Good morning, I have been feeling fatigued and basically “worn out” for years now. I do have trouble managing my stress levels and have a Dx of Sleep apnea, however, I am compliant with CPAP therapy. After a long period of time simply living with the fatigue, and feeling generally much older than my physical age, I decided to go through a battery of tests to attempt to determine whats going on for me.
-describe body and facial hair: Always been very hairy, would have carpet on my chest without
-describe where you carry fat and how changed: Despite eating healthy and partaking in physical activity, have small love handles that do not go away. If i was to gain weight, it would all be around my midsection, full on skinny fat style.
-health conditions, symptoms: Low White blood cell count that is being investigated by a hematologist, Sleep Apnea currently being treated by CPAP.
-Rx and OTC drugs, no hair loss or prostate drugs. Currently just take 2,000 IU Vit D/K2 and 1,000mg Vitamin C.
-lab results with ranges: See below
-describe diet : Approx 3K calories split 45% carb/30% fat/25% protein consisting of eggs, steel cut oats in morning, banana, generally a bagel and peanut butter with fruit smoothie and pea protein powder for lunch, peanut butter sandwich and lara bar for snack, generally some kind of pasta and meat for dinner, salad with olive oil, almonds, apple for later snack, something other shake to hit calories needed or another PBJ sandwich.
-describe training: Generally 3 days/week weights consisting of 3-5 sets of 5 reps for major compound movements (Bench/Squat/Row) some core accessory work and some curls. 3 days of cardio, usually one long distant run about 30mins to 1hr tops and two interval training sessions at a 400m track.
-testes ache, ever, with a fever? Not currently, however for about a solid year (2016-2017), I would get persistent aching. Nothing within the last 4+ months.
-how have morning wood and nocturnal erections changed: Both are unchanged and morning erections are still like clockwork. However, I have noticed low libido in the evenings for the past 6 months approx. Before I would be ready to go at anytime, and now I am more interested in sex during the morning/day generally speaking.
Testosterone:9.8 Range: 8.4-28.8nmol/L
Follicle Stimulating Hormone (FSH) 2.2 Range: <9.5IU/L
Luteinizing Hormone (LH) 3.0 Range:1.1-8.8 IU/L
Prolactin 8.6 Range:3.8-20.6ug/L
TSH 1.23 Range:0.32-5.04mU/L
Ferritin 109 Range:24-444ug/L This used to be as low as 60 before I started taking the odd iron pill
Vitamin B12 330 Range:153-655pmol/L
Cholesterol 4.04 Range:2.00-5.19mmol/L
LDL Cholesterol 2.58 Range:1.50-3.40mmol/L
HDL Cholesterol 1.23 Range: >0.99 mmol/L
Chol/HDL (Risk Ratio) 3.28 Range: <4.9
Non HDL Cholesterol 2.81mmol/L (No range provided)
Triglycerides 0.51 Range: <2.21mmol/L
My doctor feels T is in the normal range and thus there is nothing to warrant further investigation. Basically I just want to know where to go from here? After reading some posts I need some further testing, E2/E3, Cortisol and perhaps others? Any advice or feedback would be greatly appreciated.