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  1. #1
    lancerevo is offline New Member
    Join Date
    May 2014

    On the road to TRT...lancerevo's chronicles - All opinions/feedback appreciated!

    Wanted to start a fresh thread to log my journey on the path of TRT. Found out I had low T back in April and have been spending countless hours of research everyday since then to get a full understanding of what's going on. I feel like I've done or am doing almost everything to get my test up without actually starting TRT. Below are my chronicles.

    Been having symptoms for years, but just recently got the time to get blood work done. 26 y/o male been having symptoms of Low T - poor sleep, constant fatigue, absolute no sex drive. I train very seriously, lift 4-5x a week, and my nutrition is spot on. Currently 183 pounds around 14% BF, waist ~33 inches. Just been having poor recovery which is what got me to get BW back in April. Kinda new I had low test as I had it checked when I was 22 and was in the mid 400s then for total t. Have never done anabolic steroids before

    Medical history
    High blood pressure - used to run high at 160 but with lifestyle changes now down to 130
    Diagnosed with hiatal hernia so have acid reflux from that

    Current med list:
    Omeprazole for a acid reflux
    Isotonix Multi vitamin, B vitamins, OPC-3, calcium
    Vitamin C 2-4g
    Vitamin D 10K IU
    Fish oil 2 caps
    DHEA 50mg
    Pregnenolone 50mg

    All blood work uses labcorp values

    April blood work:
    WBC 5.1
    Hemoglobin 15.3
    Hematocrit 44.3
    MCV 88

    Glc 87
    BUN 16
    Cr 1.16
    Sodium 139
    Potassium 4.3
    Chloride 101
    Carbon Dioxide 25
    Calcium 9.8
    AST 36
    ALT 34

    Total Cholesterol 134
    Triglycerides 55
    HDL 38
    LDL 85
    VLDL 11

    Hemoglobin A1c 5.3

    Thyroid Panel
    TSH 2.070 (0.450 - 4.5)
    Free T4 1.30 (0.82-1.77)
    Free T3 3.7 (2-4.4)
    Reverse T3 19.7 (9.2-24.1)
    Thyroid Peroxidase Antibody 6 (0-34)

    Adrenal Panel
    Aldosterone 5.6 (0-30) Borderline low
    ACTH 27.5 (7.2-63.3)
    Cortisol AM 14.1 (6-19)
    DHEA Sulfate 144.9 (138.5-475) Borderline low
    Pregnenolone 105 (<150)

    Vitamin B12 1287 HIGH (211-946)
    Folate 13.2 >3
    Vitamin D 25 Hydroxy 28 LOW (30-100)
    Magnesium 2.1
    Selenium 144 (79-326)
    Zinc 149 HIGH (56-134)
    Ferritin 39 (30-400)
    Iodine 69
    Homocystein 5.8
    ESR 2
    CRP <1.0

    Total Testosterone 438 (348-1197)
    Free Testosterone 6.8 LOW (9.3-26.5)
    FSH 3.9 (1.5-12.4)
    LH 3.3 (1.7-8.6)
    Prolactin 13.6 (4-15.2)
    Estradiol 18.8 (7.6-42.6) (not sensitive)
    PSA 0.2

    After these tests I started on vitamin D, DHEA, vitamin c

    Repeat tests in June:

    Total test 515
    Free test 8.8
    SHBG 37
    Estradiol sensitive panel 4 (3-72)
    DHEA 233
    Vitamin D 41

    I also got a sleep study to rule out sleep apnea which came back negative.

    Also got an MRI head which show a VERY tiny pituitary microadenoma which was 1mm in size.

    Rechecked my prolactin which came back at 8
    Don't think pituitary is a cause for my low test.

    Saw an anti aging doc and endo who both wanted to start me on test. I opted to start for clomid first as a trial and they both agreed.

    Some things that I have also changed and tried:
    Went almost fully organic, including organic shampoo lotion soap etc
    Water filters and boiling all my water
    No plastics
    Did a parasite cleanse with wormwood - no change from this
    Tried ZMA - have me decent sleep but got bad headaches from this
    Currently trying to reduce any electromagnetic frequency while sleeping to reduce all that sleep disruption
    Last edited by lancerevo; 08-18-2014 at 03:16 PM.

  2. #2
    lancerevo is offline New Member
    Join Date
    May 2014
    So currently these are my theories on my low testosterone :

    1. Some form of adrenal fatigue. All my adrenal hormones are low. I have started supplementing pregnenolone for the past 3 weeks, also have been eating a ton more eggs to increase my cholesterol. Will be checking BW again in 2 weeks.

    2. Some form of thyroid disruption. TSH is a tad high at 2. Even though my free T3 and Ft4 are great, my rT3 is high with a ratio of 18.8 for fT3:rT3 and I know the optimal ratio is >20. This is further compounded by the fact that my body temps are very consistent at 97.3-97.7 all day long. Am starting iodine supplementation tomorrow and will recheck levels. Elevated rT3 could also be from stress and adrenal fatigue.

    3. Iatrogenic low T. If the preg, eggs, iodine don't help fix my T, I will be starting clomid at the beginning of sept.

  3. #3
    lancerevo is offline New Member
    Join Date
    May 2014
    I've also been pondering about my SHBG. I see it is on the higher side...I've been doing everything I can except actually taking reversitol to bring it down naturally.

    Sucks having a Total T in 500's (which is normal for some ppl on TRT to be on) but having a free test of 8!!

  4. #4
    lancerevo is offline New Member
    Join Date
    May 2014
    2 days into Iodine treatment....body temps have already started improving - running 97.7-98.2 now with the same thermometers. Definitely feeling a little bit more energized..maybe a placebo effect? we'll see what blood work shows in 2 weeks

    and I'd also love any feedback from anyone! Am i on the right track and right thought process? Things to change? things to try out? Thanks for reading!

  5. #5
    lancerevo is offline New Member
    Join Date
    May 2014
    The first 5 days of Iodine treatment literally felt like a god with so much energy.

    Now the past 3-4 days that has resolved and I'm back to baseline....which sucks. I need to find out how to get back to that feeling again! Blood work coming up this Tuesday morning

  6. #6
    lancerevo is offline New Member
    Join Date
    May 2014
    So thought I'd give a little update:

    Got repeat BW done:
    TT: 542
    FT: 8.7
    Estradiol Sensitive: 6
    SHBG: 36.5

    I'm still confused with my results. Do'nt know why I have such low Estradiol - may the low Estradiol is what is causing all my "hypogonadal" symptoms. But If I have low E2, that means I don't have enough Test to convert to the E2?

    Also got a Semen analysis. Results showed <100,000 sperm/ml, where normal is around 20 million sperm/ml. I have the results of an infertile man.

    I started Clomid at the beginning of the month - to see if my test levels increase at all (whether I'm primary or secondary) and to see if it helps with my sperm count for when I want to have kids. Haven't felt any relief in the "hypogondal" symptoms in the past 2 weeks I've been on Clomid...will be getting BW and semen analysis again next week to check results. I will most probably be stopping Clomid next week as I definitely feel more anxious, moody, depressed, and emotional all around since starting it.

  7. #7
    kelkel's Avatar
    kelkel is offline HRT Specialist ~ AR-Platinum Elite-Hall of Famer ~ No Source Checks
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    Sep 2010
    East Coast Dungeon
    Hi Lance,

    A pituitary tumor of 1mm can still wreak havoc on your hormones. Consider the average pituitary may only be 6mm or so. My pituitary is exactly that with a 2mm adenoma. Said adenoma totally shut down my T production to a 59 level and dropping. My point? Your doc saying it's a small tumor and not seeing a rise in prolactin is erroneous if that's his gauge for determining whether it effected T production or not, imho. Not all pit tumors are prolactinomas. They can have singular or multiple effects. Some even increase your TSH.

    Remember as well that there's not always a singular cause for low T. It could be several things and you are on the right track with self-education and investigating all avenues.

    SHBG does not really appear high if the scale is similar to Labcorps or around 19 - 76. That said, a bit lower is fine as well. Too low is not. Double your current Vit D level and maybe add some stinging nettle or avena-cosides to help. In reality the quickest way to lower shbg is to increase test levels.

    When it comes to your E being so low, some people simply convert less and you are relatively lean. Be sure you're not taking anything that will inhibit it from rising. It will come up as your test level rises.

    When it comes to stopping therapy, you need to give things time. Improvements are not over night. It can take months.
    -*- NO SOURCE CHECKS -*-

  8. #8
    lancerevo is offline New Member
    Join Date
    May 2014
    Thank you so much for the reply kelkel! I actually was taking 10K IU of Vitamin and forgot to include but my vitamin D level came back at 98! (with 100 being the upper limits of normal). So I will be backing off a tad bit on the Vit D.

    How do I go about evaluating this pituitary microadenoma and seeing what exactly it is affecting? I believe it is too small for medications or surgery, so seems like I would have to fix the effects as opposed to the cause.

    And since you stated SHBG is relatively normal, what's the cause for my somewhat normal total test but below normal free test?

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