"i think you said, i should go on TRT to lose weight, but i want the opposite actually, dont want a life long commitment to TRT, would rather lose 50 lbs and see my testosterone increased and you admitted it should increase after 50 lbs weight loss"
You probably arent going to raise your T enough to matter by losing weight. I didnt mean to indicate otherwise. Sorry if I gave you the wrong impresssion about this.
The reason you are hypogonadal isnt because of the excess adipose tissue. True, it does increase the aromatization of T to E2 and and decreases T production via its effect on the HPG axis feedback loop.You will probably raise your T a little by losing weight. But if you do , you will still be in the lower percentiles of the normal range.
Your problem is much more likely to be caused by either insufficient pituitary LH secretion (secondary HG), reduced ability of the testes to respond to LH or simply not enough Leydig cells to make enought T (primary HG).
You need a proper workup to determine the cause and extent of the issue.
There are countless clinical studies enumerating the benefits of normal T levels and the problems a lack of it causes.
Dont have time to get into that now.
Perhaps someone else will.
Thanks for your input.
I'm aware optimal testosterone levels are healthy.
I'm in the situation I am and I still want to try to get my levels up without TRT.
I'm aware it might not be possible and thanks for exmphasising it.
I still hope at leat for small, but nticeable imnprovement.
In fact, I look quite bad, dont have gyno, maybe a little pseudo-gyno, and a huge "beer gut".
My estradiol levels are prolly high, havn't measured yet.
I think, before I go to a dr i could measure estradiol (like i said, it's just a matetr of paying for the labs and you get the labs that you want, without a presciption, but estradiol costs much more than serum T so I haven't done it yet) and if it's too high, try to get it down with DIM?
Is DIM safe, meaning no side effects and no way to do any further harm?
I don't want to give the false impression that I think I am smarter than doctors, although I always do huge research on health topics, I obviously dont have their practice. On the other hand, I know, just on reading this forum that many doctors in the US aren't knowledgeable in TRT and male hormones, so it must be even more true for my coutry, where hardly anyone is on TRT.
anyway, I have found a good job recently and here's a potenail girlfriend on horizon after a huge period of 'silence', so I got more motivation now, lost 10 lbs in last 2 weeks, around 45 more to go.
I'll order a measurement of total T on my own in a month and then again in a while and assumign i'll do a significant progress with my weight loss, if there's not sufficient T raise and no real improvement in my ED/libido symptoms, I'll obviously do a fucll check up after finding a competent doctor.
In the meantime, assuming Prelox won't do shit, I think I'll rather ytake cialis when needed for 2-3 months, instead of finding the first random dr who will get me on TRT even thouh he has no idea about it.
I know pde-5 inhibitors sometimes don't work in hypogonadal men, but I expect it still to get me at least to an average sexual performance. I asked in this thread about the lowest dose, since Im just the kind of person who doesnt wan t to get the meds when not 100% needed.
BTW this thread is few months old, nowaday if I had to take cialis today, I'd probably take either 10 mg or divide 20 mg into 3. Some guy would just take the biggest dose of viagra after his first failed erection, as for me, I'm more cautious and slow so to say.
Also, I saw a guy posted (nvm his nickname, in fact he's a great contributor) who is on like 15 meds per day and 10 supplements.
I don't want to go to that direction. I also don't want to spend all life doing T and adjusting it, doing all the check ups and spending time on health forums.
For me, the perspective of being natural in the optimum range seems like something worth pursuing, so I'll just take the chance and do all my best now and not jump on TRT.. at least not yet.
In fact, something happened and brought me from 295 to 359, so who's to say I can't get it to eg. 500-550 ng/dl, with further supplementation, exercize and 45 lbs weight loss?