Recently went to the Endo to check out my testosterone, thyroid, and vitamin d. I’ve read all the stickies but I didn’t object to the labs he ordered because money is tight and I need more insight into what’s going on before doing more labs; the labs cost me $89.
Total T isn’t great for my age and vitamin d needs a boost. I’d appreciate any insight into the other labs I absolutely need. I’m also wondering if/how I should load vitamin d and/or iodine. Mainly trying to figure out what’s going on here to improve quality of life.
Also just bought a new thermometer. Morning and afternoon body temperatures will be coming.
-age
25
-height
6’
-waist
30”
-weight
165lbs
-describe body and facial hair
Patchy facial hair and no hair on chest, back, or shoulders.
-describe where you carry fat and how changed
Fairly lean muscular athletic build. When I do gain weight its in the stomach and chest.
-health conditions, symptoms [history]
Had a bad experience with a piece of fish last May. Went to ER for an allergic reaction. Not allergic to fish but reaction possibly caused by chemical/metal ingestion. Paranoia and anxiety everyday for a few weeks afterward with anxiety attacks before bed for 10 days. Felt so terrible if I didn’t eat every few hours on the dot I had my blood sugar tested - glucose 100 65-99 mg/dL. Have been treating for adrenal fatigue with Wilson’s book since June and have made considerable progress getting back to normal.
Two weeks before fish incident went to doc with tingling dead-like feeling in legs. All autoimmune tests were negative but vitamin d was significantly low. Was prescribed 50,000 IU/week for 16 weeks. Still get tingling dead-like feeling in right leg from time to time.
Eating frequency issues continued through most of the summer. Had elevated and out of range a.m. cortisol in August - 23.4 4.0-22.0 mcg/dL. September a.m. cortisol test was right in the middle of the range.
Allergic to dust.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever
GNC Ultra NourishHair
-lab results with ranges
8/9/16
VITAMIN D, 25-OH, TOTAL 37 30-100 ng/mL
CORITSOL, 8AM 23.4 4.0-22.0 mcg/dL
TSH 1.23 0.40-4.50 mIU/L
WHITE BLOOD CELL COUNT 6.2 3.8-10.8 Thousand/uL
RED BLOOD CELL COUNT 4.58 4.20-5.80 Million/uL
HEMOGLOBIN 14.5 13.2-17.1 g/dL
HEMATOCRIT 43.2 38.5-50.0 %
MCV 94.3 80.0-100.0 fL
MCH 31.6 27.0-33.0 pg
MCHC 33.5 32.0-36.0 g/dL
RDW 12.5 11.0-15.0 %
PLATELET COUNT 181 140-400 Thousand/uL
MPV 10.1 7.5-11.5 fL
ABSOLUTE NEUTROPHILS 3230 1500-7800 cells/uL
ABSOLUTE LYMPHOCYTES 2065 850-3900 cells/uL
ABSOLUTE MONOCYTES 465 200-950 cells/uL
ABSOLUTE EOSINOPHILS 415 15-500 cells/uL
ABSOLUTE BASOPHILS 25 0-200 cells/uL
NEUTROPHILS 52.1 %
LYMPHOCYTES 33.3 %
MONOCYTES 7.5 %
EOSINOPHILS 6.7 %
BASOPHILS 0.4 %
GLUCOSE 80 65-99 mg/dL
BUN 18 7-25 mg/dL
Creatinine 1.00 0.60-1.35 mg/dL
eGFR (NON AFRICAN-AMERICAN) 105 >=60 mL/min/1.72m2
eGFR (AFR AMER) 122 >=60 mL/min/1.72m2
SODIUM 139 135-146 mmol/L
POTASSIUM 4.3 3.5-5.3 mmol/L
CHLORIDE 103 98-110 mmol/L
CO2 27 20-31 mmol/L
CALCIUM 9.5 8.6-10.3 mg/dL
PROTEIN, TOTAL 6.7 6.1-8.1 g/dL
ALBUMIN 4.4 3.6-5.1 g/dL
GLOBULIN 2.3 1.9-3.7 g/dL
ALBUMIN/GLOBULIN RATIO 1.9 1.0-2.5
BILIRUBIN, TOTAL 0.7 0.2-1.2 mg/dL
ALKALINE PHOSPHATE 44 40-115 U/L
AST 19 10-40 U/L
ALT (SGPT) 18 9-46 U/L
CHOLESTEROL, TOTAL 156 125-200 mg/dL
HDL CHOLESTEROL 72 >= 40 mg/dL
TRIGLYCERIDES 33 <150 mg/dL
LDL CHOLESTEROL 77 <130 mg/dL
CHOL/HDL RATIO 2.2 <=5.0
NON-HDL CHOLESTEROL 84 mg/dL
1/12/17
TESTOSTERONE, TOTAL 458 250-1100 ng/dL
TSH 1.15 0.40-4.50 mIU/L
T4, FREE 1.2 0.8-1.8 ng/L
THYROID PEROXIDASE ANTIBODIES 1 <9 IU/mL
VITAMIN D, 25-OH, TOTAL 33 30-100 ng/mL
WHITE BLOOD CELL COUNT 4.9 3.8-10.8 Thousand/uL
RED BLOOD CELL COUNT 4.60 4.20-5.80 Million/uL
HEMOGLOBIN 14.5 13.2-17.1 g/dL
HEMATOCRIT 42.3 38.5-50.0 %
MCV 91.8 80.0-100.0 fL
MCH 31.6 27.0-33.0 pg
MCHC 34.4 32.0-36.0 g/dL
RDW 12.5 11.0-15.0 %
PLATELET COUNT 181 140-400 Thousand/uL
MPV 10.3 7.5-11.5 fL
ABSOLUTE NEUTROPHILS 2450 1500-7800 cells/uL
ABSOLUTE LYMPHOCYTES 1926 850-3900 cells/uL
ABSOLUTE MONOCYTES 402 200-950 cells/uL
ABSOLUTE EOSINOPHILS 98 15-500 cells/uL
ABSOLUTE BASOPHILS 25 0-200 cells/uL
NEUTROPHILS 50.0 %
LYMPHOCYTES 39.3 %
MONOCYTES 8.2 %
EOSINOPHILS 2.0 %
BASOPHILS 0.5 %
3/9/17
TESTOSTERONE, TOTAL 393 348-1197 ng/dL
TESTOSTERONE, FREE 13.0 9.3-26.5 pg/mL
ESTRADIOL 11.5 7.6-42.6 pg/mL
PROLACTIN 9.9 4.0-15.2 ng/mL
LH 8.1 1.7-8.6 mIU/mL
FSH 7.0 1.5-12.4 mIU/mL
DHEA-S 340.6 138.5-475.2 ug/dL
PSA 0.6 0.0-4.0 ng/mL
5/1/17
TESTOSTERONE, TOTAL 343 250-1100 ng/dL
CORTISOL, SALIVA:
8:00 AM - 0.316 0.094-1.551 ug/dL
12:00 PM - 0.208 0.094-1.551 ug/dL
4:00 PM - 0.062 0.010-0.359 ug/dL
8:00 PM - 0.050 0.010-0.359 ug/dL
5/2/17
GLUCOSE, SERUM 88 65-99 mg/dL
URIC ACID, SERUM 5.3 3.7-8.6 mg/dL
BUN 17 6-20 mg/dL
CREATININE, SERUM 0.87 0.76-1.27 mg/dL
eGFR (NON AFRICAN AMERICAN) 120 >59 mL/min/1.73
eGFR (AFRICAN AMERICAN) 139 >59 mL/min/1.73
BUN/CREATININE RATIO 20 9-20
SODIUM, SERUM 142 134-144 mmol/L
POTASSIUM, SERUM 4.7 3.5-5.2 mmol/L
CHLORIDE, SERUM 97 96-106 mmol/L
CARBON DIOXIDE, TOTAL 27 18-29 mmol/L
CALCIUM, SERUM 9.9 8.7-10.2 mg/dL
PHOSPHORUS, SERUM 4.1 2.5-4.5 mg/dL
PROTEIN, TOTAL, SERUM 7.4 6.0-8.5 g/dL
ALBUMIN, SERUM 4.9 3.5-5.5 g/dL
GLOBULIN, TOTAL 2.5 1.5-4.5 g/dL
A/G RATIO 2.0 1.2-2.2
BILIRUBIN, TOTAL 0.6 0.0-1.2 mg/dL
ALKALINE PHOSPHOTASE, S 64 39-117 IU/L
LDH 141 121-224 IU/L
AST (SGOT) 23 0-40 IU/L
ALT (SGPT) 24 0-44 IU/L
IRON, SERUM 132 38-169 ug/dL
CHOLESTEROL, TOTAL 187 100-199 mg/dL
TRIGLYCERIDES 35 0-149
HDL CHOLESTEROL 84 >39 mg/dL
VLDL CHOLESTEROL CALC 7 5-40 mg/dL
LDL CHOLESTEROL CALC 96 0-99
T. CHOL/HDL RATIO 2.2 0.0-5.0
ESTIMATED CHD RISK <0.5 0.0-1.0
WBC 4.6 3.4-10.8 x10E3/uL
RBC 4.66 4.14-5.80 x10E6/uL
HEMOGLOBIN 14.7 12.6-17.7 g/dL
HEMATOCRIT 43.4 37.5-51.0 %
MCV 93 79-97 fL
MCH 31.5 26.6-33.0 pg
MCHC 33.9 31.5-35.7 g/dL
RDW 12.9 12.3-15.4 %
PLATELETS 204 150-379 x10E3/uL
NEUTROPHILS 39 %
LYMPHS 50 %
MONOCYTES 8 %
EOS 3 %
BASOS 0 %
NEUTROPHILS ABSOLUTE 1.8 1.4-7.0 x10E3/uL
LYMPHS ABSOLUTE 2.3 0.7-3.1 x10E3/uL
MONOCYTES ABSOLUTE 0.4 0.1-0.9 x10E3/uL
EOS ABSOLUTE 0.1 0.0-0.4 x10E3/uL
BASO ABSOLUTE 0.0 0.0-0.2 x10E3/uL
5/4/17
VITAMIN D, 25-OH 62.9 30-100 ng/mL
FERRITIN, SERUM 287 30-400 ng/mL
HEMOGLOBIN A1C 5.3 4.8-5.6 %
TSH 2.170 0.450-4.500 uIU/mL
T4, TOTAL 7.4 4.5-12.0 ug/dL
T4, FREE 1.59 0.82-1.77 ng/dL
T3, FREE 3.3 2.0-4.4 pg/mL
T3, REVERSE 16.6 9.2-24.1 ng/dL
6/22/17
TESTOSTERONE, TOTAL 380 250-827 ng/dL
ESTRADIOL <15 <=39 pg/mL
PSA 0.5 <=4.0 ng/mL
WBC 5.7 3.8-10.8 x10E3/uL
RBC 4.61 4.20-5.80 x10E6/uL
HEMOGLOBIN 14.5 13.2-17.1 g/dL
HEMATOCRIT 42.6 38.5-50.0 %
MCV 92.3 80-100 fL
MCH 31.5 27.0-33.0 pg
MCHC 34.2 32.0-36.0 g/dL
RDW 12.7 11.0-15.0 %
PLATELETS 179 140-400 x10E3/uL
MPV 10.4 7.5-12.5 fL
8/3/17
TESTOSTERONE, TOTAL 748 250-1100 ng/dL
TESTOSTERONE, FREE 117.6 46.0-224.0 pg/mL
TESTOSTERONE, BIOAVAILABLE 246.9 110.0-575.0 ng/dL
SEX HORMONE BINDING GLOBULIN 30 10-50 nmol/L
ALBUMIN, SERUM 4.6 3.6-5.1 g/dL
ESTRADIOL 34 <=39 pg/mL
WBC 5.8 3.8-10.8 x10E3/uL
RBC 4.69 4.20-5.80 x10E6/uL
HEMOGLOBIN 14.6 13.2-17.1 g/dL
HEMATOCRIT 43.8 38.5-50.0 %
MCV 93.4 80-100 fL
MCH 31.1 27.0-33.0 pg
MCHC 33.4 32.0-36.0 g/dL
RDW 13.0 11.0-15.0 %
PLATELETS 189 140-400 x10E3/uL
MPV 10.7 7.5-12.5 fL
-describe diet [some create substantial damage with starvation diets]
Dietary Restrictions:
Sugar
Dairy
Flour
Breakfast:
6 eggs
1 tbsp coconut or red palm oil
2 cups spinach
1 cup oats
2 strips bacon (sometimes)
Lunch:
Blended Shake
1 scoop metabolic drive
½ cup blueberries
1 cup kale
½ cup oatmeal
¼ cup pasteurized egg product
½ avocado
1 cup coconut milk
5 ice cubes
Dinner :
8 oz chicken or steak
1 cup potatoes or rice
1 cup vegetables
I could probably eat more. I also eat apples and peanut butter for snacks as needed.
Supplements:
Vitamin D 7,000 IU/day (Life Extension)
Sea-Iodine 1,000 mcg/day (Life Extension)
Vitamin C 2-4 g/day (Life Extension)
Melatonin 2 mg/night (Life Extension)
Calcium 600 mg/day (Life Extension) (inconsistently)
B-Complex (Life Extension)
Biotest Curcumin
Biotest Flameout
Biotest ElitePro Minerals
-describe training [some ruin there hormones by over training]
I’ve been training since I was 15. I trained with 531 religiously until about two years ago. Have been doing bodybuilding splits on and off, but haven’t been lifting nearly as hard. Currently doing full body every other day.
-testes ache, ever, with a fever?
No.
-how have morning wood and nocturnal erections changed
Morning wood every morning since forever.
-did you grow fast or slow and steady as a teen
Fast initially then steady.
-mood
Very very flat if I don’t eat and sleep right.
-depression
No but night and day better than when I was younger.
-libido
It’s there but no desire to act on it. Could probably be better.
-get cold easily? a change?
Yes starting two years ago.
-dry skin
Very dry if I don’t supplement fish oil and use specific soap and face lotion.
-brittle nails
No
-use iodized salt?
No
-eat much sea food?
Not after the fish incident but starting to eat sushi here and there.
-exposure to chemicals?
Possibly from fish reaction.
-general hair loss [not MPB]
Very small amount from face.
-thinning of outer eyebrows
Outer eyebrows have always been slightly thinner than inner eyebrows.
-hormone problems
Trying to figure that out.
-brain fog
In the past, fixed with Vitamin C and diet.
-low energy
Currently sufficient energy but I want more.
-other
skin below the knees is smooth and shiny
reduced peripheral vision before taking Vitamin D supplement
never been the most social person
skin on the back of hand is thin, crinkly
weak strength in hands upon waking in the morning