39"-waist(measured directly under naval)
-describe body and facial hair- decent, but lower legs have lost some hair over last 5 years. Started balding in late twenties at a somewhat quick rate.
-describe where you carry fat and how changed - all in waist/chest and is very stubborn. I remember feeling nipple pain during puberty…always had bigger nips and fatter chest, even as skinny teenager. Still have this problem as an adult.
-health conditions, symptoms [history] - mild HT, seems more genetic…GI issues when eating dairy/gluten. Overall in decent health.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever - Took propecia approx. 10 years ago. Stopped because boobs felt like they were getting bigger, didn’t notice anything else as far as side effects. I take Accupril 20mg ED, high grade fish oil, Zinc, magnesium, multi) No steriods… Try to stay away from NSAIDS…
-lab results with ranges (see attached)
-describe diet. I eat fairly clean, paleo/gluten free type diet. I eat some grassfed meats, but it’s hard to have a total true organic diet. I try to eat every few hours…eggs, meats, fish, nuts, almond milk w/ high quality protein, veggies and lots of water. I have always eaten fairly clean…but do drink socially, usually have 2-5 drinks night after I come off shift(I’m a firefighter). I’ve cut way back recently though…with no difference in the way I feel.
-describe training Been doing 5X5 barbell type workouts for awhile…and mix in some Crossfit during the week. I do not feel like I overtrain…one of the reasons I got my T tested was because my energy/recovery has been horrible.
-testes ache, ever, with a fever? NEVER
-how have morning wood and nocturnal erections changed? Still good wood…with strong sex drive. I asked to get my T tested approx 3 years ago during a Firefighter physical but the Dr. said if I still got hard-ons and had a strong sex drive there was no need for a test! A-hole.
I have been feeling more and more run down, anxious and generally crappy for the past 5+ years. I’ve been trying to kick up training to get rid of stubborn belly/chest fat but recovery/joints have been really poor. I’ve been a firefighter/paramedic for approximately 7 years…so sleep, stress is definitely an issue. Sex and hard-ons have been an non-issue…so far. I can go on the drop of a hat…twice a day when the wife is wiling. So I went to my Primary Dr. and she agreed to do a more comprehensive test…I thought my Estrogen/Test was out of whack and perhaps a thyroid issue. My Dr.'s nurse called back and said blood looked good except fasting glucose was a tad high…she said I needed to cut back on sugars/pop/etc and I said I didn’t really eat that except for a few drinks here and there. She then said my test was low and Dr. wanted me to start Androgel. I asked for the blood results because I needed to see what’s going. I did start Androgel (2 pumps)…it’s been about 7 days and I do feel better, but I know this is not the solution. Since then I’ve been reading non-stop to see what to do next. My Dr. wants me back in for a follow up at one month.
Next, I went and saw a TRT specialist by my house a few days ago that I found online…he looked my results over and said Firefighters/shift workers are generally 150-200 points lower because of sleep patterns/stress/etc. He said my labs/physical exam looked like I was healthy and just suffering from low T. He said he’d start me on weekly test injections with an Arimidex and HCG worked into the cycle. I don’t remember the exact dosages/injection cycle. He seemed knowledgeable and said he’d studied under/with Dr. Crisler…is that good? I thanked him and said I needed more information before moving on.
Lastly, I made an appointment for middle September to see my Urologist to make sure everything looks good with the testes. I saw him 5 years prior because I was going to get my tubes tied…I have two young crazy boys which adds to my daily stress level. I want to see what his opinion is.
So any advice? After I meet with my urologist in a few weeks I’ll have gone to three doctors and hopefully have all the necessary tests done. I know I could lose a few lbs… even though I have a fairly lean athletic build I do have a bit of softness around the belly…but compared to most people I eat and train well. I’m sorry if I left anything out that would be pertinent…