Thanks to those who have contributed to the forum. I’ve been reading as much as I can from you to get advice and hope to get the right TRT protocol for my body. I’ll try to be concise but thorough, so bear with me.
Age is 36.
Urologist diagnosed me with subclinical varicocele (has since gone away), as well as a small epididymal cyst. They said unless it gets larger or causes pain then I don’t need to follow up.
Experienced low T symptoms and requested blood work from my GP. Results came back with low T levels. Referral to an endocrinologist who ordered blood work to test LH, FSH, TSH, iron, cortisol, etc. to see whether I have primary or secondary hypogonadism. Diagnosis of secondary hypogonadism was recently given by my endocrinologist. Full blood work is posted below so you can get the complete picture. My endo has since ordered an MRI so they can assess whether there is a tumour, but my suspicion is not. Wait and see. I’m unsure whether they will prescribe TRT prior to the MRI, but they’ve communicated to me that they’d like to start at some time either before or after.
They said I can administer testosterone whatever way I feel best. Cream, nasal, IM injection. I’m going to opt for injection, but their initial protocol is to prescribe 200mg every two, three, or four weeks. Consensus on the board is more frequent, smaller doses. My SHBG also seems to be on the low-normal range which may require EOD injection. Please let me know your thoughts and advice. Much appreciated!
Thanks in advance!
TSH 0.78 (Range 0.32-4.00 mIU/L)
Free T4 14 (Range 9-19 pmol/L))
Free T3 3.6 (Range 2.5-5.8 pmol/L))
Thyroperoxidase Antibody 11 (Range < 35 kIU/L)
Reverse T3 13 (Range 8-25)
FSH 2.6 (Range 1-8.0 IU/L)
LH 1.7 (1.0-7.0 IU/L)
Prolactin 6.0 (4.0-19.0 ug/L)
Cortisol AM 209 (135-537 nmol/L)
Iron 19 (Range 11-34 umol/L|
Transferrin 2.57 (Range 2.00-3.30|g/L)
TIBC 65 (Range 50-83 umol/L)
Transferrin Saturation 0.29 (Range 0.13-0.50)
Testosterone 4.2 (Range 8.4 - 28.8nmol/L)
Testosterone Free 102 (Range 196-636 pmol/L)
SHBG 22.9 (Range 10-70 nmol/L)
WBC 5.5 (Range 4.0 - 11.0 xE9/L)
RBC 4.77 (Range 4.50 - 6.00 xE12/L)
Hemoglobin 145 (Range 135 - 175 g/L)
Hematocrit 0.425 (Range 0.400 - 0.500 L/L)
MCV 89 (Range 80 - 100 fL)
MCH 30.4 (Range 27.5 - 33.0 pg)
MCHC 341 (Range 305 - 360 g/L)
RDW 12.0 (11.5 - 14.5 %)
Platelet Count 219 (Range 150 - 400 x E9/L)
Neutrophils 3.4 (Range 2.0 - 7.5 x E9/L)
Lymphocytes 1.5 (Range 1.0 - 3.5 x E9/L)
Monocytes 0.5 (Range 0.2 - 1.0 x E9/L)
Eosinophils 0.1 (Range 0.0 - 0.5 x E9/L)
Basophils 0.0 (Range 0.0 - 0.2 x E9/L)
Immature Granulocytes 0.0 (0.0 - 0.1 x E9/L)
Hemoglobin A1C/Total Hemoglobin 5.0 (Range <6.0 %)
Creatinine 72 (Range 67-117 umol/L)
Glomerular Filtration Rate (eGFR) 115
Alanine Aminotransferase 38 (Range <50 U/L)
Cholesterol all normal