I have been dealing with some unresolved health issues for around 6 years. I have periods where symptoms are worse and where symptoms aren’t as bad.
26M | 5’11" | 180lbs
Symptoms:
- Fatigue
- Low libido
- Poor exercise performance
- Inability to focus
- Headaches
- Joint pain
- Anxiety
- Depression
- Weight gain (however i recently have been able to lose 20 lbs through careful dieting)
- High bp (140-150/80-90 w/o meds)
- Low body temp 96.0-96.5 in AM, 97.5-98.0 in PM
- Always cold especially hands/feet
Current Medication: Vyvanse 40mg (not cause of high bp) dx’d ADHD 2 years ago. Losartan 50mg for bp (helps some)
Supplements: 5000IU vit d (daily), 90 mcg K2 MK-7, 1200 mg omega-3, 450mg magnesium, 30mg zinc.
Labs, most recent to oldest:
1/2/17
TSH 1.320 (.45-4.5)
Testosterone, Serum 389 (348-1197) doctor was concerned by these levels appointment next week
Magnesium, Serum 2.4 (1.6-2.3)
Vitamin D 29.7 (30.0-100.0)
Lipid Panel Cholesteral, Total 121 (100-199), Triglycerides 50 (0-149), HDL 43 (>39), Vldl 10 (5-40), Ldl 68 (0-99)
Glucose, Serum 106 (65-99)
CBC & Comp. Metabolic Panel all normal
3/23/16 I remember being dehydrated for this lab so results are probably slightly inflated (they had to draw from 2 locations)
Eosinophils 1.7 (0.00-.60)
%Eosinophils 21.8 (.7-7.5)
DHEA-S 913.1 (89.0-457.0)
Vitamin D 16.9 (30.0-100.0)
Testosterone, Serum 464 (241-827)
Testosterone, Free 12.25 (5.00-21.00)
SHBG 20 (10-57)
Albumin 4.4 (3.0-4.6)
FSH 2.0 (1.4-18.1)
LH 2.5 (1.5-9.3)
Prolactin 6.5 (2.1-17.7)
Vitamin B12 407 (211-911)
12/12/15
RBC 4.67 (4.7-5.9)
Hgb 13.7 (14.0-17.1)
HCT 40.8 (41.9-53.1)
Eosinophils .83 (0.00-0.60)
% Eosinophils 14.2 (.7-7.5)
DHEA-S 789.0 (89.0-457.0)
Estradiol 18.9 (ND*-39.8)
Progesterone 1.79 (.28-1.22)
Testosterone, Serum 377 (241-827)
Albumin 4.1 (3.0-4.6)
SHBG 21 (10-57)
Testosterone, Free 9.95 (5.00-21.00)
Cortisol 8.7 (5-25) 8:30AM
11/24/15
Vitamin D 13.1 (30.0-100.0)
T3R 20.5 (9.0-27.0)
FT4 1.21 (.89-1.76)
FT3 3.4 (2.3-4.2)
B-12 562 (211-911)
10/23/15
Celiac Panel Negative
Cortisol 10.5 (5-25) 11AM
TSH 1.054 (.350-5.500)
Thyrobolublin Ab 17 (<60)
TPO <28 (<60)
FT4 1.37 (.89-1.76)
TT4 8.7 (4.5-10.9)
FT3 3.3 (2.3-4.2)
TT3 .97 (.60-1.81)
B-12 406 (211-911)
T3RU 35.5 (24.0-35.0) although high i’m fairly sure this is a useless test
I’ve seen several doctors, I got a new GP last week and saw her. I like her so far, she took the time to listen to my concerns and actually thinks my T levels are a concern ~30 from bottom range. Got new labs done with her which showed same T levels. She also said something about my AM cortisol being a bit low. I along with her are completely confused as to what is causing high DHEA-S levels, especially with low T.
Unsure what DHEA-S levels mean. Its a fairly non specific test, but from what I’ve read high levels >600 warrant additional research.
It seems to me like i might have some sort of secondary hypogonadism, but maybe my levels are actually okay? LH and FSH seem lower then they should be, but are within range.
I’m not sure if my AM cortisol is too low or not. I don’t believe my insurance would pay for a 24 hour saliva, but maybe i can do an online one.
I have symptoms of both low T and hypothyroid, but my thyroid tests come back near perfect every time. T appears to be on the low side. AM temps are consistently low. I am considering IR before doing anything else, maybe that could help.
Trying to figure out how i should proceed. I’m sure my doctor already has an idea on what to do next, but I would like to be able to ask for specific tests if need be. I am going to ask for a full male hormone panel. Total T, Free T, LH, FSH, Estradiol (sensitive). And probably ask for another am cortisol.