Delayed Low T from Steroids – 30 year old Man Case Study

This video is a rare and interesting case study of a 30 year old man who did one fairly big cycle of steroids at 20, including winstrol, anavar, and dianabol. He began experiencing symptoms of low T closer to 30. With lab-tested low T and no other contributing factors or meds, the only real explanation is his prior steroid use and Anabolic Steroid Induced Hypogonadism (ASIH.) I cover diagnosis, plan for treatment, and interesting considerations along the way. I also explain why ASIH is considered a secondary hypogonadism, meaning the problem is not with the testes’ ability to produce T, but the signal the testes are (or are not) receiving.

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00:00 – Intro
00:14 – Case History: 4 months winstrol, anavar, dianabol at age 20
00:56 – No PCT, did not feel withdrawal, no toxic effects despite 3 strong oral steroids
01:32 – Geographical variation in awareness of oral steroid risks?
02:26 – No issues for many years after steroid use
02:52 – Age 25 – significant weight gain, fatigue
03:28 – 1 year ago: loses weight, fatigue stays
03:55 – 6 months ago: libido disappears
04:18 – Dec 2020: total T 190ng/dL, free T 3.15 ng/dL (very low)
05:00 – LH, FSH, other labs normal, no other factors appear to contribute, family history, etc.
06:37 – Labs can be rechecked, but symptoms remain, consistent, can consider specialists
08:04 – Trial of testosterone replacement therapy. My opinion: delayed steroid hypogonadism (ASIH)
09:18 – Why ASIH is secondary hypogonadism
11:51 – Please comment, and if you don’t feel well get checked!

Stay Strong and Healthy,
Dr. O


As the Anabolic Doc, since 2003, I’ve provided men who are using or have used anabolic steroids a confidential, ethical and professional medical venue to discuss their use. I do NOT in any way support the use of any performance enhancing drugs – PEDs, anabolic steroid or other medicine for muscle building or body transformation. The “off-label” use of PEDs, as such agents is considered elicit and may lead to adverse health outcomes. Please consult an expert health professional regarding any medical agent and do NOT use any medicine without the explicit advice and supervision of an appropriate medical expert.

This video is for education and information only. This is not medical advice. Only take medications as prescribed by your doctor. Do not take illegal substances. Taking steroids can lead to serious health consequences.

#Hypogonadism #Steroids #Low T #ASIH

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