Re: Doc wants me on Testosterone replacement therapy

Are you doing anything that could be raising your progesterone?

No, not that I know of.

This has just been going on for the longest time which makes me wonder if it is something messed up along the chain, such as the thymus, pituitary, or liver. How would I pinpoint what's going on?

That can be difficult since there are a variety of things that can mess with hormones.  And some of them require specific tests to find.

Pituitary issues are a good possibility.  Although a poorly functioning liver would also inhibit the proper breakdown of excess hormones.  Since it sounds like it is going to be a major issue trying to get the doctor to run tests I suggest focusing on the pituitary and liver first since they are easy enough to address.

For the pituitary some herbs that are supporting include alfalfa herb (not sprouts), parsley and seaweeds.  Tribulus terrestris increases testosterone by its effects on the pituitary.

It is still a good idea to add an aromatase inhibitor such as nettle root to prevent the conversion of testosterone in to estrogen.

For the liver I prefer bitters.  Certain B vitamins are also required for the breakdown of excess estrogen, which can interfere with testosterone.  These work by increasing methylation that is required for the breakdown of the estrogen.  If you are having problems absorbing the vitamins such as pernicious anemia inhibiting B₁₂ absorption this could reduce methylation.  You can add trimethylglycine (TMG) though to your supplements as a methyl donor.