I thought Total testosterone was the one that fluctuated? That is why it is tested in the morning..
Thanks for all your help. I will give you as much information as possible.
Attached are my comprehensive blood tests from about 9 months ago. They include CBC, lipid panel, BMP, Thyroid, Iron etc.
I am 22 years old and Pakistani living in Los Angeles.
172 lbs, 5 foot 11 and I have a 36 inch waist.
I have lots of body and facial hair. I experience some hair loss, I have some patches on my scalp. I get some morning wood.
Libido is fair to normal, nothing too crazy, definitely have libido though. Testes never ache.
Diet has been steady over the past few months, 3000+ calories with 55/25/20 carbs protein fat split. I lift 3-5 times a week and HIIT cardio sometimes.
My cardiovascular endurance is absolutely horrible.This may be one of the reasons I have low T/high est?
I was very sedentary and played lots of video games/computer in my life. Not very active other than weight lifting.
Weightlifting progress is extremely stagnant which led me to researching about low T.
Dead lift 5 reps for 250lbs, incline bench 5 reps 140 lbs, squat 5 reps 160lbs. It has been stuck at this. Not really much size gains, muscles are just getting toned really. I have 12.5 inch arms which sucks.
I used a Bioimpendence device to measure body fat about a month ago, I was at 14%.
I know this is not accurate. Getting a dexa scan later this month.
I first found out I had low T a little over a year ago. Mom's GP prescribed me Androgel. I took it for 3-4 months (GP said it would be temporary) and got tested a month after stopping. Total T was up to 450. Didn't feel much different while using the gel except I had a little more energy.
After testing again a little after this, I was (stupidly) surprised that my T was low again back to 200. Went on a fierce mission to figure out what the hell was going on (this was February).
Endos didn't really help out other than ruling out primary gonadism.
Then I finally found a dude who I thought know what he was talking about.
He ran a testosterone clinic. www.pacificmd.com
I thought I was well on my way until he saw my bioavailable testosterone was normal. He then told me he could not help me because my bio was normal.
Unfortunately, I don't know who else to see.
All the anti aging clinics I've contacted do not treat anyone younger than 25.
OTC/Supplements: Whey protein, Creatine mono, occasionally I take Grape Seed Extract because I've heard it lowers estradiol but i've never been consistent with it. Just ordered zinc, vitamin D, and fish oil because I've read that it can help testosterone productivity.
As you can see by my bloodwork I do not have a thyroid problem. The only thing I can think of that may have caused low T is that I took Accutane (Isotretinoin) back in highschool (2008-2009) to treat severe acne. It really helped my acne go away, but I've seen some research that suggests it might interfere with pituitary gland functioning.
I would really like TRT to be my last resort if I really do have this problem.
Will the Arimidex alone be enough?