T Nation

My TRT Experience at 23

First time poster here but I thought I would share my experience with others and seek some insight into my protocol as I’m new to this.

I’m 23 years old and have been showing signs of low T since about 20. Low energy, not much strength (comparatively), low endurance etc, brain fog, couldn’t wake up in the morning, no motivation, always tired/groggy, moody and no morning wood. My sex drive was never severely effected but I was no five times a night porn star either. I could usually smash really great and that was it for a few hours, never more than two or three times a day.

At my yearly physical (age 21) I brought up to my doctor that I thought I had low t; he looked at me (even with low t I looked very athletic) and laughed. Asked how my sex drive was, I replied “fine, my dick works OK.” He said that If I had low t my sex drive would be in the toilet and I wouldn’t have as much muscle as I had.

Fast forward two years and the symptoms are worse. Everything listed above plus I’m getting depressed, really depressed. I’ve always been one to suck it up and just put out but the depression was getting stupid. I go back to my family doctor and he wants to prescribe me an anti depressant. I told him no thanks and that I wanted my T-Levels checked, I gave him the list of blood work I wanted done (which I compiled from research done on this site). He reluctantly agreed.

A few days later my results are back in from Quest

LH: .9 (1.5-9.3)
Total Test: 273 (250-1100)
Free Test: 25 (35-155)
E2: 27 (<29)

Thyroid, cortisol etc. was all normal, SHBG was normal. So I go back to the doctor with these numbers and get a referral to an Endo. My doctor really just didn’t seem to care. After talking to some friends at the gym a was able to get the number to a GP in the area that was supposedly pretty on top of things when it came to TRT, I scheduled an appointment and was in his office a week later.

I simply showed him my blood work and had a prescription for 200mg/Wk Test C. He also ran additional blood work. He seemed really in the know, acknowledged the need for estrogen control and possibly HCG. I asked him about the estrogen control and he said he wanted to see if we could get by with out an anti e first, which I was ok with.

Fast forward 2.5 months to today and my E2 has jumped from 27 to 54, which is totally unacceptable for a male. About week three I started feeling really good from all the test, then as my E climbed I slowly started to feel like shit again. When I go in I’m expecting to get Adex, Exemestane or Letro but he really surprises me.

He tells me “no I don’t prescribe those drugs as they are cancer drugs.” He writes me a script for Nolvadex instead. He doesn’t understand the difference between a SERM and an AI. I picked up the Nolvadex but am not taking it. In the mean time I’ve picked up some Adex from what seems to be a very well respected research chem site but I’m still suspect of the potency. Blood tests will tell.

I would rather get some prescription A-Dex or Letro but it looks like I’ll have to find another doctor. I’m going to print out some information from this site to try and convince him one last time howver, I’m not too hopeful.

I’ll keep the thread updated regularly with additional info. Also, Adex/Aromasin/Letro are insanely expensive, does anybodies insurance cover these drugs or do you guys pay out of pocket?

Why not get a Doc that understands what he’s doing? At 23 you should have enough T in your system to donate to some of us! Find out what’s wrong and get it fixed.

Those other tests you said are normal but what are the results?

Well your LH is definitely low well below the range. This would suggest that your pituitary is not signaling the testies to produce testosterone.

What was your prolactin level?

I think you are jumping the gun a little with going with TRT after a few tests. You have identified a problem already with your low LH.

You should really look into this and at least confirm if you are secondary or primary. I would not be surprised if you did a round of Nolvadex your testosterone numbers would go dramatically up. If it did it would at least tell you that you are not primary and your testicles are working when asked.

What time was your blood test at?

Post your other lab values and honestly it looks like in your best interest to dig deeper and uncover your problem.

I’m currently searching for a doc that knows more about what needs to be done. I’ve got Nolvadex on hand as an attempt to restart things. I have no tumors on testes or any sort of vein problems. I’ll admit I did somewhat jump on to trt as I got sick of feeling like shit all the time and it was a solution. I’ll have to go dig up the blood tests however my Thyroid was right where it should be (middle range on all numbers) I still need to have Prolactin and Cortisol checked. Cortisol could be quite high as I’ve been under a lot of stress lately. Blood was all drawn at 8:30.

Does a round of Nolvadex have the potential to permanently fix my problem and unfuck my text/estrogen ration?

[quote]Mr. Goodtimes wrote:
I’m currently searching for a doc that knows more about what needs to be done. I’ve got Nolvadex on hand as an attempt to restart things. I have no tumors on testes or any sort of vein problems. I’ll admit I did somewhat jump on to trt as I got sick of feeling like shit all the time and it was a solution. I’ll have to go dig up the blood tests however my Thyroid was right where it should be (middle range on all numbers) I still need to have Prolactin and Cortisol checked. Cortisol could be quite high as I’ve been under a lot of stress lately. Blood was all drawn at 8:30.

Does a round of Nolvadex have the potential to permanently fix my problem and unfuck my text/estrogen ration? [/quote]

Well if you are one of the lucky ones maybe a restart could get things back on track. Any idea what kind of test numbers you had say a few years back? Probably don’t have any record as people don’t usually get blood work done when feeling great.

Your high cortisol if it is high could also be causing an issue. But your blood test will confirm your thoughts if they were correct or not.

Get those other important tests done and take it from there.

You very will could try a nolva restart and see what that brings.

Just to let you know I did this exact thing and only took 10mg a day for 2 weeks. Doubled my LH value and this in return doubled my test and free test numbers. Went from 10nmol to 20nmol. It was cut short by my doctor as he wanted me off all meds to try and find the root cause. My LH was also low just hovering above low range. Your LH is even lower why this is no idea maybe pituitary issue you need to rule this out.