How do so many of you get TRT?

[Killler]

I find it impossible for me!

I am 29!


I have low test,both total(300 ng/dl)) and free(3 pg/ml) all my life!

I have been to two endos-the second one being a progressive endo-prescribes hormones readily.


Neither of them would give me TRT.

The first one said she didn`t know much about testosterone,and referred me to the other.

This other one is a famous endo,who gives interviews all the time.
'
Claims test is the most important thing for men,advocates administering testosterone in the moment of angina attack,rather than nitroglycerin,and all such rant.

She also gave me this speech when I came to her,and then sent me to do and array of tests.

When I came back,her story changed.

THERE IS NO WAY YOU`RE GETTING TRT,she said,BECAUSE YOUR SPERM COUNT IS ALL RIGHT,AND TRT WILL SHUT IT DOWN.


She prescribed me,Metformin.She said it will reduce my abdominal fat,and this will increase my free testosterone.
And sent me on my way.

Free testosterone is bullshit btw.

There are herbs that I used,which skyrocketed my free test.

Free test won`t do shit for your strength,fat,mass,laziness.
It`s only good for the libido,and not so much.
I have tested this over months and months time.

There is BTW a whole array of these idiot endos that rely only on free test,if your total is in the 300s,like mine(lower limit)
This is all bull.

TOTAL test is what it matters,otherwise there would be no need for AAS or TRT,we would all just be using tongkat ali or stinging nettle.



I feel like shit my whole life.

I need more alpha,more stamina,I`m lazy and tired,every idiot in the gym has more mass than me,in spite of me having worked my ass off.
I have a fat belly which has not been removed by Glucophage.

I do have great strength in the gym-like my 360 lb incline press-which I have gained by training my ass off for 10 years and having a smart strength building routine.


But I need to look and feel better,be less moody like a woman,and not be tired!~



What should I do?

Should I go see a 3rd endo?

Should I self prescribe 100 mg per week for 3 months on/3 months off?


How do you guys get TRT in spite of mostly having good sperm count?

BTW All of heavy AAS users that I met through the gyms for years have children!

This aspect of AAS use is greatly exaggerated IMO!


BTW I`m not in the USA!

 

[Labtec70]

Hi Killer

I really am sorry for the way you're feeling and the way you've been treated. I feel your pain and frustration and truly and sincerely sympathise with what you're going through and having to contend with.

You've spoken of many things in your post and asked many questions. As a guy who has been on testosterone therapy for many years, and as a guy who has spoken and met loads of men with androgen deficiency, I want to take the time to address your post in full. I will speak as honestly and truthfully as I can; hopefully my response will help you understand the condition a bit more, without going into the technicalities of the subject. My reply (and the other guys' - and girls - replies) will also, I hope, help you decide on a course of action.

Bear in mind that your post is lengthy and so the response is obviously going to be the same.

How do so many of you get TRT?
Testosterone replacement therapy is probably one of the least frequently prescribed therapy or treatment for men the world over. The reason why you feel everyone who needs it gets it, is simply due to several guys receiving therapy meet and discuss things here on EF. Many of the people on therapy here on EF are actually paying for their own too, via private health providers, who are much more likely to prescribe therapy to a guy with low testosterone, than a mainstream doctor employed by the government of that country.

In reality, I think for every one individual on this forum getting therapy, there are 5000 individuals with low testosterone, who are not. And, that number may be very conservative.

I am 29!
Testosterone deficiency is more common in men in the latter decades of their life, but it can effect any man at any age, even adolescents <18.

I have low test,both total(300 ng/dl)) and free(3 pg/ml) all my life!
Can you be certain you've had low T all your life? In the absence of tested levels of hormone to validate this, you can't tell, but I do sense that this could indeed be the case with yourself.

Claims test is the most important thing for men,advocates administering testosterone in the moment of angina attack,rather than nitroglycerin,and all such rant.
I've never heard of this. I know doctors typically administer adrenaline (now called epinephrine) for restarting hearts but not familiar with testosterone for Angina symptoms. Seems pointless unless it's in a suspension or similar form. I'm not saying it doesn't happen - I'm no doctor - just never heard of it.

THERE IS NO WAY YOU`RE GETTING TRT,she said,BECAUSE YOUR SPERM COUNT IS ALL RIGHT,AND TRT WILL SHUT IT DOWN.
This is a stock rebuttal for administering therapy and very tiresome and frustrating. Even if it did shut your natural production down, it is usually easily restarted, either by natural means of waiting, or by using HCG (Human Chorionic Gonadotropin). If you've already got a family and don't want anymore kids, then the argument is invalid. If you are going to father kids, then it's easily refuted (by the former). Another argument against the doctor is the fact that testosterone gels of 1-2% in medium doseages will in many cases generally leave sperm production unaffected.

She prescribed me,Metformin.She said it will reduce my abdominal fat,and this will increase my free testosterone.
And sent me on my way.
Unless you went to the doctor complaining of problems with your weight, I cannot for the life of me why she would precribe a drug for fatloss instead of tackling the obvious likely causes of abdominal fat (low androgens).

Free testosterone is bullshit btw
TOTAL test is what it matters,otherwise there would be no need for AAS or TRT,we would all just be using tongkat ali or stinging nettle.
I think anyone versed in andrology and testosterone deficiency will tell you that you got this totally the wrong way around. Still, both figures are needed for a strong diagnosis of what is causing low testosterone. Without getting bogged down in technical complexity, let me anologise it for you...

Total Testosterone
This is like a reservoir of the hormone in your blood and tissues. The amount of hormone in this reservoir is much larger than what your body can and needs to use at any one time.

Free (bioavailable) Testosterone
This is the stuff your body will use at any second, minute, or hour of the day. It's what is floating around your blood stream to be used by the muscles and tissues etc. Your Free Testosterone is released from the reservoir of total hormone.

Leutinising Hormone (LH)
This hormone is secreted by the pituitary gland when it senses levels of testosterone in the body are low. LH instructs the Leydig Cells in the testes to release/produce hormone that becomes free and bioavailable.
Basically, the pituitary gland is the man at the sink in is home who wants to fill the bowl for washing up. The tap itself is the thing Leydig Cells of the testes releasing the hormone.

So basically, you can have a reservoir with a thousand gallons of water in it for use in your home. However, if your tap isn't working properly you're only going to get a trickle of water filling up your bowl for washing the dishes (Free Testosterone). It doesn't matter how much Total T you have if you can't get any to be be used by the body.

This is where primary hypogonadism (PH) and secondondary hypogonadism (SH) are different.
In PH the LH released doesn't have any effect on the testes and the testes just don't respond either at all or not much. This is therefore a testes malfunction and deemed PH.
SH is when the testes are capable of producing all the testosterone needed. However, the pituitary gland doesn't recognise when levels of Free T are low and the pituitary therefore doesn't release any LH or not enough LH.

This is why a blood panel containing LH, FSH (responsible for pituitary secreting hormone for sperm production in sertoli cells in the testes), Free T and Total T.

Herbs, concoctions, and nutrition all have their place in boosting testosterone production, but not to the extent of steroids, and not in the case of guys with a hormone malfunction.
I implore you to revisit your doctor and insist that you have the problem seriously addressed. If you do have a level of 3pg/ml, then this is seriously low and I would - in the absence of LH/FSH - guess that you it's 50/50 on whether you've got PH or SH. Either way, the problem can be treated the same with HRT.

If you visit the website androids.org.uk you can download and view the official guidelines on prescribing therapy for doctors. This was compiled by leaders in the profession from the world over and all GP's and specialists should follow it. You must see this through to the end brother. A level of 3pg is seriously low and could have consequences on your health in the years to come if left untreated.

All the best.

Craig

PS. Where are you located brother?

 

[Liquid 2009]

That sucks bro. I would just keep trying dr after dr until one hits. Typically if your numbers say low Test then they can't deny that and will put you on TRT. I have know people who have been in a low normal range and still put on TRT. They had all the symptoms and regardless of being in the normal range, it can still be considered "low" depending on what their baseline was. Typically will start off at 200mg every 2 weeks and then after 3 months get bloodwork done to see where you are and if dosage needs to be adjusted.

Bottom line is, if T levels are low. They should give you it. For me, I had low levels and was offered it and took it. I wouldn't self prescribe. You should keep searching for the right doctor. Or utilize the online anti aging clinics. You can self administer if all else fails but there are a lot of benefits of going through a doctor. You get human grade top of the line Test. Insurance covers blood and Test. Monitored by a doctor, etc.

Demand it. Try getting your levels lower than 300 next time to give you more to go on with the doctor. But I highly encourage you to make it happen. You'll love it. I can not express how great it has been for me. I'm a completely different person. I was always tired, moods all over the place, no confidence, etc. since been on, all the complete opposite.

Keep me posted bro. PM me if you have any questions

 

[thelion2005]

Here was my experience:
- I had done my reading and understood what my problem was and what the solution was.
- I was lectured to not do this by my General Dr. She had no idea what I was even talking about.
- I went to the internet and found 2 successful compound pharms.
- Visited them and asked for Drs names in the Longivity field that were active prescribers.
- Went to the internet, read about these Drs and selected one.
- Made an appointment and off I went into HRT.
- Have never looked back.
- Joined this site to build my knowledge base.

 

[RickRock13]

I'd just keep going to a new doc until somebody finally actually listens and addresses your problem. If you were 10 years older they probably wouldn't question things as much, but that still shouldn't be an issue if you have low T

 

[Zyglamail]

Free testosterone is bullshit btw.

As labtec pointed out on this you are totally incorrect. You can have all the total test in the world but if your free test is zilch you have none that can be used. Free test is a very important aspect of your overall health.

Normal docs rarely dole out test and if they do its in a fashion that is worse than having low test. Your best bet is to look for antiaging clinics in your area OR if your willing to travel look outside your area. Laws in the US recently changed and you used to be able to do it all over the phone but now they require yearly visits.

 

[teog]

I did a search for docs in my local area that specialized in TRT and then crossed referenced them to who takes my insurance. And I found one. When I saw him for the first visit I explained all my symptoms which related to low T and he started me on a regiment.

 

[Elrock]

As labtec pointed out on this you are totally incorrect. You can have all the total test in the world but if your free test is zilch you have none that can be used. Free test is a very important aspect of your overall health.

Normal docs rarely dole out test and if they do its in a fashion that is worse than having low test. Your best bet is to look for antiaging clinics in your area OR if your willing to travel look outside your area. Laws in the US recently changed and you used to be able to do it all over the phone but now they require yearly visits.

^^^this!