question from a user
Could you give me some advice? im 23, 5'10, 62kg (136.687Lbs) high protein high fat diet, very active sleep 9-10 hours a night, total testosterone 600ng/dl, SHBG 53nmol/l, free testosterone 0.3nmol/l (8ng/dl). Symtoms- Fatigue, brain fog affecting my work, energy is up and down all day fell asleep after eating dinner yesterday even after sleeping 9 hours the night before, almost no body hair very little facial hair. social anxiety, bouts of depression, Gyno during puberty, hard to put on mass, knee aches and pains since puperty hip pain/stiffness i also have a history of testicular trauma im wondering if that caused my low free testosterone? also wondering if my high SHBG is a result of low t production? ive heard mixed opinions on that, Goals to have more energy, higher libido and bring my weight up a bit
AlphaMD's Answer
It sounds like a lot of your symptoms could be addressed by TRT, though given your history of Gyno, you'd want to be careful and mention that to your provider so that they can have your doses spread out more or just start you on AIs right away to avoid any transferal to Estrogen.It might be beneficial to get an Estradiol check as well. It's not just Testosterone that matters but also it's ratio to the Estrogen in your body. If you have fine Testosterone but your Estrogen is also high, then it's not going to really do all that much in many cases. Then you'd also have a baseline to compare to later on TRT if you start to have any Gyno or conversion issues.
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