Hello,
I am a 31 year old Dad, been battling chronic fatigue type symptoms for about 10 years. No labido, extremely tired, especially mornings, weight gain, brain fog, ability to handle stress had gotten very low. Weight climbed from 180s to 240s from about 18 to 26 years old. Started to exercise and count calories about 4 years ago. I am now pretty fit, at about 170lbs. Complained of symptoms to GP for many years till I finally got him to run these first labs the beginning of 2010
first labs 2/1/2010
Sodium 143 ref range(136-145 )
Potassium 4.5 ref range(3.5-5.1 )
Chloride 108 (98-107 )
Carbon Dioxide 31 (23-30 )
Anion Gap 4 (5-15 )
Glucose 97 (60-99 )
Creatinine 0.9 (0.8-1.5 )
BUN 13 (8-23 )
Calcium 9.1 (8.5-10.5 )
Albumin 4.3 (3.5-4.5 )
Total protein 7.3 (6-8 )
Alkaline Phosphatase 120 (45-122 )
AST 22 (10-40 )
ALT 62 (30-65 )
Total Bilirubin 0.5 ( 0.2-1.0)
Cholesterol 199 (<200 )
HDL cholesterol 61 (>=60 )
Triglycerides 52 ( <150)
LDL cholesterol, calc. 128 (<=100 )
TSH 0.770 ( 0.35-5.5)
Free T4 1.0 (0.89-1.76 )
Free T3 3.0 (2.3-4.2 )
Total testosterone 481 (262-1593 )
25-OH Vitamin D total 21.8 (30-80 )
WBC 4.8 (3-11 )
RBC 5.06 (4.5-5.9 )
Hgb 15 (13.5-17.5 )
Hct 43.5% (39-51 )
MCV 85.9 (79-96 )
MCH 29.6 (26-34 )
MCHC 34.5 (31-37 )
RDW 13.9% (11.5-14.5 )
Pit count 183 (150-450 )
Gran % 54.7% (37-92 )
Lymph % 40.1% (10-58.5 )
Mid range % 5.2% (0.1-24 )
Gran # 2.6 (1.3-9.2 )
Lymph # 1.9 (0.3-4.9 )
Mid range # 0.2 (0.2-2.7 )
At this time Doctor prescribed 50,000 IU Vit D once a week for 3 months, and a antidepressant which I declined.
Found a HRT clinic in florida that ordered more labs, the following from labcorp.
Second labs 8/18/2010
Chemistries-----------
Glucose serum 82 (65-99)
BUN 10 (5-26)
Creatinine 0.88 (0.76-1.27)
BUN/Creatinine ratio 11 (8-27)
Sodium 141 (135-145)
Potassium 4.4 (3.5-5.2)
Chloride 100 (97-108)
Carbon Dioxide 29 (20-32)
Calcium 9.6 (8.7-10.2)
Protein 7.1 (6-8.5)
Albumin 4.7 (3.5-5.5)
Globulin 2.4 (1.5-4.5)
A/G ratio 2.0 (1.1-2.5)
Bilirubin 0.7 (0-1.2)
Alkaline Phosphatase 93 (25-150)
AST 38 (0-40)
ALT 31 (0-55)
Lipids--------------------------
cholesterol, total 194 ref range(100-199)
triglycerides 55 ref range(0-149)
HDL cholesterol 69 ref range(>39)
VLDL chol. calc. 11 ref range(5-40)
LDL chol. calc. 114 ref range(0-99)
LDL/HDL ratio 1.7 (0-3.6)
Thyroid----------------
TSH 0.739 (0.45-4.5)
thyroxine(T4) 7.5 (4.5-12)
T3 uptake 35 (24-39)
Free thyroxine index 2.6 (1.2-4.9)
Immunoassay---------------
insulinlike growth factor I 118 (115-307)
testosterone, serum 492 (280-800)
free testosterone(Direct) 8.7 (8.7-25.1)
CBC, Platelet Ct, and Diff--------------
WBC 5.3 (4-10.5)
RBC 4.62 (4.1-5.6)
Hemoglobin 14.4 (12.5-17)
Hematocrit 41.7 (36-50)
MCV 90 (80-98)
MCH 31.2 (27-34)
MCHC 34.6 (32-36)
RDW 14 (11.7-15)
Platelets 159 (140-415)
Neutrophils 40 (40-74)
Lymphs 47 (14-46)
Monocytes 7 (4-13)
Eos 5 (0-7)
Basos 1 (0-3)
Neutrophils, absolute 2.1 (1.8-7.8)
Lymphs, aboslute 2.5 (0.7-4.5)
Monocytes, absolute 0.4 (0.1-1.0)
Eos, absolute 0.3 (0-0.4)
Baso, absolute 0.1 (0-0.2)
FSH 2.7 (1.5-12.4)
LH 1.6 (1.7-8.6)
PSA 0.9 (0-4.0)
estradiol 31.8 (7.6-42.6)
Triiodothyronine 3.2 (2-4.4)
SHBG serum 61.9 (14.5-48.4)
They offered me 500mg of test a week for 10 weeks, was tempted to try and see how I felt on the high level of test, but decided against it and found another HRT clinic closer to home. They ordered the following tests which were missing from previous labs.
10/26/10
Dihydrotestosterone 53 (25-75)
C-reactive protein <0.10 (<0.80)
DHEA sulfate 181 (110-370)
Insulin <2 (<17)
Prolactin 2.6 (2-18)
Cortisol Morning 5.1 (3.7-9.5)
Noon 1.8 (1.2-3.0)
Evening 2.3 (0.6-1.9)
Night 1.9 (0.4-1.0)
They prescibed me 100 mg of test cyp a week, split into 50mg monday, and 50mg thurs, 250 units of HCG 2x weekly, and 25mg a day of DHEA. I started this protocol in november 2010, stayed with it for a couple weeks, then nipples started swelling. Doc prescribed anastrazole 0.5mg twice a week. Nipple swelling did not go away completely and anxiety symptoms were terrible, especially in the morning.
Doc dropped HCG and now I am doing 35mg of test EOD along with 0.25mg anastrozole, and 12.5mg DHEA.Feel pretty good on anxiety side of things, and all symptoms seem slightly better than before HRT, but energy levels still seem very low. I feel like something is still not quite right, no matter how much sleep I get, always feel sluggish, ready for a nap. Not sure if I am missing a piece of the puzzle with thyroid or something?
Diet consists of lean meats and eggs, brown rice, olive oil, vegetables, and berries. Severe gluten intolerances force a limited selection.
Training is daily pullups and pushups, 3 day a week compound lifts, and one day yoga.
Supplements are 10g cod liver oil, ADAM multi, 5000IU vit D, Cal-Mag, Vit C, digestive enzymes.
Thanks for reading, any help is appreciated!
Josh