I am 29 years old, and I have been on TRT since I was 24. At that time I had total testosterone at 400 ng/dl (which is still in the range), but free testosterone and estradiol below the lower range limit. Three doctor gave me TRT over the last five years.
When I’m off therapy, my total testosterone drops down to 200-250 ng/dl (220ng/dl in my last blood test). Symptoms are low sex drive, weak erections (if present at all), physical fatigue, facial hair spots. These symptoms just disappear in a matter of few weeks when I do injections.
I do not drink/smoke/do drugs, I train regularly, eat clean, I sleep 8 hours per day, I do not have other physical or mental conditions and I’m not on any particular medication, besides TRT. Natural testosterone boosters didn’t work at all. And I have used testosterone under medical prescription only.
I’ve just moved to the US from Europe, so I am currently off therapy. My total testosterone came out at 220 ng/dl in my last blood test, as I mentioned above. Clearly, five years on therapy have suppressed furter my natural production. While I had some symptoms when I was 24 (i.e., before TRT), the situation is much worse now, and the iatrogenic suppression sure has quite an important role here. I tried, about 2 years ago, to quit TRT and my doctor gave me HCG to recover, but after more than six months my test was still below 350 ng/dl.
As I am feeling like crap (see the above symptoms), I would like to get back on testosterone injections. Back home, I have been visited by many doctors who didn’t want to prescribe testosterone and, before I found willing doctors, I had to spend hundreds of Euros just to be denied a prescription every time.
I am not used to American doctors, and I would like to avoid going through never ending visits and testing again, just to go on with a therapy I have been on for 5 years. I have my prescriptions and some of my previous blood works. I am not really sure how to proceed here, if asking a GP or going to a specialist and how to approach the issue.