Height: 5’ 9"
Body/Facial Hair: Can grow a beard, probably on the higher end of body hair growth
Fat: I carry fat mostly in my lower abdomen, butt, and thighs. Even cutting my weight down to 145 did nothing to reduce the fat.
Symptoms: anxiety/depression, low libido, soft erections, fatigue, hard to lose fat and gain muscle, lack of concentration, frequent urination, poor sleep, gynocomastia
OTC Drugs: Wellbrutrin (150mg 3 times a day) for depression, recently prescribed Clomid (15mg ED) and Anastrozole (0.125mg ED) for TRT
Diet: I generally try to eat healthy and stay away from processed food. Up until a couple months ago I was bulking, but I’ve moved more towards maintenance since starting TRT.
Training: Weight lift 3-5 times a week depending on fatigue level
Testes Ache: On rare occasion, but I wouldn’t think frequently enough to be of note, probably only like once or twice a year.
For some reason they weren’t able to test Free T, but I do have two earlier tests with those numbers:
Total Testosterone: 4.41 (3.48-11.9 ng/mL)
Free Testosterone: 11.3 (8.7-25.1 ng/mL)
Estradiol, Sensitive: 45 (8-35 pg/mL)
Total Testosterone: 592 (264-916 ng/dL)
Free Tesosterone: 14.1 (8.7-25.1 ng/mL)
(Oddly 5/17 test was within two hours of waking after a full night of sleep, 8/18 was after a night where I barely slept.)
Just to be brief: I’ve been dealing with constant fatigue and generally feeling crappy for the past few years. I’ve been treated for depression/anxiety for it, but started looking into other causes a couple years ago while changing my lifestyle to be healthier by adjusting my diet and working out. Thyroid issues, dietary problems, and sleep apnea have all been ruled out.
Earlier this year, my doctor checked my testosterone and determined it was the low end (5/17 labs), but within range. I then went and had my E2 levels checked on my own and it was found to be high. Based on this and the fact that I have a lot of symptoms consistent with low T, my doctor suggested I look into TRT. A specialist has started me on Clomid (15mg daily) and Anastrazole (0.125mg daily) in an attempt to balance out my levels. I started taking them Monday, so it’s probably too early to tell if it’s helping (though I have noticed my testicles have increased in size, and I feel more anxious).
Outside of E2, my hormone levels all look pretty normal. My T was a little on the lower end in May, but the other tests suggest that it’s normally mid-range. This has me wondering if TRT is addressing the right issue. Obviously my E2 is way too high and causing problems, but this doesn’t appear to be a result of hypogonadism otherwise my T would be much lower, right? Is it possible something else has caused my E2 to be high in a way that isn’t impacting my other levels? Or am I just way overthinking things? I know Anastrazole will work to bring my E2 to a better level, but I just want to make sure I’m not wasting my time by treating the symptom of something else.
I’m also wondering why my DHEA-S is so high. My doctor said it wasn’t anything to be worried about since stress can raise it, but I’ve also read it can be indicative of other issues.
The past couple years have taught me that doctors don’t know everything and don’t often investigate beyond the surface unless pushed, so I’d really appreciate if anyone has any thoughts on this.