I have trt docs standing by but have 1 other issue holding me back.
I have 500 something total but ~60-70 shbg with a below range free T. It’s 7 with 9-25 range.
I did have normal lh/fsh last time I tested but that was only once and these are pulsatile.
I’m 36, in decent shape but do have drive/mood/energy issues occasionally.
Thyroid/cortisol/vitamins are fine.
QUESTION: I did use a cycle when I was much younger, more than 10 years ago now, and i was previously on trt for 2 years. I used low dose hcg throughout. But, now, as I read the literature on Anabolic Steroid Induced Hypogonadism (ASIH), I’ve seen guys that were seemingly suppressed for years from cycles.
I did use clomid, but I didn’t tolerate it well and certainly didn’t last many months like some restart protocols call for. Clomid did seem to increase my T. I also saw an assertion (in a legit journal) that clomid can desensitize the pituitary to GNRH (they called it LHRH but apparently they’re the same), while nolva actually increases sensitivity. Surely, this isn’t permanent. The more I read about it, very little seems permanent as long as there’s no physical damage.
So, is 36 too late to attempt any restarts?
Has anyone tried months long, low dose ( 5 -10 mg nolva) restarts and tested FREE or BIOAVAILABLE testosterone a few months after stopping all meds?
At what age is the average so low that the boost from average to younger is worth it? Meaning, it’s a waste of time to worry about getting back normal levels because normal for a 40 year old sucks anyways.
I ask thinking I would be fine if I get my natty 170 bioavailable up to 250 or so. If I did do trt again, I’d probably keep my doses lower and shoot for 350-500 bioavailable and 20 free T. So I wouldn’t be getting much more than youthful levels.
I realize part of this is personal preference but still would appreciate any good ideas.
I did use the search but the results were hit or miss.