T Nation

20 Y/O, Secondary Hypogonadism?


#1

Age- 20 year old male
height-65 inches
weight- 130 pounds

Symptoms- had delayed puberty…didn’t start to develop until around 16… everything went normal from there developmental wise (except for my inability to grow facial hair/ look young for my age) up until age 18 when i started to notice low libido. Been about 2 years with lowered libido and just recently found out about 2 months ago my hormone levels were out of whack. My endo does not think it is genetic because I have a “muscular build”…he seems to think this is a case of anabolic steroid-induced hypogonadism, however, I have not taken steroids (knowingly).

The only type of anabolic I can think of that I have taken that potentially had anabolic in it without me knowing was a supplement called “super cardarine” from primeval labs. Could have been laced with a pro-hormone that I was unaware of? I only took 1 bottle supply worth which was 30 days if I remember correctly. I took this supplement about a month after I started noticing a lowered libido. Could this be the cause of my problem? I did not notice any anabolic effects from it or a dramatic shutdown/difference after coming off of it which leads me to believe it wasn’t an anabolic substance. Only other cause i can think of is overtraining. Could overtraining cause my levels to drop this low? Any suggestions as to what my lab values suggest would be helpful, Thanks.

SEX HORM. BIND. GLOB.	72	(H)	17 - 56	nmol/L
FREE TESTOSTERONE	0.78	(L)	5.25 - 20.7	ng/dL
TESTOSTERONE, TOTAL	49	(L)	240 - 950	ng/dL	
LH	1.3	(L)	1.7 - 8.6	IU/L
FSH	0.6	(L)	1.5 - 12.4	IU/L
CHOLESTEROL	186		<200	mg/dL
    TRIGLYCERIDES	35		35 - 150	mg/dL
     HDL	105	(H)	40 - 80	mg/dL
PROLACTIN	8.8		4.0 - 15.2	ng/mL
IGF-1 (Somatomedin C)	114		91 - 442	ng/mL	
     FREE T4	1.0		0.9 - 1.7	ng/dL
     TSH	3.09		0.50 - 5.70	uIU/mL	
     CORTISOL	19.6			ug/dl	
WBC	4.40		4.00 - 10.00	K/uL	
RBC	4.09	(L)	4.50 - 6.40	M/uL	
HGB	12.7	(L)	13.5 - 18.0	g/dL	
HCT	39.0	(L)	40.0 - 54.0	%	
PLT	150		150 - 450	K/uL	
MCV	95.4	(H)	80.0 - 95.0	fL	
MCH	31.1		27.0 - 32.0	pg	
MCHC	32.6		32.0 - 36.0	g/dL	
RDW	14.3		11.5 - 14.5	%	
MPV	9.4		8.4 - 12.0	fl	 	
SODIUM	143		136 - 145	mmol/L	
POTASSIUM	4.5		3.4 - 5.0	mmol/L	
CHLORIDE	101		98 - 107	mmol/L	
CO2	31		22 - 31	mmol/L	
BUN	26	(H)	6 - 23	mg/dL	
CREATININE	0.96		0.50 - 1.20	mg/dL	
GLUCOSE	82		70 - 100	mg/dL	
ALBUMIN	4.7		3.5 - 5.2	g/dL	
TOTAL PROTEIN	6.7		6.4 - 8.3	g/dL	
CALCIUM	9.4		8.8 - 10.7	mg/dL	
ALKALINE PHOSPHATASE	51		35 - 130	U/L	
TOTAL BILIRUBIN	0.3		0.0 - 1.0	mg/dL	
AST	56	(H)	10 - 50	U/L	
ALT	54	(H)	10 - 50	U/L	
GLOBULIN	2.0	(L)	2.2 - 4.2	g/dL	
EGFR	113	
   IRON, TOTAL   83         50-195 mcg/dL
   IRON BINDING CAPACITY     295      250-425 mcg/dL (calc)
   % SATURATION     28     15-60 % (calc)
   FERRITIN   95    20-345 ng/mL
   DHEA SULFATE    366   24-537 mcg/dL
   GROWTH HORMONE (GH) 2.0    < OR = 7.1 ng/mL
   PROGESTERONE 0.7  <1.4 ng/mL
   ESTRADIOL <15  < OR = 39 pg/mL

MRI- showed normal pituitary gland…nothing abnormal


KSman is Here
#2

Please list any medications you have taken and are taking now.


#3

You’ve got more problems than a guy swimming in shark infested waters. You’re on your way to growth hormone deficiency, insanely high SHBG binding up what little free T you have and signs of hypothyroidism.

Forget about these stupid lab ranges for thyroid, if doctors says you’re fine do to being in ranges, find another doctor. Free T4 is low and should be midrange and Free T3 is expected to be low. Full thyroid panel checking Free T3, Free T4, Reverse T3 and antibodies is needed.

Growth hormone is low and adjusted for age. This likely has to do with a whachy pituitary gland that you’ve had from day one, it failed at the most important time in your life.

TRT and thyroid treatment for life, possible growth hormone as well. Hemoglobin and hematocrit is low because testosterone is low. Your body isn’t getting enough oxygen and red blood cells, can cause anemia in some.


#4

prozac and adderall


#5

Those two drugs amount to chemical castration, they damage hormone production. Those drugs are likely increase your SHBG, it’s not like yesterday you learned that chemicals were good for your body.

Your body treats these drugs like an intruder invading the body, that’s why there side effects because your body is fighting it. You eventually lose and come out of it with some hormone deficiency.

Nobody knows that more than me, I was on Klonopin for 30 years and is the reason why I am on TRT.