Good evening everyone,
Here is my story. For the past nine years I have felt a loss of focus, motivation, sex drive, and desire to do anything. I love my wife, and am happy with where I am at in my career but I feel like I am in a fog daily. I wake up everyday at 5 am and train before work, I get adequate sleep and my diet is solid. I recently had a wellness panel and as far as the ref ranges go, everything was good. I know the ref ranges aren’t the end all be all so I wanted to go further into the testing. I requested a testosterone blood test, as well as a PSA, and TSH test. When the test numbers came back, both the free and total test results were low ( I will post numbers below). My doc suggested trt and is starting me on 200 mg a month, with test cyponate. They aren’t breaking the injections down weekly, I am scheduled to get one shot and then return a month later for another 200 mg. I picked up my vial from the pharmacy but before I get my shot I wanted to do some more research, and of course I stumbled upon this forum. My doctor is actually a good friend of mine, a urologist at the hospital I work for. I respect him, but I need to learn more about this myself. I want to get better, and want to feel better. I am still young, and have young children that I want to play with and a wife that I want to have a healthy sex life with. Please let me know what there info you need/want from me for any suggestion you can make.
I am 6’2 275 lbs, at one point I was 410 and dropped the weight in a slow steady pace.
My current supplementation
4,000 mg vitamin C
Nordic Naturals Fish oil
2,000 iu Vitamin D
B-Complex 1x a day
K2 100 mcg
Prescription RX. None currently
In the past I took 350 mg of norco for a neck injury. That was about one year ago. Nothing else.
Here are my labs, all were fasted except for the TSH and PSA.
Component Standard Range Your Value Flag
Testosterone,Total 250 - 1100 ng/dL 231
Testosterone Free 35.0 - 155.0 pg/mL 41.4
TSH 0.36 - 3.74 uIU/mL 1.83
WBC 4.8 - 10.8 K/uL 6.6
RBC 4.70 - 6.10 M/uL 5.71
Hemoglobin 14.0 - 18.0 g/dL 16.5
Hematocrit 42.0 - 52.0 % 50.0
MCV 80.0 - 94.0 fL 87.6
MCH 28.7 - 33.1 pg 28.9
MCHC 33.0 - 37.0 g/dL 33.0
RDW 11.5 - 14.5 % 15.4 H
Platelet Count 130 - 400 K/uL 330
MPV 7.4 - 10.4 fL 7.6
Sodium 136 - 145 mmol/L 140
Potassium 3.5 - 5.1 mmol/L 4.7
Chloride 98 - 107 mmol/L 105
Co2 20 - 29 mmol/L 26
Anion Gap 10 - 18 mmol/L 14
Glucose 70 - 100 mg/dL 90
Bun 9 - 25 mg/dL 14
Creatinine 0.7 - 1.3 mg/dL 1.1
Please note: New reference range as of 10-21-2015.
Calcium 8.5 - 10.1 mg/dL 9.0
AST(SGOT) 5 - 37 U/L 17
ALT(SGPT) 12 - 78 U/L 29
Alkaline Phosphatase 46 - 116 U/L 67
Total Bilirubin 0.1 - 1.2 mg/dL 0.7
Albumin 3.5 - 5.0 g/dL 4.1
Total Protein 6.4 - 8.3 g/dL 7.2
A-G Ratio 1.3
Cholesterol,Tot 0 - 200 mg/dL 149
Triglycerides 35 - 150 mg/dL 80
LDL <100 mg/dL 103 H
HDL 40 - 150 mg/dL 39