Hi everyone, this is my first post and I was hoping someone could point me in the right direction with TRT.
Background: I’m a 27 year old male. I’ve done oral on PH/DS/dbol cycles in the past. I probably did 3 or 4 cycles from the time I was 22 to 25. Most of these were just 4-6 weeks. I did not however, use proper pct. I only used OTC aromatase inhibitors and OTC ptc crap. I did have clomid and nolvadex somewhere but I can’t find them. I’ve had symptoms that may have been low testosterone from about the time I was 16or17.
I was always extremely tired even in my teen years. I feel like my nuts have always been small and my sack tight (which is another sign). I’ve also been dealing with depression and anxiety from around the same time. There was definitely a noticeable change in my high school years. I never had the proper blood work before taking orals, but I felt freaking great while on them.
I’ve been dealing with different types of doctors on this fatigue issue. I’ve done tons of tests for asthma, sleep apnea, etc. My doctor just wasn’t cutting it so I switch. My new doc ran the blood work and told my test levels were extremely low. He put me on androgel and set me up with an endo. The gel worked at first but it doesn’t do anything now. I have recent blood work from when I was taking adrogel. My insurance quit paying for it, so it gave me the chance to switch.
I have blood work form a few weeks ago when I was on androgel.
Total Test: 148ng/dl (lab range 300-1080)
Free Test: 38 pg/ml (lab range 47-244)
It was over a year, almost 2 years, since I took dbol and finally went to this new doc and was put on gel. The numbers weren’t that much lower before the gel. So even with the gel it’s extremely low in my opinion. I finally convinced the doc to let me self inject cypionate, and I’m taking 200mg bi-weekly right now.
I feel like my GP is good but is somewhat uncomfortable with me self-injecting. I think that bi-weekly is not going to be enough so that will be the next battle. I was on injections before that the nurse had to give me. I would feel awesome for 3-4 days after the shot and then start to drop off.
I have another appointment with my endo in a few weeks and need to get some more labs done since I’ve switched to cypionate.
I have a couple questions I was hoping someone here could help me with.
Is there really anyway to tell if these low levels are drug induced or if I may have just always had low T? I did get my pituitary and adrenal gland checked. No problems there.
Should I pursue restarting my natural levels or continue the TRT route?
How the hell do I find a doctor that really knows about this? Most endos seemed to be diabetic focused. Any suggestions in the Pittsburgh, PA area?
If I find a specialist out of state, how often do you really need to make office visits. I’d be ok with driving ~8 hours but I couldn’t do it for each appointment. Do they ever just order labs and evaluate them remotely?
Anything else I should discuss with my endo?
Any other suggestion would help to. Thanks a lot.
edit: The next labs my endo has me doing are: Comprehensive Metabolic Panel, Prolactin, Lipid Panel, Ceruloplasmin, Iron Panel, and Free + Total Test.