Hey all, I just wanted to go ahead and say thank you to the community for providing such regular insight for guys struggling with these sorts of symptoms.
Age - 22
Height - 6’3"
Waist - to be updated
Weight - 194 lb
Body and Facial Hair - Copious amounts of body hair. Chest hair asymmetrical, much denser/longer on one side. Facial hair filling in, albeit very slowly. Mustache, sideburns and chin all very dense, but no connectors from sideburns to chin, mustache to sideburns, etc. No hair on neck.
Fat carriage - Almost entirely on my lower stomach and thighs. Very wide hips. At my lowest weight (145 lb), lower stomach still appeared to poke out.
Rx - Vyvanse 20mg, taken infrequently.
Diet - Subsists mostly of chicken, eggs, fish, vegetables, sardines, milk, dark rye bread, rice, and whey protein. Counted calories meticulously during bulking, eating at maintenance levels now and have been at 194 lb for about 3 months.
Training - Resistance training 4 times a week. First half of the week is power upper body/lower body, second half is hypertrophy upper body/lower body. During my bulk, my lifts plateaued at about 120 for OHP, 165 for bench, 225 for squat and 300 for deadlift. After consistently being unable to raise the quantity of these lifts, I started to eat a maintenance but still push myself at the gym. Not sure if I should bulk to break these stalls, as I’m at 18-20% BF as it is. Considering cutting.
Testicle aching - no experience.
Nocturnal erections/morning wood - Morning wood may occur once every couple of weeks, no identifiable nocturnal erections. No random erections. This used to occur more frequently around 18-20 years of age.
---------------------------------------------- BIO -----------------------------------------
I’m a 22 year old male currently attending university. I’ve been experiencing symptoms that are, from what I read, associated with a lack of testosterone. I’m incredibly lethargic constantly, my libido is low and sporadic, I get practically no random erections, I wake up consistently throughout the nighttime, I find it very difficult to make progress in the gym relative to peers of mine who eat/sleep/work out in almost exactly the same fashion as I do, I find it very difficult to remain self-confident, and I’m plagued by brain fog almost constantly.
I’ve experienced these symptoms for as long as I can remember. There is no moment in my past to which I can attest feeling energetic, confident, and without brain fog. The only exception to this is brief moments of high libido which I have experienced throughout puberty, which were far in between.
I started taking Vyvanse about 2 months ago in order to treat some of my extreme lethargy and brain fog, which has worked in a pinch as its helped me keep my GPA high at school. It’s also helped me prevent feeling sleepy during my strength training. However, this is admittedly a band-aid for a larger issue at hand, and I suspect it might have something to do with my testosterone levels, but I figure it’d be worth asking for advice here before coming to that conclusion.
In addition to the blood-work to follow, it’s worth noting that during my developmental years of 10-17 years old I was obese, sedentary, and subsisted almost exclusively off of an all-soy diet, as a consequence of my parents’ health decisions. I dropped my weight from 240-150 (I’m 6’3"), the majority of which happened while I was 18-20 y/o, and I am currently at 194 due to my strength training and bulking. It’s also worth noting that even at my lowest weight, 145, I had visible love-handles that appeared to be irremovable.
I don’t have results for SHBG, but I’m getting another blood test done tomorrow that will be more comprehensive, which I will append this post with.
Vitamin B12 - 616 pmol/L
Creatinine - 73 umol/L Ref: 60-110
Cholesterol - 3.59 mmol/L Ref: <=5.19
Triglycerides - 0.65 mmol/L Ref: <=1.69
HDL Cholesterol - 1.09 mmol/L Ref: 1 - 99999
Ferritin - 180 ug/L Ref: 22 - 334
Sodium - 142 mmol/L Ref: 136 - 146
Potassium - 4.2 mmol/L Ref: 3.7 - 5.4
Alkaline Phosphatase - 55 U/L Ref: 40 - 129
ALT - 25 U/L Ref: <= 45.99
TSH - 2.48 mIU/L Ref: 0.35 - 5
Hemoglobin A1c - 5.1% Ref: <=5.99%
LH - 3 IU/L Ref: 2 - 9
FSH - 2 IU/L Ref: 2 - 12
Testosterone - 15.1 nmol/L Ref: 7.6 - 31.4
Prolactin - 6 ug/L Ref: <=17.99
Estradiol - 98 pmol/L Ref: <=158.99
Free Testosterone - 334 pmol/L Ref: 196 - 636
Hemoglobin - 156 g/L Ref: 129 - 165
Hematocrit - 0.46 L/L Ref: 0.39 - 0.49
RBC - 5.0 x 1012/L Ref: 4.2 - 5.8
RBC Indices: MCV - 93 fL Ref: 80 - 98
MCH - 31 pg Ref: 23 - 33
MCHC - 336 g/L Ref: 313-344
RDW - 13.2 Ref: 12.5 - 17.3
WBC - 6.1 x 109/L Ref: 3.2 - 9.4
Platelets - 226 x 10*9/L Ref: 155 - 372
MPV - 10.7 fL Ref: 4 - 14
The Testosterone levels and Free Testosterone levels are 433 ng/dl and 9.6 ng/dl respectively.
Thank you so much for taking the time to look at this. I really appreciate any advice given .
TSH - 3.94 mIU/L Ref: 0.35 - 5 (before I started supplementing iodine)
Free T3 - 6.5 pmol/L Ref: 3.4 - 5.9
SHBG - 30 nmol/L Ref: 12 - 60
Testosterone - 10.6 nmol/L Ref: 196 - 636 (306 ng/dl)
Free Testosterone - 221 pmol/L Ref: 196 - 636
25 Hydroxy Vitamin D - 57 nmol/L Ref: 76 - 250 nmol/L