T Nation

26 Years Old, Low Testosterone Symptoms


#1

Hi guys

First post.

26 years old
5ft9
65kg

I’ve been experiencing all the classic feelings of low t for a couple of years now and I’ve been blaming it on having a busy schedule. I recently decided to get tested as the symptoms (tiredness, fatigue, poor muscle recovery, low libido) were getting worse.

Here are my levels

Testosterone: 20nmol/l - range 7.6- 31.40

Free testosterone (calculated) 0.263 nmol/l (low) - range 0.30-

DHEA: 8.59umol/l - range 0:44-13.40

Follicle stimulating hormone: 4.44IU/l - range 1.50-12.40

Luteneising hormone: 9.22IU/l (high) range 1.70-8.60

SHBG: 65.4 nmol/l (high) range 16.0 - 55.0

Free androgen index: 30.58 ratio. Range - 24.0-104.0

17-beta oestradol: 58.6 pmol/l range 0.00/191.99

My GP doesn’t seem concerned with the numbers because my testosterone is in the normal range. However to my understanding from basic research on the internet my free testosterone is below normal and my LH and SHBG are both above normal which is what could be the reason for the symptoms I’m experiencing.

Would trt be a sensible option with these numbers? May have to go private as my NHS gp isn’t too concerned.


#2

Forget about the NHS, pure waste of time. The criteria for you to get TRT is so strict and unless doctors realise how SHBG works, they not going to see a connection on how free T is affected by high values. It amazes me how little doctors know, their knowledge is so limited it’s scary.

Most doctors fail miserably at male hormones, medical schools don’t even cover it. Doctors become good at TRT by a desire and everything learned about male hormones is experiential, trial and error.

So that cuts out the majority of doctors who are lazy and probably suffering from a testosterone deficiency themselves. Your problem is your GP, they don’t do male hormones and is like asking the opinion of car mechanic if he could tell you what’s wrong with your swimming pool pump.

You require a hormone specialist and the NHS doesn’t have any of those which is why guys are routinely denied TRT. When an NHS doctor has no idea one way or the other whether you’re suffering a testosterone deficiency, just to get you out of their office they say your number are in the normal range. It’s an easy way out and it’s lazy.

They don’t want to stick their neck out and get in trouble if something should happen, there’s a lot of fear in the medical community surrounding TRT. Fear leads to inaction.

NHS doctors are a lost cause, I would say the same about our VA doctors as any state healthcare will be the lowest common denominator, rock bottom.

You must go private.


#3

With high SHBG you get a lot of non-bioavailable SHBG+T that reduces FT and inflates TT that then overstates your T status. So your TT is misleading and all of this is too complex for most doctors to understand.

Please directly edit your post and add lab normal ranges to the results so we can better deal with this.

Your low FT is reducing FT–>E2 which explains the low E2.

LH seem high, but is released in pulses with short half life and any given LH result may not represent average levels. This LH may be a peak. Often FSH with its longer half life is a better indicator of LH status than LH itself. Your labs suggest that your testes are not working very well.

Please also post whatever else you have for labs, normal or not.

Try to get FT tested directly if possible.

SHBG is increased by high E2 and lowered by low E2. Low FT increases and high FT decreases. So TRT is expected to change this. However some guys have unexplained high or low SHBG. SHBG is made in the liver to scavenge sex hormones. Some liver problems can lead to high SHBG.
https://en.wikipedia.org/wiki/Sex_hormone-binding_globulin#Conditions_associated_with_high_or_low_levels.

Some lab work for liver function would be good at this point.

Many who come here have some thyroid function issues. All the more with stress. Please evaluate via oral body temperatures - see below.

In the UK, iodized salt is only in a few shops and not utilized very much. If you do not consume much dairy food, you are iodine deficient. Please discuss.


Please read the stickies found here: About the T Replacement Category

  • advice for new guys - need more info about you
  • things that damage your hormones
  • protocol for injections
  • finding a TRT doc

Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.

KSman is simply a regular member on this site. Nothing more other than highly active.

I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.

The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.


#4

Thanks for the informative reply.

In response to your questions…

Currently this is all I have for labs, I wanted to start off with my testosterone levels as I suspected this was the main reason for my symptoms. I used medichecks for these however I did a blood test at my doctors last week so once I have them I can compare and have more results including liver.

I consume very little dairy, my only dairy source is Greek yoghurt that I have daily. I’ve never even heard of iodised salt before so that is something else I will need to research.

In regards to finding a TRT doctor in the UK it seems quite a challenge. No endocrinologists or urologists near me even mention specialising in trt. I’ll add that to the list of research


#5

Use the search function to locate a doctor or email Jay Campbell at TRT Revolution for doctors in your area.

I drink a lot of milk and just so happens I have excellent thyroid numbers with great temperatures (98.7), I typically drink about a gallon every 24 hours.


#6

According to a Japanese study, drinking cows milk results in increased serum estrogen and progesterone levels, which suppressed GnRH secretion from the brain and results in lowered testosterone secretion in men.

Another study from Ganmaa et al. found out that when Mongolian kids switch their milk into the kind from US, their estrogen levels shoot up. This is likely caused by the difference in milk producing between the countries, in Mongolia cows are kept pregnant for much shorter duration during the lactation period.