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im in my early 20th and was on paxil for 8 months and now been of it

for 5 months. it affected me in a big way,from physical to emotional

wellbeing. sexual sideeffects is a major concern and my libido has

gone down and i hardly get aroused these days. afew months ago i did

tests and my prolactin was elevated in two occations.im a skinny guy

and dont have large breasts etc.lately i have done tetstosterone

checks and the results are as follows:

. testosterone 18.0 nmol/L (9-38.0)

. free testosterone 341 pmol/L (250-800) {i think

this is low for my age)

free androgen index 450 (>400)

these dont sound to be normal,

as i said im quite skinny and my muscles, beard dont look normal for

my age ie small. any advice please?

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  • 4 weeks later...

firstly let me say that i dont think testosterone levels even if they

are low are much if anything to do with pssd.

you have gilberts syndrome rite?

have you had your estrogen or estradiol checked?

if your like me with gilberts syndrome you will have a poor estradiol

to testosterone ratio, im toying with the idea of playing arround

with this my self, but im not sue as once you play with it you would

probably have to keep doing what you did to it indefinitely.

high estrogens in the body effects the pituitary testicular Axis's

thing, it instructs the testes to produce less testosterone.

this is probably whats going on with you, if you lowered the

estrogen's you testosterone will pick up.

now heres the complicated bit, with gilberts you have deficiency of

an enzyme in your liver that breaks down estrogen's, this enzyme also

breaks down dht (the most powerful androgen), you will probably have

higher than normal dht as well as estrogen's. as i do.

this is funny because high dht is linked to a high sex drive, if you

do what im looking into at the moment which is a natural aromatase

inhibitor then your testosterone will pick up, but its likely your

dht will also pick up.

you could end up with super high dht levels (but also increased sex

drive) which could make you go bald & or enlarge your prostate.

if check your dht levels and they are normal or average then why not

go for this option, theres prescription aromatase inhibitors and

there's also some natural ones.

the natural ones ive come across are chrysin, but after reading the

link below im not so sure it actually works.

http://www.vrp.com/articles.aspx?page=LIST & ProdID=1208 & qid= & zTYPE=2

this company pull chrysin to bits in favor of a more expensive

supplement that encourages the enzyme in the body to break it down

faster, but remeber this enzyme will also breakdown your dht faster.

(they fail to mention this!) but if you ever get cancer this is what

you take my friend!!!! (not chrysin the other expensive shit vrp are

promoting instead of chrysin)

the other is this stuff body builders use, there seems to be no bad

reports about it anywhere, but remember you do this and you always

have to do it, so you have to take this indefinitely, im not sure how

healthy that would be. (as im not even sure what it actually is)

http://www.mesomorphosis.com/articles/arnold/6-oxo.htm

id recommend you do saliva estrogen tests to see if they are actually

doing what they say they should, if you try any of these things.

>

> i just want to say that my testosterone have droped down to 117

(normal

> being 250-800)4 weeks ago it was 341!doctors dont get it. any

advice?

>

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hi nemo

yes i have gilbert syndrome

i did estrogen tests like 4 months ago and they were normal but my

testosterone was normal too.now that testrone is low ,it makes sense

for estrogen to be high(i dont have large breasts if this is a sign of

high estrogen)

i have symtoms like food intolerance dilated pupils, fatigue etc that

i didnt have them as intence before taking ssri.

maybe elevated bilirubin is to do with not clearing up the paxil and

i found this site saying how phenobarbital helps people with gilbert

syndrome clear drugs faster?

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Your officially hypo. Time to try clomid or get testosterone shots.

When you decide to discontinue the T shots, you'll have to take

clomid....(depending if it's primary or secondary)

I posted a research doc about this a while ago.

Search for it, print it up and bring it to the doc.

This will at least make sure he isn't ignorant about treating the hypo.

>

> i just want to say that my testosterone have droped down to 117(normal

> being 250-800)4 weeks ago it was 341!doctors dont get it. any advice?

>

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i think i was secondary hypo before taking ssri.and now i think im

going towards becoming primary?like it used to be difinetly pituatary

hypothalamus issue but now tends to be going towards testicles issues.

and i think the longer i wait the worse it becomes!

i mean before ssri my main issues were i was not hairy as i should

have been,and looked young for my age,i had small muscles and this had

connection to my anxiety and depression.

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  • 3 weeks later...

i just want to talk about testosterone shots. i have low t and im

going to be seeing an endo, just want to now how they work? if i get

them what should i expect plus what happens when i stop it.im scared

of maybe it might interfeer eith my natural way of producing even if i

produce little?

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i wouldn't advise you to have testosterone shots, you have got

gilberts syndrome so you will have a high dht to testosterone ratio

as well as a high estradiol to testosterone ratio.

dht is far more powerful than testosterone so even if its low i

*think* your dht should be giving you an adequate sex drive.

your testosterone is probably low because you have a high estradiol

to testosterone ratio, if you can lower the estradiol it will raise

your testosterone.

try quecitin to lower your estradiol and maybe nettle root to

increase free testosterone.

id try this first before going for shots, you would have to remain on

them and seen as though you have gilberts its inadvisable because you

will be more susceptible to complications from high dht and estradol.

bitch tits baldness and enlargement of the prostate.

p.s. your doctor will probably be unaware of gilberts effects on dht

and estradiol as the popularly conceived notion on gilberts is that

its a benign condition nothing to worry about and off you go.

this notion hasn't changed since its discovery in i think the

eightein hundreds, a lot more is know now but the medical profession

is ignorant to it because its 6-7% of the population that are most

likely to visit there doctors and complain that somthing is wrong, so

they can put you on a psych drug and the big pharma do the research

that the doctors pay attention to so your doctor isnt going to tell

you what gilberts actually is because they haven't been informed. big

pharma wont want to say good bye to 6-7% of the population being

prescribed there drugs.

>

> i just want to talk about testosterone shots. i have low t and im

> going to be seeing an endo, just want to now how they work? if i

get

> them what should i expect plus what happens when i stop it.im

scared

> of maybe it might interfeer eith my natural way of producing even

if i

> produce little?

>

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