Age - 31yo
Height - 5’11"
Waist - 34
Hair - I’m Indian; plenty of hair.
Fat - Carry fat around waist and chest. Carried weight in these areas since puberty. Enough chest fat to get comments, but not tits.
Symptoms - fatigue, memory, anxiety, depression (post-puberty, cyclical), motivation, difficulty concentrating, smell loss, body set weight high.
Drugs - None
Diet - 3-4 eggs at 10AM, Cooked Meats and Vegetables with Rice around 2PM, same around 8PM.
Training - Dropped in last 3 months. Sleeping 8-10 hours per day.
Very consistent prior to last 3 months. Running. Body-Weight exercises. Yoga. Meditation. Energy levels so low now difficult to maintain that protocol.
Testes - No symptoms.
Morning Wood - None for last 3 months at least. Erections strength and ability to maintain and orgasm strength diminished markedly in last 16 months
Temperatures - Haven’t Checked.
Salt - Just regular Table Salt
DHEA-Sulfate: 289.2 (138.5-475)
Estradiol: 33.6 (7.6-42.6) Slightly High Perhaps
Free T (Direct): 11.6 (8.7-25.1) Looks Ok?
Testosterone, Serum: 367 (range for lean men up to 40: 348-1197) Looks Low.
LH: 2.9 (1.7-8.6) Low.
FSH: 2.1 (1.5-12.4) Low.
Hemoglobin A1C: 5.5 (4.8-5.6)
TSH: 2.21 (.45-4.5)
Vit D, 25-Hydroxy: 21.2 (30-100) Below Range. Needs To Be Supplemented
Progesterone: .6 (.2-1.4)
SHBG: 14.9 (16.5-55.9) Below Range.
Thyroxine T4, Free, Direct: 1.19 (.82-1.77)
Trilodothyronine, Free, Serum: 3 (2-4.4)
Ferritin, Serum: 115 (30-400)
LDH: 111 (121-224) Below Range, not sure how relevant.
I suspect many of these numbers would look better if I cut some fat (for example; LDL, E2 and SHBG). Unfortunately that seems to be a sisyphean task for me, as I bounce back to a high body fat % easily.
I’ve had this body type since pre-puberty despite being active in sports; swimming, martial arts, basketball, etc. I feel like that 10-14 year old body and psychic condition is the magnet I am constantly drawn back to, and that a medical hormonal intervention might be the only way to permanently change my unfavorable homeostasis condition.
During the teen years I suffered depression, which repeated itself in college, mid-20’s, and now again in early 30’s. The depression is characterized by near-total withdrawal from activity and people.
When I am not in the every few years recurring depressed state, and I am engaged in activity and relationships, my day to day living is stressful due to social anxiety which prevents me from being the generally outgoing person I feel myself to be. My internal experience of life is stressful, even when outwardly things by any relative marker things would appear to be ok.
In my mid 20’s I was maintaining a low glycemic load diet, HIIT and Olympic lifting and this put me in relatively good shape (compared to my baselines), but it always just felt like I was just at the edge of a cliff, ready to slip back at an any moment. Additionally despite the cardio and the sports-specific training, I was never able to get rid of this shakiness and tremors, which were most pronounced while lifting. To me it indicated some nerve related issue. Nor was I making the strength gains that others were making with similar training. Additionally, the physical regime and disciplined diet did nothing to reduce my social anxiety and hypervigilance. It is worth noting though that I did not have any sexual problems during that period between 26-28. I desired to and could perform multiple times a day and had morning erections etc.
Since the beginning of this year, I have become completely withdrawn, and have been again practically bed-ridden. My diet is not terrible, but it’s certainly not as good as it could be, but I have not getting little to no physical activity. These last few months are reflected in those labs, which were drawn on May 8th, 2015.
What I have to work with now is: 1) my current quality of life is low 2) It is likely that I am going to continue oscillating between these states unless I make a drastic change and 3) TRT is a possible way out.
I am also planning an appointment with Dr. Mariano, who many have referenced on these threads, next month.
Based on the above labs I am beginning to supplement with Vitamin D, eat healthier, but getting active again currently doesn’t feel possible.
Glucose, Serum: 89 (65-99)
Uric Acid: 6.5 (3.7-8.6)
BUN: 17 (6-20)
Creatine, Serum: 1.27 (.76-1.27)
Sodium, Serum: 142 (134-144)
Potassium, Serum: 4.1 (3.5-5.2)
Chloride, Serum: 100 (97-108)
Calcium, Serum: 9.8 (8.7-10.2)
Phosphorous, Serum: 4.2 (2.5-4.5)
Protein, Total, Serum: 6.8 (6-8.5)
Albumin, Serum: 4.8 (3.5-5.5)
Globulin, Total: 2.0 (1.5-4.5)
A/G Ratio: 2.4 (1.1-2.5)
Bilirubin, Total: .5 (0-1.2)
Alkaline Phosphatase, S: 74 (121-224)
AST: 18 (0-40)
ALT (SGPT): 21 (0-44)
GGT: 11 (0-65)
Iron, Serum: 91 (40-155)
Cholesterol, Serum: 171 (100-199)
Triglycerides: 91 (0-149)
HDL Cholesterol: 41 (>39)
LDL Cholesterol: 112 (0-99)
T. Chol/HDL Ratio: 4.2 (0-5)
Homocystine, Plasma: 9.6 (0-15)
PSA: 1.2 (0-4)
C-Reactive Protein: .3 (0-3)
WBC: 4.3 (3.4-10.8)
RBC: 5.22 (4.14-5.8)
Hemoglobin: 15.2 (12.6-17.7)
Hematrocrit: 45.3 (37.5-51%)
MCV: 87 (79-97)
MCH: 29.1 (26.6-33)
MCHC: 33.6 (31.5-35.7)
RDW: 13.4 (12.3-15.4)
Platelets: 251 (150-371)
Neutrophils: 2.4 (55%) (1.4-7)
Lymphs: 1.5 (35%) (.7-3.1)
Monocytes: .3 (7%) (.1-.9)
EOS: .1 (2%) (0-.4)
Basos : 0 (1%) (0-.2)