After reading others posts and lurking here for a period of time, Iâ??ve finally decided to ask those of you with experience on what you recommend. Thank you in advance as this post is somewhat long.
-age 44
-height 5â??11â??
-waist 40â??
-weight 224lbs
-describe body and facial hair Little to no body or facial hair
-describe where you carry fat and how changed Most of the fat is carried around my waist.
-health conditions, symptoms [history] I have had appendix and gallbladder removed. Surgery on right wrist. Complete fatigue with brain fog. Loss of muscle tone.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever I have been on several SSRIs over the years. Treated for anxiety and depression. I am prescribed Celexa. I take multivitamin, fish oil, kelp, additional vitamin C, vitamin D, magnesium.
-lab results with ranges
06/30/14 Labs
WBC 9.2 (4.5-11.0)
RBC 6.41 (4.69-6.13) High
Hemoglobin 18.5 (14.0-18.0) High
Hematocrit 55.3 (40.0-54.0) High
MCV 86 (80-99)
MCH 28.9 (26.0-34.0)
MCHC 33.4 (32.0-35.2)
RDW 12.2 (11.0-14.0)
Platelets 306 (150-450)
MPV 7.7 (6.6-12.2)
%Neut 56
%Lymph 34
%Mono 4
%Eos 4
%Baso 2
#Neut 5.20 (1.5-9.5)
#Lymph 3.16 (1.5-5.00)
#Mono .33 (.10-1.00)
#Eos .38 (0.00-0.30) High
#Baso .15 (0.00-0.20)
Sodium 138 (136-145)
Potassium 3.9 (3.6-5.2)
Chloride 101 (100-108)
Co2 25 (21-31)
Anion Gap 16 (10-20)
Glucose 93 (77-115)
Bun 19 (7-18) High
Creatinine .93 (0.67-1.17)
NON-AA GFR 89
AFR AMER GFR 108
Calcium 8.4 (8.5-10.1) Low
Total Protein 8.3 ( 6.4-8.2) High
Albumin 4.3 (3.5-4.5)
Alkaline Phos 89 (50-162)
SGPT/ALT 56 (12-78)
SGOT/AST 27 (10-33)
Bilirubin TOT 0.77 (0.00-1.00)
T3 Free 2.79 (2.18-3.98)
T4 Free 0.86 (0.76-1.46)
TSH High Sens 2.26 (0.35-3.76)
Vitamin B12 589 (211-946)
Vitamin D 25-Hydroxy 23.5 (30.0-100.0) Low
Testosterone, Serum 112 (348-1197) Low
Free Testosterone (Direct) 5.7 (6.8-21.5) Low
LH 2.6 (1.7-8.6)
FSH 1.4 (1.5-12.4) Low
After these labs the Doc requested a sleep study and an MRI of the pituitary. Due to my busy schedule I did not have these done at the time. I did however, begin to donate blood. Time passed and I decided that I better follow up with the Doc and see there were any changes in the labs.
08/13/15 Labs
WBC 8.3 (4.5-11.0)
RBC 5.53 (4.69-6.13)
Hemoglobin 15.1 (14.0-18.0)
Hematocrit 45.9 (40.0-54.0)
MCV 83 (80-99)
MCH 27.3 (26.0-34.0)
MCHC 32.8 (32.0-35.2)
RDW 12.9 (11.0-14.0)
Platelets 303 (150-450)
MPV 8.0 (6.6-12.2)
%Neut 50
%Lymph 35
%Mono 5
%Eos 7
%Baso 2
#Neut 4.17 (1.5-9.5)
#Lymph 2.93 (1.5-5.00)
#Mono .43 (.10-1.00)
#Eos .58 (0.00-0.30) High
#Baso .20 (0.00-0.20)
Sodium 140 (136-145)
Potassium 3.9 (3.6-5.2)
Chloride 104 (100-108)
Co2 25 (21-31)
Anion Gap 15 (10-20)
Glucose 109 (77-115)
Bun 16 (7-18)
Creatinine 1.00 (0.67-1.17)
NON-AA GFR 81
AFR AMER GFR 98
Calcium 8.9 (8.5-10.1)
Total Protein 7.3 ( 6.4-8.2)
Albumin 4.0 (3.5-4.5)
Alkaline Phos 61 (50-162)
SGPT/ALT 75 (12-78)
SGOT/AST 31 (10-33)
Bilirubin TOT 0.63 (0.00-1.00)
T3 Free Not tested
T4 Free 0.75 (0.76-1.46) Low
TSH High Sens 2.99 (0.35-3.76)
Testosterone, Serum 104 (348-1197) Low
Free Testosterone (Direct) 3.9 (6.8-21.5) Low
I completed the sleep study. The findings were slight/mild sleep apnea. The MRI showed that the pituitary is an unusual shape but does not appear to be enlarged. A structure 3x4mm was observed above the pituitary. They recommend another MRI with thinner cuts. The Doc asked again for additional labs.
08/26/15 Labs
Iron 45 (65-175) Low
TIBC 437 (250-450)
Iron Sat 10 (20-50) Low
T3 Free 2.88 (2.18-3.98)
T4 Free 0.78 (0.76-1.46)
TSH High Sens 4.19 (0.35-3.74) High
UIBC 392 (150-375) High
Cortisol- AM 13.3 (6.2-19.4)
Estrone Serum 77 (12-72) High
FSH 1.7 (1.5-12.4)
Hemochromatosis- No Mutation Identified
LH 3.2 (1.7-8.6)
Prolactin 10.6 (4.0-15.2)
Transferrin 349 (200-370)
Testosterone Serum 108 (348-1197)
Free Testosterone Direct 4.2 (6.8-21.5)
The Doc now says that another detailed sleep study should be completed with an additional MRI to examine the structure above the pituitary.
-describe diet -breakfast lunch and dinner. I am not on any type of diet.
-describe training- minimal training but active
-testes ache, ever, with a fever? Some ache after vasectomy but rare.
-how have morning wood and nocturnal erections changed- I have not had morning wood for years and nonturnal wood is rare and infrequent.
Any ideas???