T Nation

340 Free Testosterone Want to Rule Out Low T Before Considering SSRIs

Would appreciate @KSman input as well.
Suffering for lack of motivation, energy, vigour, trouble losing weight (successful only when my diet is very restricted around ~1300 cals a day)

Want to rule out low t or other endocrin issue before trying ssri’s

age: 31
height: 5’9
weight: 168
waist: 32 jean
describe body and facial hair: look fit in a t-shirt decent v shape. Good facial hair coverage but blonde
did to grow fast or slow and steady as a teen: slow. very late to puberty
testes ache or hurt? ever? very rarely if ever
mood: poor very blah
depression: yes not medicated
libido: low to medium
get cold easily? a change? reasonably quickly
dry skin, brittle nails? Skin slightly dry
use iodized salt? Believe so (in Canada)
eat much sea food? once every three weeks
exposure to chemicals? Not sure
ever used hair loss drugs? minoxidil
Rx and OTC drugs: None


FULL BLOOD WORK HERE > https://imgur.com/a/tWxIy4b

Hematology
WBC 5.1 4.0 - 11.0 x E9/L
RBC LO 4.48 4.50 - 6.00 x E12/L
Hemoglobin 136 135 - 175 g/L
Hematocrit 0.404 0.400 - 0.500 L/L
MCV 90 80 - 100 fL
MCH 30.4 27.5 - 33.0 pg
MCHC 337 305 - 360 g/L
RDW 11.9 11.5 - 14.5 %
Platelet Count 273 150 - 400 x E9/L
Differential
Neutrophils 2.3 2.0 - 7.5 x E9/L
Lymphocytes 2.1 1.0 - 3.5 x E9/L
Monocytes 0.5 0.2 - 1.0 x E9/L
Eosinophils 0.2 0.0 - 0.5 x E9/L
Basophils 0.0 0.0 - 0.2 x E9/L
Immature Granulocytes 0.0 0.0 - 0.1 x E9/L
Nucleated RBC 0 /100 WBC

Vitamin B12 402 138-652 pmol/L
Ferritin 120 22-275 ug/L
Hemoglobin A1C/Total Hemoglobin 5.2 <6.0 %
Sodium 144 135-145 mmol/L
Potassium 4.3 3.5-5.2 mmol/L
Creatinine 92 67-117 umol/L
Glomerular Filtration Rate (eGFR) 95
Estradiol 66 <162 pmol/L
NOTE: Fulvestrant has been shown to interfere

with estradiol testing by this direct
immunoassay. Results for patients taking
this medication may be falsely elevated to
a clinically-significant degree.

Some steroidal aromatase inhibitors are
structurally related to estradiol and may
interfere with some direct immunoassays.|
|Testosterone||11.5|8.4 - 28.8|nmol/L|
||Total Testosterone levels may not reflect the
biologically-active testosterone when SHBG levels
are abnormal.|
|Testosterone Free||332|196-636|pmol/L|
||Interpret free testosterone results with caution
in presence of significant hypoalbuminemia.|
|Sex Hormone Binding Globulin||14.9|10.0 - 70.0|nmol/L|
|Bone Markers|
|25-Hydroxyvitamin D||157|75 - 250|nmol/L|

Low T and low SHBG are both associated inability to lose weight, low SHBG is also associated with metabolic disorders. Nowhere is the impact of low SHBG so profound as in the cluster of conditions known as the metabolic syndrome, obesity, insulin resistance, lipid abnormalities, and chronic high blood pressure.

SHBG lower than 20 should have forced your doctor to spring into action and investigate further. Lower SHBG is sometimes generic or low thyroid function, fT3 or a combination of good fT3 and high rT3. TRT cannot work if thyroid function is low. fT3 is the most potent active thyroid hormone.

Insulin resistance raises rT3 which can block fT3 and prevent fT3 from entering your cells, therefore slowing metabolic rates and slowing metabolism.

You need a thyroid panel consisting of TSH, fT4, fT3, rT3 and antibodies. There shouldn’t be no good reason why you would have to fight the doctor on these tests unless they are incompetent.

You are also at risk for cardiovascular disease, levels below 440 ng/dL is associated with cardiovascular disease. Big pharma has restricted this information from doctors and the endocrine society chose the cutoff point for TRT at 300, well below the cutoff point where the studies show diseases are widespread.

Big pharma want you sick and diseased for life so they can provide you with prescription drugs (opioids) making you a customer for life. Doctors tell you you’re within the normal ranges which is heavily influenced by the hand that turns the wheel. The FDA and the Endocrine Society are in big pharmas pocket.

Testosterone Threshold for Increased Cardiovascular Risk in Middle-Aged and Elderly Men:

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