Zero libido, low T (21, male)

[idmd]

No.

I had the same issue, and TRT has failed me for the last 10 years.

James since you are part of the small exception to the fact that TRT helps many men (even those with low SHBG) you have STOP telling anyone and everyone with low SHBG that TRT won't work. You're being narcissistically narrow minded making generalizations that everyone must be like you and it's unproductive and irresponsible to say this to someone who hasn't even started TRT but is thinking about it.....since there's no real way to modify it in a predictable manor.

Let the board members and their doctors decide if TRT is right and AFTER they try it and it fails THEN you can blame SHBG.

 

[PharmD518]

I had thyroid done, all values came back perfectly normal.

Post the values then with ranges.

 

[Deadballs]

Jesus christ!!

Have they not even considered putting you on an AI?

Have you considered supplementing with high doses of zinc picolinate and vit d and c see if it helps curb some of that estrogen?

 

[lxm]

Jesus christ!!

Have they not even considered putting you on an AI?

Have you considered supplementing with high doses of zinc picolinate and vit d and c see if it helps curb some of that estrogen?

NHS do not use AI's apparently.

He told me to loose more weight to sort the estrogen. At 6ft tall, 20% bodyfat, 159lbs I really cant loose anymore! My body seems 'stuck'

I start sustanon250 tomorro, 250mg (84mg per week) every 3 weeks

He seems unintrested in the estrogen level? what dosages of zinc, vid d & C are we talking about ?

 

[idmd]

NHS do not use AI's apparently.

He told me to loose more weight to sort the estrogen. At 6ft tall, 20% bodyfat, 159lbs I really cant loose anymore! My body seems 'stuck'

I start sustanon250 tomorro, 250mg (84mg per week) every 3 weeks

He seems unintrested in the estrogen level? what dosages of zinc, vid d & C are we talking about ?

Your doctor is an asshat! Did you ask him if he prefers the binge and purge or the straight up starvation method of malnourishment? Run Forrest RUN!

 

[LW64]

NHS do not use AI's apparently.

He told me to loose more weight to sort the estrogen. At 6ft tall, 20% bodyfat, 159lbs I really cant loose anymore! My body seems 'stuck'

I start sustanon250 tomorro, 250mg (84mg per week) every 3 weeks

He seems unintrested in the estrogen level? what dosages of zinc, vid d & C are we talking about ?

While waiting for NHS to pull its ass out of The TRT Dark Ages...

If you want an effective way to reduce the estrogen response to exogenous T, then inject smaller doses more frequently. Weekly doses can be split in half and injected twice a week or you can divide your weekly dose by 3.5 and inject that amount every other day. It really, really works to reduce E2.

Start with 42 mg twice a week.

 

[Deadballs]

NHS do not use AI's apparently.

He told me to loose more weight to sort the estrogen. At 6ft tall, 20% bodyfat, 159lbs I really cant loose anymore! My body seems 'stuck'

I start sustanon250 tomorro, 250mg (84mg per week) every 3 weeks

He seems unintrested in the estrogen level? what dosages of zinc, vid d & C are we talking about ?

Now, I'm not gonna say take this or that cos I'm not a doctor but zinc in the picolinate form is apparently the most beneficial and 50mgs (at night when the body converts most test to e2) wouldn't hurt. Perhaps even 100mgs and take sundays off to avoid any remote possibility of toxicity. Vit C 500mgs morning and then at night and 5000ius vit D certainly wouldn't hurt either.

I would take what the NHS gives you but the guy above is right. You want to be injecting less but more frequently to reduce aromatisation of test and peaks and troughs in levels from what I've read.

Best of luck pal

 

[BBC3]

Conci ... !?!? There you are.. LOL Havent heard that term in a while. Ahh, the days....

Your doctor is an asshat! Did you ask him if he prefers the binge and purge or the straight up starvation method of malnourishment? Run Forrest RUN!

 

[BBC3]

This is a long one, and got hooked… LOoks like a classic Troll, but Im bored.

I don’t see how that thing about “waking up buzz’n on a country road” with a cock malfunction has slipped scrutiny…!!!!!!!!!???!!! Isn’t that the time OP states issues starting to mount.? Did your arse hurt as well, by any chance…? Seriously, I don’t understand how all that goes or even happened. No friends to tell. Just too oddly bullshitable…

Really, it sounds to me like you got WAY to good a job for someone your age…

APATHY – is a bitch..

Yea, I cant find my fukin keys either.! There’s this three way adapter for extension cords. I have now determined that I have PRECISELY 5 SECONDS from the time I pick it up to getting it on the end of the cord I intended. Else its gone for another year… And forget about the 5000 pairs of safety glasses I FUKING KNOW NOT WHERE>..

And yes you have a wide stance, but you also demonstrate a propensity to hold weight up top as well. I speculate you have never seriously trained with weights. The KEY, most don’t realize is the consistency in hard work as the CURVE really starts to CURVE up in returns with TIME.. CONSISITENT CONSISTENT. You can not GAIN if you don’t know how. POINT is that you have never developed any muscle, else you would not be 6 foot and a buck -75 with that frame. You are sorely lacking in leg muscle development which is 60% and Critical muscle… Further, your shoulders show no signs of life… YOU CANT JUST RUN AROUND THE GYM when you want from Nautilus to cables.. About the CANT. Just go do what you CAN. There will come a point when you will want more, and a spot. Set you goals for chest and shoulders on Mondays and Thursdays for the next six months and report back…
NOT BLASTING, just fun poking. I have a body that could have wound up like that…. IN another life.

You said something about “you Cant work out”. YOU CAN, you just don’t want to and probably cause you lack the motivation. For me, it was kick’n frat house ass… The asshole ones… LOL

You mention lack of motivation with the chicks. Do not discount – YOU ARE ONLY AS MOTIVATED IN THEM, AS THEY ARE IN YOU…!!! Look in the mirror. We are all really having sex with OURSELVES. We treat OURSELVES to ONLY what we feel we deserve… OR maybe you are just experienced (too experienced) enough to distain them for what they are LOL. Thank God I did not get laid till 19 else I’d be dead in a ditch still not located today even.. LOL


Do you hear yourself?? Comfortable gossiping with chicks?!?!!! Is this a coming out party??!! There are (TWO) Scenarios for the Hetero Male Mind: (1) Young and dumb and think they are something to behold. (2) Old enough to know better, but still to young not to give in. Anything else and someone is slipping you some INSTANT Femenizer..

The Teary eyes and apathy COULD be low T alone.

I am loosing track with the whole James23 thing and starting to wonder. Without SHBG, Free Estrogen is USELESS….

Back to the second point…

 

[lxm]

Im a troll ?

Why would I lie about something like this ? I have read your post and will reply to points in full later.

 

[BBC3]

I really don't speculate anymore. It just baffles me the mountains of info seemingly omitted by others. When there seems to be primarily psychological issues and potentially pertaining to sexuality. No offense was intended.

 

[lxm]

I really don't speculate anymore. It just baffles me the mountains of info seemingly omitted by others. When there seems to be primarily psychological issues and potentially pertaining to sexuality. No offense was intended.

Please keep out of this thread from now on, you are not welcome re: the troll comments.

I started my TRT one month ago here in the UK, from reading various online forums it seems that the UK are not too good on injection frequencies etc but im going along with what im getting at the moment as its better than nothing.

I have been put on sustanon250, 1ml every 4 weeks to start and see how I respond, Well I can say after injection number one I crashed badly after 2.5 weeks.

I have had my second injection now and have an appointment with my endo in two weeks time to discuss how things are going, here I can tell him about the bad crash after 2.5 weeks.

There have been a few subtle effects so far ;

-Mental clairty is crystal clear, its never been like this in my entire life, I have always felt 'dirty/cloudy/blunt/muffled' almost like I have been concussed.

-I have found myself constantly spending time outdoors and away from my house, I need and want to do things, before I didnt want to go out and would lounge about.

-I have found myself going and sitting with family at dinner time, holding conversation, and at work sitting next to others in the canteen. when in the super market speaking with the cashier, rather than holding my head down.

-More assertive, being less anxious.

-A slight need and want to have sex with my girlfriend, but that 'horny' feel still has not arrived.

-A slight increase in sex drive

 

[cvictorg]

Please keep out of this thread from now on, you are not welcome re: the troll comments.

I started my TRT one month ago here in the UK, from reading various online forums it seems that the UK are not too good on injection frequencies etc but im going along with what im getting at the moment as its better than nothing.

I have been put on sustanon250, 1ml every 4 weeks to start and see how I respond, Well I can say after injection number one I crashed badly after 2.5 weeks.

I have had my second injection now and have an appointment with my endo in two weeks time to discuss how things are going, here I can tell him about the bad crash after 2.5 weeks.

There have been a few subtle effects so far ;

-Mental clairty is crystal clear, its never been like this in my entire life, I have always felt 'dirty/cloudy/blunt/muffled' almost like I have been concussed.

-I have found myself constantly spending time outdoors and away from my house, I need and want to do things, before I didnt want to go out and would lounge about.

-I have found myself going and sitting with family at dinner time, holding conversation, and at work sitting next to others in the canteen. when in the super market speaking with the cashier, rather than holding my head down.

-More assertive, being less anxious.

-A slight need and want to have sex with my girlfriend, but that 'horny' feel still has not arrived.

-A slight increase in sex drive

Is 1ml every 4 weeks the usual protocol for Sustanon 250 in the UK or does it vary from doctor to doctor? In other words would he be willing to increase the injection frequency?

Are the other forms of injectable testosterone available in the UK? Like cypionate for example - if yes can the doctor prescribe those with an injection frequency of every 5-7 days?

Have you considered Nebido (testosterone undecanoate?
Nebido® - The long-lasting dose of Testosterone

 

[James23]

Why don't you just get some damned testosterone already? Find a stupid anti-aging clinic. Done. Don't even bother with university medicine. They will NOT treat you if you aren't clinically hypogonadal (< ~250ng/dL) no mater what age you are.

 

[lxm]

Is 1ml every 4 weeks the usual protocol for Sustanon 250 in the UK or does it vary from doctor to doctor? In other words would he be willing to increase the injection frequency?

Are the other forms of injectable testosterone available in the UK? Like cypionate for example - if yes can the doctor prescribe those with an injection frequency of every 5-7 days?

Have you considered Nebido (testosterone undecanoate?
Nebido® - The long-lasting dose of Testosterone

Hi, the NHS is made up of lots of local county or 'state' health boards, who have slight differences in protocols but the majority of the UK is signing off the same hym sheet in regards to treatment frequency, which is what the manufacturer advises.

Usually administration of the injection is done by a health nurse, but you can request to do your own shots at home and this way I guess you could split your shots up more frequent.

In terms of treatment type it can vary from health board to health board. Depending in which area you stay in you could be offered either one or multiple treatment methods, its the luck of the draw. A health board may only use one certain brand of gel, or they could give you the choice of which gel to use.

Injections;
Sustanon250, Nebido, Testosterone ethenate.
Gels;
Testo gel (or)tostran (or)testim.

I was given the choice of sustanon250 or nebido, or tostran gel.

I picked Sustanon250, although if my frequency dosent work out I may switch over to nebido, the only issue I see with this is that it can take months and months to build and make stable blood readings.

My Doctor has followed his healthboards guidlines which states 1ml of sustanon250 every 4 weeks, but he is willing to adjust this and fine tune it to suit my body's needs. I have read from other UK TRT patients that sustanon250 is given 2-4 weekly in the NHS, and Nebido is given 8-12 weekly in the NHS.

Why don't you just get some damned Testosterone already? Find a stupid anti-aging clinic. Done. Don't even bother with university medicine. They will NOT treat you if you aren't clinically hypogonadal (< ~250ng/dL) no mater what age you are.

My latest level was 305ng/dL (9.7nmol) and coupled with my symptoms in the UK this merits a trial of TRT, which I have started.
NHS (UK)
<= 7.6nmol = TRT
7.6 - 12.0 nmol = Trial TRT
12nmol + = NO TRT

 

[lxm]

A little update for everyone

I'm six months into my TRT trial, my endocrinologist seems clueless, both basic knowledge of testosterone half-life's and the ability for sustanon250 to 'run out' - along with the adverse effects of Oestrogen in males

I've told him that after 2.5-3 weeks I gave a hellish crash and feel worse than pre-trt, guessing because sustanon250 has been used up and my levels have gone below my natural level pre trt.

He said that the sustanon250 wouldn't 'run out' and im feeling bad because it causes a seesaw effect (up & down, up & down) - I explained there is no up or down, its a one way downward spiral after that period, its basic science / chemistry.

There has been no 'dial in' bloods taken in the 6 month period of my trt........ He doesn't seem in a hurry.

My own family doctor has told me to adjust my frequency on how I feel, forget the endo, so I have adjusted my visits to every 3 weeks, things are much better.

The first 4 - 5 days after my injection I suffer from a very red face (sun burn appearance) very poor quality erections (1/3 full of blood) - no morning or nocturnal erections) The second and third week I feel optimum, im guessing this is my E2 being too high in the first week ?

 

[James23]

You need to tell us what dosage of Sustanon 250 you are taking. You asked about 1 mL, so I'll assume you are now taking 1 mL every 3 weeks.

Sustanon 250 is four different testosterone esters with varying half-lives and will indeed stick around for up to 4 weeks. This says nothing about the stability of blood levels, however.

I am going to assume that your estrogen is completely out of whack.

 

[lxm]

You need to tell us what dosage of Sustanon 250 you are taking. You asked about 1 mL, so I'll assume you are now taking 1 mL every 3 weeks.

Sustanon 250 is four different testosterone esters with varying half-lives and will indeed stick around for up to 4 weeks. This says nothing about the stability of blood levels, however.

I am going to assume that your estrogen is completely out of whack.

Im taking 1ml sustanon250 E3w

My last Estrogen level pre-trt was 222pmol/l (0-150pmol range)

 

[UK86]

Im taking 1ml sustanon250 E3w

My last Estrogen level pre-trt was 222pmol/l (0-150pmol range)

I'm not surprised you feel better on 3 weekly injections.... that is what is generally recommended for Sustanon 250 so I don't know why your Dr was going for 4 weeks really.

I have the same body shape to you (but fatter), curvy in the wrong places. Kinda weird because your story is similar to mine too - skinny until age 5/6 then piled on weight for no apparent reason.

I never managed to even get an estrogen test so you are doing well there. I bet you now have higher T but sky high E as well, probably cancelling each other out?

Nebido or Gels may be a better option if you are finding the Sustanon too up and down. I wouldn't touch Tostran though, that is the worst of the 3 gels IMO.

 

[BBC3]

I GUARANTEE you I did not call you a TROLL. I said you were potentially PRESENTING AS ONE. You would know had I done so....! You are more than welcome to ask that I stay out of your thread and you are more than readily obliged...

Please keep out of this thread from now on, you are not welcome re: the troll comments.

I started my TRT one month ago here in the UK, from reading various online forums it seems that the UK are not too good on injection frequencies etc but im going along with what im getting at the moment as its better than nothing.

I have been put on sustanon250, 1ml every 4 weeks to start and see how I respond, Well I can say after injection number one I crashed badly after 2.5 weeks.

I have had my second injection now and have an appointment with my endo in two weeks time to discuss how things are going, here I can tell him about the bad crash after 2.5 weeks.

There have been a few subtle effects so far ;

-Mental clairty is crystal clear, its never been like this in my entire life, I have always felt 'dirty/cloudy/blunt/muffled' almost like I have been concussed.

-I have found myself constantly spending time outdoors and away from my house, I need and want to do things, before I didnt want to go out and would lounge about.

-I have found myself going and sitting with family at dinner time, holding conversation, and at work sitting next to others in the canteen. when in the super market speaking with the cashier, rather than holding my head down.

-More assertive, being less anxious.

-A slight need and want to have sex with my girlfriend, but that 'horny' feel still has not arrived.

-A slight increase in sex drive