My primary concerns- No morning erections, loss of libido, fatigue, foggy mind and anxiety. I have had these issues for a few years. The doctors I met were dismissive and put me on RX SSRIs since the past year.
I was finally able to meet a good doctor who understands these issues. He had ordered my blood work. I’m posting these here.
height-178 cm, 5’ 10"
weight- 81 kg , 178 lb
describe body and facial hair - Can grow a decent but not too thick beard. Balding hairline.
Medium amount of hair on chest. Sparse hair on the back. Hairy legs. Eyebrows are thin.
describe where you carry fat and how changed - I have a generally slim build but with broad shoulders and long arms. Have gained some weight which I’m finding difficult to lose. Slightly fat around the abdomen.
health conditions, symptoms [history] - Recently identified as diabetic. Was under treatment for anxiety and depression.
Rx and OTC drugs, any hair loss drugs or prostate drugs ever - Escitalopram once daily 10mg since one year.
Used to take Clonazepam 0.25mg once daily for three months. Stopped since Sep 2017. I was offered higher doses of both but have not taken that up since I want to be off SSRIs.
describe diet - Normal diet with minimal sugar. Almost no junk food.
describe training - Used to do mild cardio 4 times a week. Stopped cardio since past 2 months and now I follow Stronglift 5X5
testes ache, ever, with a fever? - Never
how have morning wood and nocturnal erections changed - I cannot remember the last time I’ve had morning wood or nocturnal erections.
Hours After Meal 13 Hours
Collection Time 08:09 am
WBC 6.0 (Range 4.0 - 11.0x E9/L)
RBC 5.40 (Range 4.50 - 6.00 x E12/L)
Hemoglobin 161 (Range 135 - 175 g/L)
Hematocrit 0.467 (Range 0.400 - 0.500 L/L)
MCV 87 (Range 80 - 100fL)
MCH 29.8 (Range 27.5 - 33.0pg)
MCHC 345 (Range 305 - 360g/L)
Platelets 235 (Range 150 - 400 x E9/L)
RDW 13.1 (Range 11.5 - 14.5%)
Neutrophils 3.1 (Range 2.0 - 7.5x E9/L)
Lymphocytes 2.5 (Range 1.0 - 3.5x E9/L)
Monocytes 0.3 (Range 0.2 - 1.0x E9/L)
Eosinophils 0.1 (Range 0.0 - 0.5x E9/L)
Basophils 0.0 (Range 0.0 - 0.2x E9/L)
Ferritin 153 (Range 22-275ug/L)
Hemoglobin A1C/Total Hemoglobin HI 6.7 (Range <6.0%)
Sodium 141 (Range135-145 mmol/L)
Potassium 4.4 (Range 3.5-5.2 mmol/L)
Creatinine 84 (Range 67-117 umol/L)
Glomerular Filtration Rate (eGFR) 106 (Normal eGFR is described as greater than or equal
to 90 ml/min/1.73 m2)
Triglyceride 1.34 mmol/L
Cholesterol 4.60 mmol/L
HDL Cholesterol 1.09 mmol/L
Non HDL Cholesterol 3.51 mmol/L
LDL Cholesterol 2.90 mmol/L
Cholesterol/HDL Cholesterol 4.2
Investigation of Carbohydrate Metabolism
Insulin Fasting 90 (Range 20 - 180 pmol/L)
Thyroid Stimulating Hormone [TSH] 1.65 (Range 0.32-4.00 mIU/L)
Thyroxine Free [Free T4] 10 (Range 9-19 pmol/L)
Triiodothyronine Free [Free T3] 3.9 (Range 3.1-6.2pmol/L)
Follicle Stimulating Hormone [FSH] 1.5 (Range 1.0-8.0 IU/L)
Luteinizing Hormone [LH] 4.7 (Range 1.0-7.0 IU/L)
Prolactin 9.9 (Range 4.0-19.0 ug/L)
Cortisol AM 222 (Range 135-537 nmol/L)
Reproductive and Gonadal
Estradiol 115 (Range <162 pmol/L)
Dehydroepiandrosterone [DHEA-S] 7.2 (Range< 15.0 umol/L)
Testosterone Bioavailable 8.2 (Range 3.6 - 11.2 nmol/L)
C Reactive Protein (High Sensitivity) 0.29 mg/L
25-Hydroxyvitamin D LO 18 (Range 75 - 250 nmol/L) Test repeated and results confirmed.
Note : The doctor had not requested for Total or Free Testosterone. However, I had checked my total t couple of weeks ago.
Testosterone total 11.2 (Range 8.4 - 28.8 nmol/L) on 10th Nov 2017
Testosterone total 10.9 (Range 7.6 - 31.4 nmol/L) on 13th Oct 2017
My Vit D levels are scary low. I’ve started taking a Vit D supplement since yesterday. Took 25000 IUs of D3. Planning to do this for next few days and then take a maintenance dose of 5000 IUs a day.
My next appointment with the doctor is in a few weeks.
I have a few questions:
- I’m wondering if Vit D has a major impact on libido, energy and concentration?
- My total T levels look pretty low. Is my bio-available T in an acceptable range? Why do I have really bad symptoms of low T if it is in the acceptable range?
- My HbA1C is at 6.7 which makes me a diabetic. I have tried testing my blood glucose levels at different times of the day. Sometimes when I am really hungry my hands shiver and glucose level turns out to be around 70 mg/dl mark. A few hours after food, it is between 120-180 mg/dl. I am not taking any diabetic medications.
- Any other thoughts on my blood work?
Thanks in advance for going through my post.