I've recently gone through the most stressful and depressed state of my life due to work/schooling and finally have a bit of a breather to dedicate some time to this.
Burnt out hard around the very end of 2015, was working a high-stress position while attending post-secondary and wasn't doing either optimally.
Figured it was the job, so I quit to dedicate more time to my studies. The opposite occurred as I spent a few months (almost isolated) at home just scraping doing the minimum to pass my courses.
I knew something was wrong and went to the GP who was clueless and ended up going to a Psychiatrist who specializes in ADD and was later diagnosed with ADD. They ruled out thyroid based on TSH at 1.33, no full panel done.
I have been desperately searching for the root cause of the issues to no avail. Been through an allergist, urologist, sleep clinic and Naturopath and still can't seem to get any improvement. Many doctors I see try to prescribe some RX after an hour session not understanding the full scope of the issues and are very narrow minded.
Reasons why I suspect hormone issues:
-When I was younger(16-17) and an idiot I had I started a test cycle, only did a couple shots and stopped, was advised to take whole post-cycle bottle of Clomid afterwards. I'm worried that this may have had an effect on my current issues.
-Had gyno that was surgically removed when 17, however have had since very young nothing to do with cycle.
- ND suggested to do some hormone tests and they came back on the low end for my age
Height: 5' 8-9"
describe body and facial hair: Hairy legs, armpits, have chest hair but not very full, cannot grow full beard just neck, mustache, chin, cheeks are sparse.
did to grow fast or slow and steady as a teen: hit growth spurt early, then stagnated
testes ache or hurt? ever? Can't recall but is possible.
mood: Low, all the time, unmotivated, procrastinating on everything until the last second.
libido: Rarely now due to performance anxiety. Occasional/mild ED after playing around with various Rx's, essentially were less full but always had a slight issue with this seems to just be exacerbated by meds. Also after a particular SNRI had some issues with PE but seems to have subsided.
Was there occasionally before but now seems to be more frequent/worse.
get cold easily? a change?: Yes, sensitive to cold, pretty sure I've always been.
dry skin, brittle nails?: Yes always have had issues with dry skin/ nails no.
use iodized salt? No, ordered Lugols 2% solution and selenium to start supplementing.
eat much sea food? Moderately
exposure to chemicals?
ever used hair loss drugs? No
Rx and OTC drugs: Yes, Concerta, Vyvanse, Adderall, Stratterra, Wellbutrin, for the past 2 weeks have been on nothing at all.
outer eyebrows: have always been thin on outside, people have made comments them being thin or looking like they have been "done".
Have been taking oral temperatures sporadically over the past few weeks and can't seem to get any temperatures in recommended range. Note cheap oral thermometer that varies significantly between readings only a few minutes apart, can't comment on the accuracy but still concerned I can't get to posted ranges.
AM: 96.7, 96.9, 96.6, 96.3, 97
3PM: 98.3, 98.3, 97.9, 98
Labs: If ranges aren't posted it's because they are unreadable on my copies. Also have many more tests but doubt they will be relevant, can post if needed.
TSH: 1.33 0.35-5.00 mIU/L
Ferritin (Iron): 281 ug/L
Glucose Serum Fasting: 5.3 3.6-6.00 mmol/L
Creatinine: 89 umol/L
14 Hours Fasting:
Cholesterol: **4.84 mmol/L **
Triglycerdies: 0.49 mmol/L
HDL Cholesterol: 2.15 mmol/L
LDL Cholesterol: 2.47 mmol/L
Hemoglobin: 165 g/l
IgE: 493 ug/L(HIGH)
IgG: 9.4 7.2-16.9 g/L
Deamidated Gliadin IgA: 4.3 U/mL
Transglutaminase IgA AB: 1.0 <10.00 U/ml
Vit B12: 314 138-652 pmol/L
Insulin Fasting: 24 20-180 pmol/L
Prolactin: 11.1 4.0-19.0 ug/L
Cortisol 8 AM: 394 135-537 nmol/L
Cortisol PM: 143 135-537 nmol/L
Choriogonadotropin HCG Tumour Marker: <1 <3
Estradiol: 59 <162 pmol/L
DHEA-S: 10.0 <15.0 umol/L
Testosterone: 14.9 8.4-28.8 nmol/L
Testosterone Free: 307 196-636 pmol/L
C Reative Protein: 0.7 <6.0 mg/L
25-Hydroxyvitamin D: 85 75-250nmol/L
I have finally got an endocrinologist referral for tomorrow and based on his online reviews am not expecting much, can you guys please arm me with the tests I will need at this point and what direction I should be looking in?
I know I likely can find much of this information by spending hours going through the forum but my motivation is utterly gone and I am willing to admit I need some hand holding with this. I did make notes on many of the stickies a few weeks back but honestly have forgotten most of it already. I don't want a band-aid solution, I want to get better but my willpower seems to be dwindling more and more each day.
Thanks in advance for everyone who read/provides input.