Two years ago, I went to see a doctor because of low energy and libido. At my request, my hormones were tested along with thyroid, blood glucose and other things. The results showed TT = 496ng/dL, Estradiol = 46pg/mL, fasting glucose = 160mg/dL. The doctor immediately declared me diabetic and I got put on 1500mg metformin/day and a lecture about seeing a dietician. I was already well aware of what I should be doing with diet and exercise, and managed to be good for some months which got me close to a normal fasting glucose.
My hormones went unaddressed. About a year later again I was feeling crappy. I couldnāt stick with diet and exercise because I still lacked energy and motivation. I went to an endocrinologist to see if I could get TRT to help ākick startā me back into feeling better so that I could take care of my diabetes. I was told that I didnāt need it and just needed to eat right and exercise. In fact, she told me my hormone levels were ārobustā.
Iāve read that thereās an interaction between metabolic syndrome and male hormones, and that a large percentage of diabetic men have low T. Iāve also read that TRT can help improve glucose control. Primarily, I just need to feel better. I canāt get my ass off the couch, donāt even want to socialize, and never feel horny. If it werenāt for Cialis, my wife and I wouldnāt ever have sex.
I went out on my own and ordered blood work. Iāve just gotten the test results:
Testosterone, Serum = 504 ng/dL (348-1197)
Free Testosterone (direct) = 12.1 pg/mL (7.2-24.0)
LH = 7.0 mUI/mL (1.7-8.6)
FSH = 8.6 mIU/ml (1.5-12.4)
DHEA-S = 181.7 ug/dL (71.6-375.4)
Prolactin = 21.5 ng/mL (HIGH) (4.0-15.2)
Estradiol = 41.5 pg/mL (7.6-42.6)
PSA = 0.8 ng/mL (0.0-4.0)
If I understand this right, my free T is low and both my Estradiol and Prolactin are high. Iād like to start the TRT described on this forum (test and hcg injections + arimidex) ASAP. Any advice or feedback would really be appreciated!
Kevin
Non-hormonal lab work from my last physical August 2016:
Cholesterol = 162 mg/dL
Triglycerides = 123
Glucose = 122
Urea Nitrogen (BUN) = 14 mg/dL (7-25)
Creatinine = 1.05 mg/dL (0.70-1.33)
eGFR = 81 mL/min/1.73m2 (>= 60)
Sodium = 141 mmol/L (135-146)
Potassium = 3.6 mmol/L (3.5-5.3)
Chloride = 101 mmol/L (98-110)
CO2 = 30 mmol/L (20-31)
Calcium = 10.0 mg/dL (8.6-10.3)
Protein Total = 7.4 g/dL (6.1-8.1)
Albumin = 4.8 g/dL (3.6-5.1)
Globulin = 2.6 g/dL (1.9-3.7)
Bilirubin Total = 0.5 mg/dL (0.2-1.2)
Alkaline Phosphate = 106 U/L (40-115)
AST = 38 U/L (HIGH) (10-35)
ALT = 49 U/L (HIGH) (9-46)
A1c = 6.9
TSH = 0.97 mIU/L (0.40-4.50)
CBC also available if needed
Medications/supplements
valsartan HTCZ (blood pressure)
amlodipine besylate (blood pressure)
atenolol (blood pressure)
pravastatin (high cholesterol)
gemfibrozil (high triglycerides)
tadalafil (ED)
metformin (glucose control)
alpha lipoic acid (glucose control)
omega-3 fish oil
vitamin D
multivitamin
bupropion (antidepressant) - stopped 2 months ago
medical marijuana (anxiety) - stopped 9 months ago