Peak Testosterone Forum

General Category => Testosterone, Hormones and General Men's Health => Topic started by: YoungGun22 on February 04, 2012, 10:02:37 pm

Title: 22 Year Old With Low Testosterone (First Post!)
Post by: YoungGun22 on February 04, 2012, 10:02:37 pm
Hello Forum!

So glad I finally came across this forum. I have noticed there is a ton of great information, articles, and great opinions from knowledgeable people. Hence my first post.

Background: I am a 22 year old male, have been lifting and training hard since entering college four years ago. Past year or so I had lost all libido (have a girlfriend of 4 years, and she sees how bad it is), always super fatigued, felt rather bland (for lack of a better word), noticed I was making 0 gains in the gym while all my lifting buddies have been growing, and I cannot put on any muscle mass. My diet is clean, high protein diet, and in a calorie surplus. Struggling to gain mass still, especially in the muscle department.

Finally decided to go to the doctor's and had blood work done. Results are as follows:
Total Testosterone: 319 ng/dL      Range given: (250-1100)
Free Testosterone: 54.5 pg/mL     Range given: (35 - 155)
T3 Free: FT3 2.7 pg/mL     Range: 2.5-3.9
T4 Free: FT4 0.8 ng/dL     Range: 0.6-1.6
TSH: 3.31 uU/mL     Range: 0.34-5.60
BUN (Blood Urea Nitrogen): 32 mg/dL     Range: 6-22 mg/dL
Creatinine: 1.1 mg/dL     Range: 0.5-1.3

Met with the doctor again today and said my testosterone levels were normal... I was immediately infuriated with his statement, being that a 22 year old should be roughly 3 times my testosterone levels. After reading all of Lee's articles on Peak Testosterone, I knew I was in a rough situation. Also, the doctor did not comment to the low T3 and T4 levels and high TSH level. Basically the whole trip was pointless. He ordered me to have my Testosterone levels tested again, but this time on a fast and at 7 AM (to get a peak level). He also ordered blood work for Prolactin.

I know this is long winded, but I am just so lost with where to go from here. The doctor clearly does not believe I have low testosterone levels , which is very frustrating. Does anybody have any suggestions or options of where to go from here?
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: PeakT on February 04, 2012, 10:35:33 pm
Just got a few minutes here - family is keeping me busy - but a few important questions:

1.  I don't think you said what time you had the blood draw?  Any chance it was in the p.m.?
2.  Any chance you are overtraining?  This can hit testosterone pretty hard, although I'm not sure it would lower it by 60%!
3.  Also, have you been consuming a lot of whey?  I have always noticed how many ex-weight lifters/power lifters/athletes write in who have been on whey for years.  Although I can't prove this, I can't help but be suspicious that all the free glutamine and aspartates have hammered their neurons/hypothalamus and they are suffering the repercussions.  You might try laying off the whey and/or going to undenatured whey if that is the case for you.
4.  Any chance you have a varicocele?  Supposedly, they are not caused by lifting, but I've had a number of guys swear it was.  Anyway, this is the territory of a urologist.

Finally, I would definitely recommend going to an endocrinologist, especially with the reading you have above.  Now many endos are like your doc and are not thorough and think that the low 300's are okay for a guy in his early 20's.  Imo, your doctor should have said to you, "I'm reluctant to get you on HRT because of your age, but the low 300's will increase your risk for many medical conditions, including heart disease, insulin resistance, hardening of the arteries, erectile dysfunction and diabetes.  So we need to dig in and find out what is going on and take this seriously and not just say everything is okay."

I know it's a little stressful and even "scary" when you find out you might have low T, but is definitely worth it even if you never go on HRT.  The reason?  Imo guys with low T (while they're trying to figure things out) need to take extra good care of their health - abundant exercise (without overtraining), whole foods proven diet (such as the Mediterranean), lots of sleep, stress management, etc.  Don't be paranoid or become a hypochondriac, but be serious about your health.

One final thought:  you should be very cautious about going by one T reading. 

Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: YoungGun22 on February 05, 2012, 12:32:38 am
PeakT,

1. Sorry for leaving that information out. I was tested at 12 Noon, after waking at 10:30 AM and having breakfast.
2. As for overtraining, I have greatly considered this option considering the lack of gains in the gym despite diet and workout form. I took a week off from training to let my body recover and then began a new split regiment, but still to no avail.
3. I do consume a decent amount of whey (2 scoops post workout, and one scoop upon waking in the morning with my breakfast).
4. As for the varicocele, I do not have swollen testicular veins by any means.

I was just worried with the testosterone levels being at 319 for a young man my age. I feel like I should be at my peak, making gains in the gym, adding on lean muscle, having endless sex drive, and so on. I am having my Testosterone levels re-tested after a fast and at 7AM as well as having Prolactin blood work.

I am just worried since there isn't any answers to date. I clearly think it is low testosterone levels, but my doctor wants to think otherwise. I really just want my sex drive, muscular growth, and love of life back!
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: PeakT on February 05, 2012, 03:40:17 am
A few comments:

1.  I am very surprised at your doctor's response.  Generally, doctors take into account one's symptoms along with the reading in order to make a more "holistic" assessment.  However, maybe he is just being cautious until you get that second read - I don't know.  But one thought:  make sure he communicates to you.  A doctor should be willing to spend a few minutes and explain why he is thinking what he is thinking or just admit, "I don't know." 
2.  As I'm sure you know, libido is quite correlated to testosterone.  A guy 22 year old should be having trouble thinking about anything else but sex - not the other way around!  But don't panic - get that second read.
3.  If you have really overtrained, one week off is nothing.  I recommend reading Maffetone's books on the subjects.  His books are written more for the endurance athlete - and he has trained many of them - but the underlying principles apply to all of us (except Jack LaLanne, who was superhuman).
4.  Noon, eh?  Well, you should find that your T will be a little higher in the early a.m.  However, it likely won't be dramatically higher:  as I've mentioned, most guys your age have about a 35% drop from early morning to late afternoon.  But it's good to get another read.

And, finally, a few more questions:

1.  Have you struggled with depression by any chance?
2.  What is your sleep like?
3.  Sorry have to ask:  any steroid, recreational or prescription drugs in the past or present?

Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: YoungGun22 on February 06, 2012, 06:21:37 am
Thank you so much for your response. It's refreshing to actually hear from someone who wants to help solve an issue, rather than beat around the bush.

1. I have never really thought about it. I do not think I suffer from depression. But I do notice now that my drive in my academics or in work is definitely low. Also, I find that I am a lot more moody than I used to be, and my overall enjoyment of things is also less than I want it to be. I don't know if that has anything to do with the low testosterone? Or possible depression symptoms? Thoughts?
2. I have a pretty consistent sleep cycle. Typically in bed around 1 AM and don't get up until 11 for three of the week days and 9:30 for the other two.
3. And please, do not be sorry for asking, I understand it is a giant factor when looking at my situation. But no, I have never touched any steroids, recreational, or prescription drugs ever.
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: PeakT on February 06, 2012, 01:57:09 pm
Low T can definitely lead to mood disorders and depression or make an underlying condition worse.  Well, okay, the docs really need to check you out then and do all their due diligence.  Realize, though, that sometimes they just don't know. 

Let us know what the 2nd T reading is if you have time...
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: YoungGun22 on February 07, 2012, 01:14:15 am
Will do! Just had the blood work done this morning, looking forward to seeing the results hopefully by the end of the week. Will re-post when I hear back from the doctor (hopefully end of week/by next monday).

Thanks for the help.
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: YoungGun22 on February 09, 2012, 06:36:42 pm
Hello PeakT!

As promised, I am back with some more results. This past Monday I had my testosterone levels as well as my first Prolactin blood work done.

The bloodwork was drawn on a fast and at 7 AM to try and see peak levels.
My Total Testosterone level was 323 ng/dL      Range given: (250-1100)
My Free Test levels feel in the normal range and was more-or-less the same as the first reading of Free Testosterone: 54.5 pg/mL     Range given: (35 - 155).

My Prolactin levels came in at a whopping 20 on a scale of 2.6 to 13.

My doctor, once again, did not see any concern with my testosterone levels, which really is angering me due to the fact that it was tested at 7 AM (the should be peak) and yet it was still only a reading of 323 for a 22 year old man.
However, my doctor did seem concerned with my Prolactin levels. I am going back in to re-test the Prolactin levels tomorrow morning at 7 AM once more. He says if they come back high again, then he will recommend me for a MRI on my brain.

Thoughts PeakT and forum?
Do you think the Prolactin levels are to blame for my low libido, low all-around drive, lack of muscle mass despite proper nutrition and four years of intense lifting?
Is it possible that the prolactin levels are effecting my total testosterone levels?
My doctor did see worried about
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: PeakT on February 09, 2012, 08:57:08 pm
Yes, high prolactin levels can definitely push down testosterone levels.  Testosterone and libido are very correlated, so it is no wonder that you libido is mediocre. 

So is this doctor an endocrinologist?  If it's a PCP, I don't understand why he would be handling this.

And, not to sounds like a broken record, but if you are concerned about your doctor, then get a second opinion.  And I'll add the obvious here:  your health is at stake, so why not get as much knowledge as possible.
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: YoungGun22 on February 09, 2012, 11:40:29 pm
Couldn't agree more about getting as much knowledge as possible... hence why I am on this forum!

But the doctor is a primary care physician. I am going back in for another round of testing for the prolactin levels tomorrow morning when the lab opens at 7AM. He said that if the level is high again (I don't know why it would change in a week), than he will recommend me for an MRI of the brain and refer me to an endocrinologist.

Personally, I am hoping this is the case, so then I can talk to a specialist in the field and really try and solve this problem. This is absolutely miserable and is affecting my everyday life.
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: Jonathan on February 10, 2012, 03:23:17 pm
Hey Young Gun...

I'm pretty new here too, and I know nothing about Prolactin levels, but I did want you to know I'm pulling for you.  As PeakT often makes clear, he is not a doctor--and neither am I, but I certainly have gotten a good dose of some MDs who are generally apathetic about the big picture of a person's health.

One difference I can identify between the time I was 22 and now (age 45) is that I'm pretty good at not letting myself fall into a state of nervous desperation.  I think you're doing pretty well at this too, scrupulously seeking the attention of an MD--and also conducting your own independent research.  I guess the point I'd make is that you're going to figure this out.  Whether it's with your current doctor or another one. 

Maybe the Prolactin levels are precisely the culprit and your doc will help you bring them into proper balance while T levels rise.  Maybe, along with your doctor's supervision, you'll find a more natural, holistic approach to increasing your T (not to mention your love for life)--such as in utilizing the recommendations on this site.  If not, maybe it will actually make sense to both you and your doctor to go the TRT route.  But I'm convinced that, in any case, if you hang in there you'll figure this out--and you'll be good!

Keep us posted,
Jonathan
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: PeakT on February 10, 2012, 08:06:51 pm
Couldn't agree more about getting as much knowledge as possible... hence why I am on this forum!

But the doctor is a primary care physician. I am going back in for another round of testing for the prolactin levels tomorrow morning when the lab opens at 7AM. He said that if the level is high again (I don't know why it would change in a week), than he will recommend me for an MRI of the brain and refer me to an endocrinologist.

Personally, I am hoping this is the case, so then I can talk to a specialist in the field and really try and solve this problem. This is absolutely miserable and is affecting my everyday life.

Okay, that's good to hear - I mean about the endo.

Miserable.  That's a great word for low T!
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: YoungGun22 on February 11, 2012, 03:19:14 am
The results are already in for my second Prolactin blood work. Had blood drawn this morning when the lab opened at 7AM. Doctor already got back to me! (Finally getting some movement with all of this). My Prolactin levels last week were at a 20 on a scale of 2.6 to 13. And today the reading of Prolactin was a 24.

Therefore, I have an appointment on Monday to get a Brain Scan MRI. Excited to finally get some answers and movement (which never seems possible in the medical field).
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: PeakT on February 11, 2012, 01:28:13 pm
Well, I'm glad things are progressing at least.  I've had a few guys write in with prolactin levels well over 100 and their T levels were even lower of course...
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: LowerT51 on February 13, 2012, 03:18:20 pm
Yes.  Keep pressing forward on this.  Seems like your docs are on the right track.  Keep us apprised!!!
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: feelgood on February 14, 2012, 12:14:24 am
i was going to say, can't you just TELL your primary care that you really demand a referral to an endo? i bitched a little at mine, and he was happy to pass me off to an endo, probably so he didn't have to deal with me anymore.

But you're past that anyway, so that's good.

I too have a brain MRI appointment - but really just for my overall low T (280). My prolactin was at 5.2...

Good luck to us both, eh? :)
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: LowerT51 on February 14, 2012, 05:41:44 pm
I too had the brain MRI due to lower T levels in the early 1990's.  At that time was 32 years old and got checked out by a urologist as my wasn't getting pregnant after a year of trying.  My urologist at that time was excellent and he diagnosed me with a varicocele and sent me for a pituitary contrast MRI as my T levels were on the lower side  - in the 300's.  He did ask me about my libido, but at age 32 I never had a problem with erections or libido so it quickly left my radar.  The MRI came out fine and I had the varicocele removed and six months later we conceived our first of three children.

It wasn't until my later 40's that I noticed that my libido and need to have sex, etc. was diminishing.  I've been on Testopel (pellets) for over a year now and the difference is unbelievable!  Nothing can substitute your urges when you are a younger man but boy what a difference!!

Net Net for you, if your MRI comes back clean and there are no other medical explanations for your low T levels.  Diet alone will probably not get you up to where you need to be.  T supplementation does work and there are now so many options for you to consider.  Nothing wrong with diet and exercise but if you are way under the lower range I think that you will need some outside help.  Nothing wrong with that, especially if you are proactively seeking to raise your standards!!
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: YoungGun22 on February 14, 2012, 06:04:41 pm
Starry, yes! Good luck to the both of us! Best of luck at the MRI scan. I just had mine yesterday, it was my first experience. Very unique experience to say the least! I am hoping to hear back by Thursday with the results of the brain scan (praying to hear back today). I will keep the forum posted on the news!

LowerT, I am definitely not opposed to T supplementation. It is more my doctor who is  saying I do not have low T levels (319 mid-morning and 323 at 7AM). So clearly the doctor and I are on a disagreement here. But at least he realized my prolactin levels were high, so I'm hoping that this MRI will give some information or get the doctor to do something. If the MRI comes up clean, as you say I will seek T supplementation and most likely ask for a referral to an endo, because I can already tell my doctor will not want to help in this department!
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: feelgood on February 14, 2012, 06:27:18 pm
thanks - good to know i might be able to expect quick results as well! i have mine Friday.

Sounds like i won't love it - tight spaces is not a fun thing for me...But whatever it takes.

Good luck on your results - let us know.
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: LowerT51 on February 14, 2012, 10:57:10 pm
Honestly, the MRI was a bit strange, but I closed my eyes and imagined that I was laying down in a field and looking up at the stars.  It helped.  As far as T supplementation goes, be patient and strive to find the doctor that will treat your symptoms and not just say that 319 ng/dl is in the normal range so you must be okay!!  Obviously we don't enjoy having lower T but if T supplementation works, we should pursue it.  BTW - on my path to T supplementation my first doc said that his office doesn't prescribe T if ones levels are greater than 300 ng/dl.  My measurement at that time was 307 ng/dl!!  What a crock of you know what!!  Two docs later I'm doing fine with pellets.  Go to peak testosterone's web page under Letters and my story is all there.  You must keep going until you are satisfied.  Know one knows your body and how you are feeling (or not) better than you.  Keep us apprised.
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: PeakT on February 15, 2012, 02:26:37 pm
Here's the interview LowerT is talking about for those interested:

http://www.peaktestosterone.com/Interview_Testopel_Testosterone_Pellets
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: YoungGun22 on February 24, 2012, 03:47:08 pm
Hey guys!

Sorry for the delay on the repost, but I have been waiting for the past week for the doctors to contact me.

I had my MRI Brain Scan early last week, and the results came up negative. Unfortunately, my doctor said he "was not satisfied with the results", due to the fact that he made a mistake and did not order the MRI to involve contrast. (He said using the contrast would have shown more specifics. In retrospect, he said he had wished that he ordered the MRI to contain the contrast. My doctor's office has now set me up with the first available appointment with an endocrinologist, which will be April 1st! I am relieved to go to a specialist who will have more knowledge in the specified area and hopefully the endo will be able to help solve the problems. Too bad the first appointment is over a month away...
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: PeakT on February 24, 2012, 06:24:46 pm
Thx for the update and hope all goes well...
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: YoungGun22 on April 06, 2012, 03:32:00 am
Hello Peak Test Forum!

Coming back around to give you guys an update of my current situation. Today I finally had my scheduled appointment with a Endocrinologist. After a typical doctors appointment he finally wanted to do some more blood work and re-test my Prolactin, Testosterone (free and total), and Thyroid tests including T3, T4, and TSH levels.

He said if everything comes back as it has in the past, then we would start looking into treatment options. Looking forward to hearing back from him in the next week. He seemed keen on medication to lower my Prolactin, which would then raise my testosterone. Does this seem like the best option? Or should I ask for TRT?

 Upon doing my own research, I came across Hypogonadism (http://en.wikipedia.org/wiki/Hypogonadism). I feel as though almost every symptom listed applies to myself. Does anyone else think this is a plausible scenario?

Thanks for all the help as usual!
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: PeakT on April 06, 2012, 04:56:45 am
The philosophy is good:  the doc is trying to treat root causes.  Is he talking about using prolactin inhibitors?  Those have quite a few side effects is the only issue, so talk to him about that...
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: feelgood on April 06, 2012, 01:45:08 pm
curious why he didn't bring up Clomid as a possible treatment to jump start your T  -  but here is where i show my inexperience. Peak, would YoungGun's prolactin level mean he's not a good candidate for Clomid?

My level was 5.2.

Just thought i'd ask, since TRT might not be the best option - if you go that route - given your age?
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: YoungGun22 on April 06, 2012, 03:46:55 pm
PeakT - I am very excited that the doctor is trying to get to the root of the issue (my Primary Care didn't even think my Testosterone levels of 319 and 323 were extremely low for a 22 year old...). And yes, he seemed keen on a prolactin inhibitor (didn't specify which, waiting to see what my labwork says I believe), to try and lower my Prolactin and in-turn raise my Testosterone.

Starry - I have never heard of Clomid as a possible treatment to raise my T - Could you explain further? Thanks!
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: feelgood on April 06, 2012, 03:59:04 pm
Hi -

take a look at some of my posts...my urologist ended up giving me a script for Clomid for my low T, since i can't go on HRT as i plan on having, or trying to have a kid in the not too distant future (HRT can hurt chances there). I'm at two weeks, and waiting until week 4 or 5 to get my levels checked.

Essentially, it's designed to kickstart your glands into making more of your testosterone, versus supplementing with synthetic testosterone (HRT)

check this:

http://www.doctoroz.com/blog/harry-fisch-md/increasing-mans-testosterone-production

first couple of paragraphs:

"The problems caused by abnormally low testosterone – a condition called hypogonadism – have been getting a lot of press in recent years, primarily because there are now several companies selling testosterone replacement products. Low testosterone, or “Low T,” can certainly be a real problem for men. The issue with trying to correct low testosterone levels by adding extra testosterone is that the body responds by shutting down its own testosterone-making machinery. That means the testicles shrink and soften and, if you stop taking the replacement therapy, your testosterone levels will drop even lower than they were before you started. It’s easy to get hooked, in other words.
 
Another approach for treating low testosteroneis to stimulate the body’s own capacity to make testosterone – to fortify the testicles. Clomiphene citrate, marketed in pill form as Clomid or Serophene, is a prescription medicine commonly used for female infertility. It works by stimulating a part of the brain (the pituitary gland) that controls production of two hormones key to reproductive health: follicle stimulating hormone (FSH) and luteinizing hormone (LH). Both hormones are also vital to men. FSH stimulates sperm production in the testicles, and LH stimulates testosterone production.
 
A number of studies have now conclusively demonstrated that modest doses of clomiphene successfully raises testosterone levels in men without impairing testicular function. Not only is testosterone boosted, sperm production and sperm quality may be enhanced as well."
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: PeakT on April 06, 2012, 04:29:05 pm
PeakT - I am very excited that the doctor is trying to get to the root of the issue (my Primary Care didn't even think my Testosterone levels of 319 and 323 were extremely low for a 22 year old...). And yes, he seemed keen on a prolactin inhibitor (didn't specify which, waiting to see what my labwork says I believe), to try and lower my Prolactin and in-turn raise my Testosterone.

Well, you're swimming upstream if your prolactin is high. Prolactin inhibits LH secretion and so it leads to a form of secondary hypogonadism.  Clomid can help overcome secondary, but I don't know which would "win" if you pitted Clomid versus high prolactin.  And I'm not sure why you would want to do that anyway - I guess to avoid side effects from the inhibitors maybe.  You'll have to ask your doc about this one.

Also, I don't think you mentioned how the thyoid results came back.  I'm assuming you know that abnormal thyroid function can lead to elevated prolactin levels?
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: YoungGun22 on April 06, 2012, 05:21:22 pm
Starry - Thanks so much for that information! I will definitely look more into Clomid and when my doctor calls back next week with the rest of my blood work, I'll ask him about this as an option. I guess my concern, going off of what PeakT stated, was how it would effect m Prolactin levels which need to be diminished as well.

PeakT - I am waiting on my blood work results still. I had the lab work done yesterday, so the Endo said he would call within the next week with the results of the new test levels and thyroid levels. Previously, when I first posted (first week of February), my thyroid results were as follows:
T3 Free: FT3 2.7 pg/mL     Range: 2.5-3.9
T4 Free: FT4 0.8 ng/dL     Range: 0.6-1.6
TSH: 3.31 uU/mL     Range: 0.34-5.60

Will repost next week with new blood work.
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: feelgood on April 06, 2012, 09:45:25 pm
no problem YoungGun....yeah, i have no idea if your prolactin level means you're not a good candidate for Clomid...but yeah i would definitely ask.

i'm really hoping it works for me. Like i said, only just over two weeks in, but i feel some subtle shifts (that i hope are not just placebo-like). I get the sense i've had low T for a really long time (i just blew if off for years, and i didn't have too many symptoms besides kind of a crummy libido), so i think this is going to take awhile to reverse what has become "norm" for my body.
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: YoungGun22 on April 23, 2012, 10:55:26 pm
Hello Forum!

I have finally made progress with the Endocrinologist!! Last week I had more levels checked (testosterone levels, prolactin levels, thyroid, etc.). Also, my Endo looked into the MRI I had for my pituitary, which came back normal.

My total testosterone level came back even lower at a "whopping" 187 ng/dl on a range of 250-950. Also, my Prolactin came back at, what he referred to as, "normal level" of 13 on a 2.5 to 17 range.

Therefore, he has decided to start me on testosterone replacement therapy, which I could not be more thrilled about! He discussed that gels were the best option, and I could either directly apply a gel or use a patch. We decided a patch of Androderm was the best option. He said there were two dosing level: A lower level of 2 mg dosage and 4 mg. Since I am younger, he wanted to skip the lower dosage and go straight for the 4 mg to help solve such low testosterone levels.

I was just wondering what the Forum and PeakT thought of the treatment option! I will be looking to start the treatment by the end of the week. Anyone have great results with the Androderm 4 mg patch? Side effects? How long until I feel like a new man?
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: spiderman on April 23, 2012, 11:27:53 pm
Well done young gun...Great you have decent doc to now to put you on the road to recovery...

IMO..and I'm sure most will agree..he is doing the right thing for you starting you at the higher dosage as your levels are so low..Will be fasinating for all to follow your progress on here...
It sounds to me like you should see some big improvements fairly quickly..but over to you Peak T..

The very best of luck with the treatment and remember take lots of the rest of the good stuff like Vits etc to!...
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: PeakT on April 24, 2012, 12:25:53 am
Congrats.  Some men get skin irritation, rashes, etc., so you'll just have to see how you do on it.
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: feelgood on April 24, 2012, 02:37:46 am
congrats on getting on a good plan...let us know how things progress.
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: Envious1320 on April 24, 2012, 07:32:57 am
Congrats, really enjoyed reading this post and the progress. Lets me know what I have to expect going forward as I have my MRI scheduled for this Thursday. My doc made the same mistake of doing it with no contrast luckily they called me and changed it before I actually had it done.
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: YoungGun22 on April 25, 2012, 03:10:32 pm
Looks like I spoke too soon...

Just when we finally made it through the process... I showed up to pick up my prescription for Androderm 4mg, and it cost over $400 for a month supply because my shitty insurance does not cover it. I called the insurance today and it turns out they do not cover anything of the likes (androderm, testim, androgel, etc.). I feel completely lost and even more miserable now than ever before... Any thoughts on what can be done?
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: PeakT on April 25, 2012, 04:49:22 pm
Sheesh!  What do they cover then? 

Anyway, you can always compound.  It's much, much cheaper and usually your doctor will know a good compounding pharmacy:

http://www.peaktestosterone.com/Compounding_Testosterone

Read here for some of the details.
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: YoungGun22 on April 25, 2012, 07:22:54 pm
...They covering nothing that falls under the testosterone replacement therapy... I honestly can't believe it. I am waiting to hear back from the Endo in the next few hours to see where to go from here
Title: Re: 22 Year Old With Low Testosterone (First Post!)
Post by: PeakT on April 25, 2012, 08:40:04 pm
Compounding should be less per month than you're probably spending on supplements...