I stumbled upon your forum a couple of weeks ago, trying to research low-T, ultimately trying to “fix” my life. I’m amazed at how much knowledge seems to exist here, super excited to have found the site!
I’m 33, 6’, 270 lbs. and exhausted 24/7. I have, for the past 6-7 years felt just drained and exhausted. It’s complicated so much of my life at this point that for the past year I’ve been on a mission to figure out what is going on. I’ve seen a few highly recommended doctors, the latest one suggested that we explore low-T based on my symptoms. We did the tests and her office said “everything is normal”. I’m headed back for a follow-up with her on Friday (it’s Tuesday now) and want to be prepared for the discussion.
I’ve explored plenty of things based on my symptoms, low vitamin B & D levels, Thyroid issues, sleep apnea, etc., have made some changes, haven’t been able to feel ANY better.
Based on everything I’ve read I feel like this could change my life…
Here are my stats per the “newb post”…
-age : 33
-height : 6’
-waist : 53"
-weight : 275
-describe body and facial hair : average, have lost head hair during the past 6-7 years, going bald, shaved my head as a result
-describe where you carry fat and how changed : where hasn’t changed, I’ve carried it around my waist and with moobs for years
-health conditions, symptoms [history] :
6-7 years ago I had a vasectomy. until that point I was healthy aside from being over weight (240 lbs.) Ever since (and I’m not saying this is related!) I have been getting more and more tired, I feel like I’ve become straight up dumb (memory loss, inability to think clearly, to form sentences when in a conversation), I’m always cold, I have so little motivation to do anything (work, play, sex, etc.) that I don’t feel like myself. I used to be the most laid back guy you’ve ever met… not so much anymore. I feel like I’m being a dick a lot.
I was diagnosed with mild sleep apnea (the tech said "you probably don’t even need CPAP), however they did set me up with CPAP, they say it is working, I don’t feel ANY different when using it. I have always slept through the night, I fall asleep 30 seconds after I lay down and absolutely struggle to get out bed in the AM, regardless of using my CPAP (which I do… even though it doesn’t help!)
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever : tried rogaine for 3 months ~3 years ago, didn’t help, stopped it. otherwise no other meds, now or in the past. I have very much been anti-rx drugs up to this point.
-lab results with ranges : see below
-describe diet : I lean towards paleo whenever possible (heavy on red meats, fish, good fats (coconut oil, avacado, etc.) but I do eat more crap than I should (fried foods, bread).
-describe training : I cannot motivate myself to “train”. I used to in high school, haven’t been able to get off of my ass in the past 6-7 years… I pay a damn gym every month though. I do walk my dogs 1-2 hours per day religiously and have done so for 2+ years… it always makes me more tired. My dog had surgery, this is part of his long-term rehab, if not for it keeping him healthy, I would NOT exercise (but I would give anything to be motivated to be in the gym daily!)
-testes ache, ever, with a fever? only when I haven’t had sex for a while, one will ache until I do.
-how have morning wood and nocturnal erections changed : pretty much gone away past 5 years
lab results (suggested by my doc, I had her add the Thyroid, B and D to compare with previous attempts to diagnose):
my #s first, lab range in parenthesis (all from Arup labs), test was done at 8:30 AM
SHBG: 28 nmol/L (11-80)
T Free Calc: 65 pg/mL (47-244)
T % Free: 2.0 (1.6 - 2.9)
T Total: 329 ng/dL (300-1080)
TPO: 2.9 IU/mL (0.0-9.0)
T3 Total: 0.97 ng/mL (0.6 - 1.81)
TSH: 1.674 uIU/ml (0.550 - 4.780)
T4 Free: 1.45 ng/dL (0.89 - 1.76)
V B12: 1267 pg/mL (220-1100) Note: I supplement 5000 / day (looks like it is working!)
V D25 OH: 31 ng/mL (30-100) Note: I supplement 1000 / day (looks like I need to up this!)
Basic metabolic panel:
Sodium: 141 (135-145)
Potassium: 4.0 (3.5 - 5.1)
Chloride: 105 (98 - 107)
CO2: 31 (21 - 32)
Anion Gap: 5 (5 - 15)
Glucose: 94 (75 - 99)
BUN: 13 (8 - 20)
Creatinine: 1.08 (0.70 - 1.40)
GFR: 84 (>60)
Calcium: 9.0 (8.4 - 10.2)
So based on your collective expertise… is it worth me pursuing TRT or am I barking up the wrong tree? Based on all of the reading that I’ve done, it seems like my symptoms align to low-T remarkably and I haven’t been this excited about finding help in a long, long time. Should I push my doc to retest, start TRT, add other tests (E2?) to confirm it isn’t some other root cause? If she says “sorry, can’t help” should I pursue TRT with another doc?
Is my total T at 329 as low as it seems to me for a 33 year old? Shouldn’t I be at like 800? Is this number not really accurate? Does the % free make me more “normal?”
If you were me… how would you proceed?
Sorry for the rambling post, tried to clean it up!
Thanks in advance for any help!!