.

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Defy Medical TRT clinic doctor
Judging the before and after of LH and FSH, you made a huge improvement. LH and FSH both jumped to a nice level.

It’s tough to say if those higher levels made any indication that Testosterone increased because the second test is free testosterone only, and first test is total testosterone (free and bounded).

So until you have comprehensive blood tests done, it’s hard to know how to treat the symptoms.

You can purchase a lab order online and bring the order to a local lab to draw blood. Or if you go to Defy, they will allow you to buy the order, and they write it.

I would start with
LH
FSH
Total Testosterone
SHBG
DHT-Dihydrotestosterone
Comprehensive Thyroid Panel
Iron panel
And I can recommend more depending on budget.

Sometimes it could be genetic, and you can search for Klinefelters syndrome and look at body descriptions. It could also be a simple thyroid imbalance.

Have you taken any prescription meds?
 
I started TRT recently at 19yo and I don't care any much, but I am not recomending to do this. Just aswering your question.. I don't believe in test boosters though.
 
A 19 year old with a Total T of 265 ng/dL normal, I don't think so! If you look at 85% of men at 19 years old, they are in the high normal ranges 600+, so I don't understand how medical professionals can say these levels are normal when the endocrine society recommends TRT to those with <300 ng/dL which is still too low.

I haven't found an endo within my current and past provider that know diddly squat about normal testosterone/TRT. You need a specialists, not some ordinary endo who hasn't gotten his feet wet in the world of TRT because the great majority have almost no knowledge pertaining to sex hormones.

Your test results may show normal LH and FSH, but testosterone across the board is bottomed out. This could mean your testicles are the problem and if this is the case years from now you will find LH higher and T lower indicating primary hypogonadism.

Also be aware that normal LH and low-T are seen in men with a certain type of diabetes. You endo more than likely doesn't even know how to prescribe TRT, I would look for treatment elsewhere.
 
Cause I'm kinda young for hormones, don't you think? But anyways I choose to do that, no regrets just not recommending it cause majority of people on TRT are much more older than me and have a reason for this.
agree. why did you decide to go on trt?
 
Hey guys,

I'm 19 years old and I have been suffering from low T symptoms for the last few years (fatigue, depression, low libido, weak erections). The other day I just realized that I can't even remember the last time I masturbated... it's been so long since I've had a libido.

Attached as an image is my labs from 2018. Here are my labs from 2019.

And below is my most recent labs from 3/18/2020:

TESTOSTERONE, FREE

47 pg/mL

47 - 244 pg/mL


FOLLICLE STIMULATING HORMONE

8.28 mIU/mL

1.27 - 19.26 mIU/mL


LUTEINIZING HORMONE

6.60 mIU/mL

1.24 - 8.62 mIU/mL


These lab results are particularly disappointing because I have spent 2018 and 2019 trying to raise T naturally through diet, sleep, and lowering stress levels, but recently I've been feeling worse and worse.


I'm going to see an Endo in April, but in the past they have just told me that I'm "normal" and "in-range" and dismissed me. Should I instead go straight to a men's clinic or a tele clinic like Defy? What would you do if you were 19? I just can't handle feeling like shit all the time anymore. I'm wondering if I need to take matters in my own hands and get started on TRT without going trying to go through an Endo that won't take me seriously.

@kevmtao Glad you reached out to the good people on Excel Male. As a man who started Testosterone, among other anabolics, at age 18, I will give you my advice (which you can take or leave).

(1) Becoming dependent on exogenous hormones at 19 is not an optimal solution. Many men on TRT are never able to 'dial it in' meaning they never find the protocol that makes them feel optimal. TRT, in most men, leads to the inclusion of ancillary drugs to help mitigate side effects. These drugs all possess a host of side effects themselves. It has taken me nearly a decade of TRT to finally find a dosage and dosing protocol that works for me.

(2) Your healthy LH levels coupled with low Total T and Free T is an indication of primary hypogonadism, which is certainly something that you should see a specialist for. I am not saying that you are primary, but you should certainly see an expert.

(3) TRT will lead to infertility, which is something to think about. Yes there are medications like Clomid and HCG that can aid in fertility while on TRT, but those medications work best for males with secondary hypogonadism.

All in all, I would seek help from a medical expert on this. Most every male on this forum is here because we are still seeking 'optimization' in our TRT/HRT protocols...meaning that most of us are still unhappy with how we feel and are searching for protocols and combinations that will make us feel better. If I could choose to go back and not become dependent on shooting testosterone into my body EOD I would.
 
agree. why did you decide to go on trt?

To have a better quality of life, libido, recovery, muscle mass, etc. I also don't drink or smoke or eat junks, I'm very dedicated; I work out and do Krav-maga too. I just want to be optimized for my lifestyle, but I know it was a early decision.
 
To have a better quality of life, libido, recovery, muscle mass, etc. I also don't drink or smoke or eat junks, I'm very dedicated; I work out and do Krav-maga too. I just want to be optimized for my lifestyle, but I know it was a early decision.
What did you base your decision to begin TRT on?
 
Honestly I never done bloodwork to check my levels, only for standard lipids one time per year or so as anybody.
As someone who started testosterone at 18 myself for bodybuilding I can’t judge too harshly. But just so we are clear, you started cycling at 19 not taking TRT, irrespective of dosage or the fact that you don’t plan on coming off (because you had/have no quantitative nor doctor recommended reason for doing so).
 
As someone who started testosterone at 18 myself for bodybuilding I can’t judge too harshly. But just so we are clear, you started cycling at 19 not taking TRT, irrespective of dosage or the fact that you don’t plan on coming off (because you had/have no quantitative nor doctor recommended reason for doing so).

Of course, to have TRT prescription by a doctor at 19yo I should have serious problems or hormonal issues that I dont.
 
I’ve been to 2 endo’s 5 years ago. They didn’t know anything about this stuff and told me it was very controversial.
 
I’ve been to 2 endo’s 5 years ago. They didn’t know anything about this stuff and told me it was very controversial.
TRT is a lucrative industry. Endocrinologist, from my understanding of the disparity between them and TRT specialists, do not believe there are a statistically significant amount of men suffering from hypogonadism. And thus they do not prescribe a lot of men testosterone. TRT specialists, for the most part, over prescribe testosterone as a means of increasing revenue (often pushing T into guys that don’t need it). Why do you think oxandrolone and nandrolone are being used now in TRT settings? Despite studies such as those conducted by the Baylor College of Medicine showing the beneficial effects of nandrolone on the joints of hypogonadal men, it is ultimately about gaining a competitive advantage over other TRT clinics. There is a lot of controversy in the TRT world, much of it stemming from the desire of profitability, leading to overprescribing and polypharmacy. It’s big business.
 
Hey guys,

I'm 19 years old and I have been suffering from low T symptoms for the last few years (fatigue, depression, low libido, weak erections). The other day I just realized that I can't even remember the last time I masturbated... it's been so long since I've had a libido.

Attached as an image is my labs from 2018. Here are my labs from 2019.

And below is my most recent labs from 3/18/2020:

TESTOSTERONE, FREE

47 pg/mL

47 - 244 pg/mL


FOLLICLE STIMULATING HORMONE

8.28 mIU/mL

1.27 - 19.26 mIU/mL


LUTEINIZING HORMONE

6.60 mIU/mL

1.24 - 8.62 mIU/mL


These lab results are particularly disappointing because I have spent 2018 and 2019 trying to raise T naturally through diet, sleep, and lowering stress levels, but recently I've been feeling worse and worse.



I'm going to see an Endo in April, but in the past they have just told me that I'm "normal" and "in-range" and dismissed me. Should I instead go straight to a men's clinic or a tele clinic like Defy? What would you do if you were 19? I just can't handle feeling like shit all the time anymore. I'm wondering if I need to take matters in my own hands and get started on TRT without going trying to go through an Endo that won't take me seriously.

For starters you are 19. If your dick not working take some cialis/Viagra. No shame at all in this while you figure stuff out.

Did you grow normal height? Dick size normal? I ask in case you did not fully develop.

Did you every check prolactin? Do a metabolic panel? CBC? Lipid panel? Dhea-s? AM cortisol?

As others have suggested that you may have primary hypogonadism I would suggest a testicular ultrasound.

You need to rule out disease first before you even think about going on trt which you may need.
 
Got it. Thanks for clarifying. Be careful. Do you plan on staying on indefinitely?

Yes, if I pass two weeks without inject I start to became kinda depressive, angry pr even suicidal (hormonal crash). But the beneficts is there so no reasons to stop too.
 
Beyond Testosterone Book by Nelson Vergel
Im asian, 5’5” (dad is like 5’7 mom 5’2)
Dick erect 4 inches

For starters you are 19. If your dick not working take some cialis/Viagra. No shame at all in this while you figure stuff out.

Did you grow normal height? Dick size normal? I ask in case you did not fully develop.

Did you every check prolactin? Do a metabolic panel? CBC? Lipid panel? Dhea-s? AM cortisol?

As others have suggested that you may have primary hypogonadism I would suggest a testicular ultrasound.

You need to rule out disease first before you even think about going on trt which you may need.
 

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