T Nation

Potential Virilization

Hi I want to know if improved virilization is possible at age 33. I was born with sick basically with chronic infections and low grade inflammation. During puberty I developed female fat distribution and wasn’t as viril as my peers. I was/am an athlete at 6’3 , African American and had been lifting weights and playing sports all through out adolescence and teenage years. At this point in my life I know I STILL have not reached full virilization; I have muscles up top from years of serious weight training but I also have a curvy lower half(wide hips, thighs ect). My health condition are candida, dysbiosis, heavy metal toxicity and endocrine axis disruption from constant inflammation. I’m currently treating all of these conditions but want to know if TRT with HCG and an AI could improve my virilization.

Testosterone levels are 600 my free testosterone levels are good too it’s my E2 and SHBG levels that have been high all my life. My disease state is causing preg to lean more toward cortisol than testosterone synthesis. If I get on TRT to go around the HTPA will that help or should I continue to wait till my condition improves? I want my body to look masculine with straight hips and a straight lower trunk instead of an hourglass look.

My LH 4.0
And I possibly have pituitary and damage from heavy metal toxicity as this is my main issue. Thanks

P.S- I currently do not have labs for SHGB, thyroid , E2

I have a similar fat distribution. Very wide hips, thighs. I’m also 30. I’ve worked out legs, biked and am in general good health, but my hip size never really went down, even when I was slim.

I feel your pain bro. I have a fairly decent amount of muscle on top, fairly lean, but my lower half is very fat and out of proportion to the rest of my body (very feminine). I have seen that the only way to balance, is to lose weight and build up muscle up top to compensate.

I don’t think a recomp would be impossible though. Will take a lot of dedication and time.

Wide hips came in at puberty because my hypothyroid issue leaving my testosterone to aromatize to estrogen. I’m going to do some testosterone and maybe some other androgens to see if my body changes. I think the wide hips and big thighs is due to fat distribution because we’re born with male hips and pelvis. Any feedback appreciated…

The only thing I can think of is that I took Accutane in my teens, and I know that can disrupt hormones.

Virilization will take place. Some male facial bone changes are not possible. Body and facial hair will develop to your genetic potential. Aim for high TT and FT levels and E2=22pg/ml. hCG needed to preserve fertility and testes. Age is not a barrier, started TRT at 54 and virilization stepped up. Check that DHEA-S is mid-range or better.

Fat loss also needed good thyroid function, see oral body temps discussed below.

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Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.

KSman is simply a regular member on this site. Nothing more other than highly active.

I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.

The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.