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Young Man Needs Some Help

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Hello,

I am 22 years old with secondary hypogonadism, induced a couple of

years ago after having lost a lot of weight with an athletics-

related eating disorder. After recovering from the disorder and

regaining some weight, I still felt poor and went to see an

endocrinologist. My T, LH and FSH levels were all low, indicating

secondary hypogonadism. I was put on Androgel 5g for a few months,

managed to gain a few more pounds in the gym, but my T levels were

still low. I increased to 10g, added further mass, and got my T

levels within range.

I was confident after a pituitary scan turned up negative that my

HPTA could kick back in, and I tapered off of TRT last fall. After

feeling like junk, I desperately went back to the doc and requested

a protocol of hCG/Clomid/Nolva to kick-start my HPTA, but the

confused endo was under the impression that I wasn't a solveable

case and decided to put me on injections. In January of this year,

he called me up with results from bloodwork that I had done after my

earlier time off of TRT and told me that I was right, my HPTA would

eventually kick in, and asked me to taper off of injections.

Right now, I have been TRT free since February, but my latest blood

work isn't very impressive:

STSH: 2.23 (0.35-5.00 mU/L)

LH: 3.0 (1-9 IU/L)

FSH: 3.0 (1-14 IU/L)

TESTOSTERONE: 11.1 (8.0-38.0 nmol/L)

PROLACTIN: 7.0 (< 18 ug/L)

FREE TESTOSTERONE: 15.9 (40.0-85.0 pmol/L)

Clearly my HPTA is still in remission. Although there are days where

my sexual function works (with much coaxing) and my workouts are

good and although I am a generally chipper guy, I still feel tired

most of the time and my libido is waning. I know it takes a while

for the HPTA to kick back in (especially considering it was shut

down for two years), but am I wrong to believe that I should do a

protocol of hCG/Clomid/Nolva to kick-start my system?

I live in Canada and I have been looking for a good doctor who will

help me with this protocol. However, I may have to wait months to

see another specialist, and he/she will probably shrug off my

suggestion and try to put me back on TRT, which I do not need!

What do you suggest I do? Should I wait it out a bit longer? If so,

is there anything that will help 'speed along' the HPTA's restarting

process? I could obtain hCG, Clomid and Nolva on my own and do my

own protocol, but I would rather be supervised during my treatment.

Thanks!

- Ken

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