Natural testosterone way too high

[yutoga]

20 year old male had hormones tested and the results were quite shocking.

First Lab test (Reference levels)
Testosterone, serum.....1100 ng/dl..... (348-1197)
Free test (direct) ..... 33.2 pg/ml ..... (9.3-26.5)
Estradiol or E2 (Roche ECLIA method) ..... 58.1 pg/ml ..... (7.6-42.6)
Estrogens, Total ..... 255 pg/ml ..... (40-115)


Second lab test exactly a month later
Testosterone, serum ..... 1425 ng/dl ..... (348-1197)
Free test (direct) ..... >50 pg/ml ..... (9.3-26.5)
*verified by repeat analysis* yes it just says >50 and no number is given
Estradiol or E2 (Roche ECLIA method) ..... 14 pg/ml ..... (7.6-42.6)
Estrogens, Total ..... 140 pg/ml ..... (40-115)
SHBG, serum ..... 22.9 nmol/L ..... (16.5-55.9)
LH ..... 47.1 mIU/ml ..... (1.7-8.6)
FSH ..... 43.9 mIU/ml ..... (1.5-12.4)
Prolactin.....13 ng/ml.....(4-15.2)

Used to squat heavy almost 4-5 days a week. Switched to olympic lift focus. Did full olympic lifting workout followed by either squat, press, bench or DL, followed by bodybuilding style training with whatever energy left in a 2 hour session 2-4 days a week. Sounds like overtraining but joints feel fine, made gains and everything is good.

Only issue is gyno. Never touched any prohormone/aas/etc. Only taken creatine, tons of protein, some occasional preworkouts, amino supplements, multis, etc. As the tests reflect, a week long run of letro was conducted inbetween to try to reduce/reverse puffy nipples/pubertal gyno. The nipples shrunk while on it, but immediately returned to being puffy even after a taper and rebound precautions. Having an MRI of pituitary gland soon as well as an ultrasound of nipples.

Not sure if one should continue running AI's/SERM's to combat this overproduction of testosterone and conversion to E2 and estrogens. Especially considering long term effects, but the nipples are killer... Noticable thru shirts, looks ridiculous naked, blah blah. Endocrinologist didn't seem to care at all about the nipples and took some convincing to even get the ultrasound. Hopefully insurance covers a gyno correction surgery due to it having occurred naturally. Any input would be appreciated.

 

[MuscleJ]

Some men would probably be more than willing to switch bodies with you. What has your doc said about the values?

 

[Thixotrope]

What is your body fat%?

High natural test levels are uncommon but not impossible. With that much natural test,
E conversion is higher than normal. Your body is kind of doing its job BUT LH and FSH are high...could be a pituitary issue.

Do you take any prescription meds?

Do you consume soy protein?

 

[yutoga]

My body fat % is probably around 15.

Yea, my doc prescribed the MRI to check for pituitary issues.

No prescription meds.

I'm full japanese so i used to consume a good amount of soy products, but once i started lifting and looking into nutrition, I never even touch anything close to soy. I'm aware of phytoestrogens and other xenoestrogens. I avoid all of it.

My biggest question is would low dose, long term use of an AI/SERM be recommended in this abnormal situation? My endocrinologist didn't seem to know what he was talking about when it came to AI/SERMs.

 

[Thixotrope]

Maybe short term until pituitary issues can be ruled out. Ever had prolactin levels evaluated?

Also, how often do you drink? Aromatase activity increases with alcohol consumption as well as slowing your liver's ability to metabolize excess estrogen.

 

[Mystere3]

If you have real gyno take erase or formestane. Don't worry about high test, it's a good thing.

 

[kisaj]

There is something going on and the estrogen was through the roof- which is bad. High test is great to a point, but everything needs to be in balance and your numbers are astronomical. I'd get to a specialist on this.

 

[yutoga]

Erase and formastane are AIs and I already ran letro. It reduced my E2 and estrogen levels but didn't actually help the gyno. Also, maybe I don't have actual gyno, but the areola is huge and ruins the look of my body. Maybe I will try a longer period on letro or aromasin as it did seem to remain less puffy and normal looking while on it.

Prolactin was a bit on the higher end on the second lab test. Didn't have it checked on the first.

I drink maybe 4-6 beers once a week. Usually less.

I'm not worried about the high test, I know it's good. But it's the gyno, and my endo wasn't knowledgeable about AI/SERMs. Hopefully surgery will be covered to fix the horrendous nipples/areolas.

 

[00S4Boy]

Erase and formastane are AIs and I already ran letro. It reduced my E2 and estrogen levels but didn't actually help the gyno. Also, maybe I don't have actual gyno, but the areola is huge and ruins the look of my body. Maybe I will try a longer period on letro or aromasin as it did seem to remain less puffy and normal looking while on it.

Prolactin was a bit on the higher end on the second lab test. Didn't have it checked on the first.

I drink maybe 4-6 beers once a week. Usually less.

I'm not worried about the high test, I know it's good. But it's the gyno, and my endo wasn't knowledgeable about AI/SERMs. Hopefully surgery will be covered to fix the horrendous nipples/areolas.

Your areola is probably due to genetics and bf% not gyno.