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View Full Version : I'm not crazy - low test



michail71
01-23-2012, 10:01 AM
After feeling like I'm struggling and trying hard while not making as much progress as others along with other symptoms I conviced my doctor to order a testosterone test. He seemed a bit resistant to ordering the test, probably because I self diagnosed.

Other symptoms I have are depression, fatigue, low sex drive, belly fat and a drop of ambition.

My pituitary is within normal function but a bit on the hyper side.

The T level came back at 240 ng/DL. That's with eating well and a year of strength training (stronglift's).

The doctor said it's borderline and wants to retest in 3 months along with a test for prostate cancer before considering TRT.

Is it typical to wait this long? I understand the need for a prostate check but if I could be feeling better I'd hate to wait that long.

bustasinclair
01-23-2012, 10:14 AM
After feeling like I'm struggling and trying hard while not making as much progress as others along with other symptoms I conviced my doctor to order a testosterone test. He seemed a bit resistant to ordering the test, probably because I self diagnosed.

Other symptoms I have are depression, fatigue, low sex drive, belly fat and a drop of ambition.

My pituitary is within normal function but a bit on the hyper side.

The T level came back at 240 ng/DL. That's with eating well and a year of strength training (stronglift's).

The doctor said it's borderline and wants to retest in 3 months along with a test for prostate cancer before considering TRT.

Is it typical to wait this long? I understand the need for a prostate check but if I could be feeling better I'd hate to wait that long.

I'd find another doctor. Look into BHRT clinic

blkbelt42
01-23-2012, 10:17 AM
I have all the same things and dealing with this injury/rehab and my
levels hover around 100.........100!!!!!!! THey wanted to do the same thing
with me, an ongoing battery of testing and chit, I said screw it and just go
on lifting and deal with it.

induced_drag
01-23-2012, 10:37 AM
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Is it typical to wait this long? I understand the need for a prostate check but if I could be feeling better I'd hate to wait that long.

It all depends on what you are looking for. There are "wellness" clinics out there that will probably treat you differently then your Dr. With that said.....that is not always a good thing. More is not always better.

As for waiting that long.....If your lifestyle has not significantly changed lately, and you dont plan on making many changes, I would think you could do a follow-up to verify results sooner then that. Also there are different methods of testing your hormones. Some are much more accurate then others. Your free test is the really important number. I dont know if he tested that.....but truthfully it means a lot more then your total.

I have been doing a lot of research as I recently found out that my Free Test is below the bottom of the scale. My doc thinks it might be connected with a head injury I had 3 years back. (symptoms seem to have come on in conjunction with that)

With that said, surprisingly, the gym is the one place in my life that I dont notice it! Yea....you would think otherwise....

I would recommend finding a dr who will evaluate your condition and direct you in ways that are best for you. I dont think "wellness" clinics will always do that as they seem to just about put everyone on life long drugs as long as they can pay the bill. I would think you want something more personalized to what will benefit you the best in the long run from a quality of life standpoint....not just big muscles and ripped abs :)

michail71
01-23-2012, 10:52 AM
It all depends on what you are looking for. There are "wellness" clinics out there that will probably treat you differently then your Dr. With that said.....that is not always a good thing. More is not always better.

As for waiting that long.....If your lifestyle has not significantly changed lately, and you dont plan on making many changes, I would think you could do a follow-up to verify results sooner then that. Also there are different methods of testing your hormones. Some are much more accurate then others. Your free test is the really important number. I dont know if he tested that.....but truthfully it means a lot more then your total.

I have been doing a lot of research as I recently found out that my Free Test is below the bottom of the scale. My doc thinks it might be connected with a head injury I had 3 years back. (symptoms seem to have come on in conjunction with that)

With that said, surprisingly, the gym is the one place in my life that I dont notice it! Yea....you would think otherwise....

I would recommend finding a dr who will evaluate your condition and direct you in ways that are best for you. I dont think "wellness" clinics will always do that as they seem to just about put everyone on life long drugs as long as they can pay the bill. I would think you want something more personalized to what will benefit you the best in the long run from a quality of life standpoint....not just big muscles and ripped abs :)

Excellent advice as usual. I will discuss the free test with my docotor.

My biggest concern is really the depression and fatigue. My slower than average progress at strength training was another clue I had.

BTW, what about the head injury caused your issues? I suffered some major head trauma when I was 18.

induced_drag
01-23-2012, 12:03 PM
Excellent advice as usual. I will discuss the free test with my docotor.

My biggest concern is really the depression and fatigue. My slower than average progress at strength training was another clue I had.

BTW, what about the head injury caused your issues? I suffered some major head trauma when I was 18.

Head injuries are a major cause of hormonal deficiencies related to pituitary, (thyroid, Growth Hormone, LH).

If it happened when you were 18, it is not likely the cause ....unless you think you have been low your entire life?...

Here is a link describing the condition....but this is unlikely your issue.

http://www.worldhealth.net/pdf/Gordon_Thera10.pdf


My fall off has been pretty dramatic as it happened over a very short period of time. It was a little hard to notice though as I was recovering from a broken neck too. They say most conditions correct themselves within a year.... Mine has been three and it has not gotten any better. Funny connections I never made like why I have lost a bunch of leg hair over the past 3 years. I am a fairly hairy guy and my lower legs are about 50% hairless...and not from sock rubbing.

But like I said, for some reason, it did not effect me in the gym.....(or at least what I could tell). I was making and still am making great gains.....it is other issues that are tougher to deal with.

txgolfer45
01-23-2012, 12:06 PM
Honestly, I would go to a different doctor. I'm not a Dr, but I have been where you are. I was working out, didn't feel particularly bad. I had low T according to test results and was put on TRT. Looking back, I could tell my focus wasn't as good as it should have been which affected my every day life. I also noticed I wasn't losing weight even with eating right and working out. Finally, from a guy perspective, while my libido never went down I had lost size in my erections. Three years later, with the correct levels of testosterone therapy, fat seemed to just melt off, focus improved significantly, moodiness went away and I achieved gains in the sex area too (lol).

trickyB
01-23-2012, 06:47 PM
I'd find another doctor. Look into BHRT clinic

Good call why should he wait? If your doctor doesn't give you what you think you need fire him. After all there are no risks to taking it and so what if it was only borderline. It's not like he did a history and physical or anything. Doctors...who needs em.

induced_drag
01-23-2012, 07:03 PM
Good call why should he wait? If your doctor doesn't give you what you think you need fire him. After all there are no risks to taking it and so what if it was only borderline. It's not like he did a history and physical or anything. Doctors...who needs em.

To be honest....these types of caviler attitudes can lead to people finding themselves worse off in the long run. HRT should be something to be avoided unless totally necessary. These 'clinics' will pretty much write a script for just about anyone that complains of symptoms is you are willing to foot the bill. In the end, you get a boiler plate protocol so they can get to the next cash paying customer.

Much better off finding a personal Doc who is open and willing to listen and address your concerns. One that understands pathways forward and does not just let you come in and get what you want......cause "what you want"....might not be what you need!... Hormones are a delicate balance and just dumping stuff in there, may make you worse off in the long run.

Just my advice.....Unfortunately, I am having to learn as much as I can about this stuff right now....and the standard of care is all over the place. I feel best with finding someone who wants to care for your wellness....not just your libido and biceps.

fattytca
01-23-2012, 07:51 PM
I went through a VERY similar exchange with my general practitioner. After a general lack of response to my very real issue, I went to a specialist who suggested that although my test was at a reasonable level, lack of focus, lack of libido, lack of ambition could also be caused by a slightly out of ratio estrogen levels. I got a short term prescription for a VERY small dosage of an AI and I am amazed at how much more clear my thoughts are and how much better I feel. Not suggesting this is your issue, but just saying that it's possible that the doc might be able to "try" something to see if it helps. Best of luck!

2nd_chance
01-23-2012, 09:05 PM
I'd find another doctor. Look into BHRT clinic
I'd also find another forum to post this on.

michail71
01-24-2012, 07:19 AM
I went through a VERY similar exchange with my general practitioner. After a general lack of response to my very real issue, I went to a specialist who suggested that although my test was at a reasonable level, lack of focus, lack of libido, lack of ambition could also be caused by a slightly out of ratio estrogen levels. I got a short term prescription for a VERY small dosage of an AI and I am amazed at how much more clear my thoughts are and how much better I feel. Not suggesting this is your issue, but just saying that it's possible that the doc might be able to "try" something to see if it helps. Best of luck!

I'm also having the lack of focus and ambition big time. I didn't know that was a symptom until researching the other day. I remember how I used to feel 5-10 years ago and I do know something has changed. It's kind of like a brain fog that only seems to clear up after a workout.

Just to clarify though, I don't feel like I got a lack of response from my doctor. I've been with the office for 10 years now and have had excellent care from them. He is the one that brought up trying TRT first after seeing the test results. What I'm wondering about is the reason for the 3 month wait. I'm trying to get back in touch now to clarify.

michail71
01-24-2012, 11:39 AM
I found the reason for the waiting period today. It has to do with the insurance. They like to have results over a period of time before covering the treatment. The doctor said we could proceed now but that may result in insurance not covering the treatment at around $100-$200 a month.

I'll do some follow ups with the insurance company also. We have some sort of customer advocacy service available to us.

Wildtim
01-27-2012, 05:35 AM
How many times do we have to say that this is a banned (and bannable) topic?