Age 27 was when the problems started
Race: White british
Waist 31 inches
weight: fluctuates between 75kg and 82kg
body hair: always been very minimal
Facial hair: fairly normal, not thick but an average all over growth
Fat depositation: ectomorph which maily held fat on the abdominal area but nowhere else
Health condition: no underline conditions prior
Symptoms: fatigue, general lack of wellbeing, no energy, tired yet could not sleep, weight gain, serious loss of sex drive and anxiety. All symptoms seemed to get worse over a 12 month period.
Other changes noted: did suffer from spots on back however these seemed to disappear.
Diet before: didn't really have much of an idea about food so just ate three meals a day with no focus on real nutrition.
Diet during: started a planned diet which focused on low GI carbs and high quality protein with minimal fats, eating aprox 6 times a day.
NOTE: At this stage I only used proteine powders on the odd occasion.
Diet now: is similar but with more high quality fats included and high quality vitamins with no form of any other supplementation
Drug usage: Not applicable
Training regime before: low intensity 3 to 4 days general weight training with no concentration on compound moves or leg mussels
Training regime during: started a 5 to 6 day high intesity interval training and heavy compound moves
Training now: 5 day mixture of splits, compound moves and light interval training
Testicle pain before: never
Testicle pain during: a dull ache
Testicle pain now: only ever on heavy leg days
Night time errectiins before: like a 15 year old boy on heat
Night time errectins during: completely disappeared
Night time errections now: occasionally.
Now my story so far:
About 2 years ago I was an average 26 year old male but my life saw a dramatic change when I decided to take up the gym on a full time basis. Before I go into detail I want to describe what kind of person I was before all of this took place: As a teenager I was always a late developer and once I eventually started pubity I saw dramatic changes, I suffered from the usual facial acne, horny 24/7, left nipple gyno for about a year, very slow pubic hair growth but other than that just a standard teenager. I continued to be a slow developer but this was something that never bothered me as it kept me looking young.
At the age of 20 I started going to the gym 3 times a week with no real focus on nutrition or hard training and didn't really see much results over the next 6 years, it wasn't until my best friend who is a personal trainer finally talked me into taking things more seriously that I changed my ways.... And it was from this point I started to see many changes, I was put on a 6 day training resgime and a strict diet plan which I stuck to religiously which I almost became obsessed with. To start with I lost a stone within 1 month and dropped to aprox 8% body fat, within 3 months I started to notice my sex drive disappear, within 6 months I started to feel totally fatigued and unmale like, but I couldn't stop as the results were amazing and I had never looked like this before! 8 months on I was now aprox 12 stone and about 6% body fat during this period I started to model and found myself even more obsessed but the longer things went on the worse I felt inside and things did not seem to improve, even by reducing training volume and diet changes. A year passed and i started to really worry as my relationship fell apart and my life was flashing before my eyes, it was at this point something had to be done and so I went to the doctors.
First lad results:
Total testosterone at 9am: 7.9nmol/l (11 to 34) normal range
Tsh 1.16 mu/l
Thyroid status Normal
Cretinine 123 (60 to 120) normal range
Egfr (mere) 69ml/min
total bilirubin 15
Alanine aminotransferase 35
Gamma gt 15 iu/l
Alkaline phosphatase 144 iu/l (30 to 120)
Total protiene 75 g/l
Globulin 28 g/l
Free t4 10.5 pmol/l (10 to 22)
Glucose not fasted 4.6 mmol/l
Second lab results taken by doctor:
9am cortisol 453 mmol/l (150 to 680)
Fsh 4.7 iu/l
Lh 1.4 iu/l (1 to 11)
Prolactin 129 mu/l (0 to 360)
Total testosterone 10.4 nmol/l (11 to 34)
UHF/1 32.9 (13 to 50)
Third lab results taken by endo specialist:
Sex hormone binding globuling 44nmol/l (15 to 48)
MRI scan taken and normal, results show no pituitary problems
Vitamin b12 540ng/l (180 to 800)
Esr 6mm (3 to 10)
Serum ferritin 117 ug/l (25 to 300)
Serum folate 14.2 ug/l (3 to 20)
Iga tissue transgluteaminase ab 1 u/ml (0 to 10)
After these results the specialist decided that there was no real explanation for my low testosterone levels as everything appeared to come back normal and decided to start TRT. He started me sustanon 250 injections administered every 3 weeks, this seemed to have very minimal results and he soon progressed the injections to sustanon 500, during this 6 month period my body and mind were up and down likeca yoyo and although I seemed to regain my body composition I still didn't feel right and my sex drive was still missing, my gyno soon returned and although my body had come back I started to get back my spots and felt bloated all over. I decided to take matters into my own hands as my specialist seemed to be out of his depth and decided to stop all treatment as I was fed up. Two months passed with no treatment and I felt worse than ever for the first month, eventually my hormones started to slowly sort themselves out and I had another blood test done.
Total testosterone 7.3 nmol/l
9am cortisol level 420
Free t4 13.8 pmol/l (10 to 22)
Cholesterol 4.8mnol/l (0 to 5)
Hdl cholesterol 2.13 mmol/l (0.9 to 1.42)
Prolactin 143 mu/l ( 0 to 360)
17 beta 0estradiol less than 150 (0 to 200)
Sex hormone binding globulin 42 nmol/l (15 to 48)
After yet another discussion with my specialist he decided to try me on testogel 50mg daily which i took for a few months And this never really seemed to change things, the only thing I did get was a different sensation when having an orgasm.
Results whilst on testogel:
Fsh less than 0.1
Lh less than 0.1
I am now in a course of sustanon 250 every week and 40mg of tamoxifen ed (after a months usage of tamoxifen i started to notice slight hair loss and therefore stopped it until now) I have been on this for aprox 3 months and feel ok but still not 100%, my sex drive still never returned the way it used to be apart from when I hit that first sweet spot when starting the injections. NOTE I have also has two fatility tests both showing 0 sperm count which worries me??
I want is to be normal again, my specialist has no idea what is wrong with me or what has caused this but I am scared that I have been guided down the wrong path and after doing my own research wonder if I have done the right thing. I have nowhere else to turn and the guys in here seem to know more than most on this subject.
I would very much appreciate your opinions on this matter as this has had a massive impact on my life.
Have I had all the relevant tests possible?
Have I suffered from adrenal fatigue?
Have I damaged my testicles?
Is my treatment sufficient?
Is it possible to restart my hormones naturally again?
I have many more questions and queries but feel this is a good start..... Any help or advise would be appreciated as I am due another appointment with my specialist in 3 weeks and would like to get this sorted once and for all. NOTE I live in the UK and the NHS is shocking!!!