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1
@Redrak,
If I were you(@your age) I would look into finding a doc that would prescribe Clomiphene.

Clomid for men is used when a low sperm count is caused by low testosterone levels. In some men, a low sperm count is caused by a low testosterone level. Clomid binds to receptors in the brain to increase the production of follicle stimulating hormone, FSH(sperm), and luteinizing hormone, LH(Test). If your balls are still working this will turn them on. If they are broken like mine it will do nothing. But Hea, it's worth a try. That is all we can do is keep trying until we get it figured out. If you rely only on doctors in your area you may never find an answer.

Hope that helps

why endos stopped giving clomid? i saw one endo who told me she does not use clomid... what? right now i have no sperm when eyaculating. what if i want to freeze my sperms? im actually going to ask that. also it seems my endo wants to do some sort of weird cortisol test that i need to stay there for hours taking blood. i wanted to check GnRH TO CHECK if im secundary?

my lh and fsh are both low end. would that mean is my pituitary and not my testis? lastly, yes you say if i keep relying for docs in my area, do you mean i should travel out to seek better docs? i was wondering going for boston or florida for mayo clinics. but im exhausting everything my endo (hospital here where i live) says so she might send me there.
I think you answered you own question. This endo is not going to be able to help you if she is not open to medical treatments.
Many of us here use Defy in Florida yet we don't live any where near Florida we do everything over the phone and thru local blood test.
You could call them and see what a consult would cost. I'm not talking about become a Defy patient consult. Just to talk to a Dr you know will have all the latest medical info and treatment at hand. You can't use insurance its cash but the call is free. It can't hurt.
2
In my never ending study for why T is not the complete answer I stumbled on this video on what science is doing along the lines of anti aging.

This video came out Jun 21, 2016 I can't seem to find out much more on NAD and mitochondria. Seems like these little power packs filled with NAD are why 20 year olds can stay up all night. Require little sleep and recover so quickly from exersize and why 50 year olds with TRT optimized can't.

I would like everyone thought on this matter. Not looking for a big fight or debate looking at you guru. Just a friendly discussion on the topic.

Have you guys heard of NAD?
I wonder if Testosterone levels play any role in how many of these NAD's we have stored? Listening to this video it seem the fountain of youth is not TRT but NAD. Your thoughts.
I've cued up the video at 7:13 that is where they are talking abut the NAD. Actually the whole 30 minutes is pretty interesting for guys like us trying to improve our aging.
https://youtu.be/5Whz431eJVI?t=432

3
i saw a study someone posted around here about flaxseed reducing testosterone by possibly increasing e2 or decreasing it? im starting to think if i should eliminate my bread which contains them.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2752973/

For the record, I think it is important to note that not all things that lower testosterone to some degree are always "bad" and only "bad."  I'm not suggesting you are thinking that or saying that, but there is truly a time and place for everything and sometimes sacrifices have to be made at different points and hormones are no exception.

hey thanks! yeah and also the flaxseed in bread usually isn’t that much anyways. guessing worrying about it is silly

True.  Well, don't get me wrong I guess I didn't mean to say that one shouldn't be worried about their testosterone in every way, but at the same time, I was trying to get at that we only live once and sometimes enjoying things that aren't necessarily great for our testosterone like birthday cake, beer, or whatever else can be fun.  I was just trying to make a point that sometimes it's okay to not be so concerned about hormones I guess lol, but if you are, there isn't anything wrong with that. 

For that matter, it is probably good if you are really into optimal hormone health!  I've just been down that road where every little thing I do, eat, or think about is nothing but hormone health and it can lead to a lot of overwhelming anxiety for me, personally.

hey thanks for your time! yeah worrying too much about what we eat and if it impacts T actually makes us overthink= putting T in more trouble.
4
@Redrak,
If I were you(@your age) I would look into finding a doc that would prescribe Clomiphene.

Clomid for men is used when a low sperm count is caused by low testosterone levels. In some men, a low sperm count is caused by a low testosterone level. Clomid binds to receptors in the brain to increase the production of follicle stimulating hormone, FSH(sperm), and luteinizing hormone, LH(Test). If your balls are still working this will turn them on. If they are broken like mine it will do nothing. But Hea, it's worth a try. That is all we can do is keep trying until we get it figured out. If you rely only on doctors in your area you may never find an answer.

Hope that helps

why endos stopped giving clomid? i saw one endo who told me she does not use clomid... what? right now i have no sperm when eyaculating. what if i want to freeze my sperms? im actually going to ask that. also it seems my endo wants to do some sort of weird cortisol test that i need to stay there for hours taking blood. i wanted to check GnRH TO CHECK if im secundary?

my lh and fsh are both low end. would that mean is my pituitary and not my testis? lastly, yes you say if i keep relying for docs in my area, do you mean i should travel out to seek better docs? i was wondering going for boston or florida for mayo clinics. but im exhausting everything my endo (hospital here where i live) says so she might send me there.
5
Sorry to appear pessimistic, but with numbers like those and a decent lifestyle already it's unlikely that simple diet and exercise adjustments will give enough improvement. Of course a healthy lifestyle is important, regardless. If you end up on TRT then you still need to be healthy overall to maximize benefits from it.

no worries my friend. neurologist told me my pituitary issue was not the problem and i had to see an endo. so im still trying to figure out whats wrong... :( living like this is no good lol.
6
Redrak, lowering carbs may lower fat and make estrogen production even harder. What body type are you....lean and low fat or normal? Id stick with a healthy balanced diet with good quality carbs, fats and proteins and fibre and also supplements such as zinc, vitamin b complex (including b3), vitamin d as well as some calcium and magnesium and see if your numbers improve. if not go for TRT.

hello! well i was wondering maybe lowering carbs BUT upping fats, the thing is, i lose weight fast (i dont truly know why) so if i up fats ill be over 100 grams bulking and sounds weird. well my weight 155 and height 62'' might say it all. yeah im around 13% bf lean. i have a healthy balanced diet already filling almost all nutrients. i did took vit d (4k) and magnesium (around 450) daily and did not saw improvements (if i remember correctly) in fact, first time i saw my t it was total 280 while free 319 that was one lab from like 10 i already took raging from 180 ish to 319 ish. im trying to find the real cause before trt at my age and with random protocols. wouldn't like to touch private yet.
8
@Redrak,
If I were you(@your age) I would look into finding a doc that would prescribe Clomiphene.

Clomid for men is used when a low sperm count is caused by low testosterone levels. In some men, a low sperm count is caused by a low testosterone level. Clomid binds to receptors in the brain to increase the production of follicle stimulating hormone, FSH(sperm), and luteinizing hormone, LH(Test). If your balls are still working this will turn them on. If they are broken like mine it will do nothing. But Hea, it's worth a try. That is all we can do is keep trying until we get it figured out. If you rely only on doctors in your area you may never find an answer.

Hope that helps
9
... I am back with the living.

I can identify with that. I was lucky that sexual side effects drove me to seek help and gave a decent hint of what could be wrong. The other symptoms were bad, but weren't pointing to hormonal issues—low-level depression, anxiety, dysphoria, etc. It's surprising how important testosterone can be for male mental health.
10
Sorry to appear pessimistic, but with numbers like those and a decent lifestyle already it's unlikely that simple diet and exercise adjustments will give enough improvement. Of course a healthy lifestyle is important, regardless. If you end up on TRT then you still need to be healthy overall to maximize benefits from it.
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