age 39
height 6’2
36 waist pants size
Body hair has been light all my life. Back hair has increased in past 4 or so years. Facial hair will only grow to about an half an inch long and stop on the jaws, maybe a little longer in the goatee area. Top of head seems to have recently stopped growing hair or just really slow.
Store all my fat in the chest and gut area. Its been this way all my life. Trim everywhere else. Trim legs and arms. Noassatol.
When I was 18 yrs old I was diagnosed with Mononucleosis and Yellow Jaundice. Spent two months in the bed.
I have struggled with anxiety and depression to the point of social withdrawal. Tried paxil and wellbutrin around the age of 25. Decided i would rather do without them. I probably didn’t take a whole bottle of either one.
January 2015. Seems like I lost my libido and the ability to get an erection almost over night. I was laying in bed and the thought occurred to me that I have not been horny in a week or two. I had been experiencing moodiness and fatigue for years, maybe even a decade at this point. Found a Primary Care Physician to discuss these symptoms and more. Found out I had H. Pylori with a stomach ulcer. The doctor was not really concerned about my ED and libido loss and chalked it up to getting old. I was not satisfied with this so I got my T checked. It was low. Started T therapy {pellets} in Oct. 2015 with a urologist (no hCG, no AI) and got good results in the erections department, but my libido did not recover. The good results disappeared three months later in January 2016, went back to struggling in the sack. Late March 2016 tried more pellet with no success in the bedroom. With help from this website I think I know why it has failed me. I am done with pellets. Found a functional medicine doctor I think I am gonna go with. He mentioned that we could try getting me off of HRT and try a restart. I didn’t think this was possible after starting therapy.
It was a battle but I talked my PCP into checking my thyroid a little closer.
This is what I got back
fT4 = 0.73 (0.65 -1.25 ng/dl)
fT3 = 4.13 (2.50 - 3.90 pg/ml)
Cortisol PM = 21.2 (3.1 - 16.7 ug/dl)
Which prompted these tests
Thyrogl autoab = <0.9 (0.0 - 4.0 IU/mL)
Thyroidperoxab = 20.4 (0.0 -9.0 IU/mL)
and a Dexamethasone Suppression Test which yielded
Cortisol AM = 0.8 (4.3 -22.4 UG/DL)
I was then sent for a Nuclear Thyroid Scan. Administered 296 uCI of I-123 sodium iodide.
4 hour uptake was 7% with a 24 hour at 17%.
Planar Imaging demonstrated homogeneous uptake within the thyroid gland. No evidence of hyperfunctioning or hypofunctioning nodule.
Alright here’s the thing. After all this the PCP says everything is normal. The functional medicine doctor says I have Hashimotos auto immune disorder. He pointed to the elevated FT3 and high thyroidperoxab and said “I know you have an autoimmune disorder.” Any thoughts and advice are greatly appreciated cause I can’t afford many more professional opinions. I was very close to trying Iodine replacement. I haven’t salted food for 20 years. I would like to rule out Hashimotos first right? My body temps run low. 95- 96 are the norm in the morning. Low 97s throughout the day.
One thing I found interesting from the functional med doc is that he is concerned about mono showing back up in my testicles causing this whole mess and wants to do lab work. First thing we are gonna do is the 4 sample saliva test as we are very concerned about my cortisol numbers. I just wonder if my cortisol numbers are skewed because HRT without hCG.
Previous TSH Labs
03/11/2015 - Prior to HRT taken at PCP
2.51 (0.34 -5.60 uIU/mL)
08/29/15 - Prior to HRT taken at testosterone center
3.040 (0.450 - 4.500 uIU/mL)
04/29/16 - Post HRT taken at PCP
2.02 (0.34 - 5.60 uIU/mL)