18y/o, 263 Pounds, 176ng/dl Testosterone. Need Help

I just finished watching Dr Crisler’s video on Low SHBG. I realize that i will have to split my testosterone doses more than twice a week to keep a good flow. Estrogen will aslo be a very big factor since it will be harder for me to keep it in check which means i will have to use an AI with close monitoring from my doctor as to not shut down my estrogen.

I also finished reading Charlie12’s suggested articles. I was wondering if i should try to boost my levels naturally using some supplements or are my levels too low to even consider doing that?

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If you jump on trt , you will regret not trying anything else. Sleep on all that you read.

Once you run the diagnostic tests you will have a better idea on the next step. If you don’t follow a plan you will not make a confident decision and will continously second guess.

You already writing about injection frequency is not a good sign.

Write down a list of the labs and imaging test you need. Do them first. Keep reading in the meantime.

Then you can make an informed decision that will more likely result in success.

Good luck.

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I will do that tonight. and get them done on thursday. Thank you all for the help. It really made a difference and helped me cut through the misinformation

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BTW. You didn’t mention ED or libido issues.

Just saying if you have ED it’s ok to get Viagra while you figure this out.

With that low t I can’t imagine you can keep an erection. If you can’t it gets depressing. It did for me. I couldn’t even jerk off.

First of all, don’t panic.

How about a simple idea: Run your labs again, which is what I’m sure your endo is doing. As a physician the first thing I think when a patient’s labs seem to be inconsistent with their clinical presentation, is to rerun them. If your levels
are still the same, then I am sure your endo will order the appropriate studies.

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I forgot to mention that in my original post. surprisingly, my libido has barely changed. i can still keep an erection for a while, its a little bit harder but barely noticable

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Great point.

Run labs in the am within an hour of getting up after a good night sleep.

Trt for an 18 year old is the last resort.

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@charlie12 now that you mention after getting a good night sleep. i mostly sleep 6-7 hours because i dont know if its low t or anything else but even with melatonin i cannot sleep more than that and all my lab tests have been done with 6-7 hours of sleep. should i run apnea test even if i dont snore and underweight? i wonder if low t could cause some kind of insomnia or sleep issues. with my low igf1 too

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I had about same low t as you and I had no erection issues. Could of been better and more often but I could perform if needed.

Keep looking on how to fix yourself young man. You got this. Once exhausted all options go for the most obvious choice.

Don’t forget that your young and you have a long life ahead of you. No matter what you will get fixed. Whether it’s by finding what’s wrong or eventually starting trt. Don’t lose hope.

Yes low t causes sleep problems . For sure.

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Thank you. I will take the natural route (natural test boosting supp’s) as long as i can before i commit to TRT.

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Test boosting are bad for you. Don’t take anything that says something like “boost testasterone with me” these are known to lower T in men and there is not one supplement that will fix t levels … you need to take a medical approach and first find why it’s low and then fix the root of your issue .

Boosters and supplements are temporary for you. You need permanent fix brother.

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i see. i thought it was the other way around. thanks for clarifying

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OP, i can’t speak for myself about trt since im young and have’t injected myself yet, not because i fear needles or because i have to pay for them (not current issue) but when it comes to TRT you are in to replace what you cannot produce NATURALLY but what if you can still produce it naturally but theres a problem at hand.

you do know that if you have thyroid issues trt doesnt work (from what i read)? you need to adress that first.

the reason behind why trt is last resort atleast for me its because, in the wrong hands (doctor guidance) could be detrimental (from what i read) and well for a lot of people trt full protocol is expensive, you will be injecting for life, you need to monitor e2 and other shits.

but remember that low test is also detrimental. youre younger than me mate. theres no rush (imo) unless you really need to depend because its becoming hard to deal with life and low t symptoms.

awesome lifts. stay strong. God bless ya all

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Yah look into optimizing the thyroid for sure but there could be any number of reasons. Some people jsut cannot create the T. As always be glad you can do TRT. 50 or more years ago there was no solution. I bet people didn’t have these problems either… smh

That explains it all right but I don’t expect your experience to be any different with the endocrinologist or even a urologist. There are very few doctors in this country that know how to properly replace a man’s testosterone and mitigate all symptoms encountered.

There are some endocrinologist that refuse to prescribe aromatase inhibitors, estrogen blockers known as AI’s. If your endocrinologist offers you 200 mg every 2 weeks, it’s time to start searching for a new doctor unless you want estrogen sky high.

I might be able to determine by your hormone panel if your doctor is going to be successful at treating you. Often testing indicates what level he operates at in his understanding of endocrine disorders.

Thank you @systemlord. I will post my new bloods asap. Probably tmrw or the day after. If my Doctor ends up being unsuccessful with me, Do you know where I can search for a new Doctor? or Does anyone have a recommendation for an endo in the greater Orange County area?

I have you covered, I know of many doctors and telemedicine clinics for those who are unsuccessful in locating experienced doctors locally.

I have my list of local doctors at home. Another resource is Jay Campbell (TOT Revolution) who has a list of doctors worldwide.

I’m an Orange County resident, small world.

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Awesome thank you. It’s nice to know that I have backups just in case.

@enackers @systemlord how would I go about optimizing my thyroid? Is it only prescribed medication that can help?

system do you mind posting the list in here? im interested too