Hi all. I'll start with the information requested via the sticky and under my lab results I'll tell you my story beginning when I decided to change my life.
-waist: No way to measure right this sec, can fit into size 50/52 pants/shorts if I wear them under my gut. I wear 58/60 for dress slacks over my gut with suspenders.
-weight: currently fluctuates around 360-368 - 360 being the lowest I've seen since I started and 398 being the highest I saw before I started. I like to think I've lost 38lbs and gained a lot of muscle.
-describe body and facial hair:
Body - long, thin and unsightly, sparsely spread (most follicles on gut and chest seem to have two hairs originating from same spot). I actually really like my forearm hair which is less spread out, not too thick and decent length.
Facial - I wish it was more dense, but the hairs are pretty thick. Couple small areas don't grow where I'd like to make a full beard, and then when I try to grow a beard I have to cut it off after too long because they start looking like really thick pubes.
Groin - pretty thick and plenty of it.
-describe where you carry fat and how changed: Everywhere. Mostly gut, chest, thighs, glutes, and back.
-health conditions, symptoms chance of having elevated blood pressure when it is checked at the doctor's office, morbidly obese, blood results and further info below
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever: I used hair loss foam for a short time, used less than half a canister. Before my life change I was not on any meds or OTC drugs/suppliments. After - I'll write below.
-describe diet [some create substantial damage with starvation diets]: Before change - eating out 2-3 times/day and eating whatever I wanted. After - I only eat food with high nutritional content to calorie ratio and I try to keep under 2500 calories.
-describe training [some ruin their hormones by over training]: Started 19-Jan-2015 with 5am workouts every weekday doing 10min warm up on elliptical, 10-20min stretching, and then 30-50min lifting. After I moved on 9-Feb-2015 and changed gyms I switched to evening/night workouts and started doing less stretching. Sometime over the next week or so I felt like Forest Gump and did a half hour cardio; the next day I figured "what the hell, I might as well do an hour" so for the next 2-3 weeks I did an hour of cardio and then lifted for 45-90 minutes. I felt so drained while lifting, at work, etc, that I switched back to 30 minutes of cardio (much better!). Didn't help that was getting 6hrs or less sleep on work nights.
I now do chest on Monday, back on Tuesday, shoulders and neck on Wednesday, Legs on Thursday, and Arms on Friday. If for some reason I have to skip a day I make it up on Saturday.
-testes ache, ever, with a fever?: nope
-how have morning wood and nocturnal erections changed: I can't remember last time I had either. Also been abstinent for around 8 years (not by choice) unless you count that one stripper I paid way too much money for.
-lab results with ranges:
Date: 6-Feb-2015 (with my good doctor, I was unsure of exact tests needed at the time)
Test Results Ref. Range
TESTOSTERONE,TOTAL, 189 L 241-827 ng/dL
TSH W/REFLEX TO FT4 2.37 0.40-4.50 mIU/L
VIT D, 25-OH, TOTAL 14 L 30-100 ng/mL
VIT D, 25-OH, D3 14 ng/mL
VIT D, 25-OH, D2 <4 ng/mL
WBC COUNT 8 3.8-10.8 Thousand/uL
RBC COUNT 4.7 4.20-5.80 Million/uL
HEMOGLOBIN 13.6 13.2-17.1 g/Dl
HEMATOCRIT 40.2 38.5-50.0 %
MCV 85.4 80.0-100.0 fL
MCH 28.9 27.0-33.0 pg
MCHC 33.8 32.0-36.0 g/dL
RDW 13.3 11.0-15.0 %
PLATELET COUNT 279 140-400 Thousand/uL
HEMOGLOBIN A1C 5.3 <5.7 % of total Hgb
CHOL, TOTAL 183 125-200 mg/dL
HDL CHOLESTEROL 39 L > OR = 40 mg/dL
TRIGLYCERIDES 84 <150 mg/dL
LDL-CHOLESTEROL 127 <130 mg/dL (calc)
CHOL/HDLC RATIO 4.7 < OR = 5.0 (calc)
NON HDL CHOL 144 159 mg/dL (calc)
GLUCOSE 83 65-99 mg/dL
UREA NITRO(BUN) 11 7-25 mg/dL
CREATININE 0.94 0.60-1.35 mg/dL
eGFR NON-AFR. AMERICAN 110 > OR = 60 mL/min/1.73m2
eGFR AFRICAN AMERICAN 127 > OR = 60 mL/min/1.73m2
BUN/CREATININE RATIO N/A 6-22 (calc)
SODIUM 137 135-146 mmol/L
POTASSIUM 4.6 3.5-5.3 mmol/L
CHLORIDE 101 98-110 mmol/L
CARBON DIOXIDE 25 19-30 mmol/L
CALCIUM 9.9 8.6-10.3 mg/dL
PROTEIN, TOTAL 8 6.1-8.1 g/dL
ALBUMIN 4.7 3.6-5.1 g/dL
GLOBULIN 3.3 1.9-3.7 g/dL (calc)
ALBUMIN/GLOBULIN RATIO 1.4 1.0-2.5 (calc)
BILIRUBIN, TOTAL 0.6 0.2-1.2 mg/dL
ALKALINE PHOSPHATASE 66 40-115 U/L
AST 18 10-40 U/L
ALT 23 9-46 U/L
DATE: 11-Feb-2015 (I was more educated, but bad doctor's office/staff ordered wrong tests and didn't order others I requested)
Test Name Results Ref. Range
TEST, SERUM 32 348-1197 ng/dL L
LH 3.4 1.7-8.6 mIU/mL
FSH 1.9 1.5-12.4 mIU/mL
PROLACTIN 26.3 4.0-15.2 ng/mL H
ESTROGENS, TOT 149 40-115 pg/mL H
WBC 8.3 3.4-10.8 x10E3/uL
RBC 4.59 4.14-5.80 x10E6/uL
HEMOGLOBIN 13 12.6-17.7 g/dL
HEMATOCRIT 39.4 37.5-51.0 %
MCV 86 79-97 fL
MCH 28.3 26.6-33.0 pg
MCHC 33 31.5-35.7 g/dL
RDW 13.7 12.3-15.4 %
PLATELETS 298 150-379 x10E3/uL
NEUTROPHILS 66 %
IMMATURE GRANULOCYTES 0 %
LYMPHS 24 %
MONOCYTES 9 %
EOS 1 %
BASOS 0 %
NEUTROPHILS (ABSOLUTE) 5.5 1.4-7.0 x10E3/uL
IMMATURE GRANS (ABS) 0 0.0-0.1 x10E3/uL
LYMPHS (ABSOLUTE) 2 0.7-3.1 x10E3/uL
MONOCYTES(ABSOLUTE) 0.7 0.1-0.9 x10E3/uL
EOS (ABSOLUTE) 0.1 0.0-0.4 x10E3/uL
BASO (ABSOLUTE) 0 0.0-0.2 x10E3/uL
Same office, saturday morning Cortisol draw
DATE: 14-Feb-2015 (10AM-ish)
Test Name Results Ref. Range
CORTISOL - PM 8.4 2.3-11.9 ug/dL
(not sure why test is called cortisol - PM, did they do the right test?)
Ok, so now the story.
Around 16-Jan-2015 I decided enough was enough. I joined a gym (hadn't worked out in a very, very long time) and completely changed the way I ate and thought about nutrition (I was eating 2-3 meals/day at a restaurant or fast food eating whatever I thought would taste great). Since the following Monday (19-Jan) I've been working out 5 days/week and I've only missed like 5 days. On 6-Feb I went to the doc for a check-up and wanted to make sure I was in good shape metabolically and to check testosterone (wanted to make sure my progress wasn't being hindered by low T). Turns out I did have low T, but pretty good results for the other labs considering my shape.
After doc's review he put me on AndroGel (didn't want to pay for it so I got generic Testosterone gel, 50mg/day), Phentermine 37.5mg/day, and vit D 50,000 IU per week.
I've been on the Phentermine and vit D since script was filled. Testosterone I used for 12 days and suddenly noticed left breast was much larger than right, I stopped TRT immediately (I'd been lurking on this site and figured the gel was likely being aromatized, causing gyno) and had the second set of labs done 2 days after stopping. I've had a mamogram and ultrasound done on the breasts (noticed a couple hard lumps prior to noticing size difference) and they come back not mentioning anything about the lumps, but they say I could have gyno.
Got the second set of tests back and noticed high prolactin, high E total, and "holy shit I didn't think it could go that low" Testosterone, serum. I specified E2 and Testosterone free and total yet they failed to order the right ones, this was done at a different clinic that was closer to where I had moved.
Saw my good doc again 22-Mar (yes on a Saturday), brought him up to speed, had him order the right tests, and had him write me a script for test C 50mg EO3 SC, Anastrozole 0.5mg EO3 (gonna take .25mg 4x/week, can't really do more than quarter the tablet), and tried for hCG but he wants to wait (I think he wants to research it more, I believe he currently only knows it as a diet drug) until I get the MRI he ordered (to look at my brain/pituitary gland due to the elevated prolactin). I love this doctor - he admits he's not well versed on some of the stuff I bring up and he's eager to research it. His attitude is great and he's a real easy going guy.
I injected for the first time when I got home (.25ml of 200mg/ml test c, using 29 gauge insulin needle) and took .25mg of Anastrozole. Man my heart was racing as I injected, I think I had an adrenaline rush due to anxiety.
I plan on doing another set of labs next Saturday and adjust dosage if needed. Will post results from yesterday's and next Saturday's results when I get them and will post any significant changes/improvements in mood, energy, libido, etc. as I notice them.
Is there anything I'm forgetting/missing? Any other bloodwork? Test for iodine even though thyroid lvls seem ok?