I am a 31 year old Caucasian male. 6’4", 250lbs. Fairly athletic in youth, never used any anabolic or really any supplements at all. I was on Accutane on two different occasions as a teen, the longest time from age 15-16 due to overwhelming cystic acne. Have been able to get weight down to 215-220 upon occasion, but never can get rid of the spare tire. In reading more about symptoms I have been experiencing for ~4-5 years: irritability/mood swings, complete lack of motivation at work and regarding exercise, insomnia, decreased libido, occasional difficulty finishing to orgasm, borderline/high blood pressure and glucose levels in previous blood tests I began talking to my PCP about investigating further for low testosterone , hence the first round of tests back in August.
Of course, she didn’t see anything out of the ordinary so I pressed for a referral to the endo. Currently only one endo in network for my insurance, and based on the August tests, he refused to schedule me, and instead I was referred to an internal medicine specialist. She ordered the 2nd set of tests earlier this month. And results came back ‘all normal’ to her as well. I have also opened the discussion of adrenal fatigue, but she has again been dismissive of that. As my current state is influencing the demise of my marriage, I am desperate to find help of any sorts.
Was prescribed Zoloft by a psyc, took it for 3.5 weeks before I just couldn’t stand it, due to increased desire to consume alcohol, further impact on sleep, mental fogginess, inability to remember things/count/concentrate. Dr. then prescribed Wellbutrin instead, but I have not filled the prescription. I am taking 10,000 IU Vitamin D3, as well as a complex B vitamin containing B1, B2, B3, B6 and B12, in addition to a one-a-day men’s multi. Also smoke marijuana 1-2x per week.
Any help or suggestions would be greatly appreciated.
Blood work below.
Total Testosterone : 427 ng/mL (range 160-728 ng/mL)
Free Testosterone: 0.388 nmol/L (range 0.091-0.579 nmol/L)
SHBG: 19.80 nmol/L (range 10-57 nmol/L)
FSH: 7.5 mIU/mL (range 1.4-18.1 mIU/mL)
LH: 5.4 mIU/mL (range for 20-70 yrs old 1.5-9.3)
Cortisol: 16.6 ug/dL (range 4.3-22.4)
Prolactin: 13.5 ng/mL (range 2.1-17.7 ng/mL)
Estradiol: 21 pg/mL (male range 0-39.8 pg/mL)
Vitamin B12: 601 pg/mL (range 211-911 pg/mL)
Vitamin D: 46 ng/mL (range 30-100 ng/mL)
Total Testosterone : 384 ng/dL (range 160-728ng/dL)
Free Testosterone: 0.302 nmol/L (range 0.091-0.579 nmol/L)
Glucose: 102 mg/dL (range 70-100 mg/dL)
Creatinine: 1.3 mg/dL (range 0.8-1.3 mg/dL)
Vitamin B12: 374 pg/mL (range 211-911 pg/mL)
Total Testosterone: 405 ng/dL
Free Testosterone: 0.348 nmol/L
TSH: 1.16 uIU/mL (range 0.34-4.82 uIU/mL)
Vitamin D, Total 25-OHD: 23 ng/mL (range 30-100 ng/mL)
Glucose: 103 mg/dL
Creatinine: 1.4 mg/dL