Have you also measured your LH level, since a higher level of LH would indicate that your body is actually in need of higher level of T. Again other parameters like Prolactin, SHBG, Estrogen levels,adrenal hormones and thyroid ( T3, T4 and TSH) levels might show if any of those is behind your low T level. Though not expected in your case, postprandial glucose test is also a test that could be done.
As already advised, think twice before a TRT course is attempted.
well don't worry dear .. Neil Goodman professor of medicine says that
"If I take blood on a guy and I send it to three labs, I'm going to get three different levels,"
well there are some reasons that can lower your testosterone level and i will let you know how to avoid them ..
so very first thing is fat , fat can decrease your testosterone level hope you are not a fat guy as you have an active routine .
the second big thing that can cause lower testosterone level is no regular sleep schedule or sleeping less than required so get a healthy sleep and take it as it is required don't sleep too much as well.
don't get depressed or upset if you are depressed it will lower your testosterone level.
go for swimming also cause it is a big asset for this.
I do powerlifting/bodybuilng, so I am fairly active although I had to decrease my workout days to 3 as it fits better with my studies, work, etc.. But although I am a "fairly heavy" for my height at the moment that is because I am at the peak of my bulking season whilst I am fairly "lean" if you look at me, a lot of weight is just more mass that I carry compared to the average person.
Regarding sleep I find that I rarely sleep less than 7-8 hours a day. So this shouldn't be a problem. Also I always sleep well.
The fact that you may get different test level (again they could be slightly different but you won't ever get tested at 288ng/ml in a lab, and 960ng/ml in another lab) doesn't (in my modest opinion) mean that your level aren't still way below normal for a certain individual. Don't you think?
Sorry I didn't reply directly to you i made a mistake... Please see below for my answer.
humm that is right that there would not be a big difference in other lab results but that is a fact that it could change. And the medication about testosterone level i do not really recommend too as your DR. said that it is ok!
Because if you increase your testosterone level through medicine then you might not be able to produce it by your self in normal way it may getting decreased, so for first medication i will recommend to get a better diet that can help you to increase your testosterone level.
you should eat eggs, carrot, orange , black paper, strawberry , raspberry,
Pomegranate, tuna, pine apple, avocado and almonds.
also try to loose some weight .
the food that is mentioned that is rich in zinc and Vitamin "C" and magnesium and potassium which helps to increase testosterone level naturally.
Hey there. Thanks for your reply.
My diet is in check already. As I said I do powerlifting/bodybuilding and I am therefore very interested in the nutritional side of the lifestyle too.
I track not only my kcal intake, but my Protein, Carbs, Fat and fiber intake, without forgetting about micronutrients too, and therefore try to eat at least 2 servings of veggies a day and 2 servings of fruit a day.
Right now I am in a "bulk" but I am still around 15-17% body fat, which is still ok lean and it's definitely better than be at very low bf% achieved when dieting, as a "dangerous" side is when dieting for prolonged periods of time with low fat intake, which decrease your testosterone level and libido, quite a bit (so this is not the case atm obviously).
I recently tried to up my fat intake staying within my kcal requirements (therefore just lowering carbs a bit) so that I would be in the ballpark of fat making up 30% of my kcal intake. I do eat berries, nuts, tuna, avocado, and eggs for the most part already.
I was wondering if I should try some DHEA or other "natural" way to increase testosterone, because although it is true that injecting testosterone may decrease your sperm count when coming off it (although if you PCT correctly afterwards it should return back to normal), it does however improve my quality of life which is declining quite a bit :(
I first want my doctor to help me figure out the causes of this, since all the common causes I read online dont fit my profile (Obesity, castration, traumas etc).
Also I measured SHBG and few others and they are attached in the picture. but I will measure my T4- T3- TSH.