Long time lurker, first time poster.
I’m 43. I have had Addison’s Disease (meaning my adrenals don’t work) for most of my adult life. I take meds for that every morning – currently 0.5 mg dexamethasone (to replace the cortisol), 0.1 mg fludrocortisone (to replace the aldosterone), and 50 mg DHEA (to replace the DHEA, although it doesn’t actually seem to have much of any effect).
After fighting for years with endocrinologists who didn’t know crap about Addison’s, I found one who really knows his stuff and is willing to “tinker” (his word) to optimize my health.
I saw him a couple of weeks ago, we discussed the possibility of low T, and sure enough the bloodwork seems to have confirmed it. I don’t have the full lab report in hand yet – they’re sending it – but one of the other docs in the practice read me a few key numbers over the phone:
Total T: 251 [ref 250-1100 ng/dL]
Free T: 58 [ref 46-224 pg/mL]
Bioavailable T: 146 [ref 110-575 ng/dL]
(Lab is Quest Diagnostics, as was probably obvious to some of you.)
There’s reason to believe that my T has been low for years – I’ve been fighting moderate depression, fatigue, and problems with focus and motivation for a long time, and my post-workout recovery times have always been kind of long (and I never could build much muscle). My libido etc isn’t bad, actually, but I’m on Wellbutrin, which is probably propping things up (so to speak).
For various reasons I won’t be able to see the doc until (at least) next week. TRT is almost certainly in the cards, and while he will probably be pretty clued-in about the state of the art, long experience as an Addison’s patient has taught me to be very well-informed when facing something like this.
So here I am, to get informed. I’ve read the stickies and skimmed Nelson Vergel’s book on TRT, and I’m working on assimilating it into some sort of checklist I can have in hand (or at least mind) when I talk to the doc. What questions should I be ready to ask? What other resources, if any, should I be looking at?