My test levels haven't recovered ever since i battled with anorexia

singingman

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I weighed a bit under 127 lbs at my lowest, i'm 5'10 (177,5 cm) and currently sitting at 150 lbs (68kg). My lowest weigh in was in the summer of 2019. Ever since i felt shitty, no energy, no libido, always sore etc. I haven't used any anabolics or PEDs. I got my bloodwork a few days ago and my total T was at 14 ng/dl (0,5 nmol/L) and my free T was at 10 ng/dl (0,343 nmol/L). It's super strange that my test levels haven't recovered and my doctor suggested HRT. I have an appointment with my endocrinologist and we'll discuss the topic there along with additional bloodwork.
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Whisky

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Hey bro,

firstly congratulations on the progress you’ve made. You look massively better in the current picture and whilst I’ve never battled with anorexia I have some understanding/experience of dealing with food related issues. I know it won’t have been easy to get this far.

do you have your full bloods? Total T, estrogen (assume that’s very low), lh, FSH, shbg?

whilst HRT could certainly be an ideal solution you look relatively young and that’s a life long thing. With your back ground I would suggest that it ‘may’ be possible to make significant improvement through lifestyle and dietary changes/interventions first.

certainly I would want to have tried those avenues fully before I commit to HRT if I were in your shoes
 
ValiantThor08

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I agree with @Whisky here.

Great progress.

Also, it still may be possible to bounce back through nutrition. What does your diet look like now? How many calories do you consume? How much dietary fat? Protein?

Another intervention could be to incorporate something like Tamoxifen of Enclomiphene while maintaining and improving a great nutrition plan, in hopes that you don't have to get on TRT now.
 

singingman

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Thank you both @ValiantThor08 and @Whisky.

My diet is very much on point since my anorexia turned into a mild orthorexia.

My daily fat intake is between 25-40%, mostly around 30%. My protein intake is more than 1g/lbs bodyweight because i like foods high in protein.

I don't have additional bloodwork since this topic is very much a taboo here, so my doctor didn't really know what to look for and he just checked off total T and free T.

I have considered both tamoxifen and enclomiphene (not clomid since it's a subpar option) but my estrogen is probably also non-existent, my joints hurt if i move, i have a feeling my bones are gonna break (most likely a mild osteoporosis). My thyroid hormones are all perfect, but my liver is genetically predispositioned to work suboptimally and since i was obese i had a fatty liver, but since losing weight my liver hasn't recovered fully. I also lack neutrophils (around 50% of normal value).

I am aware that TRT is a life long commitment but every day is basically torture for me. My gf also doesn't get what she deserves since i don't have any libido. I am most likely getting a more comprehensive bloodwork when i visit the endocrinologist.
 
ValiantThor08

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Thank you both @ValiantThor08 and @Whisky.

My diet is very much on point since my anorexia turned into a mild orthorexia.

My daily fat intake is between 25-40%, mostly around 30%. My protein intake is more than 1g/lbs bodyweight because i like foods high in protein.

I don't have additional bloodwork since this topic is very much a taboo here, so my doctor didn't really know what to look for and he just checked off total T and free T.

I have considered both tamoxifen and enclomiphene (not clomid since it's a subpar option) but my estrogen is probably also non-existent, my joints hurt if i move, i have a feeling my bones are gonna break (most likely a mild osteoporosis). My thyroid hormones are all perfect, but my liver is genetically predispositioned to work suboptimally and since i was obese i had a fatty liver, but since losing weight my liver hasn't recovered fully. I also lack neutrophils (around 50% of normal value).

I am aware that TRT is a life long commitment but every day is basically torture for me. My gf also doesn't get what she deserves since i don't have any libido. I am most likely getting a more comprehensive bloodwork when i visit the endocrinologist.
So tamoxifen and enclomiphene, if it does stimulate your testes via increased LH, you will have increased estrogen via test aromatizing to it. So I do believe it may be viable. How many calories? 2000? 2400? More?
 

singingman

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So tamoxifen and enclomiphene, if it does stimulate your testes via increased LH, you will have increased estrogen via test aromatizing to it. So I do believe it may be viable. How many calories? 2000? 2400? More?
Good point, the only thing i'm unsure about is that it's not really a long-term solution to the problem. To be honest i don't mind getting on TRT if it's going to improve all of the aspects in my life. I also have ADD but don't take medication, i think it might be due to low T. The antidepressants i'm taking do not mess with hormones.

I eat anywhere from 2800 to 3000 calories (tracked very very accurately, my eating disorder has really taught me how to track properly).
 
ValiantThor08

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Good point, the only thing i'm unsure about is that it's not really a long-term solution to the problem. To be honest i don't mind getting on TRT if it's going to improve all of the aspects in my life. I also have ADD but don't take medication, i think it might be due to low T. The antidepressants i'm taking do not mess with hormones.

I eat anywhere from 2800 to 3000 calories (tracked very very accurately, my eating disorder has really taught me how to track properly).
I see. How long have you been consuming that much food? If it's been a couple years, you may be primary hypogonadal, and require TRT.
 

singingman

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I see. How long have you been consuming that much food? If it's been a couple years, you may be primary hypogonadal, and require TRT.
I've been eating like that since September 2019, i have gauned and lost some fat in the process (tried bulking and cutting, i guess it kinda worked) but nothing like starvation or anything (lowest way 2000). I just find it extremely weird that my test levels haven't recovered, but also the fact that i have test lower than women concerns me.
 
ValiantThor08

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I've been eating like that since September 2019, i have gauned and lost some fat in the process (tried bulking and cutting, i guess it kinda worked) but nothing like starvation or anything (lowest way 2000). I just find it extremely weird that my test levels haven't recovered, but also the fact that i have test lower than women concerns me.
You could attempt a pretty comprehensive restart if you wanted to. Example. Using HCG to stimulate leydig cells. Then GnRH injection. Cease HCG. Get on enclomiphene for a couple months. Then reassess. That's what I would do if I were in your shoes, mainly because I wouldn't want to start TRT unless I was positive I could not heal my HPTA.
 

singingman

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You could attempt a pretty comprehensive restart if you wanted to. Example. Using HCG to stimulate leydig cells. Then GnRH injection. Cease HCG. Get on enclomiphene for a couple months. Then reassess. That's what I would do if I were in your shoes, mainly because I wouldn't want to start TRT unless I was positive I could not heal my HPTA.
Thank you so much for the advice. I will ask the endocrinologist about that and hope they react positively.
 
ValiantThor08

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Thank you so much for the advice. I will ask the endocrinologist about that and hope they react positively.
You may have to bring literature about each of those compounds, for your purpose. One thing I know for sure, you cannot stay at your present hormone levels. Something has to give really quickly.
 

CasperKValentine

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First off, I feel for you for having such conditions at your age. But how do you know your test level is so low if all that was checked was free test? Total test can be normal and free test can be low. You said your free test was 14 ng/dl? The reference range for adult male is 4.5-25.0 ng/dL so that's almost right in the middle of the normal range. Please don't get me wrong here, I'm not disputing that you have some sort of hormonal imbalance. I think you are on the right track by seeing an endocrinologist and getting additional bloodwork. My advice would be to keep in mind you are paying the doctor and if they don't seem knowledgeable and confident that they can help you don't hesitate to get a second opinion. Good luck brother, hope you can start feeling better soon!
 

singingman

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You may have to bring literature about each of those compounds, for your purpose. One thing I know for sure, you cannot stay at your present hormone levels. Something has to give really quickly.
Not gonna lie, i thought about buying test myself since our fre
First off, I feel for you for having such conditions at your age. But how do you know your test level is so low if all that was checked was free test? Total test can be normal and free test can be low. You said your free test was 14 ng/dl? The reference range for adult male is 4.5-25.0 ng/dL so that's almost right in the middle of the normal range. Please don't get me wrong here, I'm not disputing that you have some sort of hormonal imbalance. I think you are on the right track by seeing an endocrinologist and getting additional bloodwork. My advice would be to keep in mind you are paying the doctor and if they don't seem knowledgeable and confident that they can help you don't hesitate to get a second opinion. Good luck brother, hope you can start feeling better soon!
Thank you for the advice.

My total test levels are at 0,5 nmol/L and i think you're refering to that, my free test is at 0,343 nmol/L so that's 9 ng/dl. That is 14 ng/dl, the normal reference range is anywhere from 250 to 900 ng/dl so i am severely hypogonadal.
 

singingman

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You may have to bring literature about each of those compounds, for your purpose. One thing I know for sure, you cannot stay at your present hormone levels. Something has to give really quickly.
Not gonna lie, i've been thinking about buying test myself since our free medical care system sucks and COVID doesn't help with the wait list. My first appointment with the endocrinologist was supposed to be in the first half of June, but since i have a doctor in my family i am probably going to get in faster.
 

CasperKValentine

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Not gonna lie, i thought about buying test myself since our fre

Thank you for the advice.

My total test levels are at 0,5 nmol/L and i think you're refering to that, my free test is at 0,343 nmol/L so that's 9 ng/dl. That is 14 ng/dl, the normal reference range is anywhere from 250 to 900 ng/dl so i am severely hypogonadal.
Sorry I didn't catch that. I was reading it like you had free test checked twice and one was 10 and the other was 14. LOL! I think I'm starting to need reading glasses. But seriously, if your doctor knows his stuff and is confident he can help you, that will go along way. And if doesn't feel that way I'd see someone else.
 

singingman

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Sorry I didn't catch that. I was reading it like you had free test checked twice and one was 10 and the other was 14. LOL! I think I'm starting to need reading glasses. But seriously, if your doctor knows his stuff and is confident he can help you, that will go along way. And if doesn't feel that way I'd see someone else.
I find it quite funny that most of my T consists of free T. I would love to see what i can achieve with normal T levels, even if that means i'm getting it exogenously. But the thing i am most looking forward to is to be able to function like a normal 20 year old
 
ValiantThor08

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Not gonna lie, i've been thinking about buying test myself since our free medical care system sucks and COVID doesn't help with the wait list. My first appointment with the endocrinologist was supposed to be in the first half of June, but since i have a doctor in my family i am probably going to get in faster.
You just make sure your doctor takes care of you, and does not skimp you. If you are going to be on TRT, and it will be through your doctor, you tell him you would like to inject it, at least twice a week, and you would like to be on the upper end of the scale, which is where you should be.
 

CasperKValentine

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You just make sure your doctor takes care of you, and does not skimp you. If you are going to be on TRT, and it will be through your doctor, you tell him you would like to inject it, at least twice a week, and you would like to be on the upper end of the scale, which is where you should be.
I'm currently injecting once a week and feel great as do others I know. The half-life of Test Cyp is 10 days. If you like to inject twice a week I respect that. I'm by no means trying to turn this into that debate. I just don't think it's the best idea for one of the first things he says to the doctor is I want to inject twice a week and be on the upper end of the scale. This young guy has noted he has several issues both treated and untreated, past and present. He should find a good doctor and follow their advice. I'm not convinced self-administered test injections would even be the best course of action for him. But, that's between him and his doctor. Just my 2 cents. I know we are all just trying to help him out here.
 
Whisky

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Not gonna lie, i thought about buying test myself since our fre

Thank you for the advice.

My total test levels are at 0,5 nmol/L and i think you're refering to that, my free test is at 0,343 nmol/L so that's 9 ng/dl. That is 14 ng/dl, the normal reference range is anywhere from 250 to 900 ng/dl so i am severely hypogonadal.
oh **** bro, I assume both were free as I don’t think I’ve ever seen total test that low.

your basically completely shutdown. I would try a restart protocol as Thor suggested (guys have managed to restart after many years of complete suppression through anabolics before so it’s possible (it looks like your anorexia basically **** you down like testosterone does for us)

high dose hcg, clomid etc (there’s a few variations) and try to kickstart stuff.

honestly, I would try it (nothing to lose) and then go hrt if it doesn’t work (you’ll see pretty quick if things are moving in the right direction).

hrt will give you a massive improvement in quality of life but make sure you get doctor prescribed rather than doing it yourself via UGL. Mainly because the quality of pharma grade gear is better and it filters out all the heavy metals (no UGL has the same level of equipment to do thus fully). If your gonna be on for life you want a script for sure.
 

singingman

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oh **** bro, I assume both were free as I don’t think I’ve ever seen total test that low.

your basically completely shutdown. I would try a restart protocol as Thor suggested (guys have managed to restart after many years of complete suppression through anabolics before so it’s possible (it looks like your anorexia basically **** you down like testosterone does for us)

high dose hcg, clomid etc (there’s a few variations) and try to kickstart stuff.

honestly, I would try it (nothing to lose) and then go hrt if it doesn’t work (you’ll see pretty quick if things are moving in the right direction).

hrt will give you a massive improvement in quality of life but make sure you get doctor prescribed rather than doing it yourself via UGL. Mainly because the quality of pharma grade gear is better and it filters out all the heavy metals (no UGL has the same level of equipment to do thus fully). If your gonna be on for life you want a script for sure.
Thank you for the advice mate!
 
ValiantThor08

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I'm currently injecting once a week and feel great as do others I know. The half-life of Test Cyp is 10 days. If you like to inject twice a week I respect that. I'm by no means trying to turn this into that debate. I just don't think it's the best idea for one of the first things he says to the doctor is I want to inject twice a week and be on the upper end of the scale. This young guy has noted he has several issues both treated and untreated, past and present. He should find a good doctor and follow their advice. I'm not convinced self-administered test injections would even be the best course of action for him. But, that's between him and his doctor. Just my 2 cents. I know we are all just trying to help him out here.
Legally that's the best advices. Listen to the licensed practitioner. Practically, it is not always good advice. Advice yes, but not the best advice. I suggest he works with a doctor, his doctor, but when your doctor ends up not being optimal for ones well being, other courses of action should be set in motion, which may not even be self medication. Could be find a new doctor, or go through a TRT clinic which is increasingly becoming more affordable, and are typically more knowledgeable in tbe area of HRT than general or even specialist practitioners.
 

singingman

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Legally that's the best advices. Listen to the licensed practitioner. Practically, it is not always good advice. Advice yes, but not the best advice. I suggest he works with a doctor, his doctor, but when your doctor ends up not being optimal for ones well being, other courses of action should be set in motion, which may not even be self medication. Could be find a new doctor, or go through a TRT clinic which is increasingly becoming more affordable, and are typically more knowledgeable in tbe area of HRT than general or even specialist practitioners.
Sadly we don't have HRT clinics here. As i've said our medical healthcare is free and testosterone therapy is still a taboo topic (except for trans people) thus not allowing private clinics to perscribe anything that is out of their profession. There is not a single doctor in the entire country that specializes in HRT, so they're probably going to put me on testosterone sustanon, but i will ask if it's possible to put me on test E or test Cyp with HCG included. I have really put effort and time into this, i even called an endocrinilogist in Canada and with the help and advice i got from all of you really means a lot and i'm certain i'm gonna try to get the most optimal treatment.
 

CasperKValentine

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Sadly we don't have HRT clinics here. As i've said our medical healthcare is free and testosterone therapy is still a taboo topic (except for trans people) thus not allowing private clinics to perscribe anything that is out of their profession. There is not a single doctor in the entire country that specializes in HRT, so they're probably going to put me on testosterone sustanon, but i will ask if it's possible to put me on test E or test Cyp with HCG included. I have really put effort and time into this, i even called an endocrinilogist in Canada and with the help and advice i got from all of you really means a lot and i'm certain i'm gonna try to get the most optimal treatment.
What a strange world we live in. Want to use testosterone to feel better or enhance your strength it's taboo. Want to use it to turn your clit into a dick and pretend to be a man it's perfectly acceptable. LOL
 
ValiantThor08

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Sadly we don't have HRT clinics here. As i've said our medical healthcare is free and testosterone therapy is still a taboo topic (except for trans people) thus not allowing private clinics to perscribe anything that is out of their profession. There is not a single doctor in the entire country that specializes in HRT, so they're probably going to put me on testosterone sustanon, but i will ask if it's possible to put me on test E or test Cyp with HCG included. I have really put effort and time into this, i even called an endocrinilogist in Canada and with the help and advice i got from all of you really means a lot and i'm certain i'm gonna try to get the most optimal treatment.
In Canada, is it legal to purchase and use steroids? If so, you have options.
 
thebigt

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I find it quite funny that most of my T consists of free T. I would love to see what i can achieve with normal T levels, even if that means i'm getting it exogenously. But the thing i am most looking forward to is to be able to function like a normal 20 year old
this is one of those really rare occassions where i am going to recommend DAA....in your situation with test level being so low i think a 10-14 day run of DAA might be of great benefit to you.
 
ValiantThor08

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What a strange world we live in. Want to use testosterone to feel better or enhance your strength it's taboo. Want to use it to turn your clit into a dick and pretend to be a man it's perfectly acceptable. LOL
Backwards world. Not empathetic really to men and masculinity.
 
KvanH

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Regarding looks you are doing great, given your situation/past 👍

It's a good thing you reached out and it's great to see the members here give such good advices and have such care for your well being.

Those T levels are very odd. With TT level of 14 ng/dl (500 pmol/l) and free T at 10 ng/dl (343 pmol/l) you basically have almost zero shbg. And almost zero aromatization to E (which would fit with the symptoms you described).Was the free T measured or calculated?

If that total T really is true (usually the dr.'s take at least 2 measurements in different occasions), then obviously your hpta is not working properly right now. But with the free T I'm also thinking only adding oestrogen could help a lot. I've never tested that high free T and I'm not on trt, but my TT is in range.

I think the best would be to try what the fellas here suggested with the hcg and then a SERM and work it out with your endo.

I think it's good that they're possibly offering at least Sustanon there. Here it's Nebido, test undecaonate and the injection frequency is 10 - 14 weeks.

I hope things go forward with your dr. quickly. Rather than jumping the gun on self administered test, I think taking dhea could increase your well being a lot. But get things rolling with the new dr. and theres no need to self medicate.
 

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Regarding looks you are doing great, given your situation/past 👍

It's a good thing you reached out and it's great to see the members here give such good advices and have such care for your well being.

Those T levels are very odd. With TT level of 14 ng/dl (500 pmol/l) and free T at 10 ng/dl (343 pmol/l) you basically have almost zero shbg. And almost zero aromatization to E (which would fit with the symptoms you described).Was the free T measured or calculated?

If that total T really is true (usually the dr.'s take at least 2 measurements in different occasions), then obviously your hpta is not working properly right now. But with the free T I'm also thinking only adding oestrogen could help a lot. I've never tested that high free T and I'm not on trt, but my TT is in range.

I think the best would be to try what the fellas here suggested with the hcg and then a SERM and work it out with your endo.

I think it's good that they're possibly offering at least Sustanon there. Here it's Nebido, test undecaonate and the injection frequency is 10 - 14 weeks.

I hope things go forward with your dr. quickly. Rather than jumping the gun on self administered test, I think taking dhea could increase your well being a lot. But get things rolling with the new dr. and theres no need to self medicate.
Thank you for the reply and compliments.

The T was measured, probably giving blood again when i see my endocrinologist to get a more comprehensive bloodwork.
 

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UPDATE:

Heyguys, i've gotten back my comprehensive blood work, and my SHBG is at 24,0 nmol/L (228 ug/dL)-normal, my total T is at190 ng/dL (6,6 nmol/L)-under the reference range but quite a significant difference from the last time (i'm guessing it's due to much better sleep, less anxiety and more quality food before the 2nd test), my freeT is at 31,7 pmol/L (0.317 ng/dL)- at the very bottom of normal reference range (normal free T would be anywhere from 30,1 to 87,1 pmol/L), LH is low-normal at 1,3 IU/L, FSH low-normal at 3,8 IU/L (reference range is anywhere from 1,4 to 18,1 IU/L) and my free androgen index is 27,5% (low-normal). My thyroid hormones are normal, LDL is normal (in the lower third of the normal reference range) and HDL is just below the normal reference range. Weirdly enough I can't find any estrogen levels. I'm slightly defficient in vitamin D, but i'm taking pharmaceutically made vitamin D (1200 IUs per drop, i was prescribed 2 so i'm going to take 3 from now on). If everything goes right, i'm gonna consult with the endocrinologist about the treatment. I don't see any point in taking SERMs as my FSH and LH are still in the normal range, even though at the bottom end of the spectrum, as i don't intend on being on SERM monotherapy for the rest of my life.
 
Whisky

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UPDATE:

Heyguys, i've gotten back my comprehensive blood work, and my SHBG is at 24,0 nmol/L (228 ug/dL)-normal, my total T is at190 ng/dL (6,6 nmol/L)-under the reference range but quite a significant difference from the last time (i'm guessing it's due to much better sleep, less anxiety and more quality food before the 2nd test), my freeT is at 31,7 pmol/L (0.317 ng/dL)- at the very bottom of normal reference range (normal free T would be anywhere from 30,1 to 87,1 pmol/L), LH is low-normal at 1,3 IU/L, FSH low-normal at 3,8 IU/L (reference range is anywhere from 1,4 to 18,1 IU/L) and my free androgen index is 27,5% (low-normal). My thyroid hormones are normal, LDL is normal (in the lower third of the normal reference range) and HDL is just below the normal reference range. Weirdly enough I can't find any estrogen levels. I'm slightly defficient in vitamin D, but i'm taking pharmaceutically made vitamin D (1200 IUs per drop, i was prescribed 2 so i'm going to take 3 from now on). If everything goes right, i'm gonna consult with the endocrinologist about the treatment. I don't see any point in taking SERMs as my FSH and LH are still in the normal range, even though at the bottom end of the spectrum, as i don't intend on being on SERM monotherapy for the rest of my life.
that’s a great set of results compared to last time brother. Things are absolutely moving in the right direction and given the timescales typically involved in hormonal rebalancing I think when you test again in 3 months you may see more improvements.

I’m not sure what you mean by serm monotherapy? A selective estrogen receptor modulator would be used to lower estrogen? Given your test levels your estrogen should already be pretty low.....

if you were seeking to increase FSH and LH we would be looking at HCG (or HMG) but as you say they are low normal and personally I wouldn’t be looking at any pharmaceutical intervention while things are moving in the right direction.

the vit D is a good idea (and should assist testosterone increase)

just keep doing what you are doing and congrats on the improvements brother
 

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that’s a great set of results compared to last time brother. Things are absolutely moving in the right direction and given the timescales typically involved in hormonal rebalancing I think when you test again in 3 months you may see more improvements.

I’m not sure what you mean by serm monotherapy? A selective estrogen receptor modulator would be used to lower estrogen? Given your test levels your estrogen should already be pretty low.....

if you were seeking to increase FSH and LH we would be looking at HCG (or HMG) but as you say they are low normal and personally I wouldn’t be looking at any pharmaceutical intervention while things are moving in the right direction.

the vit D is a good idea (and should assist testosterone increase)

just keep doing what you are doing and congrats on the improvements brother
Thank you for good wishes man!
They love prescribing SERMs for hypogonadism in most Europe countries, they even lowered the normal reference range from 235 ng/dL (8 nmol/L) to 200 ng/dL (6.9 nmol/L) while i was waiting for my bloodwork to come back. Testosterone is very rarely prescribed here since it's still an illegal drug and they associate it with bodybuilders who abuse it. SERMs raise testosterone on paper but in reallity they don't do much to treat hypogonadism. I'm very annoyed transgender people get to pop test like diabetes patients pop their insulin. I also think it's pretty discriminative obese people that literally ate their way to get insulin can get it easily but a 20 year old can't get treatment for having low testosterone.
I also have to mention the depression is getting worse since joint pain is becoming unbearable, i can't lift a dining plate anymore or cut with a knife, let alone lift weights.
 
Whisky

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Thank you for good wishes man!
They love prescribing SERMs for hypogonadism in most Europe countries, they even lowered the normal reference range from 235 ng/dL (8 nmol/L) to 200 ng/dL (6.9 nmol/L) while i was waiting for my bloodwork to come back. Testosterone is very rarely prescribed here since it's still an illegal drug and they associate it with bodybuilders who abuse it. SERMs raise testosterone on paper but in reallity they don't do much to treat hypogonadism. I'm very annoyed transgender people get to pop test like diabetes patients pop their insulin. I also think it's pretty discriminative obese people that literally ate their way to get insulin can get it easily but a 20 year old can't get treatment for having low testosterone.
I also have to mention the depression is getting worse since joint pain is becoming unbearable, i can't lift a dining plate anymore or cut with a knife, let alone lift weights.
ah ok, it was the way I read it made it seem like the serm was being directly linked to the LH and FSH. Clomid for increasing testosterone is pretty common but it’s not a long term solution and imo only valid where one is seeking to increase testosterone back to a previous level quickly (ie following a steroid cycle). As a long term solution to hypogonadism then trt/hrt would be significantly better imo.

but as I say bro, with those results and the direction of travel I would like to think no doctor would want to use any pharmaceutical intervention until you’ve plateaued and we get a view on where your natural levels are able to get to.
 

singingman

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ah ok, it was the way I read it made it seem like the serm was being directly linked to the LH and FSH. Clomid for increasing testosterone is pretty common but it’s not a long term solution and imo only valid where one is seeking to increase testosterone back to a previous level quickly (ie following a steroid cycle). As a long term solution to hypogonadism then trt/hrt would be significantly better imo.

but as I say bro, with those results and the direction of travel I would like to think no doctor would want to use any pharmaceutical intervention until you’ve plateaued and we get a view on where your natural levels are able to get to.
I absolutely agree with you, the only problem is my libido was almost at zero after i've lost weight and the energy has never been the same. I hope we will be able to find a viable solution to optimize my bloodwork
 
Whisky

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I absolutely agree with you, the only problem is my libido was almost at zero after i've lost weight and the energy has never been the same. I hope we will be able to find a viable solution to optimize my bloodwork
that’s no surprise bro. I expect your estrogen was really low based on your test levels so no libido or energy to be expected. However, everything should start to pick up from here - I would expect to see improvements pretty soon even based on the current numbers.....

If not then asking her to get kinky is always a shout in my experience. Her finger in my ass and some biting on my nipples can get me over any deca related dick issues for example 👌
 

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