Need help with blood results. I am NOT on TRT

as uncle bens said. 10000% phyc meds causing symptoms you describe, no ifs ands or buts... lower those WITH YOUR DR of course and see where you are at.

1.Placebo is very strong
2.everyone feels better on HCG and TRT. its like everyone can focus better on Ritalin, but has little to do with root cause.

also physic meds are known to decrease test/hormone levels so if can lower your dose or get off of them I bet your levels on no meds would be upper range.

LOTS of guys on antidepressants suffer from ED libido low mood cant ejaculate etc, very very common... perhaps go find a group with people on similar meds as prob better help.

crazy part is they are learning elevating serotonin has little to do with depression anyway and folks it works for is like taking opiates(targeting dopamine) to feel less pain and equally as addictive to your brain.

the good news is clearly you are able to keep your shit together and track macros, work out, eat healthy, sleep good, your unlikely to be Super depressed and more likely to bounce back once can get off the meds (with DR of course, my buddy stopped Effexor back in college and was in withdrawal for couple weeks super bad, full on panic attacks he never had before).
You didn’t read all lol. I stopped taking psych meds for years now. And the issues I have now have started before taking antidepressants. The reason that I’ve started antidepressants IS because I had this symptoms. But I stopped them for about 3-4 years anyway
 
People can have good macros and still have poor nutrition. Or be eating foods their body doesn't like. I saw you were in therapy for years .Maybe you had the wrong therapy. Or maybe there really is no treatment available for your brain chemistry. I have had a wound from a car accident 5 years ago that i have had 3 surgeries for and it wont heal all the way and Dr.s have no clue why. I quit dealing with them after 4 years as biology is not an exact science. I just deal with the issue on my own and am getting as good of results. And from doing that my BP is 20+ points lower from not seeing Dr.s.
So if sometimes we cannot find the root cause, the next best thing is to treat the symptoms. Aka TRT. I’ve lost the best years of my life, I don’t want to die someday knowing that all I did in life was to breathe and not really live.
PS: I hope you saw I posted thyroid also
 
^good tips in general, some easier than others. Not always easy to switch careers without major disruptions. Sleep hygiene can be a great place to start. Diet, exercise, sunlight, get outside, etc., etc.
Done all that man, I’ve started like that, is not like I started wanting TRT without trying the normal, easy to do and side free stuff…
 
Seeing that you have high SHBG and history of SSRI use and your total test seems fine I would suggest trying mesterolone (Proviron) which would have an impact of lowering your SHBG and freeing up test hence increasing free test. Maybe start with 50 mg per day and see how you feel.
 
Seeing that you have high SHBG and history of SSRI use and your total test seems fine I would suggest trying mesterolone (Proviron) which would have an impact of lowering your SHBG and freeing up test hence increasing free test. Maybe start with 50 mg per day and see how you feel.
I did thought about that for a while, and I’ve read around here that it’s not a long term solution. Like once you stop taking it, SHBG jumps back up. Any thoughts on that? Thank you!
 
yes all HRT is not a long term solution and will have to take forever..

actually if your looking for a long term solution and are hell bent on "TRT", why not try and super mild/short 'PCT'? ie try some enclomophine or clomid and may be able to kick things up, prevent shut down, and could stop and perhaps maintain feeling better :)
 
yes all HRT is not a long term solution and will have to take forever..

actually if your looking for a long term solution and are hell bent on "TRT", why not try and super mild/short 'PCT'? ie try some enclomophine or clomid and may be able to kick things up, prevent shut down, and could stop and perhaps maintain feeling better :)
I have that in mind with HCG. At least I have the last experience and I know it works and makes me a normal human being out of this shadow of a man that I am now, but will be a short relief, same as proviron, I think. I also was thinking that maybe if I take it long enough, my body will reset itself and be normal again, but my Dr said most likely I will revert back into this hell. I still look some studies and mentions of SHBG permanently lowered by proviron, or body restarted after some time on HCG, but no luck till now. I am interested in long term wellbeing with minimal risks (I know maybe I am absurd), but I still hope to have a kid, have a family, I still hope to be healthy and normal until old age. Short term solutions are more of a tease tbh. And my crippling anxiety doesn’t give me peace….i have this prostatitis for years that hurts and give me urinary issues and i am afraid that maybe this mean TRT/hcg or whatever is not safe and I have a liability….idk my brain in non stop into fight/flight mode…
 
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try journal and breathing to lower cortisol... you can get those smart watches that help monitor response to stress and will help you have a measure for lowering cortisol...

again, if want a "reset" and hell bent on HRT try clomid as will raise your bodies own "hcg"...
 
try journal and breathing to lower cortisol... you can get those smart watches that help monitor response to stress and will help you have a measure for lowering cortisol...

again, if want a "reset" and hell bent on HRT try clomid as will raise your bodies own "hcg"...
I proposed that to my endo. She said no to Clomid or enclomiphene due to eye issue risks….:(
 
Hi
My results:
- Total T: 24.1 nmol/L [8.64 - 29];
- Free T: 7.4629 pg/mL [5.01 - 27.78];
- SHBG: 62.7 nmol/L [18.3 - 54.1] - high;
- Estradiol: 26.6 pg/mL [11.3 - 43.2];
- LH: 6.52 mIU/mL [1.7 - 8.6];
- FSH: 5.39 mIU/mL [1.5 - 12.4];
- Prolactin: 172 µUI/mL [86 - 324];
- Albumin: 4.27 g/dL [3.5 - 5.2];
- DHT: 503 pg/mL (300-850);
- DHEA: 1.68 ng/mL (1.8-12.5) - low;

Symptoms:
-
low to no libido, ED, PE, depression, anxiety, no motivation, brain fog, poor concentration, feeling down.
I am NOT on TRT or any other therapy, I’ve only taken HCG for 2 months last year, and my symptoms were almost all gone.
BUT,
Doctors say my hormones are ok and the reason for my problems lies somewhere else; but they don’t know where and there’s nothing they can do.

Do you guys agree?

Iron panel? CRP? Any other inflammatory markers?

You workout too much. Lower it to 3x a week. Focus on rest, recovery and sleep. You wont believe how much stress and bad sleep impact hormones And try saffron as I noted in the other thread.
 
- Iron :149.8 (59-193) ug/dL
- TOTAL FE BINDING CAPACITY (CTLF): 293.3 (250-400)ug/dL
- CRP: <0.1 (<=0.5) mg/dL

I don’t have any other iron or inflammatory markers, because I don’t know which one of them I have to do and my family doctor gives me only the basic blood tests when I see him. Where do I see what more blood test should I do?
Yes sir, I will try saffron.
 
- Iron :149.8 (59-193) ug/dL
- TOTAL FE BINDING CAPACITY (CTLF): 293.3 (250-400)ug/dL
- CRP: <0.1 (<=0.5) mg/dL

I don’t have any other iron or inflammatory markers, because I don’t know which one of them I have to do and my family doctor gives me only the basic blood tests when I see him. Where do I see what more blood test should I do?
Yes sir, I will try saffron.

This puts your transferin sat at 51%, which is app 15 to 20% higher then you want it to be and this does elevate your shbg by at least 10 to 15 points.

Check your ferritin.

You should also check your liver and antioxidant status. High shbg can be an antiinflammatory response by the liver.
 
This puts your transferin sat at 51%, which is app 15 to 20% higher then you want it to be and this does elevate your shbg by at least 10 to 15 points.

Check your ferritin.

You should also check your liver and antioxidant status. High shbg can be an antiinflammatory response by the liver.
I will check ferritin and Transferrin saturation coefficient.
About liver and antioxidant status, maybe this can answer (this two done in January):
- ALT/GPT/TGP: 20.4 (5-41) U/L;
- GOT/AST/TGO: 17 (5-38) U/L;
This are done last year in August (idk if they help in the big picture):
- direct bilirubin: 0.18 (<=0.3) mg/dL;
- total bilirubin: 0.39 (<1.2) mg/dL;
I am scheduled for liver ultrasound in 3 weeks.

Is there a name for the antioxidant status test?
Much appreciated!!!
 
What does your diet look like? What do you do all day? How active are you? Not to be rude but everything is looking within range but I only know ng/dl readings. I noticed I had all these symptoms when I did nothing all day, overslept and woke up some hour close or even in the afternoon. Also eating shit food. High sugar and unhealthy fats and processed food. Do those things for long enough anyone would have that. Get out of the house do something you like. Create and stick to a routine that’s what’ll fix you, wake up early in the morning and go for a run. And also I was on SSRIs for a long period of time and they absolutely destroyed my libido literally had no interest in sex, never jacked off didn’t really even want to have sex with her that’s why I stopped. Do you have a girlfriend or wife? Try some dating apps and have sone fun enjoy yourself medications and drugs are not the answer!
 
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What does your diet look like? What do you do all day? How active are you? Not to be rude but everything is looking within range but I only know ng/dl readings. I noticed I had all these symptoms when I did nothing all day, overslept and woke up some hour close or even in the afternoon. Also eating shit food. High sugar and unhealthy fats and processed food. Do those things for long enough anyone would have that. Get out of the house do something you like. Create and stick to a routine that’s what’ll fix you, wake up early in the morning and go for a run. And also I was on SSRIs for a long period of time and they absolutely destroyed my libido literally had no interest in sex, never jacked off didn’t really even want to have sex with her that’s why I stopped. Do you have a girlfriend or wife? Try some dating apps and have sone fun enjoy yourself medications and drugs are not the answer!
I already answer to all that, that isn’t it. I thank you for trying to help, but all that taken care of for years now. Healthy eating, healthy routine, understanding gf…I won’t write all that again, it’s all in my thread. Peace!
 
I will check ferritin and Transferrin saturation coefficient.
About liver and antioxidant status, maybe this can answer (this two done in January):
- ALT/GPT/TGP: 20.4 (5-41) U/L;
- GOT/AST/TGO: 17 (5-38) U/L;
This are done last year in August (idk if they help in the big picture):
- direct bilirubin: 0.18 (<=0.3) mg/dL;
- total bilirubin: 0.39 (<1.2) mg/dL;
I am scheduled for liver ultrasound in 3 weeks.

Is there a name for the antioxidant status test?
Much appreciated!!!

You already checked tsat via TBIC and serum iron. Calculated; it's at 51%, like I said.

Lot's of way of checking antioxidant status. Whole blood: GSSH to GSH, Coq10 (mainly for mitochondria status), SOD and CAT, MDA or maybe just do a TAC (total antioxidant status).

However, high iron is a big offender, as previously noted. You should have posted your whole bloods, starting with a CBC ... If you need more from me you can pm me, I won't go in to a too lengthy conversation here as this gets complex and time consuming real quick.
 
You already checked tsat via TBIC and serum iron. Calculated; it's at 51%, like I said.

Lot's of way of checking antioxidant status. Whole blood: GSSH to GSH, Coq10 (mainly for mitochondria status), SOD and CAT, MDA or maybe just do a TAC (total antioxidant status).

However, high iron is a big offender, as previously noted. You should have posted your whole bloods, starting with a CBC ... If you need more from me you can pm me, I won't go in to a too lengthy conversation here as this gets complex and time consuming real quick.
Thank you for your time man! You were really helpfull!! i will pm you
 
If I recall correctly, LH and FSH being that high would suggest that your HPG axis is trying to stimulate your balls more. Makes sense as your free T is low and your free estrogens are likely low as well, so there isn’t much negative feedback to suppress your LH and FSH.
 
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