WARNING: Longest post in T-Nation history coming up.
New labs in. Good news: Cortisol, thyroid and Test all look OK so I prob won’t be needing TRT - may take my case elsewhere.
Bad news: literally everything else.
I made a google doc of the labs, but PLEASE READ where I talk about my conversation with the docs and don’t just stare at lab values and ignore me. I’m going to post a full summary of my symptoms etc. to this point - cut to the next line down for new info.
SUMMARY OF SYMPTOMS/TREATMENT:
Main symptom: Fatigue. Sleep is just plain unrefreshing. I can sleep for 10 hours and still don’t feel like dragging myself out of bed. I am constantly yawning during the day, during meetings, during WORKOUTS, etc.
Others: Brain fog / awful short term memory… bad indigestion… very infrequent morning wood (libido has always been good though).. knee pain
-Doc diagnosed me with mycoplasma pneumoniae (joint attacking bacteria), gave me an herbal supp that has helped my knees a lot but they aren’t totally perfect.
-Tested positive for Epstein Barr. Went through IV Treatment (Hydrogen Peroxide) 4 times and didn’t help at all
-Did a liver cleanse that was a huge fucking waste of time.
Training is going well. I am able to put on muscle.
SUMMARY OF LATEST DOC VISIT
-Doc DOES care about fixing me. She had 3 other doctors come in today - including Dr. Rind from www.drrind.com (nice guy). At one point though, it was like a scene out of a bad episode of House - literally 4 doctors standing there cross-armed, furrowing their brows and staring at me in silence trying to figure out what’s wrong with me. I honestly had a hard time not laughing at the absurdity of it.
Dr. Rind thinks I have Lyme Disease despite testing negative. Reasoning: He sees it correlate extremely strongly with mycoplasma and Epstein-Barr, as well as having uneven reflex reactions on the little rubber hammer test (my right side reacted more strongly than my left). I’m gonna undergo a supplementation procedure that should cure me of Lyme if I have it (though it’ll make me sick).
Also - docs were very concerned that when they shined light in my eyes, my pupils had uneven reactions. In other words, one dilated more than the other (I don’t know the measurements). Possible pituitary problem - got a CAT scan for my head I have to set up.
Oh and I forgot the first reaction I got when I walked in. They all noticed I had big time inflammation on my right cheek (wtf?) that I never noticed. No lymph nodes were swollen (checked by 3 docs). I’m supposed to take some solution to the inside & outside of it and if it doesn’t dissipate in a week I call them ASAP. They seemed very intent on knowing how long I’d had it but I honestly have no idea.
REACTIONS TO LABWORK:
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My cholesterol is borderline dangerously low. I’m eating over 150g of fat per day and my total CHOL is 132, with HDL testing at a miniscule 39. I have no idea why this is… I guess malabsorption? All my stool cultures came up negative for inflammation etc. so I have no clue. How I have mid-range T and high cortisol with this low CHOL is really amazing.
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My iron labs are fucked. 3 out of 4 are out of range. I need to educate myself on how to interpret this ASAP.
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Cortisol lowered a bit, but still out of range high. Likely due to my conglomeration of diseases.
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Free T went from 11 to 17 (awesome), with same total T. But, E2 is high (tested at 34) but with a weird lab range (8.0-35). This is worrisome. SHBG is fine.
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Growth hormone low, but doc said it has a really short half-life and IGF-1 is the better measurement. Any truth to this? Need to educate myself on growth hormone.
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What does it mean that my Calcitriol (1,25 di-OH Vit D) is so high? I stopped exogenous Vitamin D supplementation 6 days before the test because that was supposed to tell me something about this lab… I think docs got caught up in all my other issues and didn’t talk about this much
CONCLUSIONS/QUESTIONS:
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FIRST order of business is to start my Lyme Disease treatment. I need to start killing these infections that are fucking me in the ass.
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I really REALLY need to figure out what the fuck is going on with my cholesterol.
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Same as above, but about my iron labs. Am I in danger of heavy metal toxicity or something?
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Should I start taking resveratol or something to inhibit E2 aromatization? Or should I get all my other shit figured out first?
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I am scared I have a liver problem. E2 not clearing, Cholesterol not being made, I really need to bring this up.
Scheduled to meet with docs again in a month.
edit - noting that my case may have grown beyond the scope of this forum. I may not continue this case thread.