30 Year Old Male
My low T journey began when I requested my GP check for Testosterone and Thyroid values during an annual checkup. My reasoning for the request was that I had been dealing with a few worrying issues: low libido, weak erections, mental fogginess, and short-term memory issues. For several months had been convincing myself I was just overworked or stressed (in reality, I don’t feel I was either of these things). 2 weeks prior to the appointment I had started taking a Forskolin supplement and was surprised how much it seemed to help my strength and fatloss. I was curious what my blood looked like given my symptoms and effectiveness of the supplement.
Libido / Sex
Libido is low, I can recognize sexy women but the desire to play with them is low. Erections are weak and only sustainable with fast thrusting and in certain positions. Morning wood is non-existent.
Body & Scalp Hair:
I feel that my scalp hair has been thinning progressively over the past couple of years, but has recently reached a point of being noticeable to friends & family. It appears to be thinning evenly all over, not exclusively in the MPB vertex area. In recent months the outer hair of my eyebrows has been falling out, and although I have a sizable beard I feel it has thinned as well. Otherwise, my body hair has always been about average.
Stress & Lifestyle:
I work in Tech as a engineer. Specifically I work in R&D and sometimes have to be up at odd hours communicating with co-workers in other parts of the world. Generally speaking though, I find my job manageable. In the past I would get maybe 6HRs of sleep a night, but for the past year I have made it a priority to get a solid 8 without interruption.
My body prefers to store fat in the centrally in the abdominal area. I store very little fat elsewhere, and this has been the trend my whole life. Over the years I have been in the 15-20% BF range, depending if I was bulking or dieting… but I have never been out totally out of shape or sedentary… I’ve played sports and lifted my whole life.
Very tame, and nothing in the past 5 years. In earlier days I did three runs of 500mg of Test E for 12 weeks with some Deca thrown in. Post-Cycle I used a combo of Nolva + Clomid for 30-45 days, and always felt refreshed at the end but never did any post-cycle bloodwork (because I felt fine). I only did a few cycles because I always had really great strength naturally and decided I was satisfied with that.
Initial Blood Work 3/1 (With GP) Note - I was taking Forskolin during this time
TT: 320 (250 - 827)
Vitamin D3: 26 (> 30)
TSH: 4.48 (.5 - 4.5)
I had a metabolic panel done as well and all of those values were in range. I tried to raise the issue of low Testosterone and Thyroid with my GP but she is an idiot and claimed those values were ‘perfectly good’. Realizing I was dealing with an incompetent person I took it upon myself to book appointments with a Urologist and Endocrinologist… at the time of this post I have only seen the Urologist so far, and my experience there follows below.
Blood work 4/1 (With Urologist) Note - I had discontinued Forskolin 12 days prior
TT: (194) ( 250-827)
Free Test: Unmeasurable
FSH: 1.4 (1.6 - 8.0)
LH: 2.7 (1.5 - 9.3)
Prolactin: 8.8 (2.0 - 18.0)
Estradiol: 24 (< 39)
SHBG: 17 (10-50)
Albumin: 4.7 (3.6 - 5.1)
Following this bloodwork my Urologist diagnosed me as hypogonadal. His claim was that I am ‘primary’ because my testicles are a very healthy size and my bloodwork is normal aside from the Total Test. My question for you all though, is don’t my LH and FSH seem low? Also, the fact that my TT was higher on the first bloodwork while I was taking Forskolin (which stimulates LH) seems to imply that my testicles can respond to greater LH signals by producing more Testosterone (although still sub normal levels). I tried to ask him about Clomid to restart my system, but he disagreed it would be effective and started me on Test Cyp injections instead… 200MG bi-weekly. I am aware that the frequency there is not ideal, so I plan to take 100mg a week and see how my blood work looks. Still, I am only 30 and would prefer to restore my natural testosterone production rather than rely on pinning myself.
Also, that TSH value from my first set of blood work makes me question if my Testosterone issues are being caused by Hypothyroidism. I have an appointment with an Endocrinologist in a week, and will update you all with the results soon. I’m going to ask them about Cortisol and a full Thryroid panel blood test as well.
I have the following daily supplement regime, only recent addition is the Vitamin D after first set of lab results:
8G FishOil Caps
6000 IU Vit D3
COQ10 (300mg 2x)
Zinc 25mg before bed
Creatine 5g x2 (am/evening)
Your collective insight is greatly appreciated!