167, 12% BF
-describe body and facial hair
Average facial hair, I can grow a beard but it’s not pretty. Hairy chest, some hair on back and shoulders
-describe where you carry fat and how changed
Lower abdomen, no real change
-health conditions, symptoms [history]
Varicocele on both sides, left one described by doctor as the largest he’d seen. Had it removed in Jan 2012, have not scheduled the other surgery yet.
I had a serious case of giardia about 6 years ago. I lost 30 lbs in about a month, went from 190 lbs @ 10% BF to 160 at 10% BF. This left me with a malabsorption issue, probably the cause of low B12 & ferritin. It took me 6 months of 3500 cal/day to gain 5 lbs.
I was involved in a long and stressful lawsuit that took a little over 2 years to resolve. Stress wrecked me completely.
About 18 months ago (around the time the lawsuit ended) I switched from a vegetarian to a paleo diet. My wife was diagnosed with celiacs and hypothyroidism with motivated the switch.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever
B12 injections every 2-3 weeks
TRT since Jan 4, 2012 50mg/day
3g DAA daily (Started late Dec 2011)
7000 UI vitamin D3 daily
-lab results with ranges
As of Dec 8, 2011
TSH: 1.93 iIU/mL (0.34-5.60)
T3: 2.5 pg/mL (2.2-4.3)
T4: 0.73 ng/dL (0.57-1.25)
DHEA-S: 232 ug/dL (106-464)
Testosterone, total: 414.84 ng/dL (241-827)
SHBG: 44.1 nmol/L
Free androgen index: 32.6
Testosterone, free: 9.1 pg/mL (8.7-25.1)
Total cholesterol: 219 (<200)
LDL: 146 (<130)
HDL: 65 (>=40)
I had another draw recently but have not received the results.
-describe diet [some create substantial damage with starvation diets]
Paleo with dairy. Unlimited calorie, and I add fruit and sweet potatoes (or other root veggies) after workouts. Some CFM whey with fruit and coconut milk as a meal replacement if I don’t have time to get a real meal.
-describe training [some ruin there hormones by over training]
-testes ache, ever, with a fever?
Extreme discomfort and pain in November and December 2011. It felt like they were being squeezed constantly.
-how have morning wood and nocturnal erections changed
Major ED and no libido in the months prior to starting TRT. Libido was so low, I didn’t notice it was low. Been having morning wood and other normal behavior on TRT.
I began to suspect something was off for a number of reasons. I wasn’t making any real strength gains and my endurance during metcons was low. Bodyfat was remaining in the 11-13% range. Weight and BF are within 5 lbs, 0.5% of a year ago when I started Crossfit.
I thought it might be an adrenal issue due to brain fog and general fatigue. I was wiped out after 9 hours of sleep and generally unmotivated. At my anual physical (in December), I asked for thyroid, DHEA, and androgen levels to be checked. Doc did not request E2-sensitive and I didn’t know to ask. When the results came in he told me they were “in range” (but were clearly low), so I fired him and found an ND who was much more receptive. He put me on TRT (oral via troche) which immediately cleared up the brain fog and testicular pain I was having.
I had seen a urologist about having the varicocele removed already, so scheduled the surgery in mid-January. Going to have a follow-up on the other side in a few months.
Symptoms from the wikipedia hypogonadism article that I had:
Muscle loss/atrophy (well, no muscle gain)
Increased abdominal fat
Psychological and relationship problems
Infertility (low sperm motility)
Frequent urination (polyuria) without infection; waking at night to urinate (nocturia)
EDIT: Added ranges, added DHEA-S value