Just got put on TRT at 27?

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    Just got put on TRT at 27?


    I am 27 almost 28 and I have been experiencing many symptoms related to low testosterone the last year or so. Nothing has changed in my life except I started eating really healthy. My work out routine has stay the same-ish. 4-5 days a week, 1-1.5 hours a day. I went to a doctor and got my labs done which are attached below:

    CMP14+LP+CBC/D/Plt+TSH+PSA+...
    Chemistries 01
    Glucose, Serum 85 mg/dL 65 − 99 01
    BUN 15 mg/dL 6 − 20 01
    Creatinine, Serum 0.88 mg/dL 0.76 − 1.27 01
    eGFR If NonAfricn Am 118 mL/min/1.73 >59
    eGFR If Africn Am 136 mL/min/1.73 >59
    BUN/Creatinine Ratio 17 8 − 19
    Sodium, Serum 139 mmol/L 134 − 144 01
    Potassium, Serum 4.4 mmol/L 3.5 − 5.2 01
    Chloride, Serum 100 mmol/L 97 − 108 01
    Carbon Dioxide, Total 23 mmol/L 20 − 32 01
    Calcium, Serum 9.8 mg/dL 8.7 − 10.2 01
    Protein, Total, Serum 7.6 g/dL 6.0 − 8.5 01
    Albumin, Serum 4.8 g/dL 3.5 − 5.5 01
    Globulin, Total 2.8 g/dL 1.5 − 4.5
    A/G Ratio 1.7 1.1 − 2.5
    Bilirubin, Total 0.9 mg/dL 0.0 − 1.2 01
    Alkaline Phosphatase, S 65 IU/L 25 − 150 01
    AST (SGOT) 41 High IU/L 0 − 40 01
    ALT (SGPT) 78 High IU/L 0 − 55 01
    . 01
    Lipids 01
    Cholesterol, Total 172 mg/dL 100 − 199 01
    Triglycerides 88 mg/dL 0 − 149 01
    HDL Cholesterol 27 Low mg/dL >39 01
    Comment 01
    According to ATP−III Guidelines, HDL−C >59 mg/dL is considered a
    negative risk factor for CHD.
    VLDL Cholesterol Cal 18 mg/dL 5 − 40
    LDL Cholesterol Calc 127 High mg/dL 0 − 99
    C−Reactive Protein, Cardiac 0.90 mg/L 0.00 − 3.00 01
    Relative Risk for Future Cardiovascular Event
    Low <1.00
    Average 1.00 − 3.00
    High >3.00
    . 01
    Thyroid 01
    TSH 0.797 uIU/mL 0.450 − 4.500 01
    T4,Free(Direct) 1.82 High ng/dL 0.82 − 1.77 01
    . 01
    Immunoassay 01
    Prostate Specific Ag, Serum 0.9 ng/mL 0.0 − 4.0 01
    Roche ECLIA methodology.
    According to the American Urological Association, Serum PSA should
    decrease and remain at undetectable levels after radical
    prostatectomy. The AUA defines biochemical recurrence as an initial
    PSA value 0.2 ng/mL or greater followed by a subsequent confirmatory
    PSA value 0.2 ng/mL or greater.
    Values obtained with different assay methods or kits cannot be used
    interchangeably. Results cannot be interpreted as absolute evidence
    of the presence or absence of malignant disease.
    Insulin−Like Growth Factor I 214 ng/mL 75 − 275 02
    Testosterone, Serum 83 Low ng/dL 348 − 1197 01
    . 01
    CBC, Platelet Ct, and Diff 01
    WBC 4.5 x10E3/uL 4.0 − 10.5 01
    RBC 5.12 x10E6/uL 4.14 − 5.80 01
    Hemoglobin 15.6 g/dL 12.6 − 17.7 01
    Hematocrit 45.6 % 37.5 − 51.0 01
    MCV 89 fL 79 − 97 01
    MCH 30.5 pg 26.6 − 33.0 01
    MCHC 34.2 g/dL 31.5 − 35.7 01
    RDW 13.3 % 12.3 − 15.4 01
    Platelets 311 x10E3/uL 140 − 415 01
    Neutrophils 51 % 40 − 74 01
    Lymphs 37 % 14 − 46 01
    Monocytes 10 % 4 − 13 01
    Eos 2 % 0 − 7 01
    Basos 0 % 0 − 3 01
    Neutrophils (Absolute) 2.3 x10E3/uL 1.8 − 7.8 01
    Lymphs (Absolute) 1.7 x10E3/uL 0.7 − 4.5 01
    Monocytes(Absolute) 0.5 x10E3/uL 0.1 − 1.0 01
    Eos (Absolute) 0.1 x10E3/uL 0.0 − 0.4 01
    Baso (Absolute) 0.0 x10E3/uL 0.0 − 0.2 01
    Immature Granulocytes 0 % 0 − 2 01
    Immature Grans (Abs) 0.0 x10E3/uL 0.0 − 0.1 01

    They are prescribing me:
    .Testosterone Cypionate (2) 200mg/ml vial (10 ml vial)
    Protocol: One injection of 200mg / 1cc weekly IM (Intramuscular)
    .Anastrazole (20) 0.5 MG capsules
    Protocol: Take 1 capsule By Mouth the day after your testosterone injection and again 5 days later
    .HCG (4) 5000 unit vials
    Protocol: One injection of 500 units(50 U on Insulin Syringe) Sub Q Daily Day 6 and Day 7. Mix
    with 5 ml bacterial static water and inject 50 units (500 units of HCG) via insulin syringe.
    .B-12 Cyanacobalamin (1) 1000mcg / ml - 30ml vial
    Protocol: One injection of 1 ml / 1000mcg per week Sub Q

    Then two weeks after my last test injection:
    .HCG (1) 11000 unit vial
    Protocol: One injection of 1000 units(50 U on Insulin Syringe) Sub Q Daily for 10 days.
    Mix with 5ml bacterialstatic water and inject 50 units (1000 units) via insulin syringe
    .Clomiphene Citrate (30) 51mg capsules
    Protocol: One capsule by mouth Twice Daily for 15 days

    I am not sure if this sounds correct or what to look for on my labs. I have not had any issues as of late. I have never abused steroids but I have done dbol 1 cycle in the past 12 months.

    Any incite would be great! I am sure that these posts are common so I appreciate all of you guys and your input.

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    yes, how long ago did you do the dbol cycle?
    Length and dosage of the cycle?

    Looks like they are attempting to jump start your own test production. Who wrote this protocol?
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    I did a 30 day cycle at 50mg per day. I was prescribed the protocol by a clinic in Chicago my doctor referred me too.
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    how long ago was the cycle?
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    8 weeks with pct.
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    Sorry I miss read that last question. The cycle was 3 months ago.
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    The labs were done on 10/11/12. Not sure if that tells you anything.
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    It does. When I looked at your test levels of 83 and HDL of 27 it raised a red flag that basically tells me this happened not long ago.
    One thing I would have liked to know is your estrogen levels.
    Other than that, this protocol is not bad I mean is aggresive which you prob need with test levels of 83.
    One suggestion is for you to take arimidex for the entire duration of this protocol. Once you off everything I would still take .25mg a week for few more weeks after.
    You are def shut down hard. If it was real dbol and dosed right 50mg a day is a lot.
    Now, have you had test issues before the dbol use?
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    Quote Originally Posted by imminent
    Sorry I miss read that last question. The cycle was 3 months ago.
    PCT after cycle?
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    Thank you for the info! I will be contacting my doctor tomorrow to ask about arimidex.

    I was unsure why my doctor didn't order tests I estrogen. I thought that was one of the most important numbers from what I have read.

    In the past I have always came in low for my age but never this low. I am normally in the 300-400 range. When we got my results back this time there it was rather concerning.
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    PCT was clomid 30/30/30/30
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    Quote Originally Posted by imminent
    PCT was clomid 30/30/30/30
    More than likely wouldn't save been that cycle then. Hopefully you get yourself squared away bud. Good luck.
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    estrogen plays a key role in test production. It's basically the back stop to limit LH signal. So if it's low then I think you have a genetic problem. If it's high then arimidex will lower it and your test should go up.
    My suspicion is that you have an inherent problem with your test production outside the dbol cycle you did.
    I would def have the estrogen checked first and SHBG.
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    Quote Originally Posted by vassille View Post
    estrogen plays a key role in test production. It's basically the back stop to limit LH signal. So if it's low then I think you have a genetic problem. If it's high then arimidex will lower it and your test should go up.
    My suspicion is that you have an inherent problem with your test production outside the dbol cycle you did.
    I would def have the estrogen checked first and SHBG.
    need more data, they got you on everything but the kitchen sink, I would never recommend cyano form of b-12 since it can be a poison to many people bio chemistry. They sound like they are soaking you try using a cookie cutter approach rather then customizing it for your case. These protocols usually end up getting people in trouble because underlying issues was never address. Person may feel good for first 6 months, but then adrenals and thyroid go ape shnitz and drs are sitting there scratching their heads ...whats going on...
    I am not a medical Dr, please keep in mind that this answer is for information purposes only, and is not intended to diagnose, treat or replace sound medical advice from your physician or health care provider.
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    Quote Originally Posted by imminent View Post
    The labs were done on 10/11/12. Not sure if that tells you anything.
    Before you start this proposed protocol,
    The tests you need to ask for are these which I didnt see in your panel:
    LH, FSH, Estrogen.
    My suspicion is that your hypothalamus/pituitary is just shut down for whatever reason. Bloodwork will show what it is for sure. You want to rule out the gonads as the problem.
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    Thanks for the info guys! I just order labs myself using the sticky! Once I get the results I will post them here and see what you guys think. I am also going to hold off on starting the protocol until I get the new labs reviewed.

    I will be asking my doctor about the B-12 as well. I do not like the sound of it at all.
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    Quote Originally Posted by The Matrix

    need more data, they got you on everything but the kitchen sink, I would never recommend cyano form of b-12 since it can be a poison to many people bio chemistry. They sound like they are soaking you try using a cookie cutter approach rather then customizing it for your case. These protocols usually end up getting people in trouble because underlying issues was never address. Person may feel good for first 6 months, but then adrenals and thyroid go ape shnitz and drs are sitting there scratching their heads ...whats going on...
    Just spoke with my doctor about the vitamin B concerns you raised. They assure me that since it was administered through injections there was no need to worry but they gave me an option to switch to methylcobalamin to ease my mind. I also brought up the other tests and they did not seem overly concerned but they said they are happy that I'm taking initiative and keeping them on their toes. Still have my other tests scheduled for Saturday though. Thanks again!
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    Quote Originally Posted by imminent

    Just spoke with my doctor about the vitamin B concerns you raised. They assure me that since it was administered through injections there was no need to worry but they gave me an option to switch to methylcobalamin to ease my mind. I also brought up the other tests and they did not seem overly concerned but they said they are happy that I'm taking initiative and keeping them on their toes. Still have my other tests scheduled for Saturday though. Thanks again!
    Still i caution against until other factors are known. I use hydroxcobalamine unless i know.the.proper chemistry of the person as well.as things down stream..
    I am not a medical Dr, please keep in mind that this answer is for information purposes only, and is not intended to diagnose, treat or replace sound medical advice from your physician or health care provider.
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    sounds good just post those other tests when you get them back.
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    Thanks for the info Matrix! I am avoiding taking anything as of yet.

    Just got the results in this morning.


    Everything came in normal except
    BUN/Creatine Ratio was 24
    AST was 45
    ALT was 89
    Test Serum was 166

    My LH, FSH, and Estradiol are:
    LH 7.0
    FSH 4.2
    Estradiol 24.5
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    The test was taken 10/20/2012
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    Great LH and FSH numbers, you are not secondary. Nice E2.
    But now, we need SHBG and DHEAs, to be sure it is just your testes.

    Look like you need restart protocol.
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    I do not see SHBG or DHEA on either the test the doctor ordered or the test I got done by following the instructions on the bloodwork sticky. Is it recommended to go get those tested now as well?

    I will start researching the restart protocol. Thank you!
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    Quote Originally Posted by imminent View Post
    Thanks for the info Matrix! I am avoiding taking anything as of yet.

    Just got the results in this morning.


    Everything came in normal except
    BUN/Creatine Ratio was 24
    AST was 45
    ALT was 89
    Test Serum was 166

    My LH, FSH, and Estradiol are:
    LH 7.0
    FSH 4.2
    Estradiol 24.5
    LH is normal yet testosterone is low. If I were you check with an urologist. Your gonads are not working right.
    You can also check SHBG but lest levels are a bit too low to be that but you never know.
    Did you ever had bladder infection or a trauma down there?

    The thing is that your pituitary has recovered from the dbol. It is very unlikely that your nuts got shut down from a month on dbol possible but highly unlikely. Before I would do anything def check with an urologist to rule out as mentioned above infection and somekind of disease.
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    Quote Originally Posted by vassille

    LH is normal yet testosterone is low. If I were you check with an urologist. Your gonads are not working right.
    You can also check SHBG but lest levels are a bit too low to be that but you never know.
    Did you ever had bladder infection or a trauma down there?

    The thing is that your pituitary has recovered from the dbol. It is very unlikely that your nuts got shut down from a month on dbol possible highly unlikely. Before I would do anything def check with an urologist to rule out as mentioned above infection and somekind of disease.
    I ride motocross so I've definitely landed gonads a few times but severe trauma not that I can think of. Bladder infection I do not think I've ever had. I am not sure what the symptoms are but minus the occasional hot urination I've never had any issues.

    I'll definitely be contacting a urologists. When you say disease or infection could you relate a little more info? Or point me in a direction?

    I've google but not much was in laymens terms.

    Thank you guys for taking the time out of your day to educate and help everyone on here.
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    Quote Originally Posted by imminent View Post
    I ride motocross so I've definitely landed gonads a few times but severe trauma not that I can think of. Bladder infection I do not think I've ever had. I am not sure what the symptoms are but minus the occasional hot urination I've never had any issues.

    I'll definitely be contacting a urologists. When you say disease or infection could you relate a little more info? Or point me in a direction?

    I've google but not much was in laymens terms.

    Thank you guys for taking the time out of your day to educate and help everyone on here.
    At this point is prob best to let the doctor just go through the tests than trying to guess. You def are on the right track with finding the problem.
    Bring over the lab results presenting the LH, FSH and E2 which points to a healthy pituitary.
    I think landing on your gonads a few times is trauma enough but at this point I would be just speculating.

    You welcome, glad we were able to point you in the right direction. Keep us updated as to the outcome.
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    Adrenal problems can cause low DHEA levels,... low DHEA can cause low Testosterone production even with good LH levels.
    Low DHEA is easy to supplement. It is a cheap blood test, and a easy fix.
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    Make sure your getting good quality DHEA supplements. They are inexpensive and you can get them at most places, but my Doctor stresses the importance to make sure the supplement is reasonably well quality.
  

  
 

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