-age 24 ( 25 next few days)
-height 5’11
-waist 33’
-weight 176lbs
-describe body and facial hair
everything normal hairy legs, chest, genitals etc, started developing more thick facial year last year or two.
-describe where you carry fat and how changed
Was leaner and heavier (185) before have noticed more fat around mid section and lower back, not ‘fat’ by any means but as lean and hard as I was/should be.
-health conditions, symptoms [history]
Am a well controlled T1 diabetic, recent hb1ac 5.7 and am always below 6 had been working with a T1 dietician/bodybuilder online for last six months who really opened my eyes to nutrition and controlling my blood sugars through proper insulin therapy, diet and nutrition.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever
Novorapd, Levemir and Humulin R are the three insulins I use I had my total units down to around 25-30 a day before I started feeling like shit and having no energy etc for gym. An now on around 40-45 a day on less calories and have noticed a significant decrease in my insulin sensitivity and my bodys ability to use insulin effectively.
-lab results with ranges
HbA1c 5.7/39mmol/mol
Lipids
Range
Total Chol. 3.8
HDL 2.5 >1.0
LDL 1.2 <2.5
Trigyleceride 0.6 <1.5
LDL/HDL Ratio 0.5
Chol/HDL Ratio 1.7
Gen BioChem
Sodium 138 (135-145)
Potassium 4.7 (3.7-5.3)
Chloride 99 (95-110)
Bicarbonate 30 (20-32)
Urea 9.4 2.5-8.0
Creatinine 80 55-110
eGFR >90
T Protein 72 60-82
Albumin 44 35-50
ALP 105 30-120
Bilirubin 9 <25
GGT 16 <51
AST 55 <41
ALT 74 <51
HAEMATOLOGY
Haemoglobin 148 130-180
RBC 5.12 4.50-6.5
PVC 0.46 0.4-0.55
MCV 90 80-99
MCH 28.9 27-32
RDW 13.7 11-15
WCC 6.9 4-11
Neutrophils 3.7 2-8
Lymphocytes 2.9 1-4
Monocytes 0.3 <1.1
Eosinophils <0.1 <0.6
Platelets 199 150-450
Prolactin? was told verbally over phone that this was ok and nothing to worry about
Testosterone 7.8**nmol/L 8-30
Oestradiol 74pmol/l <150
B12 372 >180
RBC Folate 814 >450
Vitamin D 72** 75-200
Cumulative Thyroid TSH 3 (0.35-5.50)
Iron 17.9 10-30
Transferrin 1.91 2.1-3.8
‘’ Saturation 37% 16-60%
Ferritin 104 20-300
waiting on other test and thyroid, cortisol and muscle tests results that have been ran, should get results by mon (great birthday present)
-describe diet [some create substantial damage with starvation diets]
Try and eat around 4-5 times a day 90-110 fat 180-220 P and a ton of veggies, get protein mostly from free range meats, eggs fish etc, cottage cheese and occasional whey shake. Fats use coconut oil, eggs, red meats, avocado, duck fat, olive oil
Vegetables again buy organic or free range mostly and try to get at least three servings a day.
-describe training [some ruin there hormones by over training]
Had been training at least 4 days a week for last year, Basic strength program 5x5 with acces and isolation exercises 10-20min HIIT with 3 of sessions, would go for at least one or two hour walks on rest days and do tissue/mobility work most days. Find that fairly heavy weights at higher reps 8-10 gives me better insulin sensitivity rather than pure strength stuff.
-testes ache, ever, with a fever?
never
-how have morning wood and nocturnal erections changed
have totally disappeared along with interest in woman, have found it harder to socialise and to motivate myself which is strange, also lost muscle mass, strength in gym and gained some fat. Have been having really bad dull joint pains last week despite not training at the moment due to feeling exhausted. Been keeping positive and trying to keep social and mindbusy with other stuff.
Had an appointment with endo who I had never met before (have moved to australia from UK last 4-5 months) and he came across as a clown. Questioned my methods of diabetes control but then said he could not argue as my HB1ac was best he had seen :). He refused to believe my T levels were low and asked me if i could be depressed. Also told me that whey shakes can limit T production and asked me 3-4 times if i had taken steroids in the past etc.
seemed obsessed by the fact that I no longer had erections and was having sex issues (split up with gf because of it) he seemed old fashioned in general and was a complete waste of $220
Contemplating ordering Test online as a back up plan as meeting this guy has brough back memories of endos advising me on how to control my diabetes and that fact that I had to go to other sources and best people who had walked the walk and knew what they were talking about and absorb what is useful and implementing it.
Thanks for reading, any advice in general/with endos would be appreciated.
Kieran