I've read through a ton of posts and could just use some solid advice if possible. So, about me.
Hair: I'm a hairy beast. Lots of facial / neck hair. Chest hair, back hair, leg hair. I've got hair to spare.
FAT: I carry most of my fat around my midsection and lower back, like most dudes on here. I've just finished a cut from 215 to where I'm at now and though I could lose a little more, don't want to keep eating at a deficit. I've cut using KETO and am sticking with KETO but just not cutting.
HEALTH HISTORY: Ok, not the normal history here. Two and a half years ago I was diagnosed with congestive heart failure. My ejection fraction was at 10%, my right lung had collapsed with a liter of fluid in it. I was a wreck. Spent a month in three different hospitals around the country before I wound up where I am now. This was due to drug use (methamphetamines and benzodiazaprines, among other drugs) and hereditary heart issues. My heart is fine now though it will never be totally normal. Other than that major, two year scare, no other health issues.
DRUG HISTORY: Long and varied. I used recreational drugs for 12 years, both hard drugs (Meth) and lots of weed. Been sober since my heart gave out. I was on high doses of Beta Blockers (metoprolol) for two years along with A1 inhibitor for two years. These helped my heart but am not on anything anymore as my heart has healed.
DIET: Currently at around 2200-2300 calories a day. Try to hit the gym everyday but lift 5X a week (PHAT). Lifts have totally stalled. Like I stated, I eat KETO. I hit around 17g Carbs, 160G Protein, and 150-200G of fat a day depending on the day.
TRAINING: Was doing 6X a week PPL really just focusing on one compound lift a day. Switching to PHAT starting this week.
TESTES: Don't ache, I don't think. No fevers. Occasional morning and night time boners. Sex drive is definitely decreased. Energy levels are LOW, like I'm always carrying a heavy ass weight. Super moody and frustrated with things.
TT: 2X Tests, first was 417, second 402. (220-1150)
FT: Still waiting on results, not sure where this test got lost to.
E2: 22 (seems right on the money) (2-50)
TSH: 1.498 uIU/ML (0.40 - 5.50 uIU/ML)
LH: 4.2 MIU/ML (0.9 - 10.6 MIU/ML)
FSH: 2.7 MIU/ML (2.0 - 17.7 MIU/ML)
HEMOGLOBIN A1C 4.6 % (4.5 - 6.4 %)
eAG 85 MG/DL
WBC 6.1 X1000 (4.8 - 10.8 X1000)
Red Blood Count 4.80 X1,000,000 (4.7 - 6.1 X1,000,000)
HEMOGLOBIN 13.7 G/DL (14.0 - 18.0 G/DL)
HEMATOCRIT 41.6 % (42.0 - 52.0 %)
MCV 86.7 FL (80.0 - 94.0 FL)
MCH 28.6 PG (27 - 31 PG)
MCHC 33.0 G/DL (33.0 - 37.0 G/DL)
RDW 13.2 % (11.5 - 14.5 %)
PLATELET COUNT 163 X1000 (160 - 360 X1000)
MPV 10.1 FL (6.8 - 10.2 FL)
LIPID (Obviously high thanks to keto)
Cholesterol 271 MG/DL 25 - 199 MG/DL
Triglycerides 62 MG/DL <150 MG/DL
HDL 63 MG/DL >40 MG/DL
LDL 193 MG/DL <130 MG/DL
NON HDL CHOLESTEROL 208 MG/DL
TARGET: <(LDL-C TARGET + 30)MG/DL
TOT CHOL / HDLC 4.3 <4.5
My doc (PCP) admits that my levels are on the low range of normal, but I feel like they are just LOW. Not like some I've seen but LOW enough to to attempt a restart. I've asked her to work with me on a Nolva / AI restart. I suggested 20mg EOD of Nolva and an AI. Is that about right? Should I ask right away for hCG. I'd rather not pin if possible since I've never messed with needles and don't know what the F*&% I'm doing with them. Hopefully she is amenable. If not I've got an appointment with another, "hormone" doctor next week just in case, as a backup.