34 yr old male, 6’1, 205lbs, 25% BF.
Shoulder surgery 2 years, took a long time to recover, pulled hamstring not healing after 1 year. Felt like my body just wasn’t healing properly. Also showed other signs of low T so went to Dr. Had initial basic lab work done by GP, then referred to endo. More tests as below.
First Endo prescribed 200 mg IM/EOW Test cyp, nothing else.
Saw urologist for 2nd opinion (suggested Clomid 25 mg/day), not sure if thats the way to go or not, so am scheduled with other endo that is more known in the TRT/HRT community.
I am looking to just be healthy and fit again, able to train and recover, and of course lose a few lbs. I would like to get back into triathlons if possible. I have 2 kids, so fertility is not a primary concern, but teste health and looks are. In an ideal world i would lose a few lbs fat and gain some muscle, but more important is healing and general well being at this stage.
ACTH, PLASMA: 21.3 pg/mL (7.2-63.3)
CORTISOL AM: 13.1 ug/dL (6.2-19.4)
FSH :1.7 mIU/mL (1.5-12.4)
LH: 1.8 mIU/mL (1.7-8.6)
TSH : 1.55 uIU/mL (.45-4.5)
Growth Hormone Serum: .1ng/mL (0-2.9)
IGF-1: 164 ng/mL (132-333) 31-40yrs
Prolactin: 2.8 ng/mL (4.0-15.2)
Test Free: 7.9 pg/mL (8.7-25.1)
Test Serum: 263 (348-11**)
Estradiol was 16.5 (7.6-42.6)
Protein: negative (neg)
Glucose: negative (neg)
Ketones: negative (neg)
WBC: 6.8 (4-10.5)
RBC: 4.93 (4.14-5.8)
LDL: 108 (0-99)
Alkaline Phos:69 (25-150)
So low test and low prolactic. FSH and LH at the bottom of “normal”. TSH and Estradiol fine.
Is this primary or secondary hypogonadism?
Do you think its safe to start Test cyp or should i have more work done?