I’ve been battling with a range of symptoms over the past 12 months - Lack of energy, brain fog, widespread tendon injuries, iron deficiency & low libido being the most prominent.
After a myriad of tests and investigation, I was diagnosed with Primary Hypogonadism.
Here’s my rundown:
I’m a 27 y.o male living in Australia
Height = 179cm (5’10")
Waist = 85cm (33")
Weight = 71kg (156lbs)
Body Hair is normal although minimal on chest; good facial hair coverage.
Minimal body fat, small amount around love handles which has crept up over the past 12 months.
Medication: 7.5mg Mirtazipine prescribed for sleeping issues which turned out to be due to obstructive sleep apnea (now controlled with a CPAP machine)
I used Minoxidil for about 6 months in 2014 but it gave me anxiety so I stopped.
Never had any aches associated with testes.
Disciplined with healthy diet (minimal sugar, low carb, no alcohol) and I have been doing the 16:8 intermittent fasting method for 18 months.
Train moderate intensity 6 days a week, mixture of weights and running/swimming. However the last 6 months I’ve barely been able to train due to my ongoing tendon injuries
Pre TRT Bloods:
Testosterone: 7.2 nmol/L (6.0 - 28)
SHBG 16 nmol/L (15-50)
Free Testosterone 196 pmol/L (200-600)
Estradiol 60 pmol/L (<150)
FSH 14 IU/L (1-8)
LH 4 IU/L(2-8)
Prolactin 136 mIU/L (45 - 375)
TSH 1.46 mIU/L (0.50 - 5.00)
PSA 0.44 (<2.51)
I was started on Androgel and after 6 weeks, although I began to see slight improvements in my symptoms my testosterone levels hadn’t changed significantly so I was prescribed Testosterone Enanthate 250mg to initially be administered every 2 weeks.
Bloods taken 14 days after first injection of 250mg:
Testosterone: 4.5 nmol/L (6.0 - 28)
SHBG 16 nmol/L (15-50)
Free Testosterone 119 pmol/L (200-600)
Estrodial: 74 pmol/L (<150)
I felt much better for the first 10 or so days after my injection, but as you can see my levels were even lower than when I started at the 14 day post-injection mark.
I’m after some advice going forward about the best dosage frequency based on my SHBG. My Urologist who prescribed the T is pretty happy to work with me but doesn’t seem to be fully abreast on the most suitable protocols.
Based on my research and hovering around this forum, I was thinking it would be best to inject 125mg/ week and then see how I’m feeling after a while and then perhaps transition to twice weekly injections.
This is only the beginning of what I expect to be a life-long commitment and so I’m willing to be patient to see how my body responds and tweaking the treatment for the best results.
Thanks very much for your advice and assistance.