Recently went to a male health clinic. T level was at 870. He went to the clinic for two reasons. 1. He has a career that tests for any type of illegal substances and has considered testosterone before but needs Dr. Approval for coverage with his employer. 2. Has experienced lack of a sex drive and brain fog.
He lifts regularly and has taken otc test boosters. His test was done after a week long vacation with mild drinking and quite a bit of over eating. The night before his test he purposely drank and ate poor and stayed up late.
Of course the Dr recommend that he be prescribed test because he would feel much better in the 1200 to 1300 range.
He is not looking to put on 40lbs of muscle but would be happy with a lean 15 to 20. Recently he has lost motivation for training due a not being able to maintain the body he has when he was 26 and following all the same plans. Logging macros cutting carbs and cardio.
If he were to start trt would he run the risk of ruining this somewhat high level that he has now say 1 year or so down the road? How would he come off and what results would he see from sitting around 1200? He will be prescribed bioidentical test cyp and a estrogen blocker.
He thanks you for any advice and will add complete blood work details tomorrow.
“He” should never go back to that clinic and “he” should be very happy with his levels. If “he” experiences low libido and brain fog it is probably not associated with his testosterone. If he wants to put on 20 pounds of muscle he can train and diet harder. I think “he” is looking for an excuse to use steroids.
This process really cannot get off the ground without more info as per the advice for new guys sticky and lab work.
Labs:
TT
FT
E2
LH/FSH
prolactin
CBC
hematocrit
fasting glucose
fasting cholesterol
A1C if quite overweight
TSH - these three if body temperatures are low
fT3
fT4
Check oral body temperatures:
should be 97.7-97.8 when waking up in AM, 97.3 is a problem
also check for 98.6 mid afternoon
Body temps indicate overall thyroid function which can be low from not using iodize salt and/or vitamins that list iodine+selenium