T Nation

34 Year Old, Low T for my Age?


#1

-age- 34
-height- 6’
-waist- 33
-weight- 200
-describe body and facial hair- Light, nothing serious. I’d call it average.
-describe where you carry fat and how changed- Back, carry more than 5 years ago. I have to watch my diet closely.
-health conditions, symptoms [history]- In the last 3 years I haven’t felt the same in the gym. Serious fatigue sometimes while exercising. This has really came on strong in the last 2 years. Sometimes I have been so tired I felt like I might not be able to finish a workout. I have fatigue also outside of the gym. I can sleep 8-9 hours and it doesn’t even seem like it matters. I have a lot of irritation sometimes tough time concentrating. Starting about 3 months ago I had some testical pain, went to a urologist, he said I had Varicocele. I didn’t mention any of the other stuff I have spoke about here. The pain has came back in the last 2 weeks. Sex drive, not like it used to be.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever- None

-lab results with ranges

My Total Test levels were at 770 about 5 years ago, now they are around 400. I am not sure how I could drop that much that quickly? I had this blood/urine work done about 4 months ago by my GP at the VA. Doctor said T levels were ok. I think for my age they are low. I am going to my other GP with a University Health system Monday for a physical and blood work. I have to get a referral to Endo from my GP in the University Health System I use. If I’m not satisfied, I might go straight to an Endo in a private practice. I trust this GP who is down to earth.

Test Name
Result
Units
Reference Range
Test Details
Test NameALBUMIN
Result4.8
Unitsg/dl
Reference Range3.5-5.0
Test Details Details
Test NameALKALINE PHOSPHATASE
Result49
UnitsU/L
Reference Range38-126
Test DetailsDetails
Test NameALT
Result23
UnitsU/L
Reference Range11-66
Test DetailsDetails
Test NameAST
Result32
UnitsU/L
Reference Range15-46
Test DetailsDetails
Test NameCALCIUM
Result9.1
Unitsmg/dl
Reference Range8.4-10.2
Test DetailsDetails
Test NameCHLORIDE
Result99
Unitsmmol/L
Reference Range98-107
Test DetailsDetails
Test NameCHOLESTEROL
Result221
Unitsmg/dl
Reference Range
Test DetailsDetails
Test NameCO2
Result30
Unitsmmol/L
Reference Range22-31
Test DetailsDetails
Test NameCREATININE (DOES NOT CONTAIN eGFR)
Result1.3
Unitsmg/dl
Reference Range0.7-1.5
Test DetailsDetails
Test NameGLUCOSE
Result85
Unitsmg/dl
Reference Range70-110
Test DetailsDetails
Test NameHDL
Result58
Unitsmg/dl
Reference Range26-71
Test DetailsDetails
Test NameLDL (CALCULATED)
Result137
Unitsmg/dl
Reference Range
Test DetailsDetails
Test NamePOTASSIUM
Result3.7
Unitsmmol/L
Reference Range3.6-5.0
Test DetailsDetails
Test NamePROSTATE-SPECIFIC ANTIGEN
Result0.600
Unitsng/ml
Reference Range
Test DetailsDetails
Test NamePROTEIN, TOTAL
Result7.2
Unitsg/dl
Reference Range6.0-8.3
Test DetailsDetails
Test NameSODIUM
Result145
Unitsmmol/L
Reference Range135-145
Test DetailsDetails
Test NameTESTOSTERONE
Result4.18
Unitsng/ml
Reference Range3-10
Test DetailsDetails
Test NameTOTAL BILIRUBIN
Result1.94 High
Unitsmg/dl
Reference Range0.3-1.2
Test DetailsDetails
Test NameTRIGLYCERIDE
Result130
Unitsmg/dl
Reference Range40-200
Test DetailsDetails
Test NameTSH
Result2.66
UnitsuIU/ml
Reference Range0.6-4.7
Test DetailsDetails
Test NameUREA NITROGEN
Result19
Unitsmg/dl
Reference Range9-20
Test DetailsDetails
Test NameeGFR (CALCULATED)
Result63.2
Unitsml/min
Reference Range>60
Test DetailsDetails

Test Name
Result
Units
Reference Range
Test Details
Test NameBASOPHIL #
Result0.0
UnitsThous./ul
Reference Range0-0.20
Test DetailsDetails
Test NameBASOPHILS
Result0.6
Units%
Reference Range0-1.6
Test DetailsDetails
Test NameEOSINOPHIL #
Result0.3
UnitsThous./ul
Reference Range0-0.67
Test DetailsDetails
Test NameEOSINOPHILS
Result6.8
Units%
Reference Range0-7
Test DetailsDetails
Test NameHCT
Result50.1
Units%
Reference Range40-54
Test DetailsDetails
Test NameHGB
Result16.7
Unitsg/dl
Reference Range14-18
Test DetailsDetails
Test NameIMMATURE GRANULOCYTE
Result0.2
Units%
Reference Range
Test DetailsDetails
Test NameIMMATURE GRANULOCYTE #
Result0.01
UnitsThous./ul
Reference Range
Test DetailsDetails
Test NameLYMPHOCYTE #
Result1.4
UnitsThous./ul
Reference Range0.6-3.44
Test DetailsDetails
Test NameLYMPHS
Result27.9
Units%
Reference Range10-44
Test DetailsDetails
Test NameMCH
Result29.6
Unitsuug
Reference Range26-34
Test DetailsDetails
Test NameMCHC
Result33.3
Unitsgm/dl
Reference Range32-36
Test DetailsDetails
Test NameMCV
Result88.7
Unitscuu
Reference Range80-96
Test DetailsDetails
Test NameMONOCYTE #
Result0.2
UnitsThous./ul
Reference Range0.03-0.90
Test DetailsDetails
Test NameMONOCYTES
Result4.6
Units%
Reference Range2-10
Test DetailsDetails
Test NameMPV
Result11.6 High
Unitsfl
Reference Range7.9-11
Test DetailsDetails
Test NameNEUTROPHIL #
Result3.01
UnitsThous./ul
Reference Range2.0-6.93
Test DetailsDetails
Test NameNEUTROPHILS
Result59.9
Units%
Reference Range37-77
Test DetailsDetails
Test NameNRBC %
Result0.0
Units%
Reference Range
Test DetailsDetails
Test NameNRBC#
Result0.00
UnitsThous./ul
Reference Range
Test DetailsDetails
Test NamePLT
Result222
UnitsThous./cmm
Reference Range150-350
Test DetailsDetails
Test NameRBC
Result5.65
Unitsmill’n/cmm
Reference Range4.6-6.2
Test DetailsDetails
Test NameRDW-CV
Result11.9
Units%
Reference Range
Test DetailsDetails
Test NameWBC
Result5.0
UnitsThous./cmm
Reference Range4.5-11.0
Test DetailsDetails

APPEARANCE
ResultCLEAR
Units
Reference Range
Test DetailsDetails
Test NameSPECIFIC GRAVITY
Result1.010
Units
Reference Range1.003-1.030
Test DetailsDetails
Test NameUR LEUKOCYTE ESTERASE
ResultNEG
Units
Reference RangeNEGTRACE
Test DetailsDetails
Test NameURINE BLOOD
ResultNEG
Units
Reference RangeNEGATIVE
Test DetailsDetails
Test NameURINE COLOR
ResultStraw
Units
Reference Range
Test DetailsDetails
Test NameURINE GLUCOSE
ResultNEG
Units
Reference RangeNEGATIVE
Test DetailsDetails
Test NameURINE KETONES
ResultNEG
Units
Reference RangeNEGATIVE
Test DetailsDetails
Test NameURINE NITRITE
ResultNEG
Units
Reference RangeNEGATIVE
Test DetailsDetails
Test NameURINE PH
Result6
Units
Reference Range5.0-8.0
Test DetailsDetails
Test NameURINE PROTEIN
ResultNEG
Units
Reference RangeNEGATIVE
Test DetailsDetails
Test NameURINE UROBILINOGEN
ResultNEG
Unitsmg/dl
Reference Range0.1-1.0
Test DetailsDetails
-describe diet [some create substantial damage with starvation diets]- 2400 calories, 40 carbs, 35 protein, 25 fat. Complex carbs, good fats, MCT oil, good protein sources.
-describe training [some ruin there hormones by over training]- 5 days a week, strength training, 30-60 minute sessions. Currently doing THT by Mark McManus.
-testes ache, ever, with a fever?- Yes, no fever.
-how have morning wood and nocturnal erections changed- Sometimes, unpredictable.


#2

Please do not post labs like that again, torture!
Cannot get through it all. :persevere:

Blast and blows to the head can damage pituitary and thus hormone levels.

Odd low chloride and high sodium!

TSH=2.66 should be closer to 1.0
lab ranges for thyroid are useless
Part of your fatigue is probably low thyroid function which you will evaluate via last paragraph in this post.

Problem may be caused by not using iodized salt.
Low thyroid function causes fat gain and can make fat loss difficult.
If you are iodine deficient, wife and kids can be too!

You may also notice:

  • feeling cold easier
  • sparse outer eyebrows
  • generalized hair thinning - not MPB

You need to test: -
LH AND FSH, not just LH
prolactin
fT4
fT3 - please not T3, T4 or any indirect methods or indexes etc.
FT -free testosterone
SHBG

Most docs are clueless about TRT and endos are typically the worst. VA has a well deserved reputation.

Please read the stickies found here: About the T Replacement Category

  • advice for new guys - need more info about you
  • things that damage your hormones
  • protocol for injections
  • finding a TRT doc

Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.