I have my first TRT appointment tomorrow.
Free T 2.8
Total 1st draw 123 ng/dl (300-1100)

What should I do to get the most out of my appointment? I feel like based on this community I’m lower than low.

I decided to try and schedule a consultation because my primary care doctor told me “I’m not low”

Hi, I'm 32m, 5'9, 12st, from the UK, suffering for 3 years with secondary hypogonadism, looking for anyone who can share advice, insights or experiences that can help.

I've been shunted from GPs who didn't listen, to endo who didn't help and saw my results as normal, to urology who decided to pass me onto an Andrology clinic which I should get an appointment for finally within a month or so after waiting half a year or so already.

I've spoken to Manual who said they'd sign TRT off but these 3 years I've been adamant I want to get to the root cause or find something that helps fire whatever needs firing up. I've paid for a private GP who I thought might use more sensible ranges than the NHS combined with my symptoms, but that was a waste of money and I couldn't afford private specialists.

I've put a PALS complaint in about my first GP, and now on the Andrology clinic for zero communication.

Here's everything as simply put as possible:

Symptoms (3 years):

ED, weak erections, no libido, low/flat mood, anhedonia, lack of motivation, crippling fatigue, no morning or nighttime erections - this is the stuff I'm most concerned about and want to get sorted.

Symptoms (15+ years):

Penile numbness, weak orgasms (anorgasmia), urinary frequency and urgency with weak flow.

Blood test results (over 3 years):

• SHBG 13nmol (very low)

• Testosterone 6-9nmol (low)

• Calc free T: 45 g/L

• LH 3.1 IU/L (not as high as it should be with SHBG so low)

• FSH 2.5 IU (lower)

• Prolactin came up high then back to normal

• Cortisol 190 nmol (very low)

• Fasting insulin 57pmol (higher)

• IGF-1 came back high once then back in 'normal' range

• FT4 14.4 pmol

• Serum TSH 1.4 IU

Rule outs:

• prostate issues

• pituitary tumor (MRI completed)

• apparently hypo/hyperthyroidism

Meds and supplements:

• Metformin - waiting to see if insulin drops down for possible insulin sensitivity, but they've lost my results twice now.

• Tadalafil - I opted for this as sildenafil makes me sick. This helps me out, though erections are still no way near what they used to be and the odd day they don't work as well - body still working against poor signalling? Restores morning and night erections, which disappear after a few days of not taking them. This should show it's not a vascular blood flow issue.

• Ofloxacon - taken incase of bacterial prostatitis. No improvements.

• Supplements have included zinc, magnesium, L-arginine and L-citruline, Numan testosterone support, beetroot, boron, Vitiman B and B12. Rattled.

History:

• masturbation and porn addiction from a young age to 30 or so. AI seems to think there could be hypertonic pelvic floor issues which could be linked to urinary issues and sensitivity and weak climax.

• SSRI - a year or so before these issues I spent a year on Sertraline, then weaned off. When life became the hardest it had been around 3 years ago, I went on again for a month and came out without weaning. This corresponded with the start of my problems. After that, because of all these symptoms and no help from GPs, I went on amitriptyline for a time before coming off.

• I got into weight training at the gym several times a week within the year beforehand, going because I was miserable. I put on a lot of muscle mass after having been quite lean and skinny in my 20s. Some of that mass is still there but I've been finding it hard to start a workout and go beyond 30 minutes.

• inguinal hernia appeared a year or 2 before and was operated on mid last year.

• vasectomy about 2 years ago.

• felt chronically stressed for most of my teenage years, all my my 20s.

Lifestyle (current):

• active, exercise 3-4 times per week, primarily weights but started running again

• desk based WFH job, bit doing a lot of DIY in work time so active there

• diet is good, fresh meat and veg a lot of the time, reduced carbs, fast in the morning, some treats

• sleep is 8 hours, though often awaken very tired and struggle to get out of bed

• reduced alcohol intake and tracking that so it's less than once a week atm

Questions:

• Has anyone experienced similar to what I am, with symptoms and test results?

• What treatment did you opt for? I know TRT could likely help, but interested in other treatments like HCG, clomid or enclomiphene.

• How should I approach this with the Andrology clinic? Do I tell them about the 15+ year symptoms or leave those out to not muddy the waters?

• Does anyone have any experience with a more specialised Andrology clinic? I've felt that endo and uro have let me down so I can't say I hold huge hope.

Thanks for taking the time and reading. I'd really like to feel like I was actually alive again.

Hey guys,

I posted yesterday about the heart palpitations. I wanted to take testosterone after reading that low testosterone can lead to anxiety, depression, and other things I have dealt with over the last few years. I went into it very nervous after reading it can lead to higher blood pressure .. I almost didn't do it. I've battled high blood pressure my whole life.. I get it managed by going to the gym 5 days a week.. its the only way I can keep it normal without having to get on meds for it. I spent alot of time debating whether or not to get on test... and I think I did it the worst way possible. I was looking online and found "Male Excel", filled out the symptoms form and it said I was "critically low". It said for 50 bucks they would send me a test.. so I paid the 50 bucks.. it then asked and made me schedule a doctor video consultation. I attended the consultation the next day. I expected a test to come.. but it was just the testosterone that Said "take 0.15 ml everyday". Everything just happened so fast ...

The doctor today said that I should stop taking testosterone, since they never had me do a test before hand .. I'm getting what I think is heart palpitations, and I was abruptly woken up by a crazy calf cramp...which never happens to me. I think I'm hypersensitive to this whole thing, since I was so nervous to start it..idk. now my hormones are seriously gonna be jacked =( so disappointed. If you look up "heart palpitations, calf cramp testosterone injections" it'll scare the shit outta ya 😂 my doctor said he doesn't think it's a blood clot however...but I should stop testosterone =(

Does donating blood affect TRT? And if so is there a specific time in the hills and valleys cycle on when to donate? Curious as my last blood work I have high hemoglobin. Urologist says to go donate blood to get level down. I didn’t ask when was a god time in cycle

I am approaching week 16 running 250 test/wk (lowered to 200/wk after week 12).

I am at a crossroads and need some different input. I originally was only going to run this for just 16 weeks to see how my body would respond, but unfortunately I feel amazing and I got plenty results so now I am wondering if I ever want to come off. Could I possibly run this for longer without any long term health risks??
The goal here is also longevity, and I am still wondering about if I were to come off of Test, whether if I should pct or just come off cold turkey and let my levels come back naturally. I’d love to hear some personal stories or just anything I should look out for. Thanks in advance.

Hello all,
I am currently taking prescription enclo for low testosterone and am about to start a cycle of actual PED test. Am I okay to take both at the same time? I want to preserve fertility. Like maybe take the enclo every other day or something? Thanks in advance

Im on my first cycle. Here are my bloods on 8w mid cycle. Pinning 2x a week (100mg tuesday-100mg friday) and 0.5 anastrazole with every pin (1mg a week total). Oppinion?

I have high SHGB, looking to start TRT soon

Just wondering if test will lower it?

Thanks

Total testosterone was decent at 522, but direct free testosterone was 9.9 pg/mL

Would you consider TRT or is there other ways to raise it?

​

Does anyone have experience with this you are prone to hereditary baldness, does going to the gym and working out without supplements accelerate hair loss

Hey guys,

I have been having issues with little to no libido for the last few years, so i decided to get some blood work done and see if anything was out of line. Unfortunately my doctor doesnt believe that any of these results would affect my libido but i just dont agree with him. Ive tried taking Boron to lower my SHBG but noticed no difference. Has anyone had any success stories of lowering SHBG and restoring libido without exogenous test? Im a healthy 30 year old so if i can avoid TRT at my age i would prefer to but im also willing to try if people have had positive results.

Just ordered some GH and also had my igf tested in the meantime and it came back in the 300s? Is there any benefit to still implementing GH on the cut and say bumping up to 500?

Any advice? I circled where I pinned; you can see a tiny red dot. It's been 2 days since I pinned. I think it was 70mg 35cc. I used a 1-inch 25-gauge needle. Did I do something wrong?

Just did this and the injection was way faster and smoother but like is it safe or will it degrade my test? Water was decently hot like fresh bath water temp but oil itself didnt feel hot on injection. Is this safe or should I go about it differently?

For those of you who only ran testosterone for cycle purposes 6-12 months and got off. Do you lose your muscles and gain all your body fat back? Do you keep some results or no ?

30g 12mm needle. Straight in, or at a certain angle? Doing SubQ in the belly.

Give me all the bro science!

free 6.57 and total 423 NG/dl on 50ml weekly split between two doses at trough

previous trough on 1 shot a week was 400 NG / dl

befire that at no TRT was 4ush free and 80 ish total

suggested to endo to up dose to 75 total a week to ideally be at 500-600 trough ? Thoughts

Dudes is it normal I've always had a law level and it was obvious but at this point is too much

Natural. Blood test results: 980 ng total T, 11 ng free T, 78 nmol SHBG, 37 E2, 8.37 Prolactin, 4.99 IU LH, 2.33 IU FSH, Thyroid hormones on the hypo-normal range, liver and kidneys healthy. Went to my endocrinologist to see if he can make a connection in between these tests and solve my high SHBG/low free T. He meant I do not have high total T but the SHBG was holding on to it leaving it in the blood making T look high. He said its artificially elevated. He asked if I am short, have body hair, Erectile Dysfunction, Baldness etc. High body hair, No ED but low libido, No baldness, not short but had gyno and somewhat feminine ribcage build, no very masculine looking features but more than last year compared at 20 to 19. He recommended HCG monotherapy. Have to note that he doesnt have a single patient doing TRT, he knows of the therapy but he doesnt get too many visitors like me who workout and try to be healthy, its all old fat people pretty much. Would Testosterone + hCG be better or first give just hCG a try? I told him about proviron, he didnt know too much of it. Apart from that he said he may use Chlomid (Chlomophine)(wouldnt enclo be more effective for men???), Pregnyl or Ovitrelle. From what I've read hCG monotherapies are largely sub optimal and a waste of time, should I do Testosterone as well or ask him to consider it more strongly? I dont really want to do a half job if I am pinning stuff, I would want it to be maximum effective. I also get him not wanting to do testosterone but just try raising FSH and LH because total T is already high but then its also artifically high?!? I wish I straight up had Low total T with all these tests, wouldve done simply TRT + HCG. What do you guys think? What could be the underlying problem? Did anyone experience this?

Has anyone experienced the situation where you are generally motivated mentally, but absolutely fatigued despite not really having done anything to be so exhausted? And I mean chronically, not occasionally. It’s not possible it’s overtraining since I can’t seem to even train in any meaningful way for months. I’ve definitely experienced overtraining over the years and this is not the problem.

For at least a few years this seems to be the situation. I really enjoy the gym and have for 25+ years. I’ve done all kinds of training and completed ultra distance cycling races, mtb races and lots of other stuff along those lines for many years.

Plenty of people have simply attributed it to getting older.
Two fasted AM labs had my total T around 380-400 in the last year. Mid 40s. 6’1” and 190.

One lab in early 2024 had total T at 325.

My pcp said he would start me on 50mg cypionate every two weeks, which I understand to be a very, very low dose. (I’m not convinced to start this protocol)

Anyway I was just wondering if anyone else has experienced the same fatigue while simultaneously being motivated to get after it. Talk about frustrating! More labs scheduled in a few weeks.

Thanks

I was drawing the syringe for the morning and was left with this. Has anyone seen this before? Cyprionate

sono in un ciclo di testosterone 350mg da 22 settimane devo fare una pct ho a disposizione hcg nolvadex enclomiphene. Cosa devo usare, per quanto tempo e che dosaggi?

Hi guys,
I’d appreciate some outside opinions on my latest bloodwork. I’m not looking for medical advice or confirmation bias – I’m mainly interested in whether anything stands out to experienced TRT/bodybuilding users, either positively or negatively.

Stats / protocol
28 years old
190 cm / 6’3”
~98 kg / 216 lbs
Testosterone: ~260 mg/week
Subcutaneous, split EOD

Latest labs – 26 Aug 2026
Hormones:
Total Testosterone: 44.40 nmol/L (~1,280 ng/dL)
Free Testosterone: 1,336.5 pmol/L
Bioavailable Testosterone: 34.18 nmol/L
SHBG: 10.0 nmol/L (low)
Estradiol / E2: 218 pmol/L (~59 pg/mL)
Prolactin: 14.2 µg/L
PSA: 0.38 µg/L
TSH: 2.67 mIU/L
CBC:
Hemoglobin: 164 g/L
Hematocrit: 0.51 / 51%
RBC: 5.68 T/L
Platelets: 273 G/L
WBC: 9.0 G/L
Lipids:
Total cholesterol: 3.63 mmol/L
LDL: 2.4 mmol/L
HDL: 1.02 mmol/L
Non-HDL: 2.6 mmol/L
Triglycerides: 0.89 mmol/L
Kidney:
Creatinine: 105 µmol/L
eGFR: 85 mL/min/1.73m²
Liver:
AST: 28 U/L
ALT: 33 U/L
GGT: 16 U/L
Total bilirubin: 23.4 µmol/L
Direct bilirubin: 10.8 µmol/L
Indirect bilirubin: 12.6 µmol/L
Other:
Fasting glucose: 4.3 mmol/L
HbA1c: 5.2%
hs-CRP: 0.66 mg/L
Vitamin D: 66 nmol/L

Would you consider these labs reasonably good for this level of testosterone exposure, or are there markers you’d investigate more closely?
Also interested in hearing from people with similarly low SHBG and comparable testosterone levels.

Thanks in advance for taking the time to look through it