Hey guys, I jus' wanted some feedback, comments concerning my condition.
In February 2010, I noticed a drop in libido. I attributed this to the winter season and thought things would pick up by spring/summer. I decided to make an appointment during the summer of 2010 because things did not pick up. My blood results came back low in testosterone. She wanted to put me on Androgel on the spot but I said I wanted a referral to an endocrinologist.
Total Testosterone: 170 250-1100
Free Tesosterone: 24 46-224
BioAvail Testosterone: 50 110-575
Prolactin: 7.5 2.0 - 18.0
SHBG: 27 7-49
FSH: 3.1 1.6-8.0
TSH: 2.99 0.40-4.50
AST: 28 10-40
ALT: 45 9-60
-describe body and facial hair: Thick beard, hairy chest, abdomen, legs, arms and slightly hairy back
-describe where you carry fat and how changed: Fat accumulation has not changed. It's always been centered around my torso and top of thighs
-health conditions, symptoms [history]: anxiety
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever: Jus' Lexapro and Xanax when needed (haven't taken Xanax for over 2 years)
-describe diet [some create substantial damage with starvation diets]: Regular diet. I know most of you are health-conscious and compared to your diets, my diet is not normal. I would describe it as the typical American diet. Some junk food, some fast food but mostly whatever we can scrap together. I don't eat any one particular thing in bulk.
-describe training [some ruin there hormones by over training]: No training or exercising
-testes ache, ever, with a fever?: No
-how have morning wood and nocturnal erections changed: Even though I have no libido, I am still able to achieve erections. It is a little bit more difficult to get aroused and erections aren't quite as firm.
-I had an MRI performed last month and it came back normal
I would like to add the following blood results:
AST: 41 0-40
ALT: 65 0-55
TSH: 1.9 0.4-4.5
I had a regular routine physical and my liver functions were slightly elevated. I had an ultrasound of the liver and everything was fine. According to her, I had a somewhat elevated liver functions for a year and she didn't tell me. She scheduled an ultrasound because it was still elevated. They are thinking I had a fatty liver from being overweight but as you can see, in the August 2010 blood test, my liver function came back in normal range with no reduction in weight. (Ate less meat though).
Also, I see my TSH level went from 1.93 - 2.99. I asked her if I was developing a case of subclinical hypothyroidism since my mom suffers from hypothyroidism and she said no and that I was within range. I wanted to have some more blood tests to follow up on that and see if it is still increasing but she refused and said to check with my endocrinologist. I'm not going to see her again.
Where should I go from here? I am really anxious to get on TRT therapy but would like to rule out any factors. Should I get tested for sleep apnea? Tested for adrenal fatigue? Lose weight? I jus' don't think sleep apnea (if I have it) or being overweight would supress my levels that low. Also, very little testosterone is produced in the adrenal gland so I doubt that it would also supress my levels below range.