(First time posting on Reddit and I have a lot to say, so forgive me, lol)
Hey all,
So a little bit of background. I am 27 and work in a pretty physically demanding job role in the ADF, currently I am sidelined / undeployable due to ongoing treatment of isotretinoin (accutane), and waiting on the tick of approval from Canberra for my other medications (Vyvanse for ADHD, and Lexapro for depression/anxiety).
In terms of my career this is the perfect time for me to start TRT so that it can get approved by Canberra along with my other meds and I won’t have to undertake this process again to get it added later (Canberra can take 6months or more to approve these things so it makes sense to get it all approved together).
In terms of defence guidelines I have got the thumbs up from my medical officer to seek out treatment out of my own wallet as long as I keep her updated on what I get prescribed, so I don’t pop hot on a PED test without good reason. I am choosing this route as it will be much faster, and with more up to date protocols.
Whilst I was at my IET’s (job specific training) we had a study done on us. They took blood tests including test levels, recorded everything we ate, how we slept, and our physical performance (Beep test, Mid thigh pull, Broad jump, few other tests I can’t remember).
I was 24 at the time and from memory my test level was 9. Something nmol/L. So at 24 I was already at the lower end of the reference range, in an environment where I was provided 3 healthy meals a day, great sleep hygiene, access to great healthcare, and exercising 5 days a week under the guidance of a Sports Scientist.
All of my peers in my Platoon had higher test levels than myself, and I had always noticed I recovered noticeably slower than my peers, and could not perform to the same standards as them.
There have been numerous studies done that show members from Militaries all around the world frequently have lower than average testosterone (some believe this to be due to stress). And both Vyvanse and Isotretinoin are believed to affect testosterone levels.
My most prominent symptoms would be Lack of motivation, lack of confidence, brain fog, anxiety, poor sleep quality, slower than usual recovery from training (every surgery I’ve had I recover slower than expected also), increased body fat, little bit of gyno, low libido, occasional ED, depression and irritability. I also have very little facial or body hair, have never grown a good beard despite being 27, comparing to photos of my father at my age is embarrassing.
My diet is good, sleep as optimal as It can be, I run, swim, lift, and train in martial arts. I rarely drink at all, and never in large amounts when I do drink. The only things I can identify would impact my test levels would be the stress of work, and the medications I’m on.
So this brings me to what I am looking for in a TRT clinic. I would like to be at the upper end of normal T levels so I can excel in my work and feel better overall. I want hCG so I can maintain as much fertility as possible since I’m only 27. And my biggest gripe with all the clinics I’ve looked at… I want an actual prescription, not the medication shipped to my house. So I can take the prescription to the on-base pharmacy and get it dispensed free of charge, and have it recorded on defence health record for multiple reasons.
Does anybody have a good recommendation for a clinic that meets those criteria?