I recently had some blood work ordered by my doctor at my request. It's going to be a few weeks before I can arrange to speak to her again, and frankly, she's just not very experienced in this arena. I was hoping that some of the knowledgeable folks on this forum might be able to give me a hand interpreting my results and giving me some suggestions on how to proceed from here.
First some demographics:
Waist Size: 36
For my entire adult life I have had trouble with the following symptoms. Some have been improved by various therapies and lifestyle changes, others have proven largely untreatable or I have responded poorly to typical therapies, others have not been treated or really brought to my docs attention until recently. A lot of this stuff is very personal, but after a lot of reading on this board I get the feeling that ya'll are understanding and reasonable adults, so...here we go.
Insomnia - better since starting Vitamin D3
Depression/Anxiety - unsuccessfully treated with ADs
Inconsistent libido/ED/infrequent morning wood - made much worse by ADs
Difficulty gaining muscle and losing fat
Typically female fat distribution - hips, back of legs, low back, lower chest
Chronic joint and orthopedic pain/easily injured joints and connective tissue
Chronic sinus infections
Terrible snoring/sleep apnea - improved since losing a lot of abdominal fat around age 25
My testicles are often pulled in close to my body even when I'm not particularly cold, I've also had some very uncomfortable sensitivity.
Frequent night sweats
I also have a history of digestive problems/IBS that have largely been cleared up by cleaning up my diet
I have a family history of thyroid problems, heart disease and diabetes
I did some research before hand and suggested several tests that I would like; she declined most of them as unnecessary. She also threw in tests for Lyme and rheumatoid arthritis, Lyme was negative, rheumatoid hasn't come back yet.
WBC - 7.1 x10E3/uL 4.0-10.5
Hemoglobin - 15.4 g/dL 12.5-17.0
Hematocrit - 46.1 % 36.0-50.0
Total Cholesterol - 135 mg/dL 100-199
Triglycerides - 87 mg/dL 0-149
HDL - 50 mg/dL >39
VLDL - 17 mg/dL 5-40
LDL - 68 mg/dL 0-99
Sodium - 139 mmol/L 135-145
Potassium - 3.7 mmol/L 3.5-5.2
Chloride - 101 mmol/L 97-108
Co2 - 25 mmol/L 20-32
Calcium - 9.3 mg/dL 8.7-10.2
Blood Glucose (12 hours fasted) - 111 mg/dL 65-99
Serum Testosterone - 547 ng/dL 280-800
Free Testosterone (Direct) - 10.1 pg/mL 9.3-26.5
Vitamin D 25 Hydroxy - 26.4 ng/mL 32.0-100.0
TSH-ICMA - still waiting for results
Free T4 - still waiting for results
She is concerned about my Vitamin D and glucose. She prescribed 50,000 iu of D3 once a week and more tests for the glucose. I told her that I also wanted tests for estradiol and cortisol but she said they werenÃ?Â¢??t indicated.
I spent most of my teenage and adult life very overweight. At my heaviest I weighed 285 lbs, waist size 48. Around age 24 I got sick and tired of being sick and tired and took up weight lifting, hiking and clean eating. I've never avoided fats and have eaten primarily meat, veggies, nuts and fruit since cleaning up my diet.
Currently I lift 4-6 times a week with 2-3 heavy sessions. I walk a LOT, I'm a college student, I walk to class, I walk to the grocery store, everywhere. (I do a lot of that walking in shorts and a t-shirt. I also hike, spend a lot of time gardening and go to the beach in the summer, so the vit D deficiency has me a little baffled.)
My diet is high protein, moderate-high fat, moderate-low carbs, I'm currently eating right around maintenance and from a wide variety of whole foods. I cook with sea salt and ad it to my drinking water. I usually only eat sugary deserts or junk food during one day on the weekends, if then.
Supplements are Grow!, Metabolic Drive, BCAA's, creatine mono, zinc (100mg in the morning), D3 (1000 iu in the morning) and a B multi with thiamin, riboflavin, niacin, B6, folic acid, B12, biotin, pantothenic acid and calcium. I've been using the B for a few months and the D and zinc for about a month and a half.
I'm very frustrated, I feel like the damage that I did carrying around so much body fat is catching up with me.
My lifting always hits a brick wall, usually due to injuring a joint in some completely superficial fashion but resulting in set backs of weeks or months.
I lost a lot of weight dieting and exercising, I always tried to do it responsibly, but it has become really difficult to lose any of the body fat that I have left.
On top of that, I really just feel like shit on a day to day basis. I still feel like a sick fat guy even though I'm not carrying the weight around anymore.
My main concern at this point is metabolic syndrome, but I really want to see my thyroid numbers as well. Can you folks make any recommendations as far as further tests? How I should proceed? I'm likely going to go through LEF or something similar to get any additional tests unless my doc comes around to my reasoning.
Thanks for taking the time!