18 Y/O Blood Work

Pharma / TRT Testosterone Replacement
1

Hey, I have low testosterone (tested 3 times). Also my TSH is 7.8 which suggests hypothyroid.

First test was 356 ng/dl, second test 288 ng/dl, third 320 ng/dl.

Just wondering if anyone has any insight of what I should ADD to my current sheet that I will show my physician.

Note that I’m trying to cover EVERYTHING that could affect me negatively;

Recommended lab work:

  • Chemistry Panel (Metabolic panel with lipids)
  • Complete Blood Count (CBC)
  • Free Testosterone
  • Total Testosterone
  • DHEA-S - Sulfate (low DHEA = increased risk of cardio complications + DHEA converts to T)
  • Estradiol
  • Estrone, Serum
  • Homocysteine
  • C-reactive protein (High sensitivity) - (high = cardio risk)
    *Aldosterone
    *DHT (Dihydrotestosterone)
  • SHBG
  • Progesterone
  • Prolactin

Thyroid Labs:

  • TSH (Thyroid Stimulating Hormone)
  • Total T4
  • Free T4
  • Total T3
  • Free T3
  • Reverse T3 (excess T4 converts to RT3. High RT3 blocks free T3 - so your TSH and T3 numbers could look great, but are blocked by RT3).
  • T3 Uptake
  • Thyroglobulin Antibodies
  • Thyroid Peroxidase

Continued:

  • Cortisol

  • LH

  • FSH

  • IGF-1 (Insulin-Like Growth Factor)

  • Pregnenolone (precursor of Cortisol, DHEA, and Progesterone + Preg resolves brain fog and improved memory)

  • VITAMIN A, E, B3, B12

  • Vitamin D, 25-OH Total

  • Vitamin D, 25-OH D3

  • Cholesterol, Total

  • Ferritin

  • Iron, Total Binding Capacity

  • Iron, Binding Capacity

  • Iron, % Saturation

  • Magnesium

  • Copper, serum

  • Zinc

2

Symptoms!

Energy levels, depression(?), libido, feeling cold, etc. Without this labs are worthless because the goal is to feel better, not to get better scores in the lab results.

3

[quote]eaboadar wrote:
Symptoms!

Energy levels, depression(?), libido, feeling cold, etc. Without this labs are worthless because the goal is to feel better, not to get better scores in the lab results.[/quote]
Just realized I was very vague.

-Basically I get an erection probably once or twice a week give or take, occasionally in the morning when I need to piss. Libido is non existent except perhaps every 15-20 days where I actually feel like I need to masturbate. If I do, it’ll be another month before I have that urge again.

-Brain fog out the ass, can not even remember simple orders where I work.

-Poor circulation to hands, knees, and my legs in general. Feet and hands always freezing and ice cube like.

-0 motivation to do anything, I always get this “fatigue” 3 hours or so after waking that is odd… It doesn’t allow me to sleep but it feels like I need to as it doesn’t allow me to do anything.

-Weak muscles, probably due to being right on the low end of free and total testosterone for an adult male but who knows.

-Very slow digestive system, go to bed bloated as fuck regardless of what I eat, the only cure is sleep.

I’m going to link my previous blood work, but I kind of think it’s a thyroid issue (my endo disagrees and says it’s normal). I say this because I have every symptom, and my TSH has risen from 5.1 to 7.8. My vitals are taken every visit and sometimes my temp is 97-97.3 degrees which I’m not sure is normal.

She didn’t want to test FT3 or anything else, so I feel like I’m on my own here with my prime care doctor.

First test results;
Please copy and paste these into your web browser to view them;

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1276×935 118 KB

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Would like to add that I’ve gotten my vitamin D up to 80 ng/dl (ref range 30-100) which I’m happy with.

TSH:

723×109 2.58 KB

FSH:

716×102 2.56 KB

Luteinizing Hormone:

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Second total testosterone check (lowest)

730×409 10.5 KB

Most recent testosterone panel:

727×837 27.4 KB

My doctor is very nice and will probably test for everything I ask for, I really need to figure out the problem, which is why I made this thread.

4

Something is certainly amiss. Thyroid seems like an obvious place to start. I would find a specialist in that area. Maybe even an immunologist considering some of the other flags.

High B12 and folate should be looked into. That’s a flag for something, but can’t recall for what. Methyation issues?

High ALT and low RBC/WBC would also be concerning. Some sort of general immune disorder?

You have a lot to sort through. I would not be immediately concerned with T. The other areas seem much more concerning. Do some research yourself and stay proactive with your docs.

5

You might try to get a hold of Shawn at Bio-individualized Medicine | Facebook

He seems very busy and was a bit difficult to work with, but seems to know his shit when it comes to complex issues like this. I didn’t have a doc he could work directly with, so that might have been an issue. Even if he doesn’t provide specific treatment advice, he may offer some clues if you’re proactive.

6

Well my doctor put me on 25mcg of levothyroxine, hopefully I feel a little better I suppose.

Or is this too small to even make a difference?