T Nation

22 - Low Free Test

Hi guys,

My docs in Tdot are fucking brutal when it comes to getting work done. Had to bully a doc into doing it just to get lectured for an hour after getting the results.

Regardless, I’ve been feeling insanely fatigued even after 8 hours of sleep each night. I lift heavy, eat very VERY clean. I’ve been able to grow muscle but not at the rate in which I should be, compared to buddies who are natty and grow like monsters on such shit diets. Anywho, im moreso here for the fatigue issue. It stinks.

Results:

Testosterone: 14.2 nmol/L (8.4-28.8 range)

Free Test: 17.3 pmol/L (31.0-94.0 range)

Free T3: 4.4 pmol/L (3.5-6.5 range)

Free T4: 18 pmol/L (9-23 range)

TSH: 1.46 mIU/L (0.3-4.00 range)

FSH: 2 IU/L (2-8 range)

LH: 4 IU/L (2-6 Range)

Thoughts?

LH changes a lot by the hour. FSH is steadier and is actually a better indicator of LH status than LH itself. So you HPTA might be inhibited. Please get E2 and prolactin lab work.

TSH would be better closer to 1.0. fT3 and fT4 appear to be in the optimal mid range area. But body temperatures are the bottom line. Read the thyroid basics sticky and check waking and mid afternoon body temperatures. If you are not using iodized salt, that is a big problem. Free T3 is a bit below mid range that is considered optimal.

Also read the advice for new guys sticky. There is a lot of info there. Be open minded about various causes and conditions. Your low T is symptom, not a cause. You need to find the causes. Don’t expect much from the doc’s, you need to manage your own health care with the issues that you will be dealing with.

Too little body fat? Too much? Cholesterol too low. Diet extreme. Are you training too much and not getting proper recovery?

Thyroid can account for your fatigue. If an iodine deficiency, that is easy to fix.

Hey, I appreciate the response. I also have low sex drive and have had serious ED issues =/

I would never jump to TRT, being as im fairly young, but it makes me question.

I hope that you are not ignoring the action items that I wrote for you.