I am 28 and have been going to the Low-T Center for 6 weeks.
Preparing for this post I have read the stickies, and although many of my questions have already been answered I would still appreciate someone with more experience’s opinion based on all of the factors. I went to the Low-T Center after getting tested on a whim at Quest, and assumed they would be knowledgable professionals due to this being basically their only function, but so far I haven’t been impressed. Many of the regular posters on this forum are the best source I’ve found and I feel that I can trust their opinion moving forward.
-height: 5’ 8"
-waist: 32" pants
-weight: 168 (at the time of initial lab, I’ve gained what I assume is mostly water weight since and am now 180)
-describe body and facial hair: I have thick hair on my head, and can grow a beard. Although it is sort of patchy until it gets a little longer. Arm hair only on my forearms that gets slightly thicker towards my hands but is much lighter than the hair on my head. No hair on my back, chest is fairly hairy and I have some on my stomach. Very little leg hair.
-describe where you carry fat and how changed: Almost all fat carried is around my stomach. In some of the laziest periods of my life I’d have some on my butt as well.
-health conditions, symptoms [history]: Main health condition is stage 2 hypertension, first noticed at age 21 when I was very active and low body fat.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever: I’m on 20mg Lisinopril for high BP (noted to lower testosterone not sure in what way)
-lab results with ranges:
Quest Test -
Total Testosterone: 286 ng/dl (250 - 827)
First test at Low T Center was just these two -
Total Testosterone: 193 ng/dl (350 - 1,000)
PSA: 0.81 ng/mL (< 4.0 ng/mL)
Follow up test (Pre treatment) -
Total Testosterone: 207 ng/dl (350 - 1,000)
LH: 6.1 mlU/mL (1.7 - 8.6)
FH: 10.1 mlU/mL (1.5 - 12.4)
Prolactin: 12.4 ng/mL (4.0 - 15.2)
Estradiol: 15.6 pg/mL (7.6 - 42.6)
Cholesterol, Total: 192 mg/dL (100 - 199)
Triglycerides: 209 mg/dL (0 - 149) Just noticed this is high. I didn’t fast before test, wasn’t instructed too. Hopefully that might be culprit but I don’t know.
HDL Cholesterol: 66 mg/dL (> 39)
VLDL Cholesterol Cal: 42 mg/dL (5 - 40)
LDL Cholesterol Calc: 84 mg/dL (0 - 90)
Hemoglobin A1c: 5.5% (4.8 - 5.6)
TSH: 1.540 ulU/mL (0.45 - 4.5)
Sed Horm Binding Glob. Serum: 21/3 nmol/L (16.5 - 55.9)
CBC With Differential/Platelet:
WBC: 7.0 x10E3/uL (3.4 - 10.8)
RBC: 4.66 x10E6/uL (4.14 - 5.8)
Hemoglobin: 15.1 g/dL (13.0 - 17.7)
Hematocrit: 43.7% (37.5 - 51.0)
MCV: 94 fL (79 - 97)
MCH: 32.4 pg (26.6 - 33.0)
MCHC: 34.6 g/dL (31.5 - 35.7)
RDW: 13.9% (12.3 - 15.4)
Platelets: 292 x10E3/uL (150 - 379)
Neutrophils: 40% (Not Established)
Lymphs: 43% (Not Established)
Monocytes: 10% (Not Established)
Eos: 5% (Not Established)
Basos: 1 (Not Established)
Neutrophils (Absolute): 2.6 x10E3/uL (1.4 - 7.0)
Lymphs (Absolute): 3.0 x10E3/uL (0.7 - 3.1)
Monocytes (Absolute): 0.7 x10E3/uL (0.1 - 0.9)
Eos (Absolute): 0.4 x10E3/uL (0.0 - 0.4)
Basos (Absolute): 0.1 x10E3/uL (0.0 - 0.2)
Immature Granulocytes: 1% (Not Established)
Immature Grans (Abs): 0.0 x10E3/uL (0.0 - 0.1)
Comp. Metabolic Panel (14) [Final] -
Glucose: 95 mg/dL (65 - 99)
BUN: 14 mg/dL (6 - 20)
Creatinine: 0.91 mg/dL (0.76 - 1.27)
eGFR (Non African American): 114 mL/min/1.73 (> 59)
BUN/Creatinine Ratio: 15 (9 - 20)
Sodium: 140 mmol/L (134 - 144)
Potassium: 4.6 mmol/L (3.5 - 5.2)
Chloride: 102 mmol/L (96 - 106)
Carbon Dioxide, Total: 20 mmol/L (20 - 29)
Calcium: 9.4 mg/dL (8.7 - 10.2)
Protein, Total: 7.0 g/dL (6.0 - 8.5)
Albumin: 4.7 g/dL (3.5 - 5.5)
Globulin, Total: 2.3 g/dL (1.5 - 4.5)
A/G Ratio: 2.0 (1.2 - 2.2)
Bilirubin, Total: 0.3 mg/dL (0.0 - 1.2)
Alkaline Phosphatase: 81 IU/L (39 - 117)
AST (SGOT): 27 IU/L (0 - 40)
ALT (SGPT): 33 IU/L (0 - 44)
I think I am missing at least T3 and T4, probably some other things. Hopefully it isn’t too late to review stickies and get another test. Here is current from last week (5 weeks):
Testosterone: 339 ng/DL (350 - 1,000)
Sex Horm Binding Glob Serum: 21.0 nmol/L (16.5 - 55.9)
Estradiol: 24.4 pg/mL (7.6 - 42.6)
Protocol: (Just Testosterone Cypionate)
W1 - 200mg
W2 - Test: 140mg
Day of the test they upped it to 160mg, today upon reviewing results of follow up test I am now on 170mg / week. Once a week shot, I plan on changing protocol to suggested in sticky after 3 mo contract is up. I didn’t order HCG today but plan on doing it next week, the clinic said they could do it and the markup won’t hurt too bad this once.
-describe diet [some create substantial damage with starvation diets]:
3 weeks before the test I tried the carnivore diet for a month, lost a lot of water weight and was definitely in ketosis the vast majority of the time. I lost a lot of weight but ate a substantial amount of meat and eggs at least 2 times a day. Didn’t like ketosis so I stopped.
Normal Diet: Typically the only sugar I get is from milk and plain yogurt, sometimes fruit. Main staples are eggs and either bacon or sausage for breakfast, cut of meat (chicken, pork, beef, occasionally sea food) and either brocolli or asparagus for lunch and dinner. Occasional BS thrown in but even when I eat out I avoid bread, some potatoes but not much. Mostly meat and vegetables.
-describe training [some ruin their hormones by over training]: 5 days a week I’d run around noon in the sun, mostly HIIT sprints. Later in the day I would lift, mostly isolation exercises with 1 compound exercise (either squats, deadlift, or benchpress depending on the type of isolation exercises I was doing. Plateaued pretty quickly and would just do it for the workout.
-testes ache, ever, with a fever? Not that I can remember. I used to get cyclical vomitting syndrome and I would vomit everything I ate or drank for several days and lose quite a bit of weight. Sometimes I’d be able to keep water down but some times I’d have to get the saline bags. Doctors had no idea what it was or what to do, they thought it might be anxiety but it hasn’t happened in a couple years. If they ached then it would have blended in with the rest of my body.
-how have morning wood and nocturnal erections changed: Haven’t had morning wood in a long time that I can remember. Definitely not regular occurance, nocturnal erections same.
I wasn’t very educated when I accepted the Low T Center contract. I wish I had tried nolvadex (or whatever the recommended better version of Clomid is called) or mono HCG first.
I’ve always been pretty depressed and anxious but tried my best to ignore it and push through. Haven’t had a high libido since maybe I was a teen but I don’t think it was super high then.
This lead me to believe that possibly I’ve always been relatively Low T although I had what I considered normal puberty. I drank way too much 19 - 28 (most nights 2 - 8 drinks, usually 4-6). I do stand up comedy so I used to blame it on being at bars all the time but it’s mostly drowning out depression etc.
Last 3 years have been incredibly stressful, especially last 2. At the end of last year I had a really traumatic event and that was when I really started to notice the symptoms (even lower energy than normal, minimal sex drive, brain fog, apathy and worse depression.) Ironically I had started working out more after the event, but drinking more as well.
Only reason I mention all this is I wonder if I have natural primary hypogonadism, if I drowned my balls in booze, if stress could be that big of a factor, or potentially all 3. I had cut down on drinking quite a bit a month or so before the tests, but the damage could easily already be done. The doctors at the Low T Center don’t think it had an effect, but I met one of their PAs at an AirBNB and was told it’s a high pressure sales racket and that I shouldn’t trust them.
Until today I thought I had secondary hypogonadism, so if anyone can take a peek at the numbers and let me know what they think it would mean the world to me.
Right now I have 2 plans:
- After contract try to restart with method suggested in stickies, I’m not hopeful but it would be awesome if my balls could be saved somehow.
- Update protocol to suggested in stickies with whatever level of Testosterone the Low T Center figures out (basically add HCG and start getting tested on my own)
Can’t remember if I mentioned it but I haven’t noticed much effects from Testosterone yet. I did cut out drinking about 4 weeks into therapy, but still not much other than morning wood a couple times.