42 yo Low T, low energy, low temp, low libido
Sorry for the lengthy post, but I wanted to provide sufficient information.
I’m 42 years old.
Over the last 2 years or so, I’ve been experiencing low energy, brain fog, and my libido has drastically dropped off.
I still enjoy sex and want to have it, but for about the last 2 years, given the choice between sleeping or having sex, most of the time I’ll choose sleep.
(I can’t believe I’m even saying this. Choosing sleep over sex used to be such a ludicrous idea, something I couldn’t even imagine.)
I’ve also experienced some mild ED. (again, something I could never conceive of happening a few years ago.)
In the spring and summer of 2012, there were some times when my wife and I would be building up to sex, but if things weren’t progressing fast enough, it was hard to keep my interest/focus and I’d lose my boner. There were also some times when I had a naked behind right in front of me, and I wasn’t sure if I was going to be able to get it up. There have also been a few times when I was actually having sex with my wife, but never could get myself to the point of orgasm and had to give up. (I didn’t even think it was even possible for that to happen to a man.)
At the same time the sexual issues were developing, I also started having real trouble focusing at work (experiencing the brain fog I’ve see mentioned in other posts). I’m also tired most of the time. Or I’ll feel good in the morning, but be shot by the end of the day. (I work with computers, so I’m sitting at a desk all day long.)
The more I think about it, low energy is probably the bigger problem. If I had more energy, I’d probably have a lot more sex, but most of time, even if sex sounds like fun, it seems like it’s just too much work and I just don’t have the energy for it.
I began wondering if low T was my problem, so I had a CBC and TT taken about a year ago (March of 2012 - results below).
Then in August 2012, I decided to try to boost my T naturally, so I started exercising regularly, 20min a day 3 or 4 days a week and trying to eat healthy.
I’ve cut out most of the simple carbs (sweets, breads, sweetened beverages) and started eating more eggs, meat, and vegetables. I’ve also tried to add a lot of monounsaturated fatty acids to my diet (lots of mixed nuts and olive oil).
Here is some of my personal info:
-weight: 160lb (170 6mos ago, in August)
-body and facial hair:
I’ve always had much less body hair than most men. I have a full head of hair and haven’t experienced any hair loss.
I have no hair at all on my chest and never have. I have typical male hair on my legs from the knee down. No back hair. Minimal armpit hair. Not much hair on my arms. Can’t grow a real beard or mustache, but do have to shave my mustache area and the end of my chin. None of that has changed, that’s the way I’ve always been.
-describe where you carry fat and how changed
I’ve always been skinny and not carried much fat. Since I started exercising in August, I’ve lost about 10lbs (170 → 160). It came off in an thin layer all over my body (arms, legs, etc) revealing more muscle definition. I still have a layer of fat on my gut that I’d like to get rid of, but it’s not very much. I can see my 6 pack, but it’s not as defined as I’d like for it to be and the lower 2 are kinda flabby.
-health conditions, symptoms [history]
(described above) No real health issues ever.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever
Never have taken any hair loss or prostate drugs. Have always had good health. Never had to take many drugs. Mainly seasonal allery medications (zytec, benedryl, chlortabs) and the occasional anti-biotic (amoxicillin, zithromax), usually for a sinus infection. Have always had issues with heartburn and have taken anti-acids regularly at various times in the past. Haven’t had to take much anti-acid since I started working out and eating healthy.
-lab results with ranges
03/13/2012 (these first labs are from a year ago)
taken in a NON-fasting state, so some values may be off
White Blood Count 4.3 (4.3-11.0)
RBCX10E12 5.16 (4.44-5.67)
Hemoglobin 15.2 (13.4-17.4)
Hematocrit 44.2% (40.2-50.8)
Mean Corpuscular Volume 85.7 (82.5-98.5)
Mean Corpuscular HGB (MCH) 29.5 (27.5-33.5)
Mean Corpuscular HGB conc. (MCHC) 34.4 (31.9-35.7)
neutrophil absolute 2.13 (1.80-7.80)
lymphocyte absolute 1.67 (1.00-4.00)
monocyte absolute 0.36 (0.20-0.90)
eosinophil absolute 0.11 (0.00-0.45)
basophil absolute 0.02 (0.00-0.20)
platelet count 232 (156-367)
mean platelet volume 10.0 (9.4-12.9)
RBC distribution width 12.7% (12.1-14.5)
TSH 1.255 (0.300-5.000)
TT 353 (300-1000)
02/11/2013 (these second set of labs are from a month ago)
taken in a NON-fasting state, so some values may be off
White Blood Count 4.9 (4.3-11.0)
RBCX10E12 4.65 (4.44-5.67)
Hemoglobin 13.8 (13.4-17.4)
Hematocrit 41.1% (40.2-50.8)
Mean Corpuscular Volume 88.4 (82.5-98.5)
Mean Corpuscular HGB (MCH) 29.7 (27.5-33.5)
Mean Corpuscular HGB conc. (MCHC) 33.6 (31.9-35.7)
neutrophil absolute 3.52 (1.80-7.80)
lymphocyte absolute 0.91 (1.00-4.00) *** below range ***
monocyte absolute 0.37 (0.20-0.90)
eosinophil absolute 0.09 (0.00-0.45)
basophil absolute 0.04 (0.00-0.20)
platelet count 192 (156-367)
mean platelet volume 10.2 (9.4-12.9)
RBC distribution width 13.0% (12.1-14.5)
RDW - RBC distribution-SD 41.8 (38.3-49.1)
Glucose Random 88 (70-100)
Urea Nitrogen Blood (BUN) 13 (5-23)
Creatinine 1.22 (0.50-1.30)
sodium 138 (135-145)
Potassium serum/plasma 4.5 (3.5-5.5)
chloride 102 (96-108)
bicarbonate 30 (18-30)
calcium 9.6 (8.5-10.5)
protein Total 6.5 (6.7-8.2) *** below range ***
albumin 4.1 (4.2-5.1) *** below range ***
bilirubin total 0.2 (0.1-1.4)
alkaline phosphatase 60 (38-114)
aspartate transaminase (AST) 44 (0-50)
alanine transaminase (ALT) 43 (0-60)
anion gap 6 (5-16)
GFR Non African American >60 (>60)
GFR African American >60 (>60)
Triiodothyronine (T3) Free 3.2 (2.4-4.5)
TT 350 (300-1000)
Vitamin D Total (25 Hydroxy) 28 (30-100) *** below range ***
So after 6 months of actively trying to improve my TT through diet and exercise, it was 5 points lower that it was the previous year.
-describe diet [some create substantial damage with starvation diets]
Never been on a starvation diet. I’ve cut out most of the simple carbs (sweets, breads, sweetened beverages) and started eating more eggs, meat, and vegetables. I’ve also tried to add a lot of monounsaturated fatty acids to my diet (lots of mixed nuts and olive oil). For while (over the last few months) I was calorie counting and trying to drop unwanted fat. I’ve stopped calorie counting and I’m just trying not to eat junk (very often). Currently my diet runs pretty close to this:
Breakfast: Protein shake (w/ creatine added)
Lunch: (if at work) Meat/vegetable bowl from an asian restaurant. (beef, chicken, cabbage, broccoli, carrots, and 3 or 4 bites of brown rice)
(if at home) 4 eggs, fried in olive oil and a spinach salad (with 5 or 6 baby carrots and olive oil/balsamic vinegar dressing)
Afternoon: 2nd protein shake and an apple, maybe some sunflower seeds.
Dinner: Usually some kind of meat and vegetables
Evening Snack: Greek yogurt with oats, mixed nuts, dark chocolate chips, and dark chocolate syrup mixed in. Sometimes popcorn.
-describe training [some ruin their hormones by over training]
20 minutes a day 3 days a week. Mostly bodyweight exercises, but I incorporate a couple of 10lb weights in there where I can.
-testes ache, ever, with a fever?
My testes have ached occasionally, usually just one at a time. Not sure if it’s always been the same one. I think I might get one a little twisted occasionally. My brother had issues with one twisting and had a surgery that installed a little clamp inside his scrotum to keep things from twisting. Usually I can jiggle/re-arrange my balls and the pain goes away pretty quickly.
-how have morning wood and nocturnal erections changed
For a while there I was rarely, if ever, having morning wood. Nocturnal erections were also sparse. For the last month I’ve been taking 3 ZMA every night and 4 maca capsules in the morning and I’m getting nocturnal wood every night and morning wood most mornings.
Supps currently taking:
1-2 whey protein shakes a day w/ 4 or 5 grams of creatine added to the morning shake
maca 4 capsules 500mg each standardized 4:1 extract
omega-3 fish oil 180mg/120mg epa/dha
vit C 500mg
all of the above I’ve been taking for a while.
Mar 1 I started taking 30mg of iodine in the morn and 18mg iodine in the eve.
also started 5000iu vit D-3
Started taking the iodine after reading posts on T-Nation about iodine deficiency.
I starting taking my temp and here’s what I’m getting:
Mar 1 Fri (started iodine this day)
6:15a 97.3 (waking)
Mar 2 Sat
6:50a 96.9 (waking)
Mar 3 Sun
7:15a 97.5 (waking)
Mar 4 Mon
6:15a 96.8 (waking)
Mar 4 Tue
So it looks like my waking temperature is too low AND I had not been getting to 98 degrees during the day. I’ve started hitting 98 in the afternoon, so I hope my temps are slowly improving.
Started taking 48mg iodine on Mar 1. Plan to keep taking 48mg iodine for 2 weeks in hopes that my temps will continue to get better, then I’ll probably drop down to a maintenance dose.
I’m going back to the doctor somtime in the next month or two to get some fasting blood work done. Based on what I’ve read here, I’m going to ask that the following tests be run:
Should I get another TT taken or will it matter since I just had one in Feb?
Should I exclude any of the tests I’ve listed above?
Are there any tests I should add?
I’ll probably have to pay for these labs out of pocket, so I don’t want to pay for anything unnecessary, but I DO want to get whatever I need.