Symptoms: Low libido over a year, irritable, depressed mood weight training one year with little muscular growth, poor sleep quality.
31
6” 80kg 176lbs
Waist 36
Thick body hair and facial hair
Fat tends to store on midsection and face, no change recently.
No steroids
Accutane as a teenager. Experienced minimal side effects
Don’t eat breakfast. Diet has plenty of animal fat, veggies, and carbs.
Rarely drink
Weight training x3 a week. Mostly compound movements
Testes feel normal. Varicocele left testicle since 14 years old
Morning wood sometimes. Sexually I can still preform but recovery is over a week.
Note:
Elevated Bilirubin due to Gilberts syndrome. Aug test, I slept very poorly for the two nights prior which may have impacted glucose and T levels further.
Average basal temp over the week was 35.6c/96.08F. Afternoon temp will rise to 36.6/97.88F.
Feel quite warm, eyebrows are thick. I do not use iodised salt.
GP has been helpful but ultimately unable to do much due to regulation (Australia).
Endocrinologist admitted that whilst my TT was low my FT was “quite good” and suggested that if MRI comes back fine we won’t do anything. I did ask about Clomid and got the spin around “it affects lots of other different hormones” and got the impression he didn’t know much about its off label use with men.
Proposed treatment
My initial focus is on thyroid and adrenal function, despite bloods being normal, temps seem to suggest overwise. I have introduced kelp and Brazil nuts into my diet and will watch for any changes. I have stopped drinking coffee in the morning and I am already sleeping much deeper at night which is promising.
I have ordered enclomiphene and hope to start within the month. As the drug is not an actual prescription med (yet) I am able to import it without issue. After reading the studies I am thinking a conservative 12.5mg dose M/W/F will be a good start.
Any advice or insight is appreciated!