Age = 27
Height = 6’ 0"
Waist @ navel = 36.5"
Weight = 181.2 lbs
Body and facial hair: below the waist on legs somewhat hairy, darker hair. Above waist relatively hairless with thin blonde hair on forearms and minimal hair on chest and nipples. Facial hair is thin and grows slowly.
Carry significant fat in thighs, ass, hips and abdominal. Started to get fat at 19-20 maxing out at 230 - 240 lbs. Last 2-3 years I have been very diligent with diet and exercise.
Health conditions: Depression - Had been on antidepressants (celexa/citralopram) for approx. 6 years. Got off them recently as I did not feel they were doing much and feared they were doing more harm than good.
Other symptoms - fatigue (lack of enerygy and drive), lifts in gym gain slowly and often regress. Body fat remains in “feminine areas” even when dieting my ass off and lifting 6 days/wk. Social withdrawal, easily agitated, virtually no libido (erections are somewhat soft, not full on hard, infrequent morning erections at half mast), brain fog (difficulty concentrating and memory problems), just generally not a lot of motivation and ambition.
Rx and OTC drugs: No Rx (had been on ssri for approx. 6 years).
OTC = Multivitamin (Animal Pak), Melatonin and 5-HTP before bed, cod liver oil, vit-d3, supps (whey protein).
Lab Results:
First set of labs: June 14, 2014 (11:00 a.m.)
“Sex binding panel”
Test (total): 11.70 nmol/L (Ref. range = 5.80 - 28.00)
SHBG: 28 nmol/L (13 - 71)
Free Androgen Index: 41.5 (14.8 - 94.8)
“CBC & Auto Differential”
WBC Leukocytes: 7.0x10e9/L (4.0 - 10.0)
RBC Erythocytes: 4.87x10e12/L (4.30 - 5.40)
Hemoglobin: 148 g/L (140-180)
Hematocrit: 0.443 L/L (.400-.500)
MCV: 90.9 fL (82.0-97.0)
MCH: 30.3 pg (27.0-32.0)
MCHC: 334 g/L (320-360)
RDW - Erythrocyte Dist. Width: 13.6 (11.5-14.5)
Platelets: 225x10e9/L (150-400)
MPV: 9.2 fL (7.4-10.4)
Neutrophils: 2.8x10e9/L (1.5-6.5)
Lymphocytes: 2.9x10e9/L (1.2-3.4)
Monocytes: 0.6x10e9/L (0.2-0.8)
Eosinophils: “H” 0.6x10e9/L (0.0-0.4)
Basophils: 0.1x10e9/L (0.0-0.2)
“Liver Panel”
Bilirubin, Total: 14 umol/L (2-20)
ALP - Alkaline Phosphate: 100 U/L (40-135)
ALT - Alanine Aminotransferase: 19 U/L (4-55)
“eGFR - Glomerular filtration rate/1.73 sq M Predicted (MDRD)”
eGFR: >60 (>= 60 normal or slightly decreased)
“Thyroid”
TSH: 1.13 mIU/L (0.49-4.67)
“Glucose Random”
Glucose: 4.8 mmol/L (3.6-11.0)
“Renal Panel - Community - Renal function panel”
Sodium: 139 mmol/L (135-145)
Potassium: 4.3 mmol/L (3.5-5.0)
Chloride: 106 mmol/L (98-110)
Urea: “H” 8.8 mmol/L (3.0-7.1)
Creatinine: 98 umol/L (60-130)
Second set of labs: July 26, 2014 (8:03 a.m.)
“Magnesium”
Magnesium:0.98 mmol/L (0.66-1.07)
“Sex binding Panel” - free t was requested but not done don’t know why, haven’t had a chance to talk to doc again yet
Test - Total: 14.10 nmol/L (5.80-28.00)
SHBG - 25 nmol/L (13-71)
Free Androgen Index: 57.6 (14.8-94.8) - free androgen index was designed for women and does not correlate well in men so I don’t put much value in this
Prolactin: “H” 20.28 ug/L (2.60-18.10) - no orgasm within 48 hours of test
Estradiol: 68 pmol/L (<205)
FSH: 0.92 IU/L (Male 13-70 yrs: 1.4-18.1)
LH: 1.80 IU/L (Male 20-70 yrs: 1.5-9.3)
“Thyroid”
TSH: 3.24 mIU/L (0.35-5.0)
-“additional thyroid function tests requested were not assayed. A free t4 and or free t3 will be done if TSH is abnormal”
“Liver Panel”
Billirubin: 11 umol/L (2-20)
ALP: 107 U/L (40-135)
ALT: 29 U/L (4-55)
“Other”
PSA: 0.3 ug/L (0.0-4.0)
Vit-B12: 654 pmol/L (175-880)
Phosphorus: 1.49 mmol/L (0.75-1.55)
CRP - C reactive protein; high sensitivity: 0.4mg/L (0.0-8.0)
CK - Creatine Kinase: “H” 862 U/L (55-170)
Calcium: 2.40 mmol/L (2.14-2.66)
Albumin: 41 g/L (35-50)
Corrected calcium: 2.38 mmol/L (2.14-2.66)
Iron: 11.3 umol/L (7.0-32.0)
TIBC: 70.3 umol/L (45.0-80.0)
Describe diet: diet I would say is quite healthy. Lately I have been doing a cyclical ketogenic diet.
Describe training: 6 days/wk with 2 heavy compound lifts (5x5) and supplemental high rep lifts as needed. Take a day off if i’m gassed or no motivation.
Testes ache ever: Yes, notice a dull ache. Not 24x7 but often enough.
How have morning wood and nocturnal erections changed: Infrequent morning wood at half mast.
I have read the stickies and am ready to print out the protocol for injections and take it to my doc and hope for the best. Sick of feeling like this. Any thoughts and advice are much appreciated.