Been trying to do a lot of research on TRT before I commit, and this forum seems to have a lot of very knowledgeable folks on it so I thought I’d see if perhaps I’m missing anything I should discuss w/ my doctors or otherwise. Any thoughts or advice would be greatly appreciated.
No Thyroid (Removed entirely, on Levothyroxine)
No issues with the equipment working.
Don’t smoke. Rarely ever drink.
Athletic my entire life, in great shape, great diet, still able to put on muscle.
Roughly same weight as my college athletic days, and can still do nearly same weights.
I’ve had 11 Total Testosterone tests over the last 3 years, from newest to oldest:
304 (This month)
304 (This month… identical result a week apart)
WHITE BLOOD CELL 7.1 3.9 - 11.1 K/ul
RED BLOOD CELL 5.03 4.20 - 6.00 M/ul
HEMOGLOBIN 16.1 13.2 - 18.0 g/dl
HEMATOCRIT 48.7 38.5 - 54.0 %
MCV 97 80.0 - 100.0 fl
MCH 32.0 26.0 - 34.0 pg
MCHC 33.1 31.0 - 37.0 g/dl
RDW 13.6 11.0 - 15.5 %
PLATELET COUNT 220 140 - 400 k/ul
MPV 9.3 7.5 - 11.6 fl
Free T4 1.12 ng/dL
TSH 0.934 mcIntl
LDL 81 mg/dL
HDL 45 mg/dL
A few years ago I went to the doctors just not feeling… right. Low energy, low libido, fatigued, etc. I had just had kids, a vasectomy, and thyroid removed so somewhat wrote it off to that and have been monitoring it since. However my TT results of ~220-240 at that time were flagged as low, thus I’ve been monitoring every ~6 months since.
Years later, I’m still feeling the same. Kids are older and I sleep a lot better now. I just can’t get a “constant” steady state. Some days I feel great, some days I feel like ass. Motivation down. Head fog. Low libido. It’s “easier” to get into a down state. Find myself forgetting things. Just don’t feel like myself. I feel old.
I’ve seen 2 Endo’s, and a TRT specialist and have another doctor appointment with someone new soon. Trying to make a very informed decision before I go onto a life long commitment with TRT.
One of my endos’ recognized my earlier lower results, but says I’m normal for my age now and the risks aren’t work it. The other endo (female) says I have no signs of hypergonadism and my results are fine. TRT specialist (understanding ultimately they want a sale) seems very informative, and said most of their patients who start are in my same TT 300 range and once they are on never want to go off. Also said about 20% of the patients end up not benefiting or finding it worth it.
Does anyone see anything in my results that raise any alarms? Or been in a similar situation and have input?
Really appreciate it. This is a big decision, and I really want to be around a long time for my kids and not do anything I later regret.