Age : 45
Height : 5-9
Weight : 170-175 depending on the day
Why am I here?: I am looking to maximize my performance and health. I want some input from you guys on what direction (if any) I should go. I have a friend who is a PA and also have a NP in the town I live in who are open to TRT for health reasons. They are not the typical closed-minded docs. I have read almost all the literature here on this site and have printed it out and given it to the PA and NP above.
Describe body and facial hair: Few/no hairs on back and chest. Hair on arms and legs. Couple spots on legs (around where socks come up to/shins/calves) with no/little hair. I shave 3xweek, so it grows relatively fast on my face. Have hair on my head but it is fine and always has been.
Did to grow fast or slow and steady as a teen: Pretty much normal growth.
Testes ache or hurt? ever?: No, never
Mood : Usually good sometimes moody
Libido: So,so. I normally want sex twice a week with my wife
Get cold easily? a change? : No, donÃ?Â¢??t get cold easily however, while hunting my feet get colder much easier than when I was younger.
Dry skin: I always had oily skin, but the last year or so, Yes and this only occurred during the last year or so along with a rash on my face/neck/back of neck area. Have had to put on Lotramine cream to alleviate, although Taking Braggs Apple Cider Vinegar has helped alleviate this almost totally. brittle nails?: No
Use iodized salt?: Yes
Eat much sea food?: No
Exposure to chemicals?:No
Ever used hair loss drugs? Yes. Used Propecia for a couple months in 2002, stopped and have used Rogaine. I have not noticed any symptoms of Post Finasteride Syndrome(I watched the video).
Rx a Other things to track and report(possibly):
Avg daily body temp + avg waking body temp:Waking Temp. Has run from 96.7-97.8 for the last week, average of 97.0. While taking my temp. throughout the day, it has not gone above 97.8.
General energy levels: Ok, but not what they were a year or two ago. Im not exhausted or anything, but cant seem to push as hard during a workout as a year or two ago.
Difficulty gaining muscle / recent muscle loss : Yes have always had difficulty gaining weight/muscle/hard gainer. I lifted Ã?Â¢??heavyÃ?Â¢?? in my 20Ã?Â¢??s trying to get as big and strong as I could and only got up to 199lbs. Had Left AC joint Sx in 1998. Started Crossfit type workouts about 5 years ago in conjunction with OLY lifts/Starting Strength. Transitioned to Crossfit Football program.
I have increased my speed from sprinting a lot on Crossfit Football programming and have increased my max height jump. Strength gains have occurred but they are slow. Max Squat is 270, DL 340, Bench-have to use DB d/t shoulder-go up to 100lbs, Press is terrible d/t shoulder and is only around 125. Training is normally 2 days on 1 day off, 2 days on(M,T,Th,F). Wednesday is core/yoga/slow ruck march stuff.
I do some martial arts a few days a week, depending on my partners schedule. I do listen to my body and if I feel shot, I take it easy. Usually I feel good till Wednesday, and then feel like I need the off day. Usually feel good again on Thursday, and tired after the workout on Friday.
Weight gain: (difficulty losing weight) : No, weight has stayed steady around 170-175 for probably 5 years. Has fluctuated in that time from 165-175.
General diet : I eat pretty close (90%+) to a Zone/Paleo diet. Monday-Saturday: No sugars, no processed foods, no carbs other than fruits and vegetables, 5 Ã?Â¢??mealsÃ?Â¢?? a day, eat almost all my fat from olive oil/nuts (almonds and cashews), No soda ever, drink at least a gallon of water a day, take fish oil-2-3Tbl. Spoons/day, multi-vitamin, 2000-3000mg Vit C, Glucosamine/Chondroytin, Vitamin D 5000IU, drink about 3 cups coffee in AM.
Sunday I eat a bad meal, usually lunch and eat as much of desert as I want. Sometimes I may eat a little bad on a Saturday night if we go out to eat, but nothing crazy. I drink two beers on Friday, Saturday and Sunday evenings,. Some evenings during the week I may have a glass of wine.
Concentration/focus/drive : Good-Moderate
Confidence level/anxiety level : Good confidence, Low anxiety
General health + number of recent antibiotic treatments: General health is excellent. I took antibiotics 4-5 years ago for a tic bite (suspected Lyme Disease). That was the first time I took antibiotics in probably a decade or more.
Chest size/gyno?/chest sensitivity: Chest is around 42Ã?Â¢??/No chest sensitivity
Trouble urinating or awareness of prostate:No PSA done 5/29/13=0.7
Morning erections/ability to maintain erections: Probably have morning erections 3-4 days a week. Usually no trouble maintaining erections, have on a few occasions over the last couple years-maybe could count on one hand.
Current supplement/vitamin regimine: Multi-Vitamin, 3000mg Vit C/day, 50000IU Vitamin D, Glucosamine/Chondroytin, Chinese Herbs (in tea):Astragalus, Codonopsis, Licorice Root, Jujube Dates (last 12 years). I take a protein shake after working out as a Ã?Â¢??meal/snackÃ?Â¢??-8-10oz whole milk and a scoop of Whey protein. Also drink a scoop of BCAAÃ?Â¢??s in about 16oz water post-workout.
Past medication/supplement history: Pretty much the same as above.
Normal sleep patterns and OTC drugs: Sleep varies from good to waking up some mornings still tired. Do not sleep as good as a few years ago-I wake up 3-4 times a night but go right back to sleep. In the past years of my life I always slept well and felt rested. Usually get up one time to urinate, maybe 4/7-5/7 nights. Knees have been sore for the last year or two when I wake up?. No OTC meds taken on a regular basis.
I have to have a yearly check up for our insurance, so these labs were done on 5/29/13. I gave the NP the lab info I needed to post, but some of it was not included in the work-up. I apologize and hopefully you all have enough information to give me a direction to go.
Profile/Panel/Test Unit Normal Range
Cortisol ug/dL ? (15 - 20 ideal for 8am blood draw)
Cortisol, Free mcg/dL ? (.75 or more ideal??)
ACTH, Plasma pg/mL ?
Plasma Renin Activity ng/mL/h ? (3.0 or more ideal)
Aldosterone ng/dL ? (14 - 28 ideal?)
Total Testosterone ng/dL 524 (600 - 1000 ideal??)
Free Testosterone (Direct) 9.7
Estradiol pg/mL 10.3 (lab range 7.6-42.6)
IGF-1 (Insulin-Like Growth Factor) ng/mL (200 or more ideal???)
Homocysteine, Cardo umol/L (<6.3 ideal)
TSH ulU/mL 1.740 (<1.5 ideal?)
Thyroxine (T4) ug/dL 6.5 (8.0 - 12.0 ideal?)
Thyroxine (T4) Free ug/dL ? (1.1 - 1.7 ideal)
Triiodothyronine (T3) Free pg/mL ? (3.3 - 3.9 ideal?)
Free Thyronine Index=2.3
WBC X10^3/uL 5.3 (4.0 - 5.5 ideal)
RBC X10^6/uL 4.93 (4.7 - 5.2 male ideal)
Platelets X10^3/uL 161 (230 - 400 ideal)
Neutrophils % 48 (50 - 60% ideal)
Lymphs % 44 (30 - 45% ideal)
Monocytes % 7 (3 - 8% ideal)
EOS% % 1 (0 - 3% ideal)
BASOS% % 0 (0 - 1% ideal)
Hemoglobin g/dL 14.8 (14 - 15 male ideal)
Hematocrit % 45.2 (42 - 48% ideal male)
MCV fL 92 (87 - 92 ideal)
MCH pg ? (28 - 32 ideal)
RDW % 13.6 (13% is ideal)
Glucose mg/dL 96 (93 - 100 ideal?)
BUN (Urea Nitrogen) mg/dL 24 (12 - 20 ideal)
Creatine, Serum mg/dL .97 (0.8 - 1.1 ideal)
Sodium, Serum mmol/L 140 (142 - 144 ideal)
Potassium, Serum mmol/L 4.1 (4.0 - 4.5 ideal)
Chloride, Serum mmol/L 104 (101 - 103 ideal)
CO2 mEq/l 22 (24 - 28 ideal)
CALCIUM mg/dL 9.4 (9.5 - 10.2 ideal)
Total Protein Serum g/dL 6.7 (7.2 - 8.0 ideal)
ALBUMIN g/dl 4.8 (4.5 - 5.0 ideal)
GLOBULIN g/dl 1.9 (2.3 - 2.8 ideal)
ALB/GLOB ? (1.7 - 2.2 ideal)
AST/SGOT U/L 23 (20 - 30 ideal)
ALT/SGPT U/L 21 (20 - 30 ideal)
Anion Gap ? (10 - 12 ideal)
Cholesterol, Total mg/dL 154 (185 - 200 ideal?)
Triglycerides mg/dL 38 (< 60 ideal or 70 - 100? Differing opinions)
HDL mg/dL 64 (60 or more OR 55 - 75 ideal?)
LDL Calculated mg/dL 82 (< 60 ideal)
Lipoprotien(a) nmol/L ? (0 is ideal)
VITAMIN B12 pg/mL ? (700 or more ideal)
Vitamin D, 25-OH Total ng/mL ? (70 - 90 ideal)
Ferritin ng/mL ? (100 or more ideal for male, but <200)
% Saturation calc ? (35 - 45% ideal)
Magnesium, RBC ng/dL ? (higher is better?)
Fibrinogen Activity, Clauss mg/dL ? (< 331 Ideal?)
Phosphorus ? (3.8 - 4.2 ideal)
I appreciate any input you all can give me.