Young Male Really Suffering [Labs Inside]

Pharma / TRT Testosterone Replacement
1

Im a 20 year old Male living in England, UK. I have been experiencing many life effecting symptoms since around puberty. I had surgery for Gynaecomastia in 2009 aged 17.

------ Symptoms -----

Coordination problems
Poor libido
Fatigue - always tired
Aching muscles - especially legs
Erectile Dysfunction - Weak Erections and No Morning Erections
Easy weight gain
Poor sleep (I can hardly get out of bed, i never feel fresh on a morning)
Difficulty concentrating
Memory Loss-difficulty in choosing words in language
Anxiety (i get random anxiety for no apparent reason)
Ive had Grade 3 bilateral Gynecomastia (Had Surgery at age 17)
Irritability
Frequent urination (polyuria) without infection; waking at night to urinate

---- Latest Results ----

TSH 2.7 (0.27 - 4.2)
Free T4 14.6 (12.0 - 22.0)
Free T3 5.3 (3.5 - 7.7)

Cortisol 374 (171 - 536)
Vitamin D 17 (<25 = Deficient) (25-50 Insufficient)
Vitamin B 12 436 (191 - 663)

Testosterone 13.3 (7.6 - 31.4) No!
Testosterone - Bioavailable 5.38 (2.0 - 9.0)
Free Testosterone 14.6 (8.8 - 27.0)
DHT 0.812 (0.323- 1.637 nmol/l)
Pregnenolone 718 (30 - 350)
Progesterone 3.5 (0.7 - 4.3)

Adolsterone - SERUM/PLASMA 228 (Resting <444) (Upright 111 - 860) [I was sat and had done the salt fast and had been up for 1-2 hours prior]

IGF-1 49.8 (18.3 - 62.8)

Iodine - Serum 60.8 (40 - 80)
Folate (serum) 11.9 (4.6 - 18.7)
Sodium 138 (135 - 145)
Potassium 4.2 (3.5 - 5.1)
Albumin 52 (35 - 50)

Iron 24.4 (10.6 - 28.3)
TIBC 70 (41 - 77)
Transferrin Saturation 35% (20 - 55)
Ferritin 81 (30 - 400)
DHEA-S 12.8 (0.44 - 13.4)
DHEA 43.0 (3.4 - 34.7)

------- Previous Results ------

Free Cortisol(SALIVA):
06:00 - 08:00 AM 13 (13-24)
11:00 - 1:00 PM 6 (5-10)
04:00 - 05:00 PM 4 (3-8)
10:00 - Midnight 4 (1-4)
DHEA 19 (3-10)

Testosterone 16.4
Estradiol 132 (<150)
SHBG: 13 and 17 (13-70)
Prolactin 111 & 250 (<500)

Cortisol 246 nmol/L
Cortisol after short synacthen test: 495 nmol/L

----- Temperatures ----

Temperature log (average of 3 temperatures +3 hours from waking and so on.

36.0/96.8
36.2/97.16
36.5/97.7
36.1/96.98
36.2/97.16
36.2/97.16
36.0/96.8

When i get my LH FSH + Reverse T3 results i will add them to this thread.

2

you got the wrong estradiol test. you need the one that has a range like 5 to 40 or something like that. the <150 test is too variable.

a Reverse T3 reading would help, as would 8am Cortisol, VitD25-OH, B12, etc. sounds like a possible adrenal issue. a 4 times a day saliva cortisol test would be ideal if you can afford it or find it.

Testosterone doesn’t look horrible compared to others.

3

[quote]PureChance wrote:
you got the wrong estradiol test. you need the one that has a range like 5 to 40 or something like that. the <150 test is too variable.

a Reverse T3 reading would help, as would 8am Cortisol, VitD25-OH, B12, etc. sounds like a possible adrenal issue. a 4 times a day saliva cortisol test would be ideal if you can afford it or find it.

Testosterone doesn’t look horrible compared to others.[/quote]

Thats the E2 test they do in the UK, ive had 2 tests actually, a general one and one was done on the proper male test and it came back at 149. They also dont do Rt3 over here unfortunately :frowning:

I got a 4x Saliva Cortisol test in the post today so i will post up the results at a later date.

4

TRIGLYCERIDES 1.8 (< 2.3)
CHOLESTEROL 4.2 (<5.0)
HDL CHOLESTEROL 1.2 (0.9 - 1.5)
HDL % of total 29 (20 and over)
LDL CHOLESTEROL 2.2 (Up to 3.0)
TRIIODOTHYRONINE(T3): 2.0 (1.3 - 3.1)

5

what it your body temp when waking up?

what about at 9am, 12pm, and 3pm?

does it fluctuate day to day?

6

[quote]PureChance wrote:
what it your body temp when waking up?

what about at 9am, 12pm, and 3pm?

does it fluctuate day to day?[/quote]

Ill take some readings, under the arm or in the mouth though?

7

doesn’t really matter, but aren’t you suppose to add a degree to the readings if doing it under the arm (possibly)?

8

Woke up: 35.2C / 95.4 F
3 hours later: 35.9 / 96.62 F
another 3 hours: 36.7 / 98.06 F

Taken under the tounge following this guide
http://www.thyroiduk.org.uk/tuk/pages/diagnosis/barnes.html

9

95.4 is pretty darn low and seem to support Thyroid issues. a Reverse T3 test along with Free T3 could confirm.

10

[quote]PureChance wrote:
95.4 is pretty darn low and seem to support Thyroid issues. a Reverse T3 test along with Free T3 could confirm.[/quote]
Ive started a 2 week log of temperatures and ive had results slightly lower than 95.4.
Ive ordered a bunch of tests including tests for Adrenals, another full thyroid panel complete with RT3 + most of the recommended labs in the sticky.

11

Main post updated.

12

Bump

13

If you keep going back and editing the main post, how are we supposed to keep track of where you’ve been and what the changes are? We’re smart, but I doubt any of us have an eidetic memory…this stuff is not to be evaluated in a snapshot–it is a continuing ongoing story.

14

Your right, sorry Balla.

REVERSE T3 0.34 ug/l (0.09 - 0.35)

24 hr Urine Volume 2.385 Litres
Urine Zinc *0.12 mg/24h (0.15 - 0.80)

15

anyone?

16

im not as knowledgeable as vtballa or purechance, but looking at your symptoms and test numbers, it looks like a case of adrenal fatigue. take a look at these articles and see if your symptoms match up.

The Test
Answer yes or no to the following:

You spend every morning in a “fog” and just can’t seem to wake up without excess caffeine.

You frequently feel overwhelmed.

You have trouble falling or staying asleep at night.

You feel unusually cranky, emotional, or frustrated.

You’re lethargic most of the day.

When you get sick it takes a long time to recover.

17

[quote]wannabebig250 wrote:
im not as knowledgeable as vtballa or purechance, but looking at your symptoms and test numbers, it looks like a case of adrenal fatigue. take a look at these articles and see if your symptoms match up.

The Test
Answer yes or no to the following:

You spend every morning in a “fog” and just can’t seem to wake up without excess caffeine.

YES

You frequently feel overwhelmed.

YES

You have trouble falling or staying asleep at night.

YES

You feel unusually cranky, emotional, or frustrated.

YES YES YES

You’re lethargic most of the day.

Yes, for what its worth i get a tiny boost after 3 hours of being awake
When you get sick it takes a long time to recover.
YES [/quote]

I am actually taking an Adrenal supplement right now called Nutri-Adrenal Extra but its simply not helping me and i guess my still low and unstable temps prove that.

18

[quote]JackNeedsHelp wrote:

[quote]wannabebig250 wrote:
im not as knowledgeable as vtballa or purechance, but looking at your symptoms and test numbers, it looks like a case of adrenal fatigue. take a look at these articles and see if your symptoms match up.

The Test
Answer yes or no to the following:

You spend every morning in a “fog” and just can’t seem to wake up without excess caffeine.

YES

You frequently feel overwhelmed.

YES

You have trouble falling or staying asleep at night.

YES

You feel unusually cranky, emotional, or frustrated.

YES YES YES

You’re lethargic most of the day.

Yes, for what its worth i get a tiny boost after 3 hours of being awake
When you get sick it takes a long time to recover.
YES [/quote]

I am actually taking an Adrenal supplement right now called Nutri-Adrenal Extra but its simply not helping me and i guess my still low and unstable temps prove that.

[/quote]

that looks like a decent product because it contains adrenal extracts, but there are no adaptogens. you want things like rhodiola, ashwagandha, and siberian ginseng. these will normalize your cortisol into the proper range. you also want licorice root because it extends the half life of the cortisol your body already makes. this will help you have more energy in the mornings.

your cortisol is low all day and then high at night, exactly how mine is, so im assuming you have trouble falling asleep at night. the adaptogens will raise it during the day, giving you more energy, and lower it at night, so you can sleep.

you also want to make sure youre getting a decent multivitamin that provides a good dose of iodine and selenium, which are important for adrenal and thyroid function.