Need Advice, Had Bloodtest

Guys,
I am new to the forum and am looking forward to hearing some advice from people that know what they are doing.
First of all I am 40yrs old 6’1 and 202lbs, not sure of bodyfat I would guess its not rediculous. I have reintroduced myself to the weightroom about 2yrs ago and have trained pretty religiously since. My first blood test was in Dec 07 and was diagnosed with hypothyroidism and have started unithroid for that.

As far as diet goes I eat relatively clean with no fried foods, lots of chicken,eggs salads,oatmeal and the occasional pizza or burrito. I try for about 150 gms of protein a day.
I just got the results back from my recent blood test and need some help understanding what it means, so here goes.

Glucose: 96
BUN: 25
Creatine: 1.2
Sodium: 138
Potassium: 4.1
Chloride: 104
C02: 27
Calcium: 9.6
Total Protein: 7.6
Albumin: 4.5
A/G: 1.5
Bilirubin,tot .4
AST: 27
ALKP 74
ALT 46

Free Test 65
Total Test 367

Blood Pressure was 134/83

Cholesterol 224
Triglyceride 181
HDL 33
LDL 155

Where do you “wear” your fat?

Are you going to get treated for those T levels? Those are too low for your age. TRT will lower your cholesterol. You could increase your HDT with niacin and some other things. If you are on statin drugs, you may be able to get off of those and be better off for that.

You also need to have a serum E2 test. If you doc refuses to do that, you will have to educate him or go shopping.

You also need a PSA test. Do not have sex or whack off for a few days before that that does spike PSA for some. PSA should be tracked when on TRT, if only to provide comfort to the doctors liability insurance company’s lawyers.

If you are going to go on TRT, testosterone replacement therapy, you will need to understand the issues of injected VS transdermal. Do not reject injections out of hand! Research on this formun and you have a few weeks or months of reading to do. You will also need to have your E2 levels controlled with an AI, aromatase inhibitor. And you need to inject hCG to keep your testes from shrinking, scrotum from pulling up tight and loosing the single largest production source of prenenolone in your body. Changes to your testes and scrotum can have a large impact on one’s sexual identity and also for one’s wife or GF. Do not discount QOL issues of this nature. The goal is QOL.

T+AI+hCG ← is the standard of care

All of that is simple, the problem is that it is rare to find a doctor who knows about all of that. Read on this forum and you will see story after story of doctors who can’t do things right. So its up to you to know what you want and fight for what you need or be motivated to search and find the right doctor for the care that you need. When it comes to TRT/HRT, the standard of care is “a substandard level of care”.

Do not expect to find expertise with endo’s or urologists, just bigger egos and short appointments.

You cannot be passive about your care, even with a really good doctor. You have to write down and discus your issues [there will be issues] and be up front about your sex life and other “private matters”. Doctors will are “polite” and will not ask awkward questions. So they cannot act on things that you do not talk about.

READ - READ - READ

Most of my body fat like most Americans is just above the belt. I asked about those T levels and the doc informed me and I quote
“you are within normal range and well you are 40” What does the creatinine and the BUN level mean. I though I read somewhere that the BUN level showed some muscle breakdown, or maybe I just dreamed that.

What should my T levels be?? I really have noticed in the last 6 mo. the energy levels are just not what they used to be, I kinda wrote that off to the hypothydoidism. I used to be able to smash some freaking weights, then smash the ole lady in the sheets. Now a stuggling workout and a good nights sleep seems to be preferred.
Thanks again for the help