Low T 27 Male

[danks010101]

I think on the high end of normal would probably be best. Low SHBG spells trouble for liver health.

Interesting, yep my liver enzymes were elevated and I have a fatty liver from ultra sound

 

[Jessie]

Interesting, yep my liver enzymes were elevated and I have a fatty liver from ultra sound

It's a concern, but not as bad as it may sound. Fatty liver is one of the more easier diseases to reverse, since the liver is so good at regenerating itself.

Best thing to focus on is getting the SHBG up. Thyroid (along with caffeine) is one of the best substances to do that. Considering you said your temps run in 96F, then thyroid therapy would probably be perfect for you.

Also, unironically, eating liver will provide some of the more important nutrients for liver health, like vitamin A and choline. Drinking strong coffee would help as well. Opting for starch instead of sucrose/fructose while the liver defats itself would be good too.

 

[Hans]

UPDATE:
Latest bloods are in.

Managed to get Free T4 and a few other bits tested but will need to see endo to get further Thyroid tests done.


Thyroid function test
Serum TSH level 6.0 mu/L [0.27 - 4.2]; Above high reference limit
Serum free T4 level 15.1 pmol/L [12.0 - 22.0]

Serum triglyceride levels
Serum triglyceride levels 1.8 mmol/L [0.6 - 1.9]

Serum lipid levels
Serum cholesterol level 4.7 mmol/L
Serum HDL cholesterol level 1.0 mmol/L
Serum cholesterol/HDL ratio 4.7
Serum non high density lipoprotein cholesterol level 3.7 mmol/L

Serum prolactin level 503 mu/L [< 700.0];
Please note: 95% of female patients will have a prolactin result of <5
00 mIU/L and 95% of male patients will have a prolactin results of
<325 mIU/L. Results of 500 - 700 mIU/L for female patients and 325 - 7
00 mIU/L for male patients are rarely pathological and are likely due
to thestress of venepuncture.

Honestly not really sure what to make of these tests, will be speaking to GP on 6th of Feb

High TSH and prolactin usually go together. High prolactin and low T3 usually cause low LH and T.
Low SHBG is due to low T. As you increase T, SHBG will go up.
Low T3 and T contribute to fatty liver.
If you didn't feel anything from the TyroMix, the dose you used was likely too small.

 

[Santosh]

Low SHBG spells trouble for liver health.

Do you mean that it's indicative of a liver issue or that it causes liver issues ?

 

[danks010101]

High TSH and prolactin usually go together. High prolactin and low T3 usually cause low LH and T.
Low SHBG is due to low T. As you increase T, SHBG will go up.
Low T3 and T contribute to fatty liver.
If you didn't feel anything from the TyroMix, the dose you used was likely too small.

Was a while ago but I think I got up to taking 16 drops spread throughout the day of tyromix

 

[Hans]

Was a while ago but I think I got up to taking 16 drops spread throughout the day of tyromix

Keep increasing the morning dose until your temps are 98F and your heart rate is roughly 80 bpm.

 

[danks010101]

Keep increasing the morning dose until your temps are 98F and your heart rate is roughly 80 bpm.

Alright, I've still got some left ill give it another go

 

[Jessie]

Do you mean that it's indicative of a liver issue or that it causes liver issues ?

As I understand it the former. SHBG may be a good test for liver (metabolic) health

 

[danks010101]

Few extra blood tests that have come in

24 hour urine cortisol output 75 nmol/24h [< 200.0]
24 hour urine creatinine output 22.3 mmol/24h [9.0 - 19.0]; Above high reference limit
Serum insulin-like growth factor 1 level 24.0 nmol/L [16.4 - 35.5]

Got followup with GP about the high TSH this week

 

[Chad_Catholic]

Start with the low-hanging fruit: get off the SSRI's; fast from your phone, laptop, and TV, especially in the late afternoon and evening; engage your brain by reading books, meditating, contemplating, and learning; stop abusing drugs and alcohol; stop watching pornography and masturbating; start eating small, nutrient-rich meals every three to four hours and cut out some fat so you can start losing the excess weight; and start getting to bed by 8 pm so that you can fall asleep earlier and wake earlier and be more in sync with the circadian rhythm.

In addition to all of this, I would: start experimenting with vitamin D, vitamin K2, niacinamide, thyroid, DHT, testosterone, pregnenolone, progesterone, cascara, aspirin, coffee, and maybe even clonidine and a serotonin antagonist of your choice (cyproheptadine, 10-methoxy-harmalan, metergoline, etc.); invest in a few 250 watt red bulbs and expose the different sections of your body to their light for as long as possible in designated therapy sessions; and purchase and sleep on a grounding or earthing mat.

 

[danks010101]

UPDATE

I have decided to ditch the SSRIs which has helped improve my sleepy energy dips I was experiencing especially after meals, I have noticed more snappiness/irritability/aggression has returned though since it was masking that. Overall though I feel better physically off of them but a bit more of a C***.

Instead of waiting until August to see the endocrinologist I got a private blood test done for a full thyroid panel and I'm happy to say that it doesn't seem to be my thyroid that's causing the low T or a thyroid issue at all.

What is interesting and not really surprising is the Low vitamin D, I know there are links with Low T and vitamin D so I'm going to research on best method to treat that.

 

[Hans]

UPDATE

I have decided to ditch the SSRIs which has helped improve my sleepy energy dips I was experiencing especially after meals, I have noticed more snappiness/irritability/aggression has returned though since it was masking that. Overall though I feel better physically off of them but a bit more of a C***.

Instead of waiting until August to see the endocrinologist I got a private blood test done for a full thyroid panel and I'm happy to say that it doesn't seem to be my thyroid that's causing the low T or a thyroid issue at all.

View attachment 48594

View attachment 48596
What is interesting and not really surprising is the Low vitamin D, I know there are links with Low T and vitamin D so I'm going to research on best method to treat that.

Many studies have shown that vitamin D supplementation doesn't increase T, but getting ample sunlight does. The slightly elevated CRP indicates some underlying inflammation and chronic low grade inflammation also contributes to low T and mood disorders.

 

[danks010101]

Many studies have shown that vitamin D supplementation doesn't increase T, but getting ample sunlight does. The slightly elevated CRP indicates some underlying inflammation and chronic low grade inflammation also contributes to low T and mood disorders.

Interesting, what would be a cause of the inflammation? Enough to causes a Total T of 190 at 27 years old

 

[danks010101]

I guess fatty liver perhaps

 

[Sascha6990]

View: https://www.instagram.com/p/CnJ0_USpdjt/

What does he mean by deprogramming by going to the gym and yoga classes?
Lately, I've been much more interested in calisthenics and the kinda stuff Movnat teaches than lifting weights. Gym going just seems so unnatural to me now. Is that it?

LE: Sorry, I just saw he mentions the gait cycle. Will have to research that, I never heard of it.

 

[Perry Staltic]

What does he mean by deprogramming by going to the gym and yoga classes?

He's got a gimmick he wants to sell. Listen to your body and do what it tells you to; best teacher

 

[Hans]

Interesting, what would be a cause of the inflammation? Enough to causes a Total T of 190 at 27 years old

In many cases, it's gut related or the immune system is responding to something (diet or bacterial products in the gut).

 

[danks010101]

Update 01/05/23

I am going to a private TRT clinic, just had my first blood test with them after supplementing vitamin D.

357 ng/dl still low for my age and estrogen looks a bit high.

I will be discussing my results with the private Dr. to see whether TRT is in my best interests.

My average testosterone after 3 blood tests is 350 ng/dl

 

[Hans]

View attachment 49894


Update 01/05/23

I am going to a private TRT clinic, just had my first blood test with them after supplementing vitamin D.

357 ng/dl still low for my age and estrogen looks a bit high.

I will be discussing my results with the private Dr. to see whether TRT is in my best interests.

My average testosterone after 3 blood tests is 350 ng/dl

If estrogen is this high when T is that low, E2 will be out of control on TRT. Lowering E2 and prolactin will dramatically increase T.

 

[youngsinatra]

High estrogen and prolactin could be due to poor liver detoxification and biliary excretion.

Estrogen is almost exclusively excreted in the bile and leaves the body with the feces. If there is any interruption of liver/gallbladder function it can cause high estrogen/prolactin.

Do you have signs of poor bile flow? Like pale stool, floating stool, indigestion, poor fat tolerance, SIBO, upper right quadrant pain?

If you have fatty liver, you very likely have a liver/gallbladder problem.

By the way, 95% of bile gets reabsorbed via the enterohepatic circulation, so binders like fiber or charcoal can be useful.