Hi guys, I'm new to the forums. I have low free T and have seen a couple of docs, but haven't started TRT yet. I read the stickies.
age : 23
height : 6 ft tall / 183cm
waist : 31.9 inches / 81cm
weight : 153 lbs / 70kg
I display a decent beard, but it's not very dense. I have very little hair on my upper body, but much more on my legs
WHERE I CARRY FAT
I carry some fat around my hips and lower belly, but I'm still rather slim overall.
SYMPTOMS / HEALTH CONDITION
Was diagnosed with depression 3 years ago, but low mood, apathy, social anxiety and social withdrawal have been ongoing problems since childhood. I have a hard time concentrating on anything, and my short term memory is bad. I feel sluggish, mentally slow and I sleep 10-12 hours a day whenever I can as I feel tired on a daily basis. When I talk to someone or try to listen to a professor giving a lecture, I donÃ¢??t seem to absorb the information and can't focus.
I've had troubles maintaining erections ever since I was around 17 or so.
To top it off I also feel physically weak.
HISTORY OF MEDICATIONS & OTC DRUGS
I've taken antidepressants - citalopram, Cymbalta, Wellbutrin, moclobemide ,Valdoxan, and Marsilid, an irreversible MAOI. I've also taken Abilify & Solian (atypical antipsychotics) at low doses. I've swallowed all of these within a period of 2 years, not spending more than 2-4 months on any given med. I haven't taken psychiatric meds for a year now, but my penis still feels numb, as if it was some residual side effect from the antidepressants.
I've also taken Armour Thyroid for 2 months (60mg for one month, 120mg for the next month) to see if it helped with my depression, although I was not clinically diagnosed with hypothyroidism. It initially improved my mood, but then the latter went back to baseline after a week and I developed an even harder time focusing on various tasks in general, and my erectile dysfunction got worse. I quit taking the med 6 months ago, but my cognitive and erectile abilities still aren't back to where they were - and these were bad to begin with! - which worries me enormously. The thyroid labs are shown below.
I am currently on DHEA(100mg) & pregnenolone(200mg) every day, and it's been 4 months. I also take a cheap multivitamin, some magnesium, vitamin D (5000 IU) and omega 3.
Some variation of the paleo diet. I mostly eat fish, meat, eggs, green veggies, rice, potatoes & sweet potatoes. No starvation diet or anything of the sort. I do not restrict salt.
I barely train. I walk every day, and occasionally workout with bodyweight exercises (twice a week at most). Back when I used to go to the gym 3 years ago, my recovery time was awfully long and my lack of drive caused me to give up.
I've never had morning wood, even as a teen.
After waking up: 96.6
These temperatures were taken orally. According to the sticky there's a problem.
Thyroid hormones 26/03/2014 (before taking Armour Thyroid hormones)
TSH 2.42 (0.3 - 5.6)
fT3 2.90 (2.5 - 3.90)
fT4 7.9 (6.1 - 11.2)
Thyroid hormones 27/11/2014 (5 months after quitting Armour)
TSH 1.78 (0.3 - 5.6)
fT3 3.29 (2.5 - 3.90)
fT4 8.4 (6.1 - 11.2)
Testosterone and other hormones 25/07/2014 (2 weeks after quitting Armour)
Free T 6.4 (8.9 - 42.5) pg/ml
Bioavailable T 1.05 (1.00 - 3.70)
Total T 453 (300 - 1100)
FSH 1.2 (1.5 - 15)
LH 3.4 (1 - 9)
Estradiol 24 (< 20 - 48)
Cortisol (8AM) 12.6 (6.7 - 22.6)
Cortisol (4PM) 7.7 (7 - 17)
Free Cortisol (24h) 25 (20 - 50)
ACTH 18.6 (5 - 60)
DHT 0.26 (0.33 - 1.20)
Pregnenolone sulfate 23 (40 - 120)
DHEA-S 1766 (2110 - 4920)
Testosterone and other hormones 27/11/2014
Bioavailable T 1.14 (1.00 - 3.70)
Total T 486 (175 - 780)
FSH 1.4 (1.5 - 15)
LH 3.7 (1 - 9)
Estradiol 32 (< 20 - 48)
DHT 0.32 (0.33 - 1.20)
DHEA-S 2090 (2110 - 4920)
PSA 0.42 (< 4)
Prolactine 7 (2.6 - 13.1)
As you can see, my total T isn't as much of a problem as my Free or bioavailable T.
MRI scan in November 2014 revealed no tumor, but my pituitary gland apparently displays a slightly convex shape from the frontal view. According to my last endocrinologist it means it's under-active.
He wanted to start me on 125mg T enanthate per month all in one injection, which is moronic. He also told me monitoring estradiol was useless during TRT, so I nexted the idiot.
I've been seeing another doc, an anti-aging specialist. He's the one who put me on DHEA and Pregnenolone 4 months ago in the hopes that it would boost my T, since I'm deficient in both Preg' & DHEA. I'm seeing him again in February, and if my Free T hasn't augmented he wants to put me on testosterone. He seems to be a fan of gels instead of injections, idk if he'd allow me to self-inject twice a week. He also seems to dislike HCG but maybe there's some room for a bit of convincing...
While the stickies on this forum mention that T injections are the way to go, I've heard the internet-famous Dr Crisler prefers to start with Androgel. If there are no absorption issues with my skin, I'd be better off going for the gels, wouldn't I?
I'm ready to hear any advice you guys have to give vis-a-vis my situation. Here are a couple questions:
If my Free T is low but my Total T normal, does that mean I'm going to have to take a big amount of T to compensate for the SHBG and actually feel the effects of T?
If my tendency to be apathetic and socially withdrawn dates back to my childhood, would that mean that these symptoms aren't linked to testosterone?
Do you think I screwed myself up completely by trying out thyroid hormones for 2 months (I think I went for too high of a dose)? I'm desperate to achieve better mental clarity, I literally feel like an 80 year old in body and mind.