I just got my bloodwork back and I have extremely low t levels and high AST/ALT levels. I scheduled a follow up with my GP to review the results but I am not sure exactly where to start or if I should go straight to an endo. I am just trying to find some feedback from others with knowledge on what is going on and how I should go about handling it.
Let me know if you need more of the results I got a comprehensive metabolic panel w/ EGFR done which all showed normal except AST/ALT. I also got my thyroid checked TSH, 3rd Generation. I’ve done well losing weight but I gain weight very quickly. My strength and muscular growth moves very slowly regardless of intensity or training styles.
-describe body and facial hair: hair on chest, stomach, under arms, arms, legs and full facial hair
-mood: up and down
-depression: at times
-did to grow fast or slow and steady as a teen: Fast, had a full beard and hair on chest/stomach/legs/arms since 17 years old. had huge growth spurt at 18 and 4-5" taller than anyone in family.
-describe where you carry fat and how changed: Always on my midsection/belly my whole life even at 7% bf
-health conditions, symptoms [history]: Nothing previously
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever: multivitamin, creatine, pescience nictric oxide supplement, bcaa/eaa
-lab results with ranges
AST: 41 (10-40 U/L)
ALT: 91 (9-46 U/L)
Free Testosterone: 16.3 (35.0-155.0 pg/mL)
Testesterone, Total, LS/MS/MS: 108 (250-1100 ng/dL)
TSH, 3rd Generation: 2.00 (0.40-4.50 mIU/L)
HDL Cholesterol: 61 (> OR = 40mg/dL)
LDL Cholesterol: 74 (<130mg/dL (calc)
-describe diet [some create substantial damage with starvation diets]: I was on a caloric deficit for 8 months and went from 23% bf to 7% (1800 calories per day). Low fat 20-25% of caloric intake. Approx: 170g protein/60g fat/290g carbs reverse dieting for the last 3.5 months and I put on 17lbs currently at 10.5% bf.
-describe training [some ruin there hormones by over training]: 5-6 days a week, high volume, hypertrophy based programming, cardio 2 times per week steady state 22 minutes, 2 HIIT 10min sessions
-testes ache, ever, with a fever?: No, I have experienced a few sharp random pains before years ago but have not experienced them for a long time.
-how have morning wood and nocturnal erections changed: Don’t have them.