Weight: 225, ~25% BF per Bioelectrical Impedance
Body Hair/Facial Hair: Average, definitely not a full bearded lumberjack.
Carry Fat: Gut
Health Conditions: Adult ADD, Broken Collar Bone that Never Calcified
RX: 25mg Adderall XR, never used prostate or hair loss drugs. Did do a few cycles of Accutane in high school. Use Viagra/Cialis 2-3 times a week. Creatine at ~5 g daily. Vaporizer with Nicotine daily.
Lab Results: See Below
Diet: 1500-200 calories Monday through Friday. 2500-300 on the weekend.
Training: 5X5 2-3 times a week for the last year. Weight trained since high school.
Teste Ache/Fever: No.
Morning Wood: Less frequent the last few years.
Initial Lab Results 2/4/2016, 10:00 A.M. (Blood Test)
Free Test: 71.1 pg/mL (Ref Range 30-140)
Testosterone: 331 ng/dL (Ref Range 200-730)
Albumin: 3.8 d/dL (Ref Range 3.2-5.0)
SHBG: 32 nmol/L (Ref Range 11-80)
Recent Lab Results 3/18/2016, 9:00 A.M. (Blood Test, Will Update as Additional Results Received from Lab)
fT3: 2.9 pg/mL (Ref Range 1.71-3.71)
fT4 (FT4_6): 1.06 ng/dL (Ref Range 0.69-1.55)
LH: 5.1 mIU/mL (Ref Range 0.6-12.1)
FSH: 2.6 mIU/mL (Ref Range 0.9-11.9)
PTH Intact: 28.2 pg/mL (Ref Range 12-80)
Total Calcium: 9.7 mg/Dl (Ref Range 8.5-10.5)
Ionized Calcium: 1.23 mmol/L (Ref Range 1.11-1.33)
PSA: 0.47 ng/Ml (Ref Range 0.07-4.00)
TSH: 1.92 uIU/mL (Ref Range 0.35-4.94)
VIT D: 27 (Ref Range 30-96)
Glucose: 99 mg/dL (Ref Range 65-115)
Urea Nitrogen: 18 mg/dL (Ref Range 5-24)
Creatinine: 1.4 mg/dL (Ref Range 0.6-1.5)
EGFR: 58.7 mL/min/173 (Ref Range >60)
EGFR AA: >60 mL/min/173x1.21 (Ref Range >60)
Sodium: 147 mmol/L (Ref Range 133-149)
Potassium: 4.6 mmol/L (Ref Range 3.5-5.1)
Chloride: 108 mmol/L (Ref Range97-110)
Carbon Dioxide: 26 mg/dL (Ref Range 22-33)
Calcium: 9.6 mg/dL (Ref Range8.3-10.3)
C-Reactive Protein: 0.5 mg/dL (Ref Range 0-1.0)
Prolactin: 8.0 ng/mL (Ref Range 2.8-15.6)
Estradiol: 23.0 pg/mL (Ref Range 11-44)
ESR: 10 mm/hr (Ref Range 0-20)
LD: 161 IU/L (Ref Range 100-253)
I am waiting on the additional test results that needed to be sent to another lab and will update the post when I receive them. Pituitary MRI scheduled for this weekend and bone density scan tomorrow.
Body temperature is at 98.6 first thing in the morning per an in ear thermometer, was at 100.7 after getting out of the shower today.
Diet is pretty clean M-F, lots of protein, healthy fats, low glycemic carbs via vegetables and whole grains when I eat carbs.
A little background on me. I have never used any steroids or performance supplements outside of whey and creatine. Trained since I was in high school with weights and still do. Noticed at about 28 years old some mild ED, worsened with age. Sex drive has been a lot lower the last year or two. I am shooting for 1500-1750 calories a day during the week but weight is really slow to come off. I started having trouble focusing at work a few years ago and received a prescription for Adderall XR, wondering if this is the brain fog discussed by others with low T. I’m a tax CPA with my own firm but I do not feel overly stressed, I’ll be curious to see the cortisol test results. Up until mid-20’s to late 20’s I never felt any of the symptoms associated with low T. Started feeling them a few years ago bit only recently made the connection with low T, hence the recent lab tests above.
Getting married in November and shooting for kids shortly after, so I was initially very hesitant to consider using TRT. After some research I am open to the idea but want to ensure I do not affect my ability to have kids, so assuming hCG would be in the cards. Ideally I would like to get my T levels up naturally and have been researching the HPTA restart protocol with hCG to Nolvadex per K Sman’s sticky. Noticed that my Vitamin D is low so I will be looking for a supplement, any recommendations are welcome.
Any help identifying whether I’m primary, secondary or thyroidal is very much appreciated. This forum has a lot of great info and I’m glad to have a resource to help me learn how to best deal with these issues. Thanks in advance for any input.