Low testosterone, 20s, doctor wont help... what to do?

[lowtestos]

Im 28 years old and for the last 4 years I have been so low, a "slug", mental fog, almost no energy at all. Lost my job cause no effectiveness, I have absolutely no motivation to do nothing. I can lay in bed to 2pm and my life is falling apart.

I have almost no sexdrive, Im a decent looking bloke so Ive had some girls interested in me but I just dont care about it .. and I never initiate or feel that "sexual drive" I once had in my late teens and my early twenties.

Im mostly kinda depressed, low mood and I dont see joy in nothing. Diet is good and Ive been working out in the gym for 9 years, but the last couple of years I absolutely cannot do more than 2-3 times cause I get exchausted.


I decided to go look my testosterone, and I did so 3 different times with months apart.

First time results came back 310ng/dl, second time 260ng/dl and last time around 260 again.

Doctor say she wont give me testosterone cause "Im young yet so I dont need it", so I went to another doctor ... said the same thing, and told me testosterone can give me heart attack and make me not being able to have kids .. but Im not sure thats true and they didnt really seem so professional or that knowledgeable regarding the subject.

Im from sweden by the way, testosterone is kinda taboo here.


What would you have done in my situation? My life is absolute shit .. I dont have no energy for almost nothing, I have to take alot of caffeine to go thru the day, zero sex drive and life is just gray and dark. Ive lost most of my friends, my job.. all I have now is pretty good amount of money due to savings, and my family. Almost no connections left and no girls, nothing.

My life is just flushing by and Im watching and not able to participate. Logically I "want to", but It always feels like its something holding me back.


Please help my life, what would you have done in my position? I just want my life back, my energy and that drive I had when I was late teens and early twenties ...

 

[Saiyan7]

I'm 27 and in TRT. One doc said h was too young. So I found a new doc. How is your health. Are you overweight or anything? Health can be causing issues with test.

However. If you are healthy, like I was, but still just have shit test then I would suggest trying several doctors. And if they all say no, buy some and do it on your own. I refused to live like I was feeling a year and a half ago before TRT.

 

[bigorse]

Low t has actually been linked to heart attacks a proper trt protocol should not have much of an effect on cardiovascular health of proper precautions are taken.

Yes going trt could well make you infertile and this is a very case dependant thing, having said this you could aslo be infertile or have low fertility now. Do you knos your LH or FSH numbers? If either of these are low you could look at trying a SERM therapy to kick test back to normal levels

 

[zmyj88]

Go to another doc, tell em a heart attack don't sound bad if you have to live like this, and you're not gonna have kids anyway if you have no drive, you're low, give me the fcking shit! Bigger cities seem to be more loose with rxes, I'd go there. Keep trying bro.

side note: Sweden's juice laws are pretty lenient no?

 

[lowtestos]

Low t has actually been linked to heart attacks a proper trt protocol should not have much of an effect on cardiovascular health of proper precautions are taken.

Yes going trt could well make you infertile and this is a very case dependant thing, having said this you could aslo be infertile or have low fertility now. Do you knos your LH or FSH numbers? If either of these are low you could look at trying a SERM therapy to kick test back to normal levels

I dont wanna become infertile ... i very much wanna start a family in my 30s. I dont know my lh or fsh, I can request those numbers aswell next time I take blood, Im appointed for another blood test with another doctor in some weeks ... but he seem very very conservative regarding trt aswell.

 

[ALIN]

Find another doctor. Some areas even have 'Low T Clinics' these days.

 

[lowtestos]

I'm 27 and in TRT. One doc said h was too young. So I found a new doc. How is your health. Are you overweight or anything? Health can be causing issues with test.

However. If you are healthy, like I was, but still just have shit test then I would suggest trying several doctors. And if they all say no, buy some and do it on your own. I refused to live like I was feeling a year and a half ago before TRT.

Hello and thanks for your answer. If Im gonna go the route and "do it myself" .. is there anything special I would think about, pay attention like .. go check my bloods maybe ever 4th month, how much of a starting dose would be "proper" you think?

 

[Liquid 2009]

TRT can increase chances of being infertile.

You're still young so you need to find the underlying issue. Are you taking anything that can cause low T?

 

[lowtestos]

Go to another doc, tell em a heart attack don't sound bad if you have to live like this, and you're not gonna have kids anyway if you have no drive, you're low, give me the fcking shit! Bigger cities seem to be more loose with rxes, I'd go there. Keep trying bro.

side note: Sweden's juice laws are pretty lenient no?

Ok Ima try find another doctor.. but it seems like they all seem to go after the same "protocol" or something, like they all have been told that trt is absolutely the last option and not for a young guy...

If you get taken with steroids in sweden you basicly get to pay some hundred dollars or something, not very harsch law, but for some reason the doctors seem to hate testosterone.

 

[lowtestos]

TRT can increase chances of being infertile.

You're still young so you need to find the underlying issue. Are you taking anything that can cause low T?

No nothing, and pretty good diet aswell and ive been working out for years.

 

[jacked.hillbilly]

I dont wanna become infertile ... i very much wanna start a family in my 30s. I dont know my lh or fsh, I can request those numbers aswell next time I take blood, Im appointed for another blood test with another doctor in some weeks ... but he seem very very conservative regarding trt aswell.

Ask for an endocrinoligist. Regular doctors will never prescribe testosterone even if your balls cut off in an accident.
You can print studies for Clomid, Nolva and HCG boosting testosterone and take them to your endo and pray he will help you.

 

[AssyMcGee]

It's not that low.

 

[stevesmi]

going on TRT will likely not fix your issues... guys always think stabbing their ass with steroids will fix everything, and it can in those who truly have a retarded HPTA that isn't functioning correctly. your test levels are low for your age yes, but they aren't low enough for most doctors to put you on it for life. if I was your doctor I wouldn't do it either cause that would be fucked up for someone so young.

but if you really think you need it then either keep looking for doctors, or just do self TRT

 

[Aplopez8]

It's not that low.

It's not?

 

[lowtestos]

going on TRT will likely not fix your issues... guys always think stabbing their ass with steroids will fix everything, and it can in those who truly have a retarded HPTA that isn't functioning correctly. your test levels are low for your age yes, but they aren't low enough for most doctors to put you on it for life. if I was your doctor I wouldn't do it either cause that would be fucked up for someone so young.

but if you really think you need it then either keep looking for doctors, or just do self TRT

If I dont get help from my next doctor I seriously think doing self TRT. Today ive laid in bed almost all day, just tired and very lazy, feel shit really. I mean is it really that young starting at 28? Ive read mens testosterone start to fall at around 30 so .. what do I have ahead of me really, they will just be even lower .. I feel like Ive basicly been sleep the last 4 years and not lived it, not sure if i can take this much longer.

If Im going the self trt route, do anyone have any tips how to do it safely?

 

[polarbear1134]

" 310ng/dl, second time 260ng/dl "
This is definitely low enough to feel it and suffer from it. You can be on TRT for 10 years and a month of PCT from a fertility DR can fix you right up so you can have kids. In fact many people who need TRT take about 100mg a week and quite a few don't even get shut down on that dose as it's more correcting things to normal and shut down usually triggers when you go higher than normal.

 

[lowtestos]

" 310ng/dl, second time 260ng/dl "
This is definitely low enough to feel it and suffer from it. You can be on TRT for 10 years and a month of PCT from a fertility DR can fix you right up so you can have kids. In fact many people who need TRT take about 100mg a week and quite a few don't even get shut down on that dose as it's more correcting things to normal and shut down usually triggers when you go higher than normal.

thats nice to hear friend. I will try for TRT with next doc aswell after my next blood work, which will probably show low as the former 3 did. If I dont get TRT .. man Ima just get some T for myself and try it out for some months and see if it helps, if it does, I will probably do it myself forever....

 

[stevesmi]

If I dont get help from my next doctor I seriously think doing self TRT. Today ive laid in bed almost all day, just tired and very lazy, feel shit really. I mean is it really that young starting at 28? Ive read mens testosterone start to fall at around 30 so .. what do I have ahead of me really, they will just be even lower .. I feel like Ive basicly been sleep the last 4 years and not lived it, not sure if i can take this much longer.

If Im going the self trt route, do anyone have any tips how to do it safely?

lots of people lay in bed all day or want to lay in bed all day cause they hate their job.. it could be depression or something else
if you don't have any motivation to get out of bed then there are more problems in your life then just low T. think about it!

bottom line is instead of trying to convince guys on here to do it just do self TRT for the next 12 weeks.. see how you do. if it makes a big difference then make a choice to stay on for life or PCT off. the nice thing about it is testosterone is not expensive nor hard to find.

 

[bigorse]

lots of people lay in bed all day or want to lay in bed all day cause they hate their job.. it could be depression or something else
if you don't have any motivation to get out of bed then there are more problems in your life then just low T. think about it!

bottom line is instead of trying to convince guys on here to do it just do self TRT for the next 12 weeks.. see how you do. if it makes a big difference then make a choice to stay on for life or PCT off. the nice thing about it is testosterone is not expensive nor hard to find.

Exactly right, try it out. TRT isnt for everyone. See how you go! It made a big difference for me however i never lacked motivation with low t, ive always been an internally motivated person for me i just had no energy, very emotional and my dick didnt work, motivation esp. Towards bodybuilding was never an issue for me

 

[lowtestos]

Alright I do a self TRT for 12 weeks then, 150mg of testosterone split in 2 maybe? Or 200?

the thing is ... If this really helps alot, well then I know it was the problem and then I basicly have to do it for the rest of my life, but maybe that is not a bad thing really as Ive heard it quickly gets into your "routine" and you dont even think about it, some minutes a week just to inject ... I gotta think about to get a good legit source aswell...

 

[littleguy289]

Ask for an endocrinoligist. Regular doctors will never prescribe testosterone even if your balls cut off in an accident.
You can print studies for Clomid, Nolva and HCG boosting testosterone and take them to your endo and pray he will help you.

This

lots of people lay in bed all day or want to lay in bed all day cause they hate their job.. it could be depression or something else
if you don't have any motivation to get out of bed then there are more problems in your life then just low T. think about it!

bottom line is instead of trying to convince guys on here to do it just do self TRT for the next 12 weeks.. see how you do. if it makes a big difference then make a choice to stay on for life or PCT off. the nice thing about it is testosterone is not expensive nor hard to find.

And this. Demand a referral (if you need one? I dunno how your health care systems work there) to an endocrinologist. A decent one will send you for a complete lab workup and will know all the key indicators to look for to better diagnose exactly what your problem might be. Pituitary tumors don't care how old you are, etc. This is your best bet. If you still can't get anywhere going that route, do your own research and get the labs done yourself if you can. That will at least give you a base for reference. And you can always look back to see where your starting point was and how certain things affect what. So it's always good to have. Look into primary vs secondary hypogonadism. If you have a secondary/tertiary/etc issue you might be better off on HCG vs actual test.

Also as mentioned, the root cause could be depression. Depression can cause low t and vice-versa. Or it could be something else entirely. I know guys who have completely demolished their endogenous t by consuming too much soy thinking it was a healthy choice. Etc.

 

[jacked.hillbilly]

Interesting to read soy is that bad

 

[polarbear1134]

Alright I do a self TRT for 12 weeks then, 150mg of testosterone split in 2 maybe? Or 200?

the thing is ... If this really helps alot, well then I know it was the problem and then I basicly have to do it for the rest of my life, but maybe that is not a bad thing really as Ive heard it quickly gets into your "routine" and you dont even think about it, some minutes a week just to inject ... I gotta think about to get a good legit source aswell...

No like I told you for someone at a level of 300 it will be about 100mg a week to correct you to normal. Taking 200 a week would push you high and shut you down for sure over time. You need to decide which of the following your goal is:
A) Correct your level to normal 100mg a week
B) Make yours alittle high with a low steroid level dose of 200mg (almost guaranteed to shut you down if you do it long term) Getting fertility back after years of this level is definitely possible but not a guarantee by any means.
C) Take a true steroid level of about 400-500 a week and have to cycle on and off with pct.

A normal correction due to the swing from the ester will typically swing from high side of normal the day after the shot to the low side of normal right before the shot. This gives you an average level of mid normal. You can take half as much twice as often if you want to try to stay mid normal all the time.

 

[polarbear1134]

Interesting to read soy is that bad

Soybeans contain isoflavones, which are chemically similar to estrogens. Soybeans are a complete protein source and a dietary staple in many cultures. Soy contains phytoestrogens called isoflavones that may mimic the activity of the hormone estrogen in your body.

 

[lowtestos]

No like I told you for someone at a level of 300 it will be about 100mg a week to correct you to normal. Taking 200 a week would push you high and shut you down for sure over time. You need to decide which of the following your goal is:
A) Correct your level to normal 100mg a week
B) Make yours alittle high with a low steroid level dose of 200mg (almost guaranteed to shut you down if you do it long term) Getting fertility back after years of this level is definitely possible but not a guarantee by any means.
C) Take a true steroid level of about 400-500 a week and have to cycle on and off with pct.

A normal correction due to the swing from the ester will typically swing from high side of normal the day after the shot to the low side of normal right before the shot. This gives you an average level of mid normal. You can take half as much twice as often if you want to try to stay mid normal all the time.

Thanks! but correct me if im wrong but doesnt ANY dose of testosterone shut you off, no matter if its 100mg or 500mg? I read that somewhere...

 

[bigorse]

Thanks! but correct me if im wrong but doesnt ANY dose of testosterone shut you off, no matter if its 100mg or 500mg? I read that somewhere...

Anything equal or above what you produce naturally will shut you down.

 

[bigorse]

I have 0 LH and 0 FSH on 100mgs per week

 

[doc8404]

Go to a test clinic or anti aging doc and have them run bloods

 

[polarbear1134]

Thanks! but correct me if im wrong but doesnt ANY dose of testosterone shut you off, no matter if its 100mg or 500mg? I read that somewhere...

It's not an on off switch. The more you go above normal the more you shut down. Typically correcting to normal will not fully shut someone down. Yes going to a blood level of say 1200 (despite being in the normal range) will probably shut you fully down. But correcting from 300 to say 500-600 will likely not shut you down. I say likely because everyone's body is different.

Like the above poster who said 100mg a week put his LH at 0...but I have been on 100mg a week for 18-20 years don't remember the exact date and my LH is NOT at 0. It doesn't have a full shut down effect on me. So people can and will respond different.

 

[zmyj88]

Shit, lying I'm bed all.day sounds pretty good at this point

 

[trt newbie]

man you crack me up.. But ya bro go to another doc I got put on trt at 25 before ever touching the juice. Some peoples test drops a lot faster then most.. And once I've got on it I feel like a champ. But now that I'm on Tren this lethargy is killing me I feel like I have low t again.. Oh well I'm getting strong and swoll as shit. Plus I only have like 4 weeks left. Next run I'm doing super high test and medium Tren. Sorry to get off subject. But go to another doctor! Tell them you don't care about there opinions you care about your test levels being normal.

 

[Liquid 2009]

When your body is receiving exogenous hormones, it will shut it's own production down.

 

[polarbear1134]

When your body is receiving exogenous hormones, it will shut it's own production down.

When it receives enough from outside that it triggers the feedback loop it will shut down it's own production.

 

[bigtbone]

I am a physician and very few of my colleagues know much about hypogonadism. Your levels are within normal range. However, the listed normal range is very wide (250 to 850) and 250 is NOT normal for someone your age. You should be in the 500s. Did you have your blood drawn in the early morning? Should be an 8am blood draw. If it's low, I'll repeat it along with additional studies to determine the cause. You need a LH, FSH, SHBG, Prolactin, TSH, ACTH, and I also like to check an iron level. Any physician who is educated on the subject will tell you that cardiovascular risk is actually increased in someone who has low testosterone. Replacement decreases cardiovascular risk.

Medicine is about optimizing quality of life. You need find another physician, one who is experienced with hypogonadism. You will likely find even endocrinologists who are clueless on the subject even though they are supposed to be the experts. Just keep searching until you find one. Express to them that your quality of life is suffering. Are you married? Tell them it is having a significantly negative impact on your interpersonal relationships. It will cause depression, decreased energy levels, decreased motivation, decreased vigor, and even decreased bone mass. You'll be less and less active, thus increasing your risk for weight gain, which will increase risk for insulin resistance or diabetes, high cholesterol, hypertension, etc. It really is a no-brainer.

I wouldn't recommend self-medication. You need further evaluation to rule out the bad stuff first and foremost. Also, if you self-medicate, you will lose trust of any future providers you see. I could tell if you were low because you had been taking exogenous steroids. Don't do it. You just need to find a doc that knows what they are doing. Don't give up. Your quality of life will most certainly continue to suffer. The benefits of replacement far outweigh the risks. Like I stated earlier, the effects of hypogonadism are more harmful than the minimal risk of replacement. There was a recent meta-analysis done which addressed the incorrect allegations of increased cardiovascular risk which have been claimed recently by studies of poor design. One such study was done in non-ambulatory (essentially bedridden) elderly men. Who the hell would give such a patient testosterone in the first place. Definately not a study population which can be extrapolated to the general population. Bottom line: there is an agenda targeting TRT for some reason. However, those who know have spoken out very loudly against these false claims. This meta-analysis which I mentioned does a good job of proving that there is no increase in cardiovascular risk and, actually, the opposite is true that it actually decreases with testosterone replacement in an otherwise healthy male. I have the article at my office. If I can remember, I'll get the reference next week and post it for you. I'm sure you could find it through a quick google search.