TL:DR: I was on T, got good results, came off, got hormone levels balanced well naturally but now feeling symptoms and considering trying TRT again. Looking for advice on what blood tests to ask from the doc.
To cut a VERY long story short, around 4 years ago, despite leading a pretty healthy lifestyle I was suffering a lot of the symptoms of low T which included:
Low sex drive
I went to the doc and both my levels were low (9nmol/l). After an MRI of my pituitary, he put me on SERMS (clomiphene) which worked great for a while before my estrogen went sky high and I had to come off.
Eventually I ended up on a combination of Sustanon 250 (I’m in the UK), HCG and anastrazole and got my numbers up to the mid 20s.
Then I panicked.
I didn’t like the idea of being on a medication for the rest of my life and being in my late 20s and wanting a family some day I was worried about fertility - so I came off it all cold turkey.
Didn’t actually experience any bad repercussions or anything and after getting really strict about my sleep, workouts and diet I had my T tested a few years later, and I was at 19 nmnol/l
Fast-forward to now.
I have gradually noticed the symptoms of low T coming back into my life, particularly poor sleep, anxiety and low sex drive so I want to get my levels tested by the doc again to see what’s going on.
Being in the UK I can’t just request any tests I like, so I have to have a good reason for having each test done.
I’m going to ask for the following tests: Testosterone (total and free), E2 (estrogen), SHBG, TSH, FSH, LH, GH, Prolactin, ACTH (to see where the issue is exactly), Liver function (am I clearing E2 properly?), Cortisol (are levels too high and blocking T receptors?)
My question is this - Can you guys think of any more tests that might be useful to help me work out what’s going on?