Symptoms Point to Imbalance

Pharma / TRT Testosterone Replacement
1

Age 29
Height 6’
Weight : 200
Waist. 37"
Bf%. ~20%
Carry all my fat on my core
symptoms:
Bad gyno, bad enough the military paid for surgery to reduce it
No sex drive at all
Depressive symptoms
Socially withdrawn

Because of blood test they said I had a psych issue and put me on 450 mg Wellbutrin daily and lunesta for sleep issues
Diet. : paleo ish, deployed so quality is hard
Training: wendler 5/3/1 BBB
Rarely have morning wood or nocturnal erections

Military blood test results with what they call normal:
Free test. 64.6 Range 46-224
Free test + weakly bound. 149.7. Range 110-575
Albumin. 5.1. Range 3.6-5.1
SHBG. 41. Range 10-50
Testosterone. 582. Range 250-1000

Thyrotopin sensitive. 1.330. Range .465-4.68

Alkaline phosphatase. 121. Range 38-126
Albumin. 4.70. Range 3.5-5.0
Bilirubin. 1.18. Range .2-1.3
Calcium. 10.10. Range 8.4-10.6
Chloride. 102. Range 98-110
Creatinine. 1.16. Range .66-1.25
Glucose. 86. Range 74-106
Potassium. 5.1. Range 3.5-5.3
Protein. 7.6. Range 6.3-8.2
Sodium. 145. Range 137-150
Aspartate aminotransferase. 32. Range 15-46
Carbon dioxide. 26. Range 22-30
Urea nitrogen. 16. Range 9-20
Alanine aminotransferase. 36. Range 13-69
GFR non-black. 75.
GFR Black. 90.8
Anion gap. 17. Range 5-16

RBC. 4.91. Range 4.7-6.1
RDW CV. 12.8. Range 10-14.5
MCH. 30.4. Range 26-33
MCHC. 33.6. Range 32-36
MCV. 90.5. Range 80-94
Hematocrit. 44. Range 42-52
Hemoglobin. 14.9. Range 14-18
Platelets. 344. Range 140-440

So behavioral health doesn’t think it’s an issue for them and that there is something the docs are missing hormone wise. I may not know how to read these but it seems that they didn’t test anything related to prolactin or estrogen levels. Is there something missing or another test I should have done or should I just continue with the behavioral health route and hope to improve my symptoms eventually.

2

I am new here, but have researched a ton, witch generally gets summed up in the stickies, you’ll be told to read. But I find it pathetic, and sad (comical, if we didn’t really care) that u were at the point of growing breast, but no one thought to check your E2.

I would guess yours would be elevated. Good luck. You’ll probably find answers to most of your questions reading anything from KSman. His stickies are very informative. There is one about estrogen, you’ll find near the top if the list of forums for T replacement.

3

Agreed with Dave–it’s ridiculous that they’d treat you for gynecomastia and not check your estradiol levels. If you can’t get them to check it the way they should, look into private lab testing to find out your level. If you have drastically elevated E2 (which it certainly sounds like you do), labs to prove it, and they STILL won’t put you on an AI, look around for a research chem AI (easy to find on the internet) and start treating yourself.

There’s no reason you should have to put up feeling this way, and it’s probably wreaking havoc on you in ways you don’t even know yet.

Knowledge is power when it comes to this stuff, and you need the full picture that only more (and correct) labs will give.

4

So based on the responses and my research should I request the following tests : E2, prolactin, dht, dhea, progesterone. Anything I missed or that is unnecessary before I talk to my medic?