-34 inch waste
-Light, patchy facial hair. Body hair is only around nipples and a strip above/ below belly button. Sparse.
-Fat is carried in love handles, on chest, and on lower belly. Feminine distributions. Hasn’t really changed, although there seems to be more of it lately.
-Symptoms are listed below. No notable health history, although I’ve been repeatedly diagnosed with depression and/or anxiety by Drs when seeking tests/ explanations for my symptoms.
-No current Rx drugs. Only antibiotics and occasional pain meds in the past. Infrequent OTC drug use.
-Lab results are listed below
-Average daily intake of around 3000 calories. 210 P/ 350 C/ 80 F. Ovo-lacto vegetarian for 7 years. Mostly eat whole foods, and rely on whey, eggs, and cheese for the majority of my protein intake.
-4 days/ week lifting, 1-2 days per week cardio/ conditioning
-Have not ever noticed my testes aching
-I haven’t noticed much change in nocturnal and morning erections. However, they do not occur every day. If I had to guess I’d say about 5-6 days per week only.
-Extreme fatigue/ exhaustion. Sleep for 9-10 hours per night, wake up tired, take an afternoon nap (sometimes 1-2 hours) and am tired an hour or two later.
-No motivation/ depression/ generally feeling beat down
-Brain fog and trouble concentrating
-Very, very slow response to proper training and diet. Muscle and strength gains are poor despite doing “everything right” and body fat is higher than I would expect for someone with my training and diet. Difficult time losing fat without losing a lot of muscle and strength, or gaining muscle without getting fat. I can gain/ lose WEIGHT, but even with careful planning it tends to come from the wrong sources.
-Muscles often feel weak and joints often ache
-Puffy nipples that are sometimes even MORE puffy, sometimes accompanied with aching and swelling (that usually goes away after a couple days)
-Frequent urination (15-20 times some days)
-Weird swings in appearance and gym performance despite nothing changing with diet/ training/ recovery. I’ll look puffy, and skinny-fat for a few weeks and have shit training sessions, then look pretty good and be stronger in the gym for a week despite nothing changing in my life. My appearance changes noticeably and seemingly randomly throughout the day – I assume because of water retention
-Sexual function is not problematic. I may have less “drive” than before and erections are sometimes not as strong as they could be (normal?). Sex or masturbation 4-6 times per week, no issues achieving erections or orgasm.
Potentially relevant: I suffered from eating disorders in early high school and exercised approximately 10-15 hours a week for at least a year. At 23 I also moved overseas to an impoverished part of Asia, losing about 25 lbs in 6 months and returning home at a malnourished 120 lbs.
Labs (HealthOne female hormone panel w/ CBC tested at 10:50 AM after 13 hour fast)
Total T: 777 ng/dL (348- 1197)
Free T: 7.7 pg/mL (9.3- 26.5) <<< FLAGGED AS LOW
LH: 7.8 mIU/mL (1.7- 8.6)
FSH: 6.1 mIU/mL (1.5- 12.4)
Estradiol: 30.8 pg/mL (7.6- 42.6)
The only result from my CBC that I think is worth mentioning is my serum glucose of 98 mg/ dl (lab range 65-99). As a young, weight-training adult, isn’t that somewhat high after a 13 hour fast?
Can anyone help me interpret these results? Based on my reading, it seems like I have a problem with my body aromatizing at an elevated rate. Is my E2 level THAT high? Is my Free T low enough to be causing my symptoms? Should I follow up with a thyroid test just to cover my bases? Any input from you more knowledgable and experienced guys would be really appreciated.