31 Y/O Ngiapmac's Journey to Solving Low T

@hardartery Thanks again for the information, it is much appreciated.

So my high prolactin is indicative that my dopamine production is low? I quit a couple years ago, but I was a habitual weed smoker for many years in my twenties and I’ve always wondered if this had any long-term effects on my ability to produce dopamine. I’ve been supplementing with Dopa Mucuna from NOW Foods for a few weeks now, so it’s surprising that my prolactin levels went up on this last round of bloodwork…

@traveling-man I’ve actually been supplementing with Dopa Mucuna from NOW Foods for the last few weeks now, so I’m surprised that my prolactin levels went up on my last round of bloodwork.

I have used cabergoline in the past with minimal to no side effects, and while it did drop my prolactin levels to almost zero, I didn’t notice any difference in regards to ED. Based on the study that you linked, perhaps this was because my prolactin was too low…

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I met with my Naturopath today to review some more specific bloodwork that I just got done, as well as the results of my IgG food sensitivity test.

It appears as though the following foods trigger an immune response for me:

  • egg whites
  • egg yolk
  • milk (cow)
  • milk (sheep)
  • milk (goat)
  • casein
  • barley
  • pistachio
  • potato
  • corn
  • rice
  • gliadin
  • almond
  • wheat
  • wheat bran
  • bean (red kidney)
  • bean (white haricot)
  • brazil nut
  • peanut
  • cashew nut
  • hazelnut
  • yeast (brewer’s)
  • yeast (baker’s)
  • cola nut
  • spelt
  • durum wheat
  • orange
  • radish
  • sunflower seed
  • fig
  • walnut
  • plum
  • soy bean
  • ginger
  • pomegranate
  • aloe vera
  • pea
  • cabbage (savoy/white)
  • lime
  • tiger nut
  • amaranth

He also said that the rest of my bloodwork looks good, including my test levels and SHBG (although I still felt as though it was too high), and that the only thing that he is concerned about are the antibodies that continue to be elevated. They are the lowest that they’ve been since I was first diagnosed with Hashimoto’s, but they’re still at a point where my immune system is attacking my thyroid. He wants me to eat a diet for the next 2-3 months that exclude all foods that trigger an immune response and see if this improves my antibodies, and in turn, my ED.

Here are my bloodwork numbers:

Thyroid Function

Thyroglobulin Antiobody - HI 175 [<40] kIU/L
Thyrperoxidase Antibody - HI 83 [<35] kIU/L

Tumour Markers

Prostate Specific Antigen - 0.60 [<4.0] ug/L

Reproductive and Gonadal

Testosterone Free - 333 [196-636] pmol/L
Testosterone Bioavailable - 7.8 [3.6-11.2] nmol/L
Sex Hormone Binding Globulin - 46.0 [10.0-70.0] nmol/L

Referred Tests

Reverse T3
Reverse T3 - 12 [8-25] ng/dL

I do hope it works out for you …

I am not a big believer in “food sensitivity” tests. But that is just my opinion and nothing more.

@traveling-man In what sense do you not believe in food sensitivity tests? Genuinely curious because a lot of the foods that I’m supposedly sensitive to, I’ve never noticed anything when eating them.

Checking in with my latest bloodwork results and continuing on this journey. Things seemed to have been getting a little better over the last little bit. I’m starting to wake up with morning erections, albeit pretty weak. However, I’m still struggling with the ED without the use of PDE-5 inhibitors. At this point, it’s looking like these might be my only solution for the rest of my life, which is depressing to think about in all the situations when it might be tough to rely on them i.e., going on vacation. I see my endo this coming week, and then my urologist the week after and I’m really going to stress trying to find what the underlying cause is here. I’m frustrated and just want to get down to the bottom of things at this point. Anyways, here are my latest numbers…

Hematology

WBC - 5.0 [4.0 - 11.0] x E9/L
RBC - 4.94 [4.50 - 6.00] x E12/L
Hemoglobin - 155 [135 - 175] g/L
Hematocrit - 0.455 [0.400 - 0.500] L/L
MCV - 92 [80 - 100] fL
MCH - 31.4 [27.5 - 33.0] pg
MCHC - 341 [305 - 360] g/L
RDW - 11.7 [11.5 - 14.5] %
Platelet Count - 284 [150 - 400] x E9/L

Differential

Neutrophils - 2.4 [2.0 - 7.5] x E9/L
Lymphocytes - 2.0 [1.0 - 3.5] x E9/L
Monocytes - 0.4 [0.2 - 1.0 x E9/L
Eosinophils - 0.2 [0.0 - 0.5] x E9/L
Basophils - 0.0 [0.0 - 0.2] x E9/L
Immature Granulocytes - 0.0 [0.0 - 0.1] x E9/L
Nucleated RBC - 0 /100 WBC

Biochemical Investigation of Anemias

Vitamin B12 - 459 [138-652] pmol/L
Ferritin - 158 [22-275] ug/L

General Chemistry

Glucose Fasting - 4.7 [3.6 - 6.0] mmol/L
Hemoglobin A1C/Total Hemoglobin - 5.1 [<6.0%]
Potassium - 4.2 [3.5-5.2] mmol/L
Creatinine - 114 [67-117] umol/L
Glomerular Filtration Rate (eGFR) - 72
Calcium - 2.42 [2.15-2.60] mmol/L
Albumin - 48 [35-52] g/L
Alanine Aminotransferase - 20 [<50] U/L

Muscle Enzymes

Creatine Kinase - HI 361 [44-275] U/L

Lipids

Hours After Meal - 12 hours
Triglyceride - 0.76 mmol/L
Cholesterol - 5.92 mmol/L
HDL Cholesterol - 1.55 mmol/L
Non HDL Cholesterol - 4.37 mmol/L
LDL Cholesterol - 4.02 mmol/L
Cholesterol/HDL Cholesterol - 3.8

Thyroid Function

Thyroid Stimulating Hormone (TSH) - 1.61 [0.32-4.00] mIU/L
Thyroxine Free (Free T4) - 14 [9-19] pmol/L
Triiodothyronine Free (Free T3) - 3.1 [2.6-5.8] pmol/L
Thyroglobulin Antibody - HI 203 [<40] kIU/L
Thyroid Peroxidase Antibody - HI 62 [<35] kIU/L

Pituitary Function

Follicle Stimulating Hormone (FSH) - 2.2 [1.0-8.0] IU/L
Luteinizing Hormone (LH) - 3.5 [1.0-7.0] IU/L

Adrenocorticotropic Hormone [ACTH]

Collection Time - 9:48 am
Prolactin - 12.9 [4.0-19.0] ug/L

Adrenal Function

Cortisol Random

Cortisol Random - 459 [135-537] nmol/L
Collection Date - 26-SEPT-2019
Collection Time - 9:45 AM

Reproductive and Gonadal

Estradiol - 48 [<162] pmol/L
Testosterone - 21.7 [8.4 - 28.8] nmol/L

Serum Proteins
C Reactive Protein - 0.4 [<6.0] mg/L

Bone Markers

25-Hydroxyvitamin D - 150 [75 - 250] nmol/L

Referred Tests
Adrenal Antibody - NEGATIVE

@ngiapmac I am embarrassed to say that I can not give you a volume of data to support my feeling.

I think food sensitivity is a trendy answer to unrelated problems. Look at all the items are you “sensitive” to … it has become ridiculous IMO.

When I was a child (visiting doctors for acne), I was told a dozen or more items that I would need to stop ingesting to control my acne. Yeah. I’m still eating them.

Milk is on your list. Are you lactose intolerant? That is different than a sensitivity.
Eggs are on your list. Now that you know it, you will feel the “sensitivity” to these foods. Look up Pavlov.

I just do not believe in the alleged “science”.

Do some foods make me feel different? SURE. The day I eat the huge plate of pasta and red sauce for lunch, I’m lethargic.

The day I eat Mongolian BBQ with all the sauces, onions, and chili peppers, I need to poop within an hour.

Just my opinion.

Your levels of estrogen are very low of this conversion is correct. You need to be well above 40. Also same goes with the free t. No wonder. I’d fix that right away. Sounds odd to me though. How is it so low and you aren’t screaming for help. I know you are , but that low estrogen you’d be fatigued depressed and deathly.

Your free t3 is very low. You need to get that up past 5 and closer to 6 if you want thyroid symptoms to disappear. I was at 3.8 out of 5 and fatigued. Raised my dose to get me into the high 4s and I feel fantastically normal.

Good to know. I was at 3.2 before TRT, haven’t re tested, but going to start thyroid soon I think and see how it goes

Take armour thyroid t4 and t3. You could portably jsut take 2 grains Am and 2 grains Pm like me and it will be just enough. Don’t forget to take it 8 hours apart. This is Due to half life. Otherwise you’ll wake up with less and continue trying to put out a fire that burned all night.

Take it 8 hours apart and when you wake up youbare jsut topping it off. Make sense?

Or others feel fatigued 8 hours after first dose and that why they take PM dose.

Anyways good luck.

Sounds good, will do. I get up around 6am to I’ll do 6am and 2-3pm and see what happens.

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Right on good luck.

Don’t forget to take it on a totally empty stomach and that means no water or coffee for 30-45 mins after taking the dose. Otherwise your absorption sucks :slight_smile:

Wait about an hour or more if you have eaten before taking it
.

Will do. I don’t eat breakfast so shouldn’t be an issue

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Thyroid meds are a pain in the ass to time.

I wake at 5am, take my pill. Back to sleep until 6am and then I can have coffee.

Then, I need to time my meals around it later on in the day.

It’s a pain.

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I appreciate and value your opinion.

As I mentioned, I’m not fully on board with food sensitivity either. Many of the foods that I tested sensitive for I do not react too at all. For instance, I can eat a whole tub of ice cream and feel completely normal. It’s not like I feel sluggish or lethargic after eating it.

I’m the same as you in that I feel more lethargic eating heavy carb meals vs. foods that I am apparently sensitive to. I guess more research will have to be done on my end to get to the root cause of all my issues…

@enackers Thank you for the feedback! You aren’t the only person in this thread that has told me that my estrogen is too low.

I brought this up with my endo and she just brushed it off saying that estrogen in males doesn’t matter. Brutal, to say the least.

What would you recommend to increase estrogen? Can it be done naturally? I have HCG that I could use…

@enackers I asked my endo to increase my thyroid med dosages, but she told me that my numbers are perfect where they are now - another ignorant oversight on her part!

I am currently taking both Synthroid and Thyroid Armour (just called Thyroid here in Canada). I take 75mcg Synthroid + 60mcg Thyroid Armour immediately upon waking. I just started this protocol after getting my most recent blood work results. Previously I was doing 75mcg Synthroid + 30mcg Thyroid Armour.

I may try adding an additional 30-60mcg of Thyroid Armour in the afternoon 8 hours after my morning dose. Thoughts?

Take one shot of cypionate not dusky for two weeks: start hcg immediately. Tell your doctor he she is fired and go find a new doc and sure have them give you estrogen blocker just don’t take it.

Where are you located let’s find you a doctor.

Yes you need to take it 8 hours later. Send me your location get a new doc.