Hi everybody, I just had some questions on these symptoms and hoped you guys could steer me in the right direction. I have always felt rundown and tired, but have also always had a problem being able to fall asleep(always tired, but when it is time for bed I can’t get to sleep). That has been ongoing for 10 - 15 years. It’s obvious the fatigue is from lack of sleep. Last year I really decided to get a grip on things and make some changes in my sleeping habits. I now sleep 7-10 hours a day depending, but feel no better, and possibly worse. I just had a physical and brought this up with the doc and he ordered a bunch of tests. He said everything is “normal” but I asked for a copy of the tests so I could verify.
-age - 27
-height 6 ft
-waist 32 inch
-weight 175 lbs
-describe body and facial hair - light hair on arms, light hair on legs but I just noticed its completely bald on my calves from my ankle to the knee and starting on the outside too. Pretty much no chest hair, zero back hair, normal armpit hair, normal pubic hair. No hair grows for sideburns, very very light mustache, and no hair grows on the cheeks, just a small line on the jaw. Normal chin hair.
-describe where you carry fat and how changed - I have always been very thin. The past couple years my belly has gained quite a bit of fat despite eating healthier. I have always thought my chest has looked a little flabby. I have a slight pigeon chest so maybe that is making it appear that way, not sure.
-health conditions, symptoms [history] I used to have terrible sleep habits. For the past year I have been sleeping normal, but I never feel like I have any energy, I always feel like I just woke up and would love to get back in bed at any time of the day. I feel like a lazy bum, like it’s always midnight and I don’t want to do anything because I’m too tired. I have a terrible lack of concentration and a bad memory. Everything always seems so hazy. I have a little bit of depression but I’m sure this is caused by the fatigue. Erections and slight interest in sex is still there, but the erections aren’t as firm anymore. I really need help with this, I can’t live with this constant fatigue anymore. I feel completely horrible all the time.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever I’m not on anything and haven’t taken much in the past, just antibiotics and such.
-lab results with ranges
-describe diet [some create substantial damage with starvation diets] I think my diet is overall good. Lots of chicken, turkey, fruits, veggies. Occasional takeout like most.
-describe training [some ruin there hormones by over training] I try to strength train 4 days a week if I am not overly exhausted. I usually hit 2 to 3.
-testes ache, ever, with a fever? No testicular pain.
-how have morning wood and nocturnal erections changed - I never have morning wood
Free Testosterone - 53 (47-244)
Total Testosterone - 342 (300-1080)
Sex Hormone Binding GLobulin - 43 (11-80)
percentage free testosterone - 1.6 (1.6 -2.9)
T4 Total - 6.7 (6.1-12.2)
TSH - 2.74 (.34-5.6)
He also did a Lipid panel, a CBC with Platelet and Differential, and Comprehensive Metabolic Panel. Let me know if I need to put up any of those too. They are all normal within their ranges.
The doc has no suggestions as to why I am feeling this way and no treatment, just to “monitor the situation and see how things are going for a couple months.”
Are my symptoms related to my testosterone levels, if not what should I look into next?