Hi everyone, I've been looking at this forum for awhile. I'm wondering if anyone can give some advice.
I play sports at a very high level (it's my full time job) about 4 years ago my life started to take a turn for the worse. My energy became low, my concentration was shot and I started to become depressed. I went for a few blood tests and all came back as fine (including my testosterone, my doctor said I was normal, however I now understand that most doctors consider low as normal)
I just decided to get on with my life. I put my low energy down to the fact that I'm so active, I play sports full time, I don't own a car, I cycle everywhere. I lift weights 5 to 6 days a week.
A few months ago I moved to a new team. This included moving to a new country and the training became a lot more intense. I really struggled. After training I went straight to bed. I could sleep for 12 hours a day. I became very depressed and noticed my sex dive had vanished. I decided to buy a testosterone saliva test from amazon it came back as 52pg/ml in a range of 44 to144pg/ml
I wasn't sure how valid these test could be so I decided to make an appointment at my doctor. My Testosterone level came back as 261 in a range of 250-1100ng/dl free test 47.0
I told my team doctor of the above tests and he was able to get my blood test from a medical I did to join the team late last year (about 5 months before the above tests) My testosterone was 491 which he agreed was still low for someone my age and position(I'm 30)
My team doctor thinks 490 maybe my level but maybe the stress of moving and a new job has raised my cortisol which has dragged my testosterone down to 290.
I really feel dreadful. I'm major depressed, I have no sex drive and my anxiety is very high. My body feels like its fallen apart, like I'm not recovering from workouts and my concentration is shot.
The team doctor wants me to check my levels again in a few weeks. I honestly don't feel there is anything I can do myself to increase my levels. I workout, I eat very well. I take a multi vit daily. I don't fee, TRT is an option because of the sport I play and because I do want kids some day. Could clomid be an option ? Even if I get my levels back to 490 I don't think it's enough for a high level athlete to operate. Could I jump from 490 to 800 with clomid ? Would I have to stay on clomid or can you come off after time ?
Any suggestions would be great
Hey, sorry to hear it. You know I'd never really thought about it before, but the mental fog, anxiety and sometimes memory issues that come with low testosterone really hit me in my desk jockey type job. Now an athlete gets hammered on both sides career wise since his job is both mental AND physical.
Well, first of all, every symptom that you described is typical of low testosterone, so I suspect that is the primary issue. However, and I'm sure you and your trainers know way more about this that I do, everyone, from the elite athlete to a Weekend Warrior like me has to really watch overtraining syndrome. It can produce identical symptoms, but I'm sure you know that so I'll go on...
As far as testosterone levels, here is a link with some "normal" testosterone levels:http://www.peaktestosterone.com/Testosterone_Levels_Male
However, I can almost guarantee you that if you took the T readings of all of your teammates and opponents, you would see a big range. And this is the same thing we see on the Forum. There are guys with testosterone of 350 that have no low T symptoms and I've seen young guys in the 400's that are just miserable. It's really quite variable.
However, there is another potentially dark side of testosterone below about 350 ng/dl: it can increase your risk factors for many medical conditions. PM me and I'll send you my book for free if you want and it covers all the things to look for. Most of these you will not have to worry about since you are exercising so intensely, but a couple are worth considering.
Yes, Clomid will almost for sure work for you. But here are a few observations about it:
--It doesn't always increase libido. In fact, I would say most guys have little or no increase in sexual desire (even when testosterone is increased).
--Most men that are low T have secondary hypogonadism and so Clomid will work for them.
--If it works for you, it can take you anywhere from 600 to 1200. You can go high enough to where you would need Arimidex to control the testosterone.
--There are potential vision issues, but, from what I have heard, it is quite rare:http://www.peaktestosterone.com/Clomid_Risk
--Clomid decreases in effectiveness for some guys.
--I do not have any studies to prove this, but the steroid community does not consider Clomid very androgenic which sounds like it would be important in your case.
--Another option may be HCG Monotherapy? A couple of the guys are on that right now or have been recently (with mixed success), so they can comment on that.http://www.peaktestosterone.com/hcg_monotherapyhttp://www.peaktestosterone.com/Testosterone_HCG
--So have you been tested for all the standard stuff? Blood cells counts, kidney/liver function, etc.? And what about thyroid? prolactin? These are pretty cheap tests and anyone whose job depends on hormones, metabolism and immune function should have his constantly monitored imho.
--One last thing: endurance athletes tend to have somewhat lower testosterone per a couple of studies. This just comes with the territory and is not anything to worry about. However, do you realize that one of your reads was actually hypogonadal? LabCorp how has a min testosterone level of about 350 now. And this doesn't really take into account the fact that these ranges go VERY low nor your age...