I would like to rule out any possible causes of my low testosterone before I commit to TRT. What things should I check out?
- I am making an appointment for an MRI
- I am making an appointment to conduct a sleep study for sleep apnea
Lab Results: (Taken at noon)
Actual - Name - Reference Range
170 - Total Testosterone 250 - 1100
24.0 - Free Testosterone 46.0 - 224
50.4 - BioAvail. Testosterone 110.0-575.0
27 - SHBG 7 - 49
7.5 - Prolactin 2.0-18.0
3.1 - FSH 1.6 - 8.0
2.99 - TSH - 0.40 - 4.50
Age: 25
Height: 5’8"
Weight: 255
Waist: 42
Fat Distribution: Mostly on torso
Gyno: No, Nipples flat and asymptomatic
Mood: No Libido, Very Very Very slight low-grade depression - was slightly more prominent last year
Cold Easily: I would describe it as normal
Hair Growth: Average timeline at appropriate age (peach fuzz to sideburns & mustache to beard)
Body/Face Hair Description: Hairy legs, arms, back and chest, If I needed to appear clean-shaven, I would have to shave every 3 days or so)
Dry Skin: Jus’ more so during the winter, other than that my face and hair gets pretty oily
Given this information, where would you go from here? My mom has hypothyroidism and wonder if I have it as well given the TSH value of 2.99. Previously, in April 2009, my TSH value was 1.932 (0.45 - 4.5).
Very much appreciated,
-James