-age
37
-height
6’1"
-waist
30"
-weight
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]
Low B12
Low ferritin
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]
Crossfit 2-3x/week
-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:
Poor libido
Fatigue
Muscle loss/atrophy (well, no muscle gain)
Erectile dysfunction
Increased abdominal fat
High cholesterol/lipids
Poor sleep
Difficulty concentrating
Memory loss
Depression
Anxiety
Psychological and relationship problems
Irritability
Infertility (low sperm motility)
Frequent urination (polyuria) without infection; waking at night to urinate (nocturia)
Achy muscles
EDIT: Added ranges, added DHEA-S value