T Nation

Blood Work Done, Not Looking Too Good


#1

Hi guys!
I really hope i can get some good advice here. So iâ??m 21 years old, 6ft tall and 185 lbs with 14 % bodyfat and have never used any PED. Half year ago i notced, that i have a lump under my breast, so i went to the doctor, but he said he doesn't feel a thing, but even if it's gyno, it's normal that teenagers develop gyno.

Well first of all i'm not a teenager anymore and i don't think this is normal. Recently i feel tired all day, i have low sex drive and sometimes i feel depressed for days. I donâ??t have any body hair on my chest and back, neither any facial hair. I store fat on my chest, lower abs and glutes. I never drink alcohol and i don't smoke. I try to eat healthy.

My macros are 200protein/350 carb/50 fat (2650 calories) year around. I eat at least 1lbs of vegetable/day (mostly steamed broccoli and cauliflower). I take mulltivitamin and omega 3. I workout 3 times/week. Since the doctor didn't wanted to send me to a hormone test, last week i decided to take matters in my own hand and went to a private lab, to take them.

These are my results:
Total Testosterone : 305 ( 280-1100) ng/dl
Free Testosterone Index: 28 % (15-95)
SHBG: 40 ( 13-84) nmol/L
Estradiol : 101 (10-50) pmol/L
TSH: 2.2 (2.0-10.0) mIU/L
FSH: 3.5 ( 1.0-19.0) IU/L
LH: 1.7 ( 1.2-8.0) IU/L
FT3: 4.6 (3.3-6.0) pmol/L
FT4: 10.2 ( 9.0-19.1) pmol/L
White Blood Cell: 6.6 (4.4-11.3) 109/L
Red Blood Cell: 5.8 (4.5-5-9) 109/L
Hematocrit: 0.47 (0.4-0.52) L/L
Hemoglobin: 168 (14-175) g/L
Platelet count: 218 (150-450) 10*9/L
LDL: 3.4 (<3.3) mmol/L
HDL: 1.4 (0.9-3.6) mmol/L
Cholesterol: 5.0 (2.6-5.2) mmol/L
Triglyceride: 0.5 mmol/L
Creatinine: 108 (59-104) micromol/L
Total Bilirubin: 26 (2-17) umol/L
Direct Bilirubin: 7 (0-5) umol/L

Any sugestions about what should i do? These numbers don't really mean anything to me, altough i see that my testosterone is not too high. I would apreciate your help guys!


#2

Your fats are looking on the low side. This could be part of the problem. I would up your fats to at least 60/65g for a healthy young guy.


#3

What country are you in?
How is iodine supplied there? salt, bread, dairy

TSH: 2.2 (2.0-10.0) mIU/L
FT3: 4.6 (3.3-6.0) pmol/L
FT4: 10.2 ( 9.0-19.1) pmol/L

How are you getting iodine?
How much iodine and selenium listed in vitamins?
How long taking that vitamin product?

You have a significant thyroid problem. Please take oral body temperatures to evaluate overall thyroid function:

  • when you first wake up should be 97.7-97.8F, higher is OK, 98.3 is a problem
  • also check for 98.6F/37C mid-afternoon
  • lack of iodine can be the problem

Please read these stickies:

  • advice for new guys
  • things that damage your hormones
  • thyroid basics

Labs:
You need to test prolactin levels. If elevated, that can be the source of the problem or strong contributor.
If elevated, a MRI is used to look for a pituitary adinoma that can be effectively managed with 0.5mg/week Dostinex/cabergoline.

You are estrogen dominant. The target for TRT is E2=22pg/ml [80pmol/L]. You are already over that, so anastrozole will need to be part of your TRT if you go there. Need prolactin labs first. Maybe we can get this fixed.


#4

KSman, can you elaborate on how you’re able to determine he has a thyroid problem based on the above numbers?


#5

[quote]Davinci.v2 wrote:
KSman, can you elaborate on how you’re able to determine he has a thyroid problem based on the above numbers?[/quote]

Based on?: Recently i feel tired all day, i have low sex drive and sometimes i feel depressed for days.

“Recently” is a new development.

And TSH high
TSH: 2.2 (2.0-10.0) mIU/L
FT3: 4.6 (3.3-6.0) pmol/L
FT4: 10.2 ( 9.0-19.1) pmol/L

TSH should be 1.0, range does seem odd! https://en.wikipedia.org/wiki/Reference_ranges_for_blood_tests#Thyroid_hormones

fT3 is at midrange
fT4 is below midrange 14 pmol/L

AS fT3 looks good, if low body temperatures, elevated rT3 suspected.


#6

creating multiple threads with your case is bad news


#7

Sorry, you can delete the other post if you can. The TSH range was a typo it’s 0.4-4.0. I will get a thermometer and do the tests. I live in Hungary, we have spicy foods. I eat minimal amount of bread and i drink coconut milk. My multivitamin has 120 microgramm iodine and 48 microgramm selenium. I’ve been taking this vitamin for almost 1 year, with 6 weeks on, 1 week off. Should i supplement with iodine? I found an article about my country: http://journals.lww.com/epidem/Fulltext/2000/07000/Iodine_Deficiency_in_Hungary_and_Its_Possible_Role.326.aspx
Thanks for the help!


#8

I can’t delete anything. I am just a normal member here.

Iodized salt was introduced there in 1949. So you should be able to locate that. Read the labels.
There seems to be a problem there with iodine deficiency and associated resultant pathologies.

The amount of iodine in your vitamins may not be adequate.