Low T redux - Went to Urologist for 2nd opinion. Have several T replacement/stimualtion options. Opinions?

anal_cyst · 2013-08-22T02:03:36+00:00

injections. do not use the gel or patches.

TheGoodBro · 2013-08-22T01:47:21+00:00

a.) Total T isn't exactly the only thing that matters, free testosterone is actually the most relevant factor. It may very well be your free T is high while total T is on the lower end. You should do a full panel and see where your other hormones like estrogen and free T. High and low estrogen can really make you feel shitty too. Ironically low estrogen kills male libido

b.) They're so many factors that go into test levels. You can be doing everything right but then fuck one thing up majorly and it'll keep you suppressed. Exercising is great, and eating better is definitely a great start but you're expecting too much and need to keep tweaking shit to figure out whats going on. A lot of people under estimate simple changes to the diet and how they might effect people differently.

Did you know that a high protein diet could lead to lower levels of testosterone and higher levels of cortisol when compared to a high carb diet? They had the same amount of fat in each diet. http://www.ncbi.nlm.nih.gov/pubmed/3573976 "Testosterone concentrations in seven normal men were consistently higher after ten days on a high carbohydrate diet (468 +/- 34 ng/dl, mean +/- S.E.) than during a high protein diet (371 +/- 23 ng/dl, p less than 0.05) and were accompanied by parallel changes in sex hormone binding globulin (32.5 +/- 2.8 nmol/l vs. 23.4 +/- 1.6 nmol/l respectively, p less than 0.01). By contrast, cortisol concentrations were consistently lower during the high carbohydrate diet than during the high protein diet (7.74 +/- 0.71 micrograms/dl vs. 10.6 +/- 0.4 micrograms/dl respectively, p less than 0.05), and there were parallel changes in corticosteroid binding globulin concentrations (635 +/- 60 nmol/l vs. 754 +/- 31 nmol/l respectively, p less than 0.05). The diets were equal in total calories and fat."

c.) If you're still dead set with doing TRT then go with gel or patches. The clomiphene is stimulate the HPTA but this isn't a long term solution to the long term problem you have developed. Injections lead to an epic spike in test levels and some amount is going to be converted to estrogen via aromatase. Gels/patches would lead to more stable rises in T and make sure most of it remains T. Losing fat will also help cut down on the conversion of T to E via aromatase

thedarkerside · 2013-08-22T04:29:25+00:00

Okay.

As someone who has Isolated/Idiopathic Hypogonadotropic Hypogonadism(Trigger warning, PDF) may I suggest to try and see an endocrinologist instead of an urologist? There could be several reasons as to why your T-levels are low and I don't think an Urologist is the right doctor to evaluate this.

Secondly, I personally have gone with injections, out of the simple reason that it is the cheapest way AND I find it the most even experience.

Having said that, depending on how often you get it, you may want to learn to inject yourself and at least in my case it took me a while to convince my doctor to show me how (it's an IM injection, so the needle is rather long and has to go into the muscle, not just under the skin like with insulin).

Also, there are two types available. I am not sure what the other one is right now, but I am going with Delatestryl, which is a Testosterone Enanthate, I seem to metabolize it better than the other one. Though, I also get quite a high dose: 200mg/week vs. their "standard dosing" recommendation of 100mg/4 weeks.

2013-08-22T01:02:45+00:00

I had mine tested 2 weeks ago and it was only 450, like a 75-100 year old man. Avg for a guy my age is 600-700. I will never be able to get a doc to prescribe TRT, but I could double my T and still be in the normal range. Have been trying the same stuff as you - weight training, high fat/protein diet. Will retest in 3 months and see if there has been any change.

Have you tried longjack root extract? There are scientific studies proving it increases test, search on pubmed.gov

Here is a good article by a guy in your situation who doubled his natural T through diet and exercise: http://www.artofmanliness.com/2013/01/18/how-to-increase-testosterone-naturally/

Once you get on hormone replacement, you will be taking it for the rest of your life, that's something to be aware of.

theredpull · 2013-08-22T01:31:08+00:00

Hey OP, I recently got my T tested and i'm on 308 and guess what, I'm 22 years old and I took the test at 8.30am at the peak of my testosterone. So hopefully I get on TRT. If I were you I would definitely jump on TRT if the doctor has given you the option since you're hitting <350.

Amuro_Rey · 2013-08-22T05:49:42+00:00

clomiphene citrate pills to induce testicles to produce more T (never heard of this option before ...anyone have experience or insight?)

I've never heard of these.

Gel

It's what I use (testim). So far I've felt a noticeable difference in my mood, more motivation, more energy to do things. However I have not gotten my levels rechecked (I was inbetween the 220-300 range, getting recheked next week.) The downside of the gel I use is I have to wash off the application area on my shoulders before I have skin to skin contact with someone that shouldn't be in contact with testoreone. Sometimes it takes a while to dry, as well.

Patch

I've heard nothing good. I hear they fall off and aren't effective.

Injections

These seem to be the absolute best way to go, you don't have to worry about how much is being absorbed, you don't gotta wait for your skin to dry like you do with gel. The only reason I don't do them is they are costly under my insurance plan. I would have to pay over 100$ a month for shots, whereas the gel only costs me ~40-50$.

crazy89 · 2013-08-22T10:18:16+00:00

Masturbation can also lead to lower T levels. http://www.ncbi.nlm.nih.gov/pubmed/12659241?dopt=Abstract; http://www.ncbi.nlm.nih.gov/pubmed/11760788?ordinalpos=16&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum

vengefully_yours · 2013-08-22T14:45:45+00:00

Mine is consistently lower than your low day, I get shots for it and have noticed changes.

I am losing fat, but not as much weight as it would seem, and I am not working out to put on muscle since I have enough already. (honestly I have too much mass) My definition is improving faster than the weight loss I am trying to achieve happens.
I have more motivation, energy, and a general sense of well being I didnt have before. The chronic depression I have is less pronounced and easier to deal with. I used to sleep 8-12 hours a day, now I am sleeping 5-7 hours and feeling better all day with more energy.
My sex drive is no longer insistent. For 30 years I needed to get laid every few days or I would go nuts, get angry and frustrated easily, etc. Now I dont give a shit if I dont get any for long stretches that prior to the injections would result in homicidal thoughts and being resentful of females. When the opportunity arises to get some pussy, I am ready to go, I just dont feel the need to get out there and find some on a daily basis anymore.

The effect of this is I am no longer a slave to my dick. I look and feel better, and my life is getting more enjoyable since I have more money available to me since I no longer have a parasitic woman sponging off me.

An interesting side effect is that my appearance has changed, my body language is much improved in the way of attracting females. I cant go anywhere without women checking me out, walking back to take a second look, and staring at me. Part of that is because I feel better and dont give a shit if I fuck someone or not. Part of it is because I have an abundance mentality and women have to prove they are worthy to fuck me, and my body language says exactly that.

I am not saying you will have the same effects, but that is what I have noticed about me and my life changes since they started the therapy.

2013-08-21T23:59:00+00:00

This is interesting. How did you first find this out and what are the symptoms? I've got reason to believe mine is low too but I never thought about getting it tested.

Flapped · 2013-08-22T00:50:51+00:00

Same thing basically just happened to me, I got the gel and am starting tomorrow. From what I've read it seems pretty good.

GayLubeOil · 2013-08-22T07:40:59+00:00

Clomiphen citrate makes you feel like absolute shit
Not as effective as injections, worse uneven absorption
Same thing as Patch
Obviously the best choice as long as your kidneys, and cardiovascular system are healthy.

DingFuckinDong · 2013-08-22T13:38:31+00:00

The RDA for iodine is also wayyyyyy low, and if you're on a Paleo style diet without stuffing your face with cold water fish and seaweed like a crazy jap you're likely iodine deficient. Iodine is taken up primarily by the thyroid(which cascades into most your hormonal needs) as well as the testicles. There's no evidence for this but I'd wager a lot of prostate issues in this country could be solved with iodine.

Check out some of the various Iodine groups on the net(Curezone, yahoo, MDA forum) man, they can get pretty wacko with the alt medicine but you're here on TRP, are you not?

Personally I wouldn't recommend hormonal therapy(mostly since I can't recommend anything) since it can shut down your bodies natural hormone production but obviously listen to your doctor. He definitely has your best interests at heart.

bertmaklinFBI · 2013-08-22T17:03:10+00:00

Clomid is a SERM used by bodybuilders after steroid cycles, part of whats called PCT. Basically, when you use AAS your body will stop producing testosterone since you are providing it(or form of it) externally. Clomid is used to "restart" your balls by stimulating Luteinizing and Follicle Stimulating Hormones, which in turn will increase test production.

Shit works.

2013-08-22T23:52:35+00:00

[permanently deleted]

Title	Low T redux - Went to Urologist for 2nd opinion. Have several T replacement/stimualtion options. Opinions?
Author	[deleted]
Upvotes	7
Comments	33
Date	August 21, 2013 11:48 PM UTC (12 years ago)
Subreddit	Posted in /r/TheRedPill
Original Link	https://old.reddit.com/r/TheRedPill/comments/1ku820/low_t_redux_went_to_urologist_for_2nd_opinion/
Archive Link	https://theredarchive.com/r/TheRedPill/low-t-redux-went-to-urologist-for-2nd-opinion-have.6382 https://theredarchive.com/post/6382

Comments