.1 MG/DL 0.0-0.3
ALKALINE PHOSPHATASE 70 U/L 30-132
SGOT (AST) 17 U/L 5-35
SGPT (ALT) 21 U/L 7-56

Tests: (6) PSA, TOTAL (2606)
PSA, TOTAL 0.5 NG/ML <4.0
Test performed by Siemens Centaur Chemiluminescent Assay.

Tests: (7) TESTOSTERONE , FREE/TOTAL WITH SHBG (4937)
TESTOSTERONE [L] 212 NG/DL 292-867
! TESTOSTERONE REF RANGE
SEE ABOVE SEE ABOVE
SEX HORM BIND GLOBULIN
43 NMOL/L 16-94
CALC FREE TESTOSTERONE
[L] 3.4 NG/DL 4.8-25.0
! CALC FREE TESTO REF RANGE
SEE ABOVE SEE ABOVE

[pappybay]

SHBG is mid-range and could be lower--this eats free Test (binds Free and renders it substantially of no value). Maybe I missed estrogen and estradiol number above?

100 Mg a week is a typical dosing from TRT clinics. I am at 190 MG a week with excellent success. I do use HCG (500IUs X 2 per week) as I want my scrotum full and hanging--cost is very manageable per month, less than sixty...PSA is great BTW.

You need to be prepared to use an AI. If you are having high E2 issues now, you will also have the same, if not greater issues, on TRT. Your insurance should cover an AI like Arimidex (anastrozole).

[emguru71]

Thanks Pappybay do you think it is possible that I only need to take an estrogen blocker and zinc?

Again thanks for the response!

[Trific]

Welcome!

Good job on getting those lab reference ranges listed too!

It's possible clomid and/or HCG could get you to that 600-700 total test range.

[xcraider37]

Hey guys,

Just got diagnosed, love the good things I'm hearing scared of the negative. My insurance covers the depo, but nothing else. I would like to start with 100mg a week injected. I will be doing self injections if I decide to do this. I have never had a problem with sexual function in fact I can go 2 to 3 times a day every day when I'm in a relationship. I do have fat on my stomach that I can't get rid of and my attitude has sucked for a long time. I don't have an issue pushing myself to get things done I just don't enjoy life like I did when I was younger this has gone on a long time. I would have never guessed my T was as low as it is, but it does correlate with a lot of feelings that I have. I'm 42 and have been unhappy for at least 12 years. I have trouble staying focused and was on adderall for 4 years but had to quit it because I was starting to rage as the doses kept climbing to help me stay focused. My question I guess is there anything that I can take naturally to get my T back in the 6-700 range. Once starting this can I ever stop? I have an appointment at a TRT clinic Thursday and want to get this steered in the right direction. Should I start and estrogen blocker immediately? without wanting children and not concerned with my nuts shrinking is HCG necessary. With the 4 vials of 100mg depo covered at $30 a month what are my out of pocket HCG and estrogen blocker going to run me a month? My numbers are below. I'm glad there are sites like this to try and gain information. I have never been a fan of the doctors office as they always find something wrong....

Tests: (1) CBC W/AUTO DIFF (1000)
WBC 9.4 K/UL 4.0-11.0
RBC 4.92 M/UL 4.10-5.70
HEMOGLOBIN 14.4 G/DL 13.0-17.0
HEMATOCRIT 42.7 % 37.0-49.0
MCV 86.8 fL 80.0-100.0
MCH 29.3 PG 27.0-34.0
MCHC 33.7 G/DL 32.0-35.5
RDW 13.5 % 11.0-15.0
NEUTROPHILS 74 % 40-74
LYMPHOCYTES [L] 18 % 19-48
MONOCYTES 6 % 4-13
EOSINOPHILS 1 % 0-7
BASOPHILS 1 % 0-2
PLATELET COUNT 248 K/UL 130-400

Tests: (2) LIPID PANEL (173)
CHOLESTEROL 177 MG/DL <200
TRIGLYCERIDES 78 MG/DL <150
HDL CHOLESTEROL 59 MG/DL >39
CALCULATED LDL CHOL [H] 102 MG/DL <100
RISK RATIO LDL/HDL 1.74 RATIO <3.55

Tests: (3) TSH REFLEX TO FREE T4 (2834)
TSH REFLEX TO FREE T4
0.9 UIU/ML 0.5-4.7

Tests: (4) BASIC METABOLIC PROFILE + e-GFR (145)
GLUCOSE 82 MG/DL 65-100
BUN 15 MG/DL 8-25
CREATININE 1.1 MG/DL 0.8-1.4
eGFR AFRICAN AMER. 89 ML/MIN/1.73 >60
eGFR NON-AFRICAN AMER.
73 ML/MIN/1.73 >60
SODIUM 136 MEQ/L 133-146
POTASSIUM 4.0 MEQ/L 3.5-5.3
CHLORIDE 103 MEQ/L 97-110
CARBON DIOXIDE 28 MEQ/L 18-30
CALCIUM 9.7 MG/DL 8.5-10.5

Tests: (5) LIVER (HEPATIC) FUNCTION PANEL (9175)
PROTEIN, TOTAL 7.1 G/DL 6.0-8.4
ALBUMIN 4.5 G/DL 2.9-5.0
BILIRUBIN, TOTAL 0.5 MG/DL 0.1-1.3
BILIRUBIN, DIRECT 0.1 MG/DL 0.0-0.3
ALKALINE PHOSPHATASE 70 U/L 30-132
SGOT (AST) 17 U/L 5-35
SGPT (ALT) 21 U/L 7-56

Tests: (6) PSA, TOTAL (2606)
PSA, TOTAL 0.5 NG/ML <4.0
Test performed by Siemens Centaur Chemiluminescent Assay.

Tests: (7) TESTOSTERONE , FREE/TOTAL WITH SHBG (4937)
TESTOSTERONE [L] 212 NG/DL 292-867
! TESTOSTERONE REF RANGE
SEE ABOVE SEE ABOVE
SEX HORM BIND GLOBULIN
43 NMOL/L 16-94
CALC FREE TESTOSTERONE
[L] 3.4 NG/DL 4.8-25.0
! CALC FREE TESTO REF RANGE
SEE ABOVE SEE ABOVE

We need to see more blood work, before deciding to do anything get your LH, FSH and prolactin checked, this can determine what route of therapy you need to take.

Also a sensitive estradiol test would help and another morning testosterone panel.

[LowT Mike]

Man you guys make my job easy. Every comment above ^^^^ is great adivice and along the same ideas as any well educated age-managment practitioner. My work here is done. I continue to be very impressed with memebers of this forum and the amount of education and ability to grasp and apply that education to help others.

[pappybay]

Thanks Pappybay do you think it is possible that I only need to take an estrogen blocker and zinc?

Again thanks for the response!

I would get a script for anastrozole, but not take it at first. Wait about 4-5 weeks and then run labs, check your E and E2. If things look good (say mid-range) and no signs of gyno, you are good to go. If you get signs of gyno, start at .25 mg E3D and adjust based on results.

Zinc is good. Add D-3, magnesium and Fish Oil. All three are important for you overall health and proven to be effective.