Help me fix me (very long-winded)

wtf this is what i've expect to look like if i stopped pinning test with no pct. defo get yourself on a good trt protocol.
Yeah to be fair the shit BMR thing has been around far longer than the come-off. But it was all so silly anyway. At the time I didn’t know any better and the treatment as a whole was poorly managed. For instance, my early TRT protocol has me taking 2mg of anastrozole per week. 2 lol. The entire thing was an absolute mess with other dosages and even medications that were prescribed unusually. But yeah this last week has beat my ass pretty badly. And all of the modafinil in the world can’t help.
 
Yeah to be fair the shit BMR thing has been around far longer than the come-off. But it was all so silly anyway. At the time I didn’t know any better and the treatment as a whole was poorly managed. For instance, my early TRT protocol has me taking 2mg of anastrozole per week. 2 lol. The entire thing was an absolute mess with other dosages and even medications that were prescribed unusually. But yeah this last week has beat my ass pretty badly. And all of the modafinil in the world can’t help.
just source it ugl at this point is more reliable. get yourself at 1000ng/dl test and freaking hit the gym and focus on diet, give it 1 year and you will be a new man. if free test is still low check shbg levels and potentially add in provirion/mast
 
just source it ugl at this point is more reliable. get yourself at 1000ng/dl test and freaking hit the gym and focus on diet, give it 1 year and you will be a new man. if free test is still low check shbg levels and potentially add in provirion/mast
I will do so as soon as the blood work is done tomorrow. I’m not relying on his approval of it, but more so that I’ve already started and I’d rather not have to explain why it was 174 a few weeks ago and now it’s high.

I look forward to feeling good and thank you for being kind and helpful, dude.
 
just source it ugl at this point is more reliable. get yourself at 1000ng/dl test and freaking hit the gym and focus on diet, give it 1 year and you will be a new man. if free test is still low check shbg levels and potentially add in provirion/mast
I would agree with this, but his doctor is doing a second followup test before deciding on TRT. I've heard many doctors want to see two low tests because of the variability. A prescription would be great.

OP, if you get denied, either find a new doctor, or hop on ugl. Your free range is WAY lower than where I get low T symptoms. Don't do the yoyo thing where you stop and start. You need to build consistency.

Trt that doesn't use actual test is mostly nonsense with much higher side effects. Pin test e/c 2x per week, or test u 1x per week.
 
I would agree with this, but his doctor is doing a second followup test before deciding on TRT. I've heard many doctors want to see two low tests because of the variability. A prescription would be great.

OP, if you get denied, either find a new doctor, or hop on ugl. Your free range is WAY lower than where I get low T symptoms. Don't do the yoyo thing where you stop and start. You need to build consistency.

Trt that doesn't use actual test is mostly nonsense with much higher side effects. Pin test e/c 2x per week, or test u 1x per week.
Yes sir. That’s the plan regardless of his treatment.
 
Newest update:
FSH and LH test came back
“<0.30 mIU/mL” respectively.
So I assume this means that it was practically unrecordable given the ‘<‘
 
Newest update:
FSH and LH test came back
“<0.30 mIU/mL” respectively.
So I assume this means that it was practically unrecordable given the ‘<‘
idk when you exactly jumped off trt, but getting to a saturation point for a dosage and having to wait the clearence of each half-life coming completely off is gonna have u supressed for weeks maybe 1-1.5 months even on trt. and it can be way higher on full cycle.
 
idk when you exactly jumped off trt, but getting to a saturation point for a dosage and having to wait the clearence of each half-life coming completely off is gonna have u supressed for weeks maybe 1-1.5 months even on trt. and it can be way higher on full cycle.
That’s what I figured. I wish I hadn’t taken that 250 earlier this month. Just makes this all more complicated than it needs to be.
 
Hopping in to provide a pretty significant update but with little information as of yet as I’ve only read the report and not spoken with the doctor. I assume that I’ll be referred to an endo.

After an incredibly long time of KNOWING what I eat and believing that my body should be spending more energy than that consumption, I received an MRI report this week that shows that I’ve a proteinaceous cyst living on my pituitary. This would explain only the hormonal issues that I have and not necessarily the energy expenditure, but I’m guessing that years of this is what has made it difficult to add any sort of muscle mass, resulting in a lower tdee. Along with that, there are probably some things associated with it that have resulted in such high body fat (including behavioral challenges from fighting a bit of an uphill battle).

From what I’ve read and despite not being an expert in this field, there appears to be a strong likelihood that the production of GH and IGF1 is near nonexistent as well. Hopefully I’ll learn more in the coming weeks.
 
Hopping in to provide a pretty significant update but with little information as of yet as I’ve only read the report and not spoken with the doctor. I assume that I’ll be referred to an endo.

After an incredibly long time of KNOWING what I eat and believing that my body should be spending more energy than that consumption, I received an MRI report this week that shows that I’ve a proteinaceous cyst living on my pituitary. This would explain only the hormonal issues that I have and not necessarily the energy expenditure, but I’m guessing that years of this is what has made it difficult to add any sort of muscle mass, resulting in a lower tdee. Along with that, there are probably some things associated with it that have resulted in such high body fat (including behavioral challenges from fighting a bit of an uphill battle).

From what I’ve read and despite not being an expert in this field, there appears to be a strong likelihood that the production of GH and IGF1 is near nonexistent as well. Hopefully I’ll learn more in the coming weeks.
the pituitary is directly correlacted with your metabolism aka thyroid. since you have cyst and lower test levels from fsh and lh levels being lower than normal. it also affects your tsh levels.

is it possible to share your blood test? would be interesting to look at
 
Sure. Any interest in the lengthier panels like metabolic etc? Just checking before I blow up the space. I’ll also include my thyroid hormones that the doctor specifically ordered along with those that I did myself just a couple of weeks prior. To me it was strange that there was so much movement but, from what I’ve been told, thyroid markers can fluctuate greatly.
the pituitary is directly correlacted with your metabolism aka thyroid. since you have cyst and lower test levels from fsh and lh levels being lower than normal. it also affects your tsh levels.

is it possible to share your blood test? would be interesting to look at
 
Hopping in to provide a pretty significant update but with little information as of yet as I’ve only read the report and not spoken with the doctor. I assume that I’ll be referred to an endo.

After an incredibly long time of KNOWING what I eat and believing that my body should be spending more energy than that consumption, I received an MRI report this week that shows that I’ve a proteinaceous cyst living on my pituitary. This would explain only the hormonal issues that I have and not necessarily the energy expenditure, but I’m guessing that years of this is what has made it difficult to add any sort of muscle mass, resulting in a lower tdee. Along with that, there are probably some things associated with it that have resulted in such high body fat (including behavioral challenges from fighting a bit of an uphill battle).

From what I’ve read and despite not being an expert in this field, there appears to be a strong likelihood that the production of GH and IGF1 is near nonexistent as well. Hopefully I’ll learn more in the coming weeks.
I read your post and I was just about to say how there had to be an underlying issue... and yeah that cyst probably explains it. And the crash dieting probably didn't help either

During the times when you were lifting, were your muscle/strength gains disappointing and/or slow?
 
I read your post and I was just about to say how there had to be an underlying issue... and yeah that cyst probably explains it. And the crash dieting probably didn't help either

During the times when you were lifting, were your muscle/strength gains disappointing and/or slow?
I still lift. But almost always I get initial progress for a couple of months and then it tapers off. In that event I either change rep scheme or exercise totally.

I do think you’re right that it isn’t totally due to the cyst. I’m guessing this has been a hinderance for at least 20 years and, in that time, the only way I’ve ever found some sort of fat loss result was from aggressively cutting calories. So a little direct and indirect from the medical ailment, but yeah not good either way.
 
What is size of pituitary cyst? Neuro surgeons usually will not operate unless bigger than 20mm, it is a hormone secreting lesion (rare, most just suppress), or if it is pressing against optic nerve, causing loss in peripheral vision.

I had a pituitary cyst removed in 2020. It helped my vision to remove it, but pituitary didn't spring back to life as strong as would hope.

regardless of what medical field and "normal ranges" says you should do, TRT+HGH+T4 and low dose GLP is the brunt force way to take back control and build your true self.
 
Thank you, sir. For whatever reason, the report that I received did not provide the size so I’m unsure of that until they give me a call. I’m solely relaying the information from the findings that was uploaded to my online chart.

I look forward to (hopefully) getting my health in order.
 
I still lift. But almost always I get initial progress for a couple of months and then it tapers off. In that event I either change rep scheme or exercise totally.

I do think you’re right that it isn’t totally due to the cyst. I’m guessing this has been a hinderance for at least 20 years and, in that time, the only way I’ve ever found some sort of fat loss result was from aggressively cutting calories. So a little direct and indirect from the medical ailment, but yeah not good either way.
Yup, I thought so. From my experience as a felow fatty and that of other obese lifters I've talked to it seems to be very rare for one of us to not grow muscle with ease and neither me nor the ones I've known ever experienced tapering off that dramatically that soon (progress does slow down past newbie/returning gains of course, it's just that the slowing down itself seems to be more gradual than with skinnier lifters). Again, that's probably related to that cyst, and like the user above pointed out, you're likely gonna need HGH in addition to TRT since it's very likely your body isn't making it on its own (and more worringly, hasn't been making it on its own for quite a while). I would still check with your doctor regarding this

That aside, I do have a doubt. When you say "I either change rep scheme or exercise totally", does that mean that, once that initial loss happens, you immediately jump to, say, a 5x5 scheme coming from a 3x8 scheme (as an example, not saying it's exactly what you did), or even in some cases a whole new exercise? If you've been doing that, you shouldn't, as the initial speed of newbie gains is supposed to slow down and it doesn't mean the exercise "outlived its usefulness" or something
 
That aside, I do have a doubt. When you say "I either change rep scheme or exercise totally", does that mean that, once that initial loss happens, you immediately jump to, say, a 5x5 scheme coming from a 3x8 scheme (as an example, not saying it's exactly what you did), or even in some cases a whole new exercise? If you've been doing that, you shouldn't, as the initial speed of newbie gains is supposed to slow down and it doesn't mean the exercise "outlived its usefulness" or something
Essentially, yeah. Probably partially due to frustration or something else psychological. I imagine that it’ll be a weird transition to doing things “normally” as I’ve always sort of bounced around from things that didn’t work (typically associated more-so with fat loss but it bleeds over). But yes, if I’m doing wide-grip pulldowns and begin to plateau or even the lift falls a bit, I may throw in more sets, less weight, heavier weight, myo’s or whatever it might be. Otherwise maybe a different technique through different attachments or something.

However it even makes sense nutritionally and outside of hormones at play because I’ve never really trained in a consistent maintenance phase or surplus. So there’s a bit of ceiling there either way and I’m aware of it. But it still get mentally taxing for sure.
 
Sure. Any interest in the lengthier panels like metabolic etc? Just checking before I blow up the space. I’ll also include my thyroid hormones that the doctor specifically ordered along with those that I did myself just a couple of weeks prior. To me it was strange that there was so much movement but, from what I’ve been told, thyroid markers can fluctuate greatly.
just dump everything in here, im more thinking of debunking whatever it affects and whatever other members can chip in with + educational purposes
 
also you should probably look for a new trt bloodpanel, you defiently want thyroid hormones in there. preferably t3, t4, tsh atleast and good if u can get free aswell
 
just dump everything in here, im more thinking of debunking whatever it affects and whatever other members can chip in with + educational purposes
 

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