Sorry to post up yet another "do I have low T" thread, but I've been searching a while and could not find a case similar to mine.
I've listed all the details below, but my question basically boils down to two:
1) why is my FSH/SHBG "normal", test in "low normal", but my LH is on the low side?
2) With my T levels of 329, I have a feeling my endo will say I'm fine (I'm seeing her on monday but wanted to consult the wise minds of T-Nation first). What are my options at this point?
-weight: 160-5lbs (fluctuates)
-describe body and facial hair: slender, a little bit "skinny fat" (fat mostly accumulated around waist), facial hair is average for an asian male (not wispy, thick, but only on chin/upper lip). plenty of thick coarse hair on legs, bushy junk, hairy armpits, but no chest/back hair and only a very light amount on belly/nipples.
-describe where you carry fat and how changed: used to have very little fat until about age 32-33, then started carrying more fat right around the waist/belly, and a little bit on chest/nipple area
-health conditions, symptoms [history]: no health conditions - but have symptoms of low T: low/no libido, low energy, irritable, no joy in life, also broke my hand relatively easily 2 years ago
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever: none
-lab results with ranges (drawn at 7:50am)
TSH: 0.84 (range: 0.40-4.50 mIU/L)
FSH: 3.0 (range: 1.6-8.0 mIU/mL)
LH: 0.5 (range: 1.5-9.3 mIU/mL)
Prolactin: 9.2 (range: 2.0-18.0 ng/mL)
SHBG: 45 (range: 10-50 nmol/L)
Total Test: 329 (range: 250-1100 ng/dL)
Free Test: 43.9 (range: 35.0-155.0 pg/mL)
fasting Blood Glucose: 104 (range: 65-99 mg/dL)
Albumin: 5.1 (range: 3.6-5.1 g/dL)
Globulin, Total: 2.6 (range: 1.9-3.7 g/dL)
A/G Ratio: 2.0 (range: 1.0-2.5 ratio)
Bilrubin, Total: 0.7 (range: 0.2-1.2 mg/dL)
AST (SGOT): 26 (range: 10-40 U/L)
ALT (SGPT): 55 (range: 9-46 U/L)
Protein, Total: 7.7 (range: 6.1-8.1 g/dL)
Calcium, Serum: 10.0 (range: 8.6-10.3 mg/dL)
Cholesterol, Total: 309 (range: 125-200 mg/dL) (my father has high cholesterol so likely familial)
Triglycerides: 135 (range: <150 mg/dL)
LDL Cholesterol (calculated): 226 (range: <130 mg/dL)
Cholesterol, HDL: 56 (range: >= 40 mg/dL)
LDL/HDL Ratio: 4.04 (av. risk 2.29-4.90)
CBC Platelet count: 120 (range: 140-400 thousand/uL)
CBC Hematocrit: 48.5 (range: 38.5-50.0%)
Vitamin D, 25-OH, Total: 19 (range: 30-100 ng/mL)
Vitamin D, 25-OH, D3: 19 (range: not established)
Vitamin D, 25-OH, D2: <4 (range: not established)
no beer, no soda. i'm not super strict with diet (i know, i should be), but I generally try to emphasize eating lean meats, a little bit of carbs/fat. I try to eat at least 3-6 hard boiled eggs per day, and a lean meat heavy meal for dinner. snack occassionally in the afternoon with cheese or almonds.
gym twice a week with alternating routines of chest/back/biceps and upper chest/legs/triceps. not a hardcore gym rat, but I go consistently rain or shine and lift until I can't lift any more and am almost passing out. Seems like it's impossible to build muscle even though I try to eat clean (though I'm not as strict about this as I should be), and I eat tons of protein. After 2 years, if you saw me on the street you would never guess that I even went to the gym.
-testes ache, ever, with a fever? never
-how have morning wood and nocturnal erections changed: yes - morning wood is infrequent but random - sometimes there, sometimes not. noctural erections, almost none.