Peak Testosterone Forum

General Category => Testosterone, Hormones and General Men's Health => Topic started by: Advocate777 on September 27, 2013, 06:34:50 pm

Title: Senior, Overweight with Low T
Post by: Advocate777 on September 27, 2013, 06:34:50 pm
I am 55 years old. Just had blood work done. Testosterone is low - started working out again- cant seem to make progress losing weight- my weight is up to 235 (I am only 5'5") body fat    Percentage 33 percent-
Tired and feeling old.
Am going onto an 'age management' doc on oct. 1st.
I am optimistic-
Title: Re: Senior, Overweight with Low T
Post by: werdisback on September 27, 2013, 09:24:16 pm
I am 55 years old. Just had blood work done. Testosterone is low - started working out again- cant seem to make progress losing weight- my weight is up to 235 (I am only 5'5") body fat    Percentage 33 percent-
Tired and feeling old.
Am going onto an 'age management' doc on oct. 1st.
I am optimistic-

You can lose fat... even with low test. I'm evidence of that. I've dropped 22-23  pounds just by calorie deficit and exericse alone over 3 months, lost 5.2 inches of my gut and and around 8-10% body fat . You could probably up your testosterone by 50-60% just with dietary adjustments and weight loss. You're well above 30% body fat at your weight. If you come in around 300-500 testosterone, you could probably reverse most of it by dropping 15-16% body fat.  Just becareful if the doc offers yout TRT or HCG.  Your problem might just be weight.  If you have borderline testosterone scores, you might still be able to reverse it. 
Title: Re: Senior, Overweight with Low T
Post by: PeakT on September 28, 2013, 01:08:54 am
He's right:  you will almost for sure get a nice boost in T and a nice drop in estradiol as well.
Title: Test Results
Post by: Advocate777 on September 30, 2013, 03:54:19 pm
Thanks- just got my test results back. I am going to the age management doc tomorrow. He does all the testosterone, diet change, human growth hormone, exercise program.
I have had symptoms of fatigue and lack of concentration and some depression. Also, erectile dysfunction. I have been working out aerobically but cant seem to lose the weight. I used to have no problem dropping weight before I turned 50.
Anyway, here are the blood numbers:

Testosterone Total: 396 (test says 250-1100 is norm)
Free Testosterone: 49.9 (test says 35-155 is norm)
Dihydrotestosterone: 13 (test says 16-79 is norm
Estradiol: 33

Not sure what that all means, hormone-wise.

Any feedback?

also, my triglycerides are high and my good cholesterol is low
Title: Re: Test Results
Post by: werdisback on September 30, 2013, 04:22:20 pm
Thanks- just got my test results back. I am going to the age management doc tomorrow. He does all the testosterone, diet change, human growth hormone, exercise program.
I have had symptoms of fatigue and lack of concentration and some depression. Also, erectile dysfunction. I have been working out aerobically but cant seem to lose the weight. I used to have no problem dropping weight before I turned 50.
Anyway, here are the blood numbers:

Testosterone Total: 396 (test says 250-1100 is norm)
Free Testosterone: 49.9 (test says 35-155 is norm)
Dihydrotestosterone: 13 (test says 16-79 is norm
Estradiol: 33

Not sure what that all means, hormone-wise.

Any feedback?

also, my triglycerides are high and my good cholesterol is low

You should check your SHBG just to be sure, I can't really give you an opinion before you do. Other than that... you look like you have a fairly good chance of improving your testosteorne, since your testosterone seems to be mostly weight-related. Your Total testosteorne is borderline low and you're qute obese for someone at your height, your FT and DI is low too. You stand a good chance to increase your testosterone up to 600 ng/dl at the very least. Cut down 85 pounds and retest, it should definitely give you back your energy. Your FT and DI should increase aswell. It's going to be difficult, as you age your metabolism lowers. I'd advise you to start a weight-loss regime, kick your nasty habits(smoking, junk food, drinking), start weight-lifting(should also increase your BMR. I'd say your hormones survived quite well for someone at your age and weight.
Title: Re: Test Results
Post by: PeakT on September 30, 2013, 05:52:19 pm
Thanks- just got my test results back. I am going to the age management doc tomorrow. He does all the testosterone, diet change, human growth hormone, exercise program.
I have had symptoms of fatigue and lack of concentration and some depression. Also, erectile dysfunction. I have been working out aerobically but cant seem to lose the weight. I used to have no problem dropping weight before I turned 50.
Anyway, here are the blood numbers:

Testosterone Total: 396 (test says 250-1100 is norm)
Free Testosterone: 49.9 (test says 35-155 is norm)
Dihydrotestosterone: 13 (test says 16-79 is norm
Estradiol: 33

Not sure what that all means, hormone-wise.

Any feedback?

also, my triglycerides are high and my good cholesterol is low

High triglycerides and low HDL usually means you have the beginnings of insulin resistance.  To correct this, you must a) exercise, b) lose weight and c) eat only low glycemic carbs.  Insulin resistance will hammer your arteries, erections and brain if you let it go on long enough. 

Your testosterone is low, but personally I would try to boost your T up through weight loss as werdisback mentioned. HRT is a lot of time and money and tweaking and you could easily end up with much higher testosterone levels post-weight loss.

Discuss with your doc of course.  Also, remember that low testosterone raises insulin levels, so this is exacerbating your problem.
Title: Re: Senior, Overweight with Low T
Post by: Advocate777 on October 01, 2013, 04:29:07 am
Thanks- my SHBG is 32.
Anyway, am going to the doc today with all the blood work results he ordered.
So, in a nutshell, I have:

221 trigycerides
32 HDL Cholesterol
My Hemoglobin Alc is 5.7
Glucose is 101

Weight: 235 and have been gaining for past 5 years. 2 years ago exercised and did vegetarian and quickly got down to 215.
Before that, I was 200 from say, age 45 to 50 with some dips to 190-195 when exercised.
Beer drinking and stress increased a lot from age 50 to 55 along with weight.
My cortisol is 17.2

The test also came back low in total Vitamin D at 22

So, I am feeling depressed and fatigued.
Just joined a gym again-
Am hoping for testosterone because I need to get a 'push' energy wise to persevere with the exercise.
Hat cut down quite a bit on beer drinking going from 2-3 times a week down to once or twice a month. But when I do drink I can easily consume a six-pack.

So, wish me luck -- I really need a breakthrough and want to start feeling better- this weight gain and ED started around age 48 and then accelerated between age 50 to now at age 55.
Title: Re: Senior, Overweight with Low T
Post by: PeakT on October 01, 2013, 04:42:25 am
Thanks- my SHBG is 32.
Anyway, am going to the doc today with all the blood work results he ordered.
So, in a nutshell, I have:

221 trigycerides
32 HDL Cholesterol
My Hemoglobin Alc is 5.7
Glucose is 101

Weight: 235 and have been gaining for past 5 years. 2 years ago exercised and did vegetarian and quickly got down to 215.
Before that, I was 200 from say, age 45 to 50 with some dips to 190-195 when exercised.
Beer drinking and stress increased a lot from age 50 to 55 along with weight.
My cortisol is 17.2

The test also came back low in total Vitamin D at 22

So, I am feeling depressed and fatigued.
Just joined a gym again-
Am hoping for testosterone because I need to get a 'push' energy wise to persevere with the exercise.
Hat cut down quite a bit on beer drinking going from 2-3 times a week down to once or twice a month. But when I do drink I can easily consume a six-pack.

So, wish me luck -- I really need a breakthrough and want to start feeling better- this weight gain and ED started around age 48 and then accelerated between age 50 to now at age 55.

Well, let me give you a little encouragement cuzz we're just about the same age.  If you lose that weight and also exercise and get a good diet going, you will almost for sure be a new man in a year.  That may seem like a long time, but you're probably going to have to get that weight down and that's for most guys a long and tough process.  But you can do it.  Once you do, you've got an incredible life ahead of you where you can almost for sure feel like you did when you were in your 30's.

But don't wait.  if you wait too long, you'll build up with too much arteriosclerosis, DNA and telomere damage to where you're just trying to survive at that point.  And that's if a heart attack or stroke doesn't completely take you out of commission.

My favorite diets are Low Fat, Mediterranean and vegetarian as these have great study results behind them imo:

http://www.peaktestosterone.com/ornish_diet

http://www.peaktestosterone.com/med

http://www.peaktestosterone.com/testosterone_vegetarian

Sound like you're already familiar with the latter.

A Paleo Diet, if done correctly, should also produce reasonable results, but I'm not convinced it will do well in the colon cancer/arteriosclerosis department.  Time will tell.
Title: Re: Have my first appointment on Oct. 1
Post by: Advocate777 on October 01, 2013, 01:48:10 pm
Thanks so much - will report on what the doc says after my appointment today.
Title: Re: Have my first appointment on Oct. 1. - results
Post by: Advocate777 on October 02, 2013, 02:28:55 am
Had my appointment today-
Without going int all the details and tests... The doctor was very concerned about my metabolic situation. He said that I was basically diabetic and at risk for heart attack/stroke...... All because of the weight. He wants me to do 45 minutes aerobic and 30 minutes weight training. He wants me to have 1200 calories a day until some breakthrough with the weight.
He prescribed:
160 mg testosterone cypionate injection every week. He gave me my first shot.
DHEA 50 mg twice a day
Zinc Citrate 50 mg daily
Alpha lipoid acid 400 mg daily
Cholecalciferol vitamin D3 2,00 unit -3 tablets a day for a week then drop to 2 for 3 weeks then drop to 1 daily.
Anastrazole 1 mg - take 1/3rd tablet three times a week

I'm on my way -- what do you think about his prescriptions?
Title: Re: Have my first appointment on Oct. 1
Post by: jinNE on October 02, 2013, 02:41:56 am
It seems like a good plan from what I can tell. I do 160 a week test also, and DHEA and high doses of D3. I don't do the others, but I take CoQ10 and fish oil.
 
I just had my follow-up and my doc just returned from an "anti-aging" conference. He said most docs aren't going past the 160 mark very often, so you are starting at a big dose.
 
I look forward to my lab results later this week - I'm feeling better than I've felt in years and finally feeling like I'm stabilizing! :) It's taken a year, so all I can see is STICK WITH IT and know it won't be easy - there WILL be times you wonder if it's worth the effort, but it really, truly is.
 
PS: Do all that you can within reason to lose that weight! The test alone won't do much for you if with the extra weight, and you will probably struggle with aromatization issues...
Title: Re: Have my first appointment on Oct. 1. - results
Post by: PeakT on October 02, 2013, 03:38:38 am
Had my appointment today-
Without going int all the details and tests... The doctor was very concerned about my metabolic situation. He said that I was basically diabetic and at risk for heart attack/stroke...... All because of the weight. He wants me to do 45 minutes aerobic and 30 minutes weight training. He wants me to have 1200 calories a day until some breakthrough with the weight.
He prescribed:
160 mg testosterone cypionate injection every week. He gave me my first shot.
DHEA 50 mg twice a day
Zinc Citrate 50 mg daily
Alpha lipoid acid 400 mg daily
Cholecalciferol vitamin D3 2,00 unit -3 tablets a day for a week then drop to 2 for 3 weeks then drop to 1 daily.
Anastrazole 1 mg - take 1/3rd tablet three times a week

I'm on my way -- what do you think about his prescriptions?

First of all, I think your doc's general advice is very good and it sounds like you have a good doc overall.  However, I do have a comments:

--ALA has a pretty short half life (3 hours) and, therefore, is usually taken 2-3 X/day.  See this study for example:

http://www.hormones.gr/~osenia62/pdf/Improvement%20of%20insulin%20sensitivity.pdf
"Improvement of insulin sensitivity in patients
with type 2 diabetes mellitus after oral administration
of alpha-lipoic acid"

Here is some good info from Dr. Weil for example:

http://www.drweil.com/drw/u/ART03051/AlphaLipoic-Acid-ALA.html

--I don't like that much zinc myself.  I am concerned about potential neurotoxicity.  It does have great properties though when it comes to testosterone and estradiol:

http://www.peaktestosterone.com/zinc_zma

--That's a beefy dose of DHEA, depending on who you talk to.  Shames, for example, likes to give 5-10 mg/day.

--I doubt he wants you to do 30 minutes of weigh training per day, right?

Yes, your triglycerides were VERY high.  Just to give you an idea:  I eat a LOT of carbs and mine are about a third of yours.  The standard guidelines for triglycerides is 150, but I think it is better to be below 100.  High triglycerides will hammer your arteries and are a sign of Metabolic Syndrome (prediabetes). 

What you want to do is eat LOW GLYCEMIC carbs, regardless of what dietary plan you choose.  You will be very sensitive to high glycemic carbs and these are largely responsible for your elevated triglycerides.

Also, please discuss with your doc before making any changes to his plan.
Title: Re: Have my first appointment on Oct. 1
Post by: Advocate777 on October 03, 2013, 12:45:07 am
Thanks- maybe he just wants to start big to get things moving. Also, the prescriptions for the dosages taper after a few weeks. For instance, he has me really taking a lot of vitamin D for the first week, less the second, and even less on the third week. Blood work is scheduled after three weeks on this regimen. So, we will see what is what and tweak whatever.
Question: not sure how many days per week I should do the strength training. Like 2 or 3 max?
Title: Re: Have my first appointment on Oct. 1
Post by: Healthyagingdoc on October 03, 2013, 02:25:32 am
Add some fish oil 3-4 grams a day as well as Niacin but not the flush free form along with magnesium 400mg a day and consider natural thyroid and watch your triglycerides and cholesterol markedly improve.

Title: Re: Have my first appointment on Oct. 1
Post by: T-Power on October 03, 2013, 12:34:24 pm
Doesn't it seem strange to anyone else that the doctor started him on TRT even though his low testosterone is most likely because of his unhealthy lifestyle and unfavourable body composition?

Did he tell you what the cause of your low testosterone is? Primary or secondary?
Title: Re: Senior, Overweight with Low T
Post by: PeakT on October 03, 2013, 01:35:26 pm
Doesn't it seem strange to anyone else that the doctor started him on TRT even though his low testosterone is most likely because of his unhealthy lifestyle and unfavourable body composition?

Did he tell you what the cause of your low testosterone is? Primary or secondary?

Most docs do not realize how much of an increase in testosterone that you can get from dropping a lot of weight.  How many of them have read the studies that I listed here for example?

http://www.peaktestosterone.com/Testosterone_Weight_Loss

Now I would expect an Age Management physician to discuss it with him, though, which is where you may have been headed.
Title: Re: Senior, Overweight with Low T
Post by: Advocate777 on October 03, 2013, 09:35:08 pm
T-Power,
Maybe if I was in my thirties the doc should just say 'lose weight'. And they did, back then.
I tried through the years...but since I turned 50 I just did not have the energy to work out.
So, maybe because I am now 55 and I have 10 years of diet/exercise failures that he decided to 'jump-start' me before I croaked.
When I was younger....i could lose the weight....but after age 45 my life got more stressful (I am an attorney and have 3 children) and workouts produced less effect. Plus, my drinking really increased since age 45.
So, by the time I got to the doc last week I was burnt-out.
So, I joined a gym, and I have hope now, am taking my supplements and doing aerobics daily and have radically changed my diet and quit drinking for the past month.
So, wish me luck...I'm glad the doc put me on testosterone; I was in a desperate place physically with no energy to exercise.
Frankly, I am really optimistic for the first time in 10 years.
Title: Re: Senior, Overweight with Low T
Post by: PeakT on October 03, 2013, 09:44:59 pm
T-Power,
Maybe if I was in my thirties the doc should just say 'lose weight'. And they did, back then.
I tried through the years...but since I turned 50 I just did not have the energy to work out.
So, maybe because I am now 55 and I have 10 years of diet/exercise failures that he decided to 'jump-start' me before I croaked.
When I was younger....i could lose the weight....but after age 45 my life got more stressful (I am an attorney and have 3 children) and workouts produced less effect. Plus, my drinking really increased since age 45.
So, by the time I got to the doc last week I was burnt-out.
So, I joined a gym, and I have hope now, am taking my supplements and doing aerobics daily and have radically changed my diet and quit drinking for the past month.
So, wish me luck...I'm glad the doc put me on testosterone; I was in a desperate place physically with no energy to exercise.
Frankly, I am really optimistic for the first time in 10 years.

Well, sure, and you can make a case that increasing lowish T at your age - I'm still a very young pup at age 53 of course -  is part of a healthy anti-aging strategy.  But T-Power's point is valid:  the doc should take time to discuss all options with you.

Glad you're feeling better and, above all, congrats on the one month without drinking.  Kudos and I predict you're gonna be a new man in a year.

Hey, make sure your doc monitors your PSA, RBC/hematocrit, etc. regularly.  Keep him honest...
Title: Re: Senior, Overweight with Low T
Post by: Advocate777 on October 04, 2013, 03:22:33 am
Unless it is just placebo or psychological.... I just gotta say- two big symptoms I have had for months has been 'fuzzy' thinking - you know, forgetful and just not as sharp, mentally? Not good especially as a lawyer if I screw up I am liable for it. Also, this terrible fatigue which made me wake up exhausted and then super-tired after doing anything - like ready to call it a day at 2:00 and take a nap.
Okay, so when I went to the doctor on Tuesday he gives me a 160mg shot of testosterone sub cutaneous and said a weekly shot might take about 10 weeks before I might feel anything ......
So, I woke up the next day without fatigue or brain fog. Is this in my mind? How could it be? It is very real physically.
Okay, so I took all the supplements listed in previous posts and have been eating all natural whole low glycemic foods. Today, I had so much energy that I went back to the gym at night for another 45 minutes of aerobic exercise. It's amazing...
Now, I also have about 6 oz. of black coffee in the morning with a little skim milk . I took an GNC Arginmax which I know is a woman's product. Should I just take L-arginine alone and not take the Arginmax? The Arginmax has other stuff in it like some ginseng and damiana.
Also, at about 4:00 on both days I felt such a jolt of energy that it almost felt scary - like I had a 10 second anxious response like 'why do I feel so much energy?'  So, the first day I just took a long walk and today I went to the gym and exercised it away.
Do you think the significantly increased energy could all be coming from the testosternoe or do those supplements also rev you up?
I'm just not used to feeling so much energy! If this keeps up I know I will lose this darn weight!
Title: Re: Senior, Overweight with Low T
Post by: PeakT on October 04, 2013, 04:45:57 am
Unless it is just placebo or psychological.... I just gotta say- two big symptoms I have had for months has been 'fuzzy' thinking - you know, forgetful and just not as sharp, mentally? Not good especially as a lawyer if I screw up I am liable for it. Also, this terrible fatigue which made me wake up exhausted and then super-tired after doing anything - like ready to call it a day at 2:00 and take a nap.
Okay, so when I went to the doctor on Tuesday he gives me a 160mg shot of testosterone sub cutaneous and said a weekly shot might take about 10 weeks before I might feel anything ......
So, I woke up the next day without fatigue or brain fog. Is this in my mind? How could it be? It is very real physically.
Okay, so I took all the supplements listed in previous posts and have been eating all natural whole low glycemic foods. Today, I had so much energy that I went back to the gym at night for another 45 minutes of aerobic exercise. It's amazing...
Now, I also have about 6 oz. of black coffee in the morning with a little skim milk . I took an GNC Arginmax which I know is a woman's product. Should I just take L-arginine alone and not take the Arginmax? The Arginmax has other stuff in it like some ginseng and damiana.
Also, at about 4:00 on both days I felt such a jolt of energy that it almost felt scary - like I had a 10 second anxious response like 'why do I feel so much energy?'  So, the first day I just took a long walk and today I went to the gym and exercised it away.
Do you think the significantly increased energy could all be coming from the testosternoe or do those supplements also rev you up?
I'm just not used to feeling so much energy! If this keeps up I know I will lose this darn weight!

One thing I advise on the supplements is to add one every couple of weeks.  The reason is that you want to know which one causes side effects, has positive effects, etc.  If you take them all at once, you have no idea what did what.

Yes, some of the supplements can "wire" you a little.  Ginseng can do it.

Many people on a vegetarian diet state that they most enjoy the increase energy.  I don't know if that is what you are talkinga about, but the NFL players that go vegetarian have talked about this. 

The testosterone can also make you feel overly amped.  My HRT clinic asked me this question.  It was a good question because I had been losing my temper easily and it helped when I backed down a little on the dosage.

By the way, I had a very similar overnight experience with testosterone.  Look at my sig below and you can read my story.  I always say that I literally felt "fireworks" going off in my brain after that first injection. 

Title: Re: Senior, Overweight with Low T
Post by: T-Power on October 04, 2013, 04:56:03 am
T-Power,
Maybe if I was in my thirties the doc should just say 'lose weight'. And they did, back then.
I tried through the years...but since I turned 50 I just did not have the energy to work out.
So, maybe because I am now 55 and I have 10 years of diet/exercise failures that he decided to 'jump-start' me before I croaked.
When I was younger....i could lose the weight....but after age 45 my life got more stressful (I am an attorney and have 3 children) and workouts produced less effect. Plus, my drinking really increased since age 45.
So, by the time I got to the doc last week I was burnt-out.
So, I joined a gym, and I have hope now, am taking my supplements and doing aerobics daily and have radically changed my diet and quit drinking for the past month.
So, wish me luck...I'm glad the doc put me on testosterone; I was in a desperate place physically with no energy to exercise.
Frankly, I am really optimistic for the first time in 10 years.
Dropping weight is mostly diet. Exercise doesn't really burn all that many calories. It's easier to not eat/drink that 500 calories than it is to run it off.
I guess I'm looking at it from my perspective, being 26 I wouldn't want to get jabbed every week for the next 50 years so I'd give myself every chance to kick start my HPTA and hopefully avoid TRT.

In saying that, good luck with your journey and hopefully you get back to normal. If you keep up the gym work, diet and not drinking you shouldn't have a problem.

BTW are you lifting weights or cardio only? If not you really should, it's the only way to change your body composition.
Title: Re: Senior, Overweight with Low T
Post by: Advocate777 on October 05, 2013, 03:54:32 pm
Progress report:
After two weeks of going to the gym I weighed in this morning...... I lost my first 5 pounds!
That's 5 down...45 to go!
Just a note also to say that this website is awesome and has been a big help- thanks

Title: Re: Senior, Overweight with Low T
Post by: PeakT on October 05, 2013, 05:59:13 pm
Progress report:
After two weeks of going to the gym I weighed in this morning...... I lost my first 5 pounds!
That's 5 down...45 to go!
Just a note also to say that this website is awesome and has been a big help- thanks

Thx for the encouragement.  Spread the word is all I can say...

As u probably know, losing 5 lb in a week will nokeep happening but losing a real pound or two per week us.  So keep up the good work.

Find a pair of pants that barely fit u.  Try those on in2 to 3 weeks. That's the acid test.
Title: Re: Senior, Overweight with Low T
Post by: werdisback on October 05, 2013, 06:06:05 pm
Progress report:
After two weeks of going to the gym I weighed in this morning...... I lost my first 5 pounds!
That's 5 down...45 to go!
Just a note also to say that this website is awesome and has been a big help- thanks

some of that is water weight. Also if you're 5.5 you need to cut more than 50 pounds. Just saying.
Title: Re: Senior, Overweight with Low T
Post by: PeakT on October 05, 2013, 06:10:18 pm
Werdisback has been dropping the pounds also. 
Title: Re: Senior, Overweight with Low T
Post by: Advocate777 on October 13, 2013, 02:01:18 pm
Update: I have been going to the gym every morning. Doing 50-60 minutes daily aerobic on elliptical. Weight training 2x a week.
Second week on HRT.
Radically changed my diet to Meditteranean plus adding the foods endorsed in PeakT's book.
I have lost 8.7 pounds. Clothes fitting better.  I feel a lot better. No more mental fog. Depression improved. I'm really encouraged and feel such hope. No six packs of beer and don't miss it. All around improvement in only a few weeks but I have been working hard with exercise and diet so I am proud of myself.