DIY TRT vs Medically Supervised TRT

[Youthful55guy]

YG55 years back when my issue was finally caught I was at a 59 Total T level and really didn't know it. Other than not being able to gain weight I thought I was fine at the time. Once corrected you see how wrong you really were! I imagine just a slow adaptation process to the lower T level. Now, if it were like turning off a switch it would be completely different.

Good point, like the frog in a pot of water. I guess I've never been in that situation. As you know, my problem is with SHBG production. Nevertheless, I still strongly suggest that he double check the lab test (TT or bioavailable) and also repeat the labs along with the others. If his TT really is that low, a lot of other endocrine markers should be way off too, in particular, estradiol & DHT should be very low. I think too an LH/FSH scree will be very helpful, as he could have a testicular injury. If that were the case, LH/FSH would be very high and TT would be very low. While it would not rule out a pituitary tumor, it would lessen the urgency of an MRI. Bottom line is that with T levels that far out of range, he needs the consult of a good endocrinologist and not go it alone, as that might just mask a much more serious underlying condition until it's too late.

[kelkel]

Good point, like the frog in a pot of water. I guess I've never been in that situation. As you know, my problem is with SHBG production. Nevertheless, I still strongly suggest that he double check the lab test (TT or bioavailable) and also repeat the labs along with the others. If his TT really is that low, a lot of other endocrine markers should be way off too, in particular, estradiol & DHT should be very low. I think too an LH/FSH scree will be very helpful, as he could have a testicular injury. If that were the case, LH/FSH would be very high and TT would be very low. While it would not rule out a pituitary tumor, it would lessen the urgency of an MRI. Bottom line is that with T levels that far out of range, he needs the consult of a good endocrinologist and not go it alone, as that might just mask a much more serious underlying condition until it's too late.

Absolutely agree.