Primary or Secondary?

[IndyColts18to88]

I am trying to figure out if i am primary or secondary...

My LH is 3.54 and my FSH is 1.46

Ive read up a lot on treatment, protocols etc... but was just curious if i'm primary or secondary?

I've had 5 years of low T bloodwork, and at 41, assume i'll probably be better off to just take the plunge and start treatment?

My free T is 66 pg/ml
Total T is 311
SHBG is 21
E2 26 pg/ml

I'm currently 41 years old, 6'5" 265lbs (I do have a desk job and diet hasnt been perfect)...but at my age, how much could i actually raise it naturally, anyhow?

Just looking for opinions.

I do have a past history of panic attacks, so I assume that with the lower SHBG, small daily shots may be my best bet? (not afraid of daily shots, my wife developed type 1 diabetes while pregnant with our first child, and takes 4 shots a day...she is 5'6 130lbs but it runs in her family)

 

[IndyColts18to88]

also, FYI...My doctor has prescribed 100mg Test Cyp per week, taken however I like, as long as i dont go over that 100mg until we get our first labs, a couple months from when i start... He is a great doc and very willing to listen, and let me find what works best for me, thankfully... he just wants me to call the office and let them know if/when i start the shots, to schedule labs.

 

[IndyColts18to88]

anyone's opinion would be greatly appreciated!!

 

[Vince]

I would say your secondary, also, get your thyroid levels checked. It may be contributing to your low testosterone.

 

[coltsblue1812]

I would say your secondary, also, get your thyroid levels checked. It may be contributing to your low testosterone.

Thank you! My thyroid was checked and everything looked great, there...

I'm assuming at my age, trying to raise my #s naturally would be a waste of time and putting off the inevitable?

 

[Vince]

Thank you! My thyroid was checked and everything looked great, there...

I'm assuming at my age, trying to raise my #s naturally would be a waste of time and putting off the inevitable?

Because your age I would try enclomiphene. Go slow, try 12.5 every other day. Plus you would remain fertile.

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[IndyColts18to88]

Because your age I would try enclomiphene. Go slow, try 12.5 every other day. Plus you would remain fertile.

​

at 41 and with two kiddos (one 4 years and one 5 months old), i'd rather not be fertile haha all jokes aside, it honestly isnt a concern to me on that part

 

[Vince]

at 41 and with two kiddos (one 4 years and one 5 months old), i'd rather not be fertile haha all jokes aside, it honestly isnt a concern to me on that part

That's good to know, but I first would try enclomiphene. You may do good on it and not need to inject Testosterone for the rest of your life.

 

[Vince]

Are guys that do well on low dose clomid unicorns...or do they really exist?

They actually EXIST!!! There are certainly some challenges in treating with low dose clomid, specifically in dealing with the varying effect (estrogen antagonist/agonist) of the two isomers enclomiphene and zuclomiphene. However, as I (and Dr Crisler) have said many times...I DO ACHIEVE SUCCESS...

www.excelmale.com

 

[IndyColts18to88]

That's good to know, but I first would try enclomiphene. You may do good on it and not need to inject Testosterone for the rest of your life.

Thanks again for the advice... My main issue is that my doctor will prescribe testosterone (the injecting part doesnt bother me), but not enclomiphene or clomid etc... and in order to get enclomiphene, i'd need to go to a clinic, that my insurance would not be willing to work with (so paying 100% out of pocket). My insurance covers the test cyp, and i would only be paying $10 per month, no matter what dose i'm put on (all meds are $10/month with my cigna insurance plan, for a monthly supply, no matter the med/dose etc).

With all that said, I would like to try enclomiphene, but what is the cheapest legal way to actually get it or get a script for it? My understanding is that it is only available from compounding pharmacies (when i looked into it a year or two ago)...

Also, anyone who is currently on enclomiphene, i'd be glad to hear from you...how it is working, how you feel/numbers etc, side effects, likes/dislikes about it, where/how to get it, dose and just anything you'd like to add!!

Thanks for the help!

 

[Vince]

Thanks again for the advice... My main issue is that my doctor will prescribe testosterone (the injecting part doesnt bother me), but not enclomiphene or clomid etc... and in order to get enclomiphene, i'd need to go to a clinic, that my insurance would not be willing to work with (so paying 100% out of pocket). My insurance covers the test cyp, and i would only be paying $10 per month, no matter what dose i'm put on (all meds are $10/month with my cigna insurance plan, for a monthly supply, no matter the med/dose etc).

With all that said, I would like to try enclomiphene, but what is the cheapest legal way to actually get it or get a script for it? My understanding is that it is only available from compounding pharmacies (when i looked into it a year or two ago)...

Also, anyone who is currently on enclomiphene, i'd be glad to hear from you...how it is working, how you feel/numbers etc, side effects, likes/dislikes about it, where/how to get it, dose and just anything you'd like to add!!

Thanks for the help!

Some men don't do good on just testosterone. One of the issues right now is pretty hard to get HCG. Thankfully I was able to get a big supply before the supply dried up. I believe eventually empower pharmacy will be producing it again. Your testicles may shrink and you would wish that you tried enclomiphene or maybe you won't like it and then go on testosterone. It's easier to go on enclomiphene then to go on testosterone. Then to do the opposite.