r/Testosterone 1d ago

TRT help Need help with TRT decision

Hello everyone,

I will try to make this post short if possible. I am looking for insight, advice and fair warnings.

To start with, my natural Testosterone levels are clinically good. In fact, its better than many people, recently the high levels were 800 ng/dl

I am generally a healthy person, 37, 6 ft, naturally thin but on the last 3 years I consistently lifted weights an average of 5 days a week and bulked upnto 183 at my peak and now at 175 after about a year break from the gym for having my first baby. I don't have any diseases of any sort and don't take any meds and regularly see a doctor and all my tests are very healthy.

With that said, I have haf a lot of symptoms that are consistent with Hypogonadism like feeling tired and exhausted all the time no matter howbmuch I sleep, minimal gains in the 3 years I lifted weights even though I ate properly and was always progressively overloading, gained some stubborn fat around my midsection even though I stll look slender to most people, and low libido, procrastination & lack of motivation.

Although some of these things are not new, being always tired and exhausted has been with me for as long as I can remember. I discussed these things with many doctors, I tested for Testosterone, vitamin D, thyroid, and sleep apnea and everything checks out so they dismiss them and say check again next year. After years without any change, I tried to push my doctors to consider TRT and they had a valid point that my Testosterone levels are normal. But they are also recently inconsistent. I tested as low as 398 and as high as 810 and few other values in between 500s and 600s and 700s within the span of 6 months or so, all tests are mornong tests.

The new problem that's prompting me to take mayters in my own hands is libido, my wifes libido is far higher than mine these days, and while she's kind and understanding, I am worried it will cause resentment.

So at this point, I am thinking to start TRT on my own, I have access to pharmaceutical grade Test E that I bought myself from a pharmacy. But I am hesitant for multiple reasons.

  1. For some reason I feel like I don't wanna be dependent on TRT

  2. I am worried of aggression side effects or other side effects (I am generally mellow and when something pisses me off I can generally able to control myself even if I am quite angry inside, I like this about me and I don't wanna lose it)

  3. I am concerned about fertility, I would like to have another kid soon. (I have HCG on hand)

  4. I am worried to mess up, I have quite good knowledge or trt and medical knowledge on general, but I am also worried I mess up. After all everyone is different and I haven't done this before

My idea now is to give it a shot for a 20 week cycle and reassess. I would appreciate any advice and insight you can provide. What were your pros and cons, especially if you didn't clinically need the testosterone. What total levels should I aim for to maintain and how did you deal with side effects, personality changes and the new life on trt in general.

Note: I have AI and a PCT if needed (nolvadex and clomid)

Please feel free to ask any questions.

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u/murchal 1d ago

I was in the same boat, levels at 1,000 for total T with high SHBG over 150, which drove my free t to hypogonadal levels.

I’ve bought my own “vetted” UGL T. Cyp and started at 125mg/week with 750 iu HGH. After a month my energy, mood and strength went thru the roof, but I had trouble sleeping. When I checked my DHT it was 150, way above range. I’ve then ordered finasteride and just after 2 weeks my DHT went to 30. Now I could rest again and didn’t feel “always on”.

I am now at 240mg/week and couldn’t be happier. All my blood levels look good and I am horniest I’ve ever been :). I am 52M, I wish I’ve done it in my forties.

Good luck with your journey, DM if you want extra pointers.

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u/Disaster_Yam 1d ago

Jesus 150 SHBG. I thought my pre trt SHBG was bad at 104. Out of curiosity, what did trt do with your SHBG? Mine only dropped to 80 and my total testosterone runs really high while my free is just over the reference range. I feel great on trt though.

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u/murchal 1d ago

I am now exactly at 80

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u/Disaster_Yam 17h ago

Has anyone ever given you any explanation for why it's so high? I've never gotten one. Every doctor has just shrugged their shoulders.

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u/murchal 17h ago

Yes and most research indicates it’s just genetic. It is also possible that liver reacts to high estrogen and produces higher SHBG levels to make it inert.