A little story to explain why is 20 year old on TRT. Seems odd, right?
For majority of my teenage years I've felt unmotivated, depressed, had no libido or interest in girls it felt as I'm worse than anyone else. So I've read about it and when I was about 19 I did blood: Testosterone and Prolactin it returned as following:
Total Testosterone: 277 ng/dl (ref. range: 241-827)
Prolactin: 25 ng/ml(ref.range 2-17)
I thought this is it. I went to the doctor and told him about the problems I'm experiencing and how it's ruining "what could be the best years of my life" He agreed, but told me to do more tests before we commit to TRT, so I did:
TSH: 4 mIU/l (ref.range 0.38-5.33)
LH: 5.28 mUI/ml (ref.range 1.5 - 9.3)
FSH: 7.5 mIU/ml (ref range 1,4-18,1)
Cortisol: 25 ug/dl (ref range 6.7 - 22.6 )
Total Test: 190ng/dl (ref range 241-827)
DHEA SO4: 361 ug/dl (ref range 80 - 560)
Androstedion: 3.15 ng/ml (ref range 0.6- 3.1)
With that checked, he put me on 250mg of Sustanon every two weeks and the first week I had more energy, I won't lie, my penis started working too I think. But the next week was a nightmare, so I checked the blood again, because I thought it's Estrogen spike related, it turned out to be true:
Total Test: 1300 ng/dl
E2: 90 pg/ml (ref range to 39.8)
So I went back again and told him I want to split the dosage, 125mg/a week seemed like a smart thing to do.
Things didn't get any better. After a month of doing just 125mg a week I did blood again, it came back:
Total Test: 650 ng/dl
E2: 60 pg/ml (ref range to 39.8)
It's hell, side effects are terrible.
-Huge Depression, especially in the morning
-Penis is cold almost all day, even when it gets hot it feels limp and dead
-no libido, even the hottest girl wouldn't do anything to it, I'm just not interested and it hurts me the most
-tired as hell, not as tired as I was pre-TRT, but it's damn close. it almost feels like I'm after a long night of heavy drinking
-sometimes get dry and red skin
-bloat occurs as well with weird oily skin
-acne, well yeah, but nothing terrible
-sometimes I feel like suicide might be the best option for me
-I also get the weird urge to kill someone
So with all of that, I came up with the idea that it might be Thyroid related, right? Maybe that's why even 125mg of test is converted into so much E2. My grandmother has the problems with thyroid, so I checked:
TSH: 3 mIU/l (ref range 0.38 - 5.33 mIU/l)
FT3: 6.36 pmol/l (ref range 4.7 - 7.2 pmol/l)
FT4: 15.86 (ref range 10.7 - 18.4 pmol/l)
E2: 58 pg/ml (ref range up to 39.8)
Prolactin: 14ng/ml(ref range 2.1 - 17.7 ng/ml)
Total Test: 664.55 ng/dl
SHBG: 9.04nmol/l (ref range 11.4 - 52.3 nmol/l)
So it's not thyroid related, right? What else could be wrong?
If you can please share some thought, I'm in the dead end. Majority of doctors in my country only care about thyroid related problems as they lack the knowledge beyond that. Maybe AI? If so, what dosage and what to use.
Thank you for your time.