age: 35
height: 5’90’’
waist: 32
weight: 176/ ± 11% BF
describe body and facial hair: average on body, not a lot of facial hair on cheeks
describe where you carry fat and how changed: Mostly on abdomen and lower back. Noticed last year when cutting down to 9 or 10% bf my abdomen and lower back stayed fatter compared to several years back. Losing bf takes more effort now. I have to go as low as 1800 or 1900 kcal to get the same results as before at 2400. Nothing has changed much in terms of exercise frequency or intensity between then and now.
health conditions: psoriassis on elbows
Rx and OTC drugs:
any hair loss drugs or prostate drugs ever: no, used paxil in the past but now off. Got it for anxiety when i was 26. Still a bit anxiety now and then but have a good handle on that.
Symptoms;
Since nov/dec 2015:
a.) not able to maintain my 4 day upper body/ lower body routine. Took some time off and gradually reintroduced training but still only 3 days and lower intensity.
b.) Lack of motivation to workout, work or pursue things. Typically I’m very driven. Now kind of flat.
c.) Brain fog, difficulty finding words, difficulty thinking fast or concentrate. This hinders me at work and is not good for confidence.
d.) I feel kind of like an old man. After training hard, muscle soreness remains longer and I tend to be more susceptible to injuries and straining muscles.
e.) Difficulty cutting down to lower bf.
f.) Difficulty to put on muscle when bulking.
g.) Really low libido with 1 or 2 occasions a year when it spikes really high which seems odd. Its day and night.
lab results with ranges: Lab test from 6/22/2016
WBC: 5.2 k/ul (4.2 – 9.1 k/ul)
RBC: 4.9 m/ul (4.6 – 6.1 m/ul)
HGB: 14.5 gm/dl (13.7 – 17.56)
HCT: 43% (41 – 52%)
MCV: 87.7 fl (82-98)
MCHC: 33.7 gm/dl (31 – 36 gm/dl)
Platelets: 230 k/ul (150 – 400 k/ul)
Chol: 187 mg/dl ( < 250 mg/dl)
HDL: 56 mg/dl ( > 35 mg/dl)
LDL: 127 mg/dl ( < 130 mg/dl)
Chol/HDL: 3.3
Triglyceride: 88.5 mg/dl ( < 200 mg/dl)
Glucose fasting: 88mg/dl ( < 100 mg/dl)
Creatinine: 1.06 mg/dl ( < 1,4 mg/dl)
25-hydroxy-vitD: 28,17 ng/dl (> 30 ng/dl)
HoloTC Active B12: 99.4 pmol/l ( > 60 pmol/l)
Albumine: 4.86 g/dl (3.5 – 5.2 g/dl)
SHGB: 44.5 nmol/l (18.3 – 54.1 nmol/l)
Test Total: 369 ng/dl ( 249 – 835 ng/dl)
Test Free: 5,86 ng/dl ( > 3,61 ng/dl) (1,58%)
Bioavailable T: 154 ng/dl (41,7%)
LH: 4.5 IU/L (1.7 -8.6 IU/L)
FSH: 9.3 IU/L (1.5 - 12.4 IU/L)
E2: 24 pg/ml (27-52 pg/ml)
Prolactine: 8.1 ng/ml (4.1 – 15.2 ng/ml)
TSH: 1.66 mU/l (0.27 – 4.2 mU/l)
FT4: 1.49 ng/dl (0.9 – 1.7 ng/dl)
FT3: 322 pg/dl ( 200 – 440 pg/dl)
cutting
+/- 1800 a 2000 calories.
+/- 80 gr fats; fish, nuts, eggs, olive oil, lean meat, omega 3
± 160 gr protein; fish, eggs, lean meat, diary, whey
± 135 gr carbs; oatmeal, potato’s, whole wheat bread, vegetables, pasta, brown rice, some fruit
Maintenance
+/- 2500 calories.
+/- 100 gr fats; fish, nuts, eggs, olive oil, lean meat, omega 3
± 180 gr protein; fish, eggs, lean meat, diary, whey
± 220 gr carbs; oatmeal, potato’s, whole wheat bread, vegetables, pasta, brown rice, some fruit
If I go above 2500 calories I gain fat and no muscle although I feel a bit more energetic.
describe training [some ruin there hormones by over training
Upper body / lower body 4 day split. A lot of compound exercises. Minimal 2 days rest between same muscle groups. I try to deload every 6 or 8 weeks but not good at that.
1 day soccer training and 1 day soccer match a week.
testes ache, ever, with a fever?
No fever but lately a dull ache mostly left.
how have morning wood and nocturnal erections changed; Almost not there. Sometimes when libido suddenly spikes it seems there is some action during the night or in the morning. But nothing compared to as before. Libido is really low.
I think TT an FT is low and LH vs FSH seems strange. I hope you guys can point in some direction based on the results.