29 year old male suffering from low libido, fatigue, lack of motivation, etc. I also have been gaining weight the last couple of years and currently have a BMI of 29-30. I am around 6 feet tall and about 215 pounds with estimated BF % of 24-25 percent. Normal facial hair with some recently turning gray. I carry most of my fat around my midsection. I have a recent history of some anxiety since these other symptoms have started as well. I used to be very active and play many sports but recently haven’t been as active due to my job, lack of motivation, and significant joint pain. Diet fluctuates and is usually relatively healthy but not always. My liver enzymes have also crept up with my weight and was diagnosed with a mild fatty liver via ultrasound about 2 years ago. Other than that I have been healthy and the only medications I have taken are Xanax for anxiety and protonix for an ulcer.
Due to my increasing symptoms I went to get my thyroid and T levels checked
I originally went to see an endocrinologist and here are my results from june 2018 Total T: 182 (139-771) Free T: 8.1 (5.1-41.5) LH 4.4 (1.7-8.6) FSH 3.7 (1.5-12.4) Prolactin 11.9 (2.1-17.7) Thyroid Peroxidase AB: 10 (STD range 40) Free T 4: .84 (.71-1.85) Free T 3: 3.47 (2.5-3.9) TSH 2.14 (.45-5.33) SHBG: 13 (11-56)
Original Endocinolosit did not want to prescribe any TRT at this time. He stated that due to I did not need supplementation due to my low SHBG.
Symptoms continued on and I followed up with a men’s health clinic 2 weeks ago. He only drew two labs at original consultation
Total T: 107
His recommendations at this time were to start HCG and an estrogen blocker. I do plan on having kids and fertility was in the thought process at this time.
What are your opinions on this route? Anyone have success stories? I was also curious as I have been having significant joint problems and pain recently; Has anyone had significant improvement of this with normalization of hormones? I have heard some good things and some bad things about this route but from my understanding other than some suppression of FSH and LH that could be resolved once stopped side effects of this should be minimal.
If this does not work would you recommend starting T replacement with HCG and estrogen blockers: what doses should I look at being started at?