I have been struggling with crippling fatigue, non existant libido and brain fog for the past 9 months which has steadily got worse.
I am 25 years old and have had no other health issues other than this,
I am based in the UK so have spent the majority of this time trying to convince my NHS GP to test my testosterone levels; I believe I had negatively affected it through overtraining and over restricting calories. (I have been too tired to exericse for several weeks now and thus have stopped along with increasing my calories to maintenance)
I have never used steroids or pro hormones of any variety.
Having finally got tested after many appointments where they tried to tell me I was just depressed I came out with the results of 4.6nmol/l and convinced my GP to refer me to an endocrinologist. (This was after she attempted to prescribe me Andro Gel which I did not want to take before finding out whether I was primary or secondary)
Having seen the endocrinologist the results he has sent me in a letter are as follows:
Free T4 14.5
random cortisol 417
random glucose 4.7
renal, liver and bone within normal limits
Having had these results back he wanted to send me for an MRI to check for a pituitary tumor and in fairness he had this test sorted quickly, I had the results today and there were no anormalities or tumors which I suppose is a relief.
The issue is now that from that LH reading and the information I have read from Scally and several anecdotal experiences, I believe a clomid restart may be worthwhile due to my low LH reading.
The problem is that clomid is non FDA approved in the UK for use in treating men so he is not willing to consider it.
He wants me to undertake a GNRH test with the intention to undertake HCG therapy depending on the outcome.
My question is, would I not be better off trying a clomid restart first? (I am able to obtain clomid through an unoffical source - a friend)
What would people advise me to do?
I don't want to lose my trust / treatment from the NHS and this specialist who does seem keen to help, but from what I have read, I would rather try and stimulate my own HPTA than go straight to using HCG.
Any help in constructing a reasoned argument to my specialist would be appreciated, especially from anyone who has been in a similar situation.