I’m a 30 years old, a bit overweight but not too much, also have decent muscle mass(1.85, 102kg, my optimal weight is around 90kg).
The last two years I had low-normal T and many of the symptoms(decreased libido(although still good), low-energy, low-motivation, very hard recovery after weight lifting and so on). These were my results at 06.03.2019:
|TSH||S||1.73||µIU/ml||0.27 - 4.20||ECLIA|
|LH||S||2.65||IU/L||1.70 - 8.60||ECLIA|
|FSH||S||1.13||IU/L||1.5 - 12.40||ECLIA|
|Prolactin||S||352.6||mIU/L||84.80 - 318||ECLIA|
|Estradiol||S||16.04||ng/L||7.63 - 42.60||ECLIA|
|Testosterone||S||14.14||nmol/l||9.90 - 27.80||ECLIA|
|Free Testosteron||S||9.1||ng/l||8.30 - 40.10||RIA|
|DHEA-s||S||8.63||µmol/l||4.34 - 12.20||ECLIA|
|SHBG||S||32.09||nmol/l||18.30 - 54.10||ECLIA|
|Cortisol (morning)||S||303.1||nmol/l||133 - 537||ECLIA|
|Cortisol (afternoon)||S||nmol/l||68.20 - 327||ECLIA|
|PSA||S||0.545||ng/ml||0.010 - 1.400||ECLIA|
|Complete Blood Picture|
|leukocytes||EB||6.43||G/l||3.5 - 10.5||DC+LD|
|erythrocytes||EB||5.11||T/l||4.5 - 5.90||DC-det.|
|hemoglobin||EB||153||g/l||140 - 180||SLS|
|hematocrit||EB||0.45||l/l||0.40 - 0.53||calc|
|MCV||EB||87.3||fl||80 - 96||Calc.|
|MCH||EB||29.9||pg||28 - 33||Calc.|
|MCHC||EB||343||g/l||300 - 360||Calc.|
|Trpmobociti||EB||218||G/l||140 - 440||DC-det.|
|RDW-SD||EB||37.9||fl||35.10 - 43.90||calc.|
|RDW-CV||EB||11.8||%||11 - 14.40||calc.|
|PDW||EB||13.5||fl||9 - 17||calc.|
|MPV||EB||10.7||fl||9.40 - 12.40||calc.|
|P-LCR||EB||31.6||%||13 - 43||calc.|
|PCT||EB||0.23||l/l||0.17 - 0.35||calc.|
|Total Cholesterol (Chol.)||S||3.91||mmol/l||3.5 - 5.20||PHOT|
|HDL-Cholesterol (HDL-C)||S||1.31||mmol/l||> 1.5||PHOT|
|LDL-Cholesterol(LDL-C)||S||2.59||mmol/l||0 - 3.35||PHOT|
|Trigleceridi (Tg)||S||0.51||mmol/l||0 - 1.70||PHOT|
|Glucose||S||5.19||mmol/l||2.80 - 6.10||HK|
|IGF-1 (Somatomedin C )||S*||191||ug/L||98 - 282||CLIA|
|25-OH-Vitamin D||S||41.35||ng/ml||> 30||ECLIA|
I did NMR of the pituitary suspecting adenom.It turned out that I do not have such, but I have a condition called empty sella syndome. My frontal pituitary is a bit decreased and this is where LH and FSH are secreted. As you can see they are very low in my blood work. So all sounds logical up to here.
I made a consultation with a TRT clinic and they decided to put me on clomid(12.5mg 3 times a week) and caber(0.125mg 2 times a week), they said to test my body. They said I may be able to restore my T production with long-term usage of clomid. But they were not sure It will remain after I stop. And I do not like to take this shit for years. As for the caber, I think they told me I can stop it after certain time and the prolactine levels must remain normal. But I did not understand how much time to take it.
I started this protocol 12 days ago and I decided on my own to add boron(to reduce SHBG increase from clomid) and I took a few times DIM(fearing to raise estrogen from the clomid) and I continue to supplement Vitamin-D, Vitamin-C and ZMA.
Yesterday decided to take preliminary blood tests, only the cheapest, because I will make again full after a month:
|Prolactin||S||283.5||mIU/L||84.80 - 318||ECLIA|
|Estradiol||S||21.92||ng/L||7.63 - 42.60||ECLIA|
|Testosterone||S||18.15||nmol/l||9.90 - 27.80||ECLIA|
Seems clomid and caber treatment work very fast. Testosteron has risen and Prolactin has decreased a bit. The problem is I feel more shitty after started the medications. Especially every time I take clomid I feel weaker, also my errection quality has decreased.
Can I expect a turn in this negative effects from the treatment? How long to keep pushing with the fucking clomid?
The caber my local endo told me I need to take it at least six months to sustain the drop in prolactine. But I fear my levels may become too low for so long time. Caber also makes me feel bad, but not nearly as the clomid.
But the clomid will definetely not be a long term solution for me, I just feel shitty from it. Issue is even the TRT clininc were reluctant to put me on TRT and shut down my system, and my main concern is fertility - I do not have kids yet.