New Belgian guy here, new to the forum. I read the thread "advice for new guys" and I wanted to make an intro. The post is a bit long, so I'll try to structure it in different sections:
- Summary (active, healthy young man with libido issues)
- Test results (bottom range (free) T, high SHBG. Everything else normal.)
- A couple of stats
- More background info (You can skim/skip this if you don't have much time.)
Basically I'm a healthy, active guy with no visible reason to have low T. My main issue over the last 2-3 years is that my libido has significantly decreased. It seems recovery from workouts (and nights out) has also worsened. Other than this, there aren't really any other symptoms/issues which are typically associated with low T. I have some stress at work but it's manageable. I try to work out and eath healthy. The last year or so I've added some supplements (zinc, fish oil, selenium, magnesium) and food choices (celery, broccoli, lemons, beet root juice...) to my diet but to no avail.
I really don't understand why this is happening so it would be great if you guys could give me some info on where to start. I might try to find another doctor here in Belgium (or Europe) specialised in this domain to do further testing. I would love to solve this issue the "natural" way, but that's what I kind of did the last 2 years. TRT is an option but preferably avoided.
I had two tests in january the last two years, which indicate borderline low (free) T and DHEAS and mid-high SHBG. I don't see any reason for that to happen. I mentioned to my doctor that these levels were low but he shrugged it off and told me that it's within normal levels, so not much help there.
Side note: I've had a low Gamma-GT (8 U/L) over the years (since my youth). This is a liver enzyme and I never have seen this linked to hormones so I don't think this is related to my issues now. Hematocrit is quite high (around 50), but always been high (45+).
A couple of stats
- Age: almost 31
- Height: 1m90 / 6ft3
- Weight: 84 kg, 185 pounds
- Waist: 33 inch (pants size)
- Body hair: moderate hair on my chest, belly, legs.
- Facial hair: moderate (goatee grows fast, patchy on my cheecks)
- Head hair: it's thinning on the crown, and also general thinning on top. Slowly going bald (like my father).
- Fat distribution: mainly in my gut (beer belly). Rest of my body stays lean. I'm relatively lean though.
- Health symptoms: none. I've had chlamydia (solved with antibiotics) and dengue (just had to rest and recover) in recent years
- RX/OTC Drugs: I've taken roaccutane (against acne) in my early twenties. Nothing serious besides that.
- Diet: pretty healthy. Lots of vegetables and meat. Also eat bread.
- Training: try to work out (lift weights) twice a week. I bike to work (40 mins total) every day. I go for a short run (30 mins) on Sunday.
- No issues with aching testes.
- Morning wood is still present in about 30-50% of days, but a semi-hard erection that disappears quickly. Used to be a very hard erection almost every day.
- I use iodised salt and my thyroid hormone levels seems ok, so that shouldn't be the culprit. Vitamin B12 level was also good in my test.
More background info
I've had ED problems with the last couple of girls I've been with over the last 2 years. Which is becoming very disheartening/embarassing and I've been avoiding sexual contact for that reason for the last 6-12 months or so. There are certainly some psychological issues at play here but low t is certainly contributing. My libido in general is quite low, I have little motivation for sex/women. It never was really high to be honest (always had a long refractory period) but now it's really problematic. With porn I can still get horny and a hard-on but often I turn to porn out of boredom/frustration. This is probably the main thing which is bothering me. The quality of my erections has also gone downhil a bit. Used to be a lot harder. Morning wood is still present, but less often than before.
I'm lifting weights and the progress is there, but it's going very slow. I'm not recovering that well. If I stick to 2 full-body workouts a week it's ok, but if I try to add a third I wear myself out very quickly.
After a night out, or not sleeping well I'm not recovering that great either. I did a city trip with some buddies with some friends where we went partying a lot and I was dead after a couple of days while they were just fine... Now I've always needed my sleep but this wasn't really normal. For some reason I'm very sensitive to caffeine and alcohol as well (moreso than before). I consume little of these substances so that's probably related to it.
This is where I'm stuck right now. Trying to improve my diet even further, avoiding plastic containers, trying organic food etc. But I don't think it's having much effect. I'm a bit overwhelmed by all the info out there, and been stuck in a 'passive' mode where I'm just waiting for it to get better...
I think my next step would be to get another blood test from a willing doc to get another blood test with some more things tested (E2, prolactine, ?, ...).
Seems there is a very pro-TRT (anti-aging) doc in Belgium, dr Thierry Hertoghe, but other tips to european docs would be greatly appreciated.