.hello there i'm a 30 year old male.
Reread your post. Sounds pretty clear that you need to be on TRT.
I know the feeling. Been 3 years on SSRI's. Before that I was a very healthy guy. Now even a year after discontinuation I'm having the same issues as you. No more alpha male
I posted my blood results in a post here (blood test 31 years old), but I'm still waiting for an answer.
TRT is something I don't take lightly. It does shut down your own production so you need to take it all the time. You can't add more testosterone to your own level. You replace it.
im a new member so cant do private posts yet. I live in new york. so far i've seen dr shippen, around six months ago who prescribed me hcg monotherapy 3x 500ius a week. eventually raising up to 750ius. in the end it only brought me up 50 or so points. a month ago, I flew out to see dr mariano in california, who gave me a vitamin supplementation regimen and ordered some additional tests. he recommended increasing the hcg to 500iu daily.
Mariano is excellent very good.
500 ius daily for prolonged time may cause desentiization as well as elevated e2 levels. With HCG or clomid less is better while examinig the adrenals, lifestyles, nutriton, and identifying the stressors as previous mentioned. I use nutreval for designing indiviudal nutritional protocols as well as identifying other hidden imbalance
these are my latest labs, quite interestingly my test has shot up which is either indicating some kind of fluke in testing, or a spike of some sort, or possibly that the small vitamin regimen i'm on is actually having an effect. i'm certainly not feeling any more drive
iron total 105
tsh 3rd generation 0.44
t4 free 1.0
t4 total 6.7
t3 total 103
t3 free 2.9
t3 reverse 16
vitamin b12 1082
cortisol am 19.5
insulin serum 9
dhea sulfate 178
testosterone 588 (wtf?)i've never broken 300 in any of my last 5 tests
thyroid peroxidase <10
iga serum 356
vitamin d 35
igf 1 209
so what do you think, the dhea strikes me as low, as does the tsh
,44 tsh with low ft3 can possble indicated pitutary issues which MRI needs to be ruled out.
Dhea is alittle low but other factors need to adjusted first.
Cortisol needs to be evaluated through cortisol salivia 24 hour adrenal stress profile.
Insulin is alittle high which could reflective in low dhea levels.
Correcting vitamin D has shown to reduce insulin resistance in clincal studi
When dealing with Dr's patients I have been able to stimulate testotsterone thorugh different nutrtiional or other protocols which have been succesfuly through clincal testing.