24yr old male
5foot11
192.3lbs, ~20% BF(Guesstimate)
32-33inch waist (1-1.5 inch above navel)
Full beard with only tiny twin patch missing. Only slightly coarser than hair (fine, but dense. Receding.)
Body hair on chest, abdomen and legs. Dark hair and moderate density, soft/fine to the touch. Lower arms and some small of back. Normal armpit/pubes.
History of asthma and rhinitis. Use of albuterol inhaler as needed (typically 3-4 uses a week, never had an attack), steroid spray for sinuses. Both began around 11-13yrs old, separately.
RX histoy is mostly for depression, AHDH, acne and asthma. Very accident prone as a child.
Took one dose of finasteride, 1.25mg, recently. Remembered bit I read here about hair loss drugs and quit immediately.
Fat stored almost entirely on abdomen, lower back and ass. Much less on arms, legs and chest. Little or unnoticeable gynocomastia.
Diet: 1.2-1.4g Protein/lean lb. 150-225g carbs/day, 2600-2900+ kcals/day. Eating mostly beef, fatty cuts of chicken, whole milk, whey, nuts and rice. Veggies 3-5x/wk, sometimes in large servings. Tuna/salmon 2-3x/wk. I don’t salt much, but use iodized salt exclusively.
Training: Focusing on 2 bigger lifts per training day. Eg, Squats+OHP, Bench + Pendlay Rows. Try for 10x10(@10RM), typically not finishing completely. 1-2x/wk due to slow recovery and time constraints. Goal is 3 times a week.
Testes have ached before. I typically associate it due to inseams always getting uncomfortably tight when I sit. Left testicle slightly more sensitive to touch than right.
Supplement with calcium, d3, fish oil and a multi, all daily. Mg and Zn sometimes (never with calcum or daily) and Vit C on occasion.
Do not drink or smoke, used marijuana for a short period in the past.
Symptoms:
Fatigue: I feel sleepy, lethargic and somewhat heavy most times of the day. Caffeine keeps me from my usual energy crash around 4-6hours after waking and more alert the rest of the time.
Slow recovery from workouts.
Social withdrawal: Don’t go out and withdraw from conversations/stresses.
Low motivation, apathy, easily depressed, low confidence, anxiety (a few panic attacks when overdosed on stimulants), some brain fog.
Feeling of being sick to my stomach after adrenaline surges. My adrenaline rarely kicks in like that, but when it does I feel like I might vomit or shit myself. Lesser effect when I can’t escape a mild/moderate stress like usual.
Low libido.
Weak/absent morning wood, some nocturnal erections. Can prove difficult to even get aroused till near mid day. Used to get morning wood a lot and wake up from uncomfortable nocturnal erections.
Lower waking body temp (96.1-96.7 avg) and lower active body temp (97.3-97.7, feeling of overheating at 98-98.3.)
All but erectile problems have been persistent since around 14-16 years old.
LABS:
Total Test: 336ng/dl (Lab Range 168-746)
Free Test: 10.4pg/ml (Lab Range 9.3-26.5)
E2: 9 pg/ml (Lab Range 3-70)
TSH: 0.45uIU/ml (Lab Range 0.35-5.60)
Drawn 9/2/11
LH, FSH, fT3, fT4 (drawn pre test injections).
Results
fT3: 3.41pg/ml (Lab Range 2.5-3.9)
fT4: .77ng/dl (Lab Range .61-1.12)
FSH: 3.32mIU/ml (Lab Range 1.27-19.26)
LH: 3.12mIU/ml (Lab Range 1.24-8.62)
8am(ish) Cortisol drawing soon.
Doctor has prescribed me 100mg/EOW of IM Testosterone Cypionate in the meantime to see how I react. First dose is 9/22/11 in the afternoon. Will speak to her about hCG and an AI if needed.
And so ends the wall of text. Anything I should bring up with you, the doc or get tested? I’m hoping to find a more permanent (and less needle-y) solution than TRT, but will try anything that might help.