I’ll make this as brief as I can, but it’s a long story and I’ve tried to include all relevant details.
I’m a 24 year old guy who’s been training for about ten months. Despite having my workout routine and diet completely dialed in (working with both powerlifters and nutritionists), progress has been slow and I think I’ve gained around 2-3lbs of LBM in the past ten months. My lifts are garbage, especially given my height, age, and bone structure.
I haven’t had much energy and have been making slow progress for a while now (read: forever) but never thought anything of it, I just figured this was how people felt. But about a month and a half ago I started feeling much much worse than normal. I felt tired and unmotivated, I didn’t have much of an appetite, and I was having trouble sleeping. It felt to me like B12 deficiency, which I have had in the past. I went to my doctor and got bloodwork done for a B12 and D deficiency, both of which returned results at the high end of normal. We ruled out a vitamin deficiency. We also did TSH and T4, just to see if it was thyroidal - T4 and TSH also came back normal.
As the weeks went on, I started to lose strength in the gym. For example, I had previously been able to do 55lb skullcrushers for 4 sets of 12 reps, and I started struggling with 3 sets of 45 of 10 reps. I lost 10lbs on my bench press and 15lbs on my squat. My deadlift stalled. I started seeing a noticeable loss of muscle mass, which I had worked so hard for. My hair began thinning visibly, falling out in the shower and showing more of my scalp in the front, and - this one may be just in my head - I don’t need to shave as often.
I began looking up low testosterone and decided it was worth being screened for, so two weeks ago, on a Thursday (perhaps relevant, Wednesday is my off day from the gym) I asked my doctor to test me for Total Test, Free Test, LSH, LH, Estrogen, and, just in case, T3/reverse T3. He agreed to do Total Test and T3/reverse T3. T3/reverse T3 came back normal.
The next business day (Monday) I went in and he put me on TRT (I thought this was a hasty decision, but what do I know). 200mg/mL of Test C every two weeks. He also referred me to an endocrinologist, who is booked through December (I made an appointment with one of his associates, but for the end of October). He told me we would need to do more blood work before I began the injections, and to come in some day to do the bloodwork (Total Test, Free Test, LSH, LH, and Estrogen) and they would show me how to inject.
I hit the gym Tuesday and felt even weaker than normal. I’m also having increasing trouble maintaining erections, and my once legendarily-large volumes of ejaculate (okay, maybe I’m exaggerating a little) have suddenly become a thin dribble of watery fluid. Needless to say the girlfriend isn’t as happy as usual.
I picked up the Test on Tuesday Night - a four month supply - and came in on Wednesday morning, where they did the bloodwork. My first round of bloodwork that diagnosed me at 217 ng/dL was done at 9:15 on a Thursday, this was done at 9:20 on a Wednesday, for what it’s worth. Anyway, they then told me that they couldn’t start the injections until they had analyzed the bloodwork, but taught me how to do them anyway.
I get a call from the doctor this morning.
Total Test: 401 ng/dL
LH: 4.8 mIU/mL
FSH: 7.6 mIU/mL
so I have been advised not to start the injections until I can get more bloodwork done, as he suspects a lab error, since my Test somehow almost doubled in a matter of days. So I need to take more time off work and come in at some point next week, meanwhile I’m feeling progressively more and more awful.
Has anyone ever heard of anything like this happening? Is it really a lab error? Is my doctor an idiot? I’m frankly quite skeptical of his TRT knowledge given that he gave me a four month supply of Test C from a single blood test, to be administered with 18g needles. I just feel like maybe you don’t give a 24 year old guy $650 worth of a Schedule III controlled substance and ENORMOUS needles if you really know what you’re doing.
But what do I do? Where do I go from here?
Any and all information and support is appreciated. Thanks!