31 YEAR OLD CASE
-age: 31 years old, turning 32 in June
-describe body and facial hair
minimal leg hair, no chest or abdominal hair, sparse facial hair (improved on Clomid), can go weeks without shaving.
-describe where you carry fat and how changed: abdomen, love handles
-health conditions, symptoms [history]: hypogonadism (DX in 2015), Vitiligo (thyroid issues?), anxiety, depression
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever
- clomid 12.5mg MWF
- DHEA 25mg QD
- optimumum nutrition multivitamins
- fish oil
- Vitamin d3 5000u QD
- DIM 200mg QD
- Lexapro 10mg QD since June 2017
-describe diet [some create substantial damage with starvation diets]: conscious of what I eat, but am not strict by any means
-describe training [some ruin their hormones by over training]: gym about 3x per week, consisting of weights & basketball
-testes ache, ever, with a fever?: left has ached after clomid use, with no fever associated. Have had ultrasound on testes done in past 2 years, with thankfully unremarkable results. Urologist stated my left testicle is significantly larger than my right. No expert on testicles but I’m sure mine would qualify as “small.”
-how have morning wood and nocturnal erections changed: sporadic, at best. Libido average, at best. Erections would be considered weak, 7/10 at best if measured on a scale.
Most recent documented labs, taken in May of 2017.
GLUCOSE 79 Reference Range: 65-139 mg/dL
SODIUM 142 Reference Range: 135-146 mmol/L
POTASSIUM 4.0 Reference Range: 3.5-5.3 mmol/L
CHLORIDE 106 Reference Range: 98-110 mmol/L
CARBON DIOXIDE 25 Reference Range: 20-31 mmol/L
UREA NITROGEN 18 Reference Range: 7-25 mg/dL
CREATININE 1.00 Reference Range: 0.60-1.35 mg/dL
ALBUMIN 4.5 Reference Range: 3.6-5.1 g/dL
GLOBULIN 2.5 Reference Range: 1.9-3.7 g/dL (calc)
ALBUMIN/GLOBULIN RATIO 1.8 Reference Range: 1.0-2.5 (calc)
BILIRUBIN,TOTAL 0.4 Reference Range: 0.2-1.2 mg/dL
ALKALINE PHOSPHATASE 69 Reference Range: 40-115 U/L
AST 22 Reference Range: 10-40 U/L
ALT 17 Reference Range: 9-46 U/L
CHOLESTEROL,TOTAL 2.7 Reference Range: 125-200 mg/dL
HDL CHOLESTEROL 51 Reference Range: >=40 mg/dL
CHOLESTEROL/HDL RATIO 2.7 Reference Range: < = 5.0
LDL CHOL, CALCULATED 71 Reference Range: <130 mg/dL
TRIGLYCERIDES 72 Reference Range: <150 mg/dL
NON HDL CHOLESTEROL 85 mg/dL
TSH 1.83 Reference Range: 0.40-4.50 mIU/L
T4,FREE 1.3 Reference Range: 0.8-1.8 ng/dL
LH 4.2 Reference Range: 1.5-9.3 mIU/mL
PSA,TOTAL 0.5 Reference Range: <=4.0 ng/mL
HEMOGLOBIN A1C 5.3 Reference Range: <5.7 % of total Hgb
TESTOSTERONE,TOT,LC/MS/MS 845 Reference Range: 250-1100 ng/dL
TESTOSTERONE,FREE 109.0 Reference Range: 35.0-155.0 pg/mL
DHEA SULFATE 511 Refrence Range: 85-690 mcg/dL
SEX HORMONE BINDING GLOB 53 H Reference Range: 10-50 nmol/L
ESTRADIOL,LC/MS/MS 34 H < OR = 29 pg/mL QNI
Will post the results of my labs which were drawn last week as soon as they’re available.
Hello all. I’m 31 years old, and was diagnosed with hypogonadism In June of 2015. Hesitant to go straight to t-shots, I opted to begin with Clomid therapy. Initially I had decent results, mostly objectively. Objectively my numbers were great. Subjectively my results were initially better, I had more energy, less mood swings.
However, these improved feelings were inconsistent as best. I’ve still had terrible mood swings, feelings of depression, anxiety, and borderline panic attacks. Struggling, I decided to seek psychiatric help and eventually was prescribed Lexapro 10mg in June of 2017. Things were okay again until about October, when I relapsed and had my Lexapro dosage increased to 15mg. It didn’t really help, I was & still am living a poor quality of life. Difficult to build muscle & keep off fat. Always in a constant state of worrying. Avoiding social situations I used to embrace. Being brought down by the slightest things. Low moods & poor self esteem crushing my energy & desire to live my life (adrenal fatigue?). Pushing people close to me away, for thinking I was crazy and a lost cause. My mind is always wandering, I’m unable to complete simple tasks. I’ve always felt emasculated, and have always seemed to feel like a real man. I’ve decided that I cannot live in this way anymore, and have decided it’s time to move to the next step.
After reading more about Clomid, I realized that maybe possibly it was making things worse. I read other testimonials of men getting good lab values, but missing the subjective benefits.
I think I’ve reached a point in my life that it’s time to move on to T-shots. After reading all of the great information on this site, I think it’s the best route to take. I have already gotten my labs drawn for Defy Medical, who have been managing my care since I’ve started. I am now waiting for those results & my next consult. I initially was working with Dr. Saya, but am considering scheduling with another provider as there’s a minimum wait of 2 weeks for Dr. Saya at this time.
My plan is to try T-cyp 100mg, initially once per week. I also want HCG to prevent testicular hypertrophy, and preserve my fertility. I will probably start with Arimidex .5mg per week, in divided doses. Then I will tune up from there.
How do you all feel about my plan? Should I explore the option of trying HCG by itself? I don’t think I’m interested in it, but will consider it a possibility if recommended. If I’m going to start poking myself for the rest of the life, I might as well include the good stuff. I see most people alternate days pinning themselves with T & HCG. Ideally, I would like to combine both the T & HCG in one syringe. At least in the beginning.
Also, I am concerned about the vitiligo, which initially was 2 spots on the left side of my face, but now has extended to most of my back. I suspect that this autoimmune disorder is caused by my thyroid. Now is my thyroid issue caused by low T? Or my low T the cause of my thyroid? My numbers have been tested before and Defy didn’t seem alarmed by any of them. Could T shots potentially fix my vitiligo?
I’m open to all comments, criticisms, and suggestions. Hopefully my log will not just help me, but help others seeking information like myself. This is a difficult thing to deal with, but can’t give up! Life is a big puzzle, and there will always be a search for answers. I’m ready to continue finding mine!
Happy New Year everyone.