Hey everyone. New to these forums and to finding out I have low test. Been having symptoms for years, but just recently got the time to get blood work done. 26 y/o male been having symptoms of Low T - poor sleep, constant fatigue, absolute no sex drive. I train very seriously, lift 4-5x a week, and my nutrition is spot on. Currently 183 pounds around 14% BF and aiming to get sub 10%. Just been having poor recovery and feel my adrenals are shot also. Below is my lab work, I�¢??ve remarked on all the abnormals, if there are no reference intervals that means it�¢??s in normal range for the common labs.
I don�¢??t know if my problem is in the pituitary, since my LH/FSH and test are all low/borderline low? Or if the problem is in my adrenals since almost all those labs are low/borderline low as well? Should I looking at improving my adrenal function? Trying a HPTA restart with clomid/hCG? Or go straight to TRT? Don�¢??t think I need an AI right now as my E2 levels are perfect.
Any feedback/insight/advice/what should I do next would be great! Thanks for all the help in advance.
CBC:
WBC 5.1
Hemoglobin 15.3
Hematocrit 44.3
MCV 88
CMP:
Glc 87
BUN 16
Cr 1.16
Sodium 139
Potassium 4.3
Chloride 101
Carbon Dioxide 25
Calcium 9.8
AST 36
ALT 34
Lipids:
Total Cholesterol 134
Triglycerides 55
HDL 38
LDL 85
VLDL 11
Hemoglobin A1c 5.3
Thyroid Panel
TSH 2.070 (0.450 - 4.5)
Free T4 1.30 (0.82-1.77)
Free T3 3.7 (2-4.4)
Reverse T3 19.7 (9.2-24.1)
Thyroid Peroxidase Antibody 6 (0-34)
Adrenal Panel
Aldosterone 5.6 (0-30) Borderline low
ACTH 27.5 (7.2-63.3) Borderline low
Cortisol AM 14.1 (6-19) Low
DHEA Sulfate 144.9 (138.5-475) Borderline low
Vitamin B12 1287 HIGH (211-946)
Folate 13.2 >3
Vitamin D 25 Hydroxy 28 LOW (30-100)
Magnesium 2.1
Selenium 144 (79-326)
Zinc 149 HIGH (56-134)
Ferritin 39 (30-400)
Iodine 69
Homocystein 5.8
ESR 2
CRP <1.0
Total Testosterone 438 (348-1197)
Free Testosterone 6.8 LOW (9.3-26.5)
FSH 3.9 (1.5-12.4)
LH 3.3 (1.7-8.6)
Prolactin 13.6 (4-15.2) I had orgasmed ~30 hrs prior to test, don’t know if it’ll affect it
Estradiol 18.8 (7.6-42.6)
PSA 0.2