Hey guys, hoping you can help me out understanding my lab results.
First off, I'd been experiencing some symptoms that got me wondering about my T levels. Libido has definitely dropped. Sense of well-being is just not there; I'm not depressed, its more like I'm anxious about stuff a lot; more than I can remember. Irritable, mood swings. With that, I'm pretty consistent with my workouts, my diet is good, I keep a food log -- just can't seem to drop any body fat; and in fact, my body fat seems to creeping higher over the last 6 months. Sister was diagnosed with hypothyroidism, so I thought that might have something to do with as well.
So went to my GP and described my symptoms -- she was open to getting blood work done to see where I'm at. Unfortunately (but I'm not surprised) she was reluctant to do all the tests I wanted. She was only going to prescribe Total T; I had to convince her to do Free T as well. I had to explain that I wanted E2; she had to figure out how to 'code' the test, so my insurance would pay for it -- she asked about gyno; so of course I said 'sure' in order to the the test. In any case, I will likely have to ask her for more tests. My doc mailed the results to me; T looks low, E2 looks high -- as expected, doc notes my results are 'normal', since there within range. She mentioned during my visit, that even though result may be in range, she's willing to listen to me on how feel rather than only looking at the results. So that's good. Before I consider TRT, I'd like to try to figure out what could be causing the low T. I'm pretty sure I need further blood work, but I wasn't sure how to convince my GP to prescribe them.
So here goes:
39 years old
5ft. 11 in.
235 lbs (~22% Body Fat, 3 site method)
-describe body and facial hair
barrel chest & belly, thinner limbs; facial hair seems normal
-describe where you carry fat and how changed carry fat generally on my midsection
belly, love handles, chest. lately, I've been developing more fat 'internally' as in, under the stomach muscle wall.
-health conditions, symptoms [history]
have always had slightly high blood pressure, family history of heart disease, sister diagnosed with hypothyroidism
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever
not taking any persciption or OTC drugs, never taken any
hair loss or prostate drugs
-lab results with ranges
Total T 312; 250-1100 ng/dl
Free T 50.9; 35.0-155.0 pg/ml
Vit D 25 hydroxy 31; 30-100 ng/ml
Vit D 25-OH, D2 <4
Vit D 25-OH, D3 31
17 Beta Estridiol 30.49; 7.63-42.60 pg/ml
TSH 1.660; 0.270-4.200 uiu/ml
T3 uptake 31.6; 27.8-40.7%
T4 10.2; 5.0-12.0 ug/dl
FTI 3.2; 1.2-4.3
Vit B-12 1214.0; 243.0-894.0 pg/ml
Aldosterone 16; no range listed (adult reference range listed 'Upright 8:00-10:00am < or = 28 ng/dl')
DHEA-S 171.60; 88.90-427.00 ug/dl
I also have CBC and Chem metabolic profile; wasn't sure if you need all those.
-describe diet [some create substantial damage with starvation diets]
diet is lower carb, higher protein; I'm usually pretty strict, 6 meals a day; avg ~2400 cal/day usually over 1g of protein/lb; keep carbs in the 100-200 g/day range. take fish oil, protein supps
-describe training [some ruin there hormones by over training]
Lift 3 times a week, cardio 2 times a week.
-testes ache, ever, with a fever?
testes never had ached, ever
-how have morning wood and nocturnal erections changed
no longer get morning wood, occasional nocturnal wood -- both of which are much less frequent than it used to be a couple years ago.
Thanks for any insight you can give.