I’ve been looking for some advice and educated opinions, seems like I’ve found the right place. I have been doing quite a bit of reading which included going through all of the stickies. There is still some blood work that needs to be completed, but I will be as thorough as possible.
Age - 24 turning 25 next month
Height - 6’0
Waist - 34"
Weight - 205lb
Describe body and facial hair - Lots of body hair, no problems growing a full beard. Hair on my head is thinning and slowly receding.
Describe where you carry fat and how changed - Mainly carry fat in the lower abdominal and love handles/lower back
Health conditions, symptoms [history] - none
Rx and OTC drugs, any hair loss drugs or prostate drugs ever - none
Describe diet [some create substantial damage with starvation diets] - I’ve been tracking calories/macros for quite some time now. Well balanced diet, lots of whole foods. 1g/lb protein, 80g Fat and never go below 50g. Fill up the rest of calories with carbs.
SUPPLEMENTS - fish oil, vitamin D, vitamin C, protein powder, creatine, probiotics, digestive enzymes(only before big meals)
Describe training [some ruin there hormones by over training] - 4 days Upper/Lower split. 2 cardio sessions per week.
Testes ache, ever, with a fever? - Left testicle has a constant dull ache, especially when seated for extended periods. I have a grade 2 varicocele on my left testicle and a small hydrocele on my right testicle(ultra-sound was done). The boys run a little hotter than what i think would be normal, but that doesn’t surprise me considering what I stated above.
How have morning wood and nocturnal erections changed - Used to get morning wood about 5-6 times a week. Over the last year the rate at which that happens has progressively declined. Pretty much non-existent at this point.
SYMPTOMS
All of this has progressively become worse over the last years time. Very rare to non-existent erections, loss of libido, very lethargic, lots of brain fog, lack of motivation and ambition, strength numbers have gone down, put on fat a lot easier.
BLOOD WORK
I have 3 different sets of blood work, all done over the last 3.5 months. I have gone through two doctors already. I am currently dealing with an endo who seems to know his stuff and is willing to work with me…third time’s the charm, right??
October 1/2013
Creatinine - 114
Estimated GFR - 77 Ref. >59 mL/min/1.73m2
pH Urine - 5.5 Ref. 4.5-8
Specific Gravity - 1.016 Ref. 1.005-1.030
Fasting Glucose - 5.0 Ref. 3.3-6.0 mmol/L
Potassium - 4.4 Ref. 3.5-5.0 mmol/L
Sodium - 139 Ref. 133-146 mmol/L
TSH - 1.50 Ref. 0.20-4.00 mU/L
Testosterone, AM - 5.7 Ref. 10.3-29.5 nmol/L
HGB - 148 Ref. 135-175 g/L
RBC - 4.72 Ref. 4.30-6.00 1012/L
HCT - 0.43 Ref. 0.41-0.52 L/L
MCV - 92 Ref. 80-100 fL
MCHC - 341
RDW - 13.3 Ref. <15.6 %
PLT - 87 Ref. 140-450 109/L This concerned me!
WBC - 5.5 Ref. 4.0-11.0 10**9/L
October 25/2013
pH Urine - 5.0 Ref. 4.5-8.0
Specific Gravity - 1.018 Ref. 1.005-1.030
TSH - 1.83 Ref. 0.20-4.00 mU/L
Cortisol AM - 367 Ref. 120-620 nmol/L
LH - 1.1 Ref. <12 U/L
FSH - 2.0 Ref. <7.0 U/L
Prolactin - 2.6 Ref. <21.0 ug/L
December 6/2013
ALT - 25 Ref. <50 U/L
TSH - 1.68 Ref. 0.20-4.00 mU/L
Testosterone AM - 16.3 Ref. 10.3-29.5 nmol/L
Iron - 14 Ref. 8-25 umol/L
TIBC - 60 Ref. 40-80 umol/L
Saturation Index - 0.23 Ref. 0.16-0.60
Cholesterol - 4.48 Ref. <6.20 mmol/L
Triglyceride - 0.42 Ref. <1.70 mmol/L
HDL - 1.43 Ref. >0.90 mmol/L
LDL - 2.86 Ref. None listed
Estradiol - 106 Ref. <200 pmol/L
IGF-1 - 334 Ref. 115-430 ug/L
Main tests that still need to be done are, Free T, fT4, fT3, rT3. If there is anything else missing or that you think should also get done with what I listed, please let me know.
By looking at my LH and FSH numbers it appears that I am secondary(Pituitary MRI scheduled for January 17/2014). My platelet count is also concerning. What puzzles me the most is the fluctuation in TSH and the dramatic increase in Total T, although still very low for someone my age.
I eat plenty of iodized salt, and have been doing so since my early teens, so i think iodine deficiency is a non-issue. I will track my temp as suggested and report back.
Thanks for taking the time out to have a look. I would definitely appreciate any input you guys might have.