I'm going to begin here the personal log on my journey, and I'm still undecided about TRT. I'll leave everything out in the open and honest and will take 100% of opinions and recommendations with weight.
Quick (edit happened to not be too quick) back-story: Historically through my youth have been an ectomorph... thin frame, hard to gain weight, felt a bit "prepubescent" but generally "looked good" and had a trim, but skinny, build. I changed up my diet about 8 years ago and have since eaten all-natural/organic and am a vegetarian (no eggs though); I am today a C-level exec, healthy in my book (and on paper other than T) and doc says I'm the spitting image of health. I love to cook and make all of our meals from scratch from our garden and CSA. I count my macros, have my caloric needs detailed for my body, have a great personal coach in Ryan Miller out of Minneapolis of Growth Stimulus Training, and have been training semi-dedicated for 4 years now (much more in past few months). I currently take l-glutamine, BCAAs, citrulline, beta alanine, creatine, epa/dha, multi-vitamins, protein powders (plant based), etc. (I can give doses if necessary).
I am doing well in the gym, though since I'm toning down my bodyfat from 20% (now at 16.9%) the strength isn't as there. I'm fairly fit, but always had a suspicion that I had low T. Went into doc a month ago because I suspected I may have gyno (I have a pea sized lump under my left nipple that is very sensitive if hit); I was diagnosed with gyno but doc thought best left untreated for now. I talked to him about T at that time, and long story short expressed that I wanted complete blood work done, to which he didn't think insurance would all cover (and didn't know of all the tests anyhow). I followed my mother-in-law's advice and went to labdirect.com and ordered all the tests I wanted (will post results below); sure enough, low T. Brought results to doc today as I had the lab work already scheduled (to just check T) and we discussed everything. He was very amazed that I self-diagnosed myself twice and came in with evidence to back it up. He's a very good doc, and is very open to learning (the enthusiastic GP) and seems very excited to help me on my journey here; he did recommend flat-out TRT, though he admitted it wasn't his strong area and wanted me to see the youngest-looking endo in the tri-state area (as they'd be more up-to-date on these things). Have that appointment scheduled for two months from now, so I have a bit of time now here to share and glean the wisdom and experience of others.
So without further ado, my stats:
-describe body and facial hair: hairy legs; hair on toes/feet; hair on forearms but not overly thick, hair on tummy/chest/ass, can grow full beard very easily (and wearing one) though doesn't completely fill in between stache and cheek area (small but noticeable 1" dip)
-describe where you carry fat and how changed: mid section (tummy and lower/mid back)... was a very hard gainer fat-wise but "bulking up" changed that proved I could gain weight, now I'm in the process of cutting that down and will forgo the entire bulk/cut routine and utilize caloric +/- 500 of maintenance.
-health conditions, symptoms [history]: I have a very strong will, so it's hard to describe symptoms. I do get morning wood, but could always be hornier... I usually put myself in the mood and rarely am just in it. Sexual anxiety has been an issue, and I can sometimes go partially limp after erection and during intercourse. I have my days of energy and days of none, but typically plod through whatever. Brain has been a bit more foggy as of late, I'm a bit more of an asshole (don't waste my time) than usual, but still functional.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever: Not on any on-going prescription drugs, and haven't ever been; no hair loss or prostate drugs ever.
-- real dangers! see this http://propeciahelp.com/overvi...
-lab results with ranges: (see below)
-describe diet [some create substantial damage with starvation diets] Morning smoothie (berries, flax seed, hemp seeds, hemp oil, protein powder, kale, etc.), mid-morning ProBar, lunch is typically leftovers, cheese sandwiches/soup or Garden of Life Fit shake, mid-afternoon protein/fit shake, normal home cooked large dinner and one more protein/fit shake at night. Total calories of 2400, 220 carb, 180-200 protein, 70-100 fat (depends on train/rest day).
-describe training [some ruin there hormones by over training]: Growth Stimulus Training (squat day, pull day, push day, press day) focuses on core/compound lifts (squat, deadlift, etc.); this will consume 4 days "per week" and HIIT on another 2. Details can be found easily via Google search.
-testes ache, ever, with a fever? No
-how have morning wood and nocturnal erections changed: Have pretty much always had morning/nocturnal erections.
Lab Results (posted as image to imgur as many tests and much easier):
So thoughts on where I should be starting first; do I have a chance of restarting my natural T production first? I'm not opposed to TRT, but realize it a life decision and I am very not opposed to exhausting other options either.