Seeking Help: New Member, Fatherhood, Depression, and Low T Protocol (Lisbon, Portugal)

Upsi

New Member
Hello Friends

I hope this message finds you in great health. I am a newcomer to this forum and this is my first post. I am 32 years old, 1.72m tall, and weigh 91 kg.

My Background and Mental Health Journey:
My story begins about two to three years ago. Before this period, I was someone who procrastinated a lot but was still energetic, cheerful, and motivated to do things despite the procrastination. When I needed to focus on academic work or other tasks, I would use psychostimulants Concerta, Ritalin, and Vyvanse. Because I would procrastinate until the last minute, I would take the medication around 6:00 PM or 8:00 PM and stay awake all night. This became very frequent. During this time, I started gaining weight until I reached my current weight.

About 3 to 4 months ago, I became a father, which has meant many sleepless nights without rest. Consequently, about 7 months ago, I had to interrupt my studies because my Master’s dissertation results were terrible; I had no focus or energy. My advisors saw that something wasn't right this was my second attempt to resume after a previous break. I opened up to them and explained that I suffer from depression. I’ve undergone various treatments with Venlafaxine and Sertraline, which seemed to show improvement for about 8 months alongside therapy, but I never achieved satisfactory results.

The Health System in Portugal:

I am currently in Lisbon, Portugal, and the healthcare system here is in a dire state due to overcrowding and system overload. They simply cannot keep up with the demand. My family doctor requested a follow-up at the reference hospital for psychiatry not for ADHD, but for depression, as I wanted to try Ketamine treatment. However, the request was denied without any justification.

Current Daily Struggle:

Time passes, and here at home, I generally go to bed between 4:00 AM and 6:00 AM and used to wake up around 5:00 PM or 6:00 PM. This month, I’ve managed a slight improvement, waking up around 2:00 PM, 3:00 PM, or 4:00 PM. It’s small, but it’s progress. I know I should sleep earlier, around 10:00 PM, and if I have to wake up for the baby, I could be up from 2:00 AM to 4:00 AM and then sleep until 7:00 AM or 8:00 AM.

But my life is upside down. I’m doing nothing; financially, I am broken, and I no longer feel any zest for life, energy, or motivation. I feel tired, aimless, and unfocused. I have ideas, like producing specific digital content that I enjoy, but I lack the energy, strength, and consistency. I just stay home, leaving only for obligations like the hospital. It is frustrating for a young man who should be living life to the fullest. My diet has changed significantly I eat a bit of everything, which affects and destroys me at the same time. I need help.

Testosterone Findings:

In my research, I came across the possibility of having low testosterone. I never gave it much thought before because I couldn't afford private exams and wouldn't get treatment at the public hospital. However, I had the grace to get a test on February 20th, which revealed:

- Total Testosterone: 2.79 (µg/L} (Ref: 2.49–8.36)

- Free Testosterone: 14.1 (pg/mL) (Ref: 12.3–46.6)

On March 6th, I contacted an online clinic in Europe called Balance My Hormones. They gave me a list of exams I should do. My family doctor was kind enough to prescribe them so I could do them through the public system. I am attaching those results.

I did this second round of exams around March 20th, along with an ECG. Because of Lent (I am a Catholic Christian), I was fasting, which might have contributed to a relatively increased testosterone value in this second test. However, this does not reflect the reality of how I feel. I am truly lost, without vital energy, not going to the gym, just staying home, caring for the baby, eating, and sleeping. I feel I am not the same person I was before.

ECG is normal.
P.S:
The attached bloodwork is in Portuguese. Most markers will be easily recognizable due to their scientific names, but if any specific values or terms are unclear, please let me know. I wasn't able to translate the entire document myself, but I’m happy to clarify any specific marker for you.

1000654239.webp
1000654281.webp
1000654254.webp
1000654258.webp

1000654260.webp
1000654262.webp


Proposed Protocol & Strategy:

I am considering starting a protocol with Retatrutide (Reta), HCG (to preserve fertility), and Testosterone as follows:

- Testosterone Cypionate: 70mg per week 10mg daily, subcutaneous microdoses.

- HCG: 1100 IU or 1200 IU maximum per week to preserve fertility. I want to do microdoses.

P.S:
My goal is not only to maintain testicular volume but also to sustain spermatogenesis throughout the TRT process, ensuring that I remain fertile and capable of conceiving at any time without having to "restart" or "wake up" the testes later on.

--> Option A (1100 IU): 150 IU Mon-Fri, and 175 IU Sat-Sun.

--> Option B (1200 IU): 180 IU Mon-Fri, and 150 IU Sat-Sun.

. Retatrutide (Reta): 0.5mg on Monday and 0.5 mg on Thursday for the first 4 weeks. From week 5 onwards, 1 mg on Monday and 1 mg on Thursday.

Questions regarding Sources and Quality:

What is the community’s thought on my protocol and situation? I truly cannot live like this anymore; I need to get my life back.

Being in Europe and inexperienced, I’ve seen some sites but don't know if they are reputable for HCG and Testosterone:

deus-medical.eu

- Is this site legitimate? How is the quality of their products? Are there better, more reputable options for someone in Europe?

Regarding Retatrutide, I saw resellers on platforms like the GLP-1 forum, but I cannot access the platform or join Discord/Telegram groups. I am totally lost. One supplier suggested $168 USD for a 20 (mg) vial plus $50 USD for shipping, which is extremely expensive for me.

In my research, I found:

qingdaosigmachemical.com


This supplier claims to be the actual manufacturer in China, not a distributor. They offer 10 vials (10mg each) for $145 USD. Their quality test claims 98.14%, but since they are the manufacturers, they could put any value there. Has anyone had experience with them? The cost-benefit seems excellent, but I don't know if I can trust it.

I sincerely ask for your help, a
s I am a man lost in this world.
 
Welcome toExcelMale

I am also in Portugal (moved from Texas 5 months ago).

Why can you not get the T and hCG from Balancemyhormones?

hCG is hard to get here, but testosterone is easy and cheap if paying cash with no insurance (you need a prescription)

I think it's virtually impossible to import any medication from outside the EU (except Greece).
 
Last edited:
Hello Friends

I hope this message finds you in great health. I am a newcomer to this forum and this is my first post. I am 32 years old, 1.72m tall, and weigh 91 kg.

My Background and Mental Health Journey:
My story begins about two to three years ago. Before this period, I was someone who procrastinated a lot but was still energetic, cheerful, and motivated to do things despite the procrastination. When I needed to focus on academic work or other tasks, I would use psychostimulants Concerta, Ritalin, and Vyvanse. Because I would procrastinate until the last minute, I would take the medication around 6:00 PM or 8:00 PM and stay awake all night. This became very frequent. During this time, I started gaining weight until I reached my current weight.

About 3 to 4 months ago, I became a father, which has meant many sleepless nights without rest. Consequently, about 7 months ago, I had to interrupt my studies because my Master’s dissertation results were terrible; I had no focus or energy. My advisors saw that something wasn't right this was my second attempt to resume after a previous break. I opened up to them and explained that I suffer from depression. I’ve undergone various treatments with Venlafaxine and Sertraline, which seemed to show improvement for about 8 months alongside therapy, but I never achieved satisfactory results.

The Health System in Portugal:

I am currently in Lisbon, Portugal, and the healthcare system here is in a dire state due to overcrowding and system overload. They simply cannot keep up with the demand. My family doctor requested a follow-up at the reference hospital for psychiatry not for ADHD, but for depression, as I wanted to try Ketamine treatment. However, the request was denied without any justification.

Current Daily Struggle:

Time passes, and here at home, I generally go to bed between 4:00 AM and 6:00 AM and used to wake up around 5:00 PM or 6:00 PM. This month, I’ve managed a slight improvement, waking up around 2:00 PM, 3:00 PM, or 4:00 PM. It’s small, but it’s progress. I know I should sleep earlier, around 10:00 PM, and if I have to wake up for the baby, I could be up from 2:00 AM to 4:00 AM and then sleep until 7:00 AM or 8:00 AM.

But my life is upside down. I’m doing nothing; financially, I am broken, and I no longer feel any zest for life, energy, or motivation. I feel tired, aimless, and unfocused. I have ideas, like producing specific digital content that I enjoy, but I lack the energy, strength, and consistency. I just stay home, leaving only for obligations like the hospital. It is frustrating for a young man who should be living life to the fullest. My diet has changed significantly I eat a bit of everything, which affects and destroys me at the same time. I need help.

Testosterone Findings:

In my research, I came across the possibility of having low testosterone. I never gave it much thought before because I couldn't afford private exams and wouldn't get treatment at the public hospital. However, I had the grace to get a test on February 20th, which revealed:

- Total Testosterone: 2.79 (µg/L} (Ref: 2.49–8.36)

- Free Testosterone: 14.1 (pg/mL) (Ref: 12.3–46.6)

On March 6th, I contacted an online clinic in Europe called Balance My Hormones. They gave me a list of exams I should do. My family doctor was kind enough to prescribe them so I could do them through the public system. I am attaching those results.

I did this second round of exams around March 20th, along with an ECG. Because of Lent (I am a Catholic Christian), I was fasting, which might have contributed to a relatively increased testosterone value in this second test. However, this does not reflect the reality of how I feel. I am truly lost, without vital energy, not going to the gym, just staying home, caring for the baby, eating, and sleeping. I feel I am not the same person I was before.

ECG is normal.
P.S:
The attached bloodwork is in Portuguese. Most markers will be easily recognizable due to their scientific names, but if any specific values or terms are unclear, please let me know. I wasn't able to translate the entire document myself, but I’m happy to clarify any specific marker for you.

View attachment 56326View attachment 56327View attachment 56328View attachment 56329
View attachment 56330View attachment 56331

Proposed Protocol & Strategy:

I am considering starting a protocol with Retatrutide (Reta), HCG (to preserve fertility), and Testosterone as follows:

- Testosterone Cypionate: 70mg per week 10mg daily, subcutaneous microdoses.

- HCG: 1100 IU or 1200 IU maximum per week to preserve fertility. I want to do microdoses.

P.S:
My goal is not only to maintain testicular volume but also to sustain spermatogenesis throughout the TRT process, ensuring that I remain fertile and capable of conceiving at any time without having to "restart" or "wake up" the testes later on.

--> Option A (1100 IU): 150 IU Mon-Fri, and 175 IU Sat-Sun.

--> Option B (1200 IU): 180 IU Mon-Fri, and 150 IU Sat-Sun.

. Retatrutide (Reta): 0.5mg on Monday and 0.5 mg on Thursday for the first 4 weeks. From week 5 onwards, 1 mg on Monday and 1 mg on Thursday.

Questions regarding Sources and Quality:

What is the community’s thought on my protocol and situation? I truly cannot live like this anymore; I need to get my life back.

Being in Europe and inexperienced, I’ve seen some sites but don't know if they are reputable for HCG and Testosterone:

deus-medical.eu

- Is this site legitimate? How is the quality of their products? Are there better, more reputable options for someone in Europe?

Regarding Retatrutide, I saw resellers on platforms like the GLP-1 forum, but I cannot access the platform or join Discord/Telegram groups. I am totally lost. One supplier suggested $168 USD for a 20 (mg) vial plus $50 USD for shipping, which is extremely expensive for me.

In my research, I found:

qingdaosigmachemical.com


This supplier claims to be the actual manufacturer in China, not a distributor. They offer 10 vials (10mg each) for $145 USD. Their quality test claims 98.14%, but since they are the manufacturers, they could put any value there. Has anyone had experience with them? The cost-benefit seems excellent, but I don't know if I can trust it.

I sincerely ask for your help, a
s I am a man lost in this world.
You may want to try creatine. It really helps with overall energy and brain health. My stepson just reverse engineer an AI algorithm and programmed it for offensive football plays. He stayed up for 80 hour straight to finish the project. He used 25 grams of creatine to keep his brain functioning properly.
 
Welcome toExcelMale

I am also in Portugal (moved from Texas 5 months ago).

Why can you not get the T and hCG from Balancemyhormones?

hCG is hard to get here, but testosterone is easy and cheap if paying cash with no insurance (you need a prescription)

I think it's virtually impossible to import any medication from outside the EU (except Greece).

Welcome toExcelMale

I am also in Portugal (moved from Texas 5 months ago).

Why can you not get the T and hCG from Balancemyhormones?

hCG is hard to get here, but testosterone is easy and cheap if paying cash with no insurance (you need a prescription)

I think it's virtually impossible to import any medication from outside the EU (except Greece).
Hi Nelson Vergel,

Thank you so much for the welcome! It’s great to know someone with your experience is also here in Portugal.

To answer your question about Balance My Hormones: the main issue is the cost. Their monthly subscription for Testosterone + HCG is around £185, plus the £135 initial doctor consultation. For my current financial situation, this is unfortunately impossible to sustain.

You mentioned that Testosterone is cheap here if paying cash with a prescription. My main struggle is: how do you manage to get a prescription from a doctor in Portugal who actually understands TRT? My GP is kind, but he is not a specialist. Did you find a local private doctor, or do you have any advice on how to approach a Portuguese physician to get a legal prescription for the pharmacy?

Also, regarding the sources I found like deus-medical.eu (which operates within Europe), do you have any experience with them or similar European sources? Looking at my bloodwork, do you think there’s a specific marker that would help me justify the need for a prescription here in Portugal?

I’m really trying to find a way to make this work without breaking the bank. Thank you for your help!
 
You may want to try creatine. It really helps with overall energy and brain health. My stepson just reverse engineer an AI algorithm and programmed it for offensive football plays. He stayed up for 80 hour straight to finish the project. He used 25 grams of creatine to keep his brain functioning properly.
Hi Vince,

Thank you for the suggestion! That’s an impressive story about your stepson 80 hours straight is incredible.

I will definitely look into adding creatine to my routine for the brain health and energy benefits. However, looking at my full bloodwork (the pre-diabetes risk with HbA1c at 6.0%, the low Testosterone at 3.17, and the high Prolactin), do you feel that creatine alone would be enough to pull me out of this 'abyss'?

I feel completely 'broken' in terms of motivation and vital energy. Based on your experience with these types of labs, do you think I should still be pushing for the TRT/HCG protocol I proposed, or is there another step I’m missing before jumping into hormones?

I appreciate your wisdom on this!
 
Hi Vince,

Thank you for the suggestion! That’s an impressive story about your stepson 80 hours straight is incredible.

I will definitely look into adding creatine to my routine for the brain health and energy benefits. However, looking at my full bloodwork (the pre-diabetes risk with HbA1c at 6.0%, the low Testosterone at 3.17, and the high Prolactin), do you feel that creatine alone would be enough to pull me out of this 'abyss'?

I feel completely 'broken' in terms of motivation and vital energy. Based on your experience with these types of labs, do you think I should still be pushing for the TRT/HCG protocol I proposed, or is there another step I’m missing before jumping into hormones?

I appreciate your wisdom on this!
The only way you know for sure is by trying it. There's nothing wrong with taking metformin. If you need it. Make sure you taking your B12, metformin would lower it.
 
Speaking to the elephant in the room... Your lifestyle has devolved into something that is ruining your life. I'll give you a gem of information, the magic silver bullet that can cure almost all of your complaints. Sleep.

Your circadian rhythm is completely out of whack and most likely causing all of your problems. Before you do anything else, get yourself back on track with proper sleep, nutrition and exercise. Starting TRT with your body and mental state in its current condition will just end up in frustration for you. Putting high grade gasoline into a broken car will not make it run, you have to fix the car first.



The Impact of Sleep on Male Hormones​

by Robert Haynes Published: 03 January 2026Last updated: 03 February 2026

man sleeping



Sleep is a fundamental driver of male hormonal health, and its role goes far beyond rest and recovery. The majority of testosterone production occurs during deep stages of sleep, particularly during rapid eye movement (REM) and non-REM cycles.


















Consistently sleeping less than five hours per night has been shown to lower testosterone levels by up to 10–15%, while simultaneously increasing cortisol, the body’s primary stress hormone.


Poor sleep also disrupts insulin regulation, growth hormone release, and overall endocrine (hormone-regulating system) balance. Over time, this stress-induced hormonal suppression can negatively affect reproductive health, like erectile dysfunction (ED), metabolism, energy levels, and sexual function.

Testosterone is the primary male sex hormone responsible for libido, muscle mass, bone density, mood, and energy. Sleep quality and duration directly affect how much testosterone the body produces and maintains. This can be understood by looking at its production cycle, the effects of sleep deprivation, and how age-related changes interact with poor sleep.

Impact on testosterone

Testosterone is the primary male sex hormone responsible for libido, muscle mass, bone density, mood, and energy. Sleep quality and duration directly affect how much testosterone the body produces and maintains. This can be understood by looking at its production cycle, the effects of sleep deprivation, and how age-related changes interact with poor sleep.

  • Production cycle. Testosterone follows a daily rhythm, with levels rising during sleep and peaking in the early morning. Deep, uninterrupted rest allows the body to complete this testosterone production cycle effectively. Fragmented or insufficient sleep shortens this window, limiting hormone release and balance.
  • Sleep deprivation. Chronic sleep deprivation reduces testosterone even in young, healthy men. Studies show that just one week of restricted sleep can significantly lower testosterone, leading to fatigue, reduced libido, and decreased motivation. This hormonal drop can occur even without changes in physical activity or diet.
  • Age factor. As men age, natural testosterone levels decline. Poor sleep can accelerate this process, making age-related hormonal changes more noticeable. Older men are particularly sensitive to sleep loss, which can further damage hormone balance and recovery.

Testosterone does not function alone. Sleep affects multiple hormones that work together to regulate stress, growth, and overall health.


  • Cortisol. Cortisol naturally decreases during the night, allowing the body to rest and repair. It then rises in the early morning to help you get up and stay aware. Poor sleep, however, keeps cortisol levels elevated throughout the night. This eventually disrupts the sleep and testosterone production cycle. Chronically high cortisol also increases inflammation and interferes with sexual and metabolic health.
  • Growth hormone (GH). Growth hormone is released primarily during deep sleep and plays a major role in muscle repair, fat metabolism, and tissue recovery. Reduced GH release due to poor sleep can lead to muscle loss, increased fat storage, and slower physical recovery.
  • Melatonin. Melatonin regulates the sleep-wake cycle and supports overall hormonal coordination. Disrupted sleep patterns reduce melatonin production, which, in turn, indirectly affects testosterone, insulin sensitivity, and immune function.

Ongoing sleep deprivation does not just alter hormone levels in the blood; it produces noticeable physical and emotional effects. When sleep loss becomes chronic, hormonal imbalances begin to affect sexual health, metabolism, energy levels, and overall quality of life.

  • Erectile dysfunction. Poor sleep is strongly linked to Erectile Dysfunction. Low testosterone, impaired blood flow, and increased cortisol all interfere with sexual arousal and erection quality. Men with sleep disorders often report weaker or inconsistent erections.
  • Metabolic issues. Sleep loss disrupts insulin regulation and increases the risk of weight gain, insulin resistance, and type 2 diabetes. These metabolic changes further impair hormone balance and cardiovascular health, creating a cycle that worsens hormonal decline.
  • Reduced energy. Low energy, poor concentration, and reduced motivation are common signs of sleep-related hormonal imbalance. Men may feel physically drained even after minimal exertion, affecting work performance and daily activities.

Improving sleep quality is one of the most effective natural ways to restore hormonal balance and overall health. You can manage it with:

  • Consistent schedule: Going to bed and waking up at the same time every day helps regulate the body’s internal clock. Consistency improves sleep depth and supports normal testosterone production.
  • Sleep environment: A cool, dark, and quiet bedroom promotes deeper sleep cycles. Reducing noise and light exposure helps the body remain in restorative sleep stages longer.
  • Limit screen time: Avoiding phones, TVs, and laptops before bed prevents blue light from suppressing melatonin. This allows the body to naturally transition into sleep and maintain healthy hormone rhythms.
  • Manage stress: Relaxation techniques such as deep breathing, meditation, or light stretching before bed help lower cortisol levels. Reduced stress improves both sleep quality and hormonal balance.
  • Active lifestyle: Regular physical activity improves sleep efficiency and duration. Exercise also supports testosterone levels, metabolic health, and overall energy when done consistently.

Sleep plays a critical role in maintaining male hormonal balance, influencing testosterone, cortisol, GH, and overall metabolic health. Poor sleep disrupts these systems, increasing the risk of Erectile Dysfunction, low energy, and long-term health complications.


By prioritizing quality sleep and healthy habits, like limiting screen time and maintaining consistent sleep schedules, you can protect hormone production, improve physical performance, and support emotional well-being.
 
Retatrutide is an amazing substance for rapid weight loss and visceral fat reduction. But.... The initial side effects include a dip in motivation, some lethargy and a possible interruption in sleep quality. I know this from personal experience. The side effects do resolve themselves, but if you go down that road be prepared for this.
 

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