I am 35, male, never had any great tendency for putting on muscle mass. Used steroids and recreational drugs (coke, ecstasy, speed, weed) for a solid 10 years between the ages of 17 and 27. I’ve been prescribed Atomoxetine for ADHD and aripiprazole for what my psychiatrist has dubbed minor psychotic episodes. I am prescribed both medications at sub therapeutic doses.
My main issues are: depression, fatigue, an inability to pack on any meaningful muscle mass and an inability to become aggressive in pursuit of my goals. My libido is average I would say, morning wood is pretty much daily, although erections could be fuller. Also not experiencing any hair loss. And now the bloodwork.
Total Test: 4.40 nmol/L (2.5 - 29.57)
Free Test: 2.91 nmol/L (lab didn’t provide a range for this!! Is this crucial?)
SHBG: 56.00 nmol/L (10-57)
Thyroid stimulating hormone: 2.803 micIU/ml (0.3 - 3.0)
Free T3: 5.5 pmol/L (3.5 - 6.5)
Free T4: 16.88 pmol/L (11 - 18)
FSH: 2.6 U/L (0.7 - 11.1)
LH: 1.4 U/L (0.8 - 7.6)
Oestadriol: 100 pmol/L (0 - 146)
My concern is that the Atomoxetine is known to lower libido in some patients so what I am experiencing might be the direct consequence of that medication. My battle plan at present is to discontinue the Atomoxetine and find a way to kickstart my test naturally or using temporary therapy. Is this just wishful thinking in your opinion? Would meds like HCG, Tamoxifen etc help? In the past I had used testofen (fenugreek extract) and felt great but this has somehow stopped working. I am now suspecting this was due to the introduction of Atomoxetine into my regime. Not sure.
All your kind feedback is greatly welcome.