Age: 23
Height: 5,7
Current weight: 155lb
Body and facial hair: very light
Health History: I was born with an undescended testicle that later turned into a retractile testicle. It was treated when I was around 9 years old, and it now rests a little high in the scrotum. Both of my testicles are slightly smaller than the world average, especially the one that caused problems. Puberty was slower for me, and during this time I developed “puffy nipples” that still remain today. I have a hard time building muscle and gain fat easily. I am currently working out 2-4 time a week, which has helped me lose 15 pounds of fat with the help of a balanced diet. I take a multivitamin and I am very conscious about my micronutrient intake. I eat a balanced diet full of veggies and whole foods, while avoiding sugar and processed foods. Although I feel like I’ve had low T symptoms for all my life, for the past 5 years I’ve felt like crap. These are a few of my symptoms: I have low motivation and energy, few erections when waking up, decrease in desire to have sex (can still get strong and lasting erections during sex), brain fog, slight depression and anxiety. Improving my diet and exercising has definitely helped my well being, but I still feel off. For this reason I decided to ask my doctor to run some tests. I would really appreciate some help trying to figure out this mess. Thank You.
Recent blood work:
1st Test: TESTOSTERONE, TOTAL, MALES (ADULT), IA 180* L 250-827 ng/dL
2nd Test: TESTOSTERONE, TOTAL, LC/MS/MS 395 250-1100 ng/dL
FREE TESTOSTERONE 77.9 35.0-155.0 pg/mL
TSH W/REFLEX TO FT4 2.60 0.40-4.50 mIU/L
FSH 3.6 1.6-8.0 mIU/mL
LH 2.0 1.5-9.3 mIU/mL
CHOLESTEROL, TOTAL 150 125-200 mg/dL
HDL CHOLESTEROL 53 > OR = 40 mg/dL
TRIGLYCERIDES 86 <150 mg/dL
LDL-CHOLESTEROL 80 <130 mg/dL (calc)
UREA NITROGEN (BUN) 16 7-25 mg/dL
CREATININE 0.96 0.60-1.35 mg/dL
SODIUM 141 135-146 mmol/L
POTASSIUM 4.7 3.5-5.3 mmol/L
CHLORIDE 102 98-110 mmol/L
CARBON DIOXIDE 31 20-31 mmol/L
CALCIUM 10.5 H 8.6-10.3 mg/dL
PROTEIN, TOTAL 7.4 6.1-8.1 g/dL
ALBUMIN 5.1 3.6-5.1 g/dL
GLOBULIN 2.3 1.9-3.7 g/dL (calc)
ALBUMIN/GLOBULIN RATIO 2.2 1.0-2.5 (calc)
BILIRUBIN, TOTAL 1.0 0.2-1.2 mg/dL
ALKALINE PHOSPHATASE 92 40-115 U/L
AST 20 10-40 U/L
ALT 20 9-46 U/L
Dec 2015 blood work: Results in Spanish
Age: 21
Weight: 175-180
25-HIDROXIVITAMINA D TOTAL (ELFA) 35.2 ng/mL
FERRITINA ELFA 196.65 ng/mL
ACIDO FOLICO-ECLIA 15.95 ng/mL
VITAMINA B12-ECLIA 519.00 pg/mL
ALBUMINA- 4.40 g/dl
HIERRO SERICO- 77 ug/dL
TSH-ECLIA 3.52 IU/ml 0.27 - 4.20
T4 LIBRE-ECLIA 1.13 ng/dL 0.93 - 1.70
PSA TOTAL (ECLIA) 1.28 ng/ml 0.00 - 4.00
LDL- 79 mg/dl 0 - 130
HDL- 52 mg/dl 40 - 60
COLESTEROL VLDL 23.0 mg/dl 6.0 - 33.0
COLESTEROL TOTAL- 154 mg/dL 0 - 200
TRIGLICERIDOS- 115 mg/dL 0 - 150
BILIRRUBINA TOTAL- 1.00 mg/dL 0.20 - 1.30
BILIRRUBINA CONJUGADA- 0.00 mg/dL 0.00 - 0.30
BILIRRUBINA NO CONJUGADA- 0.80 mg/dL 0.00 - 1.10
CALCIO- 10.60 mg/dL 8.42 - 10.22
FOSFORO- 4.30 mg/dL 2.50 - 4.50
Is TRT an option or do you believe that there is something else going on?