If my serum testosterone ranges from 250 to 420 (335 average) but my free testosterone is always around 70 to 100 (on a scale from 35 to 155), then should I consider TRT or not?
-height 5Ã?Â¢?? 10Ã?Â¢??
-waist 35 (at belly button)
-describe body and facial hair Ã?Â¢?? takes me like 5 days before I have to shave my face. No hair on my back. Lots of hair on my stomach arms and legs.
-describe where you carry fat and how changed - Midsection and back.
-health conditions, symptoms [history] - No sex drive, donÃ?Â¢??t want to socialize or do anything. Tired. Brain fog.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever - No drugs.
-lab results with ranges:
Testosterone, Serum: 357 (normal range 348-1197)
Sometimes as high as 420, as low as 180. Average around 320.
Free testosterone: 97 (normal range 35-155). Has ranged from 40 to 110.
TSH: 1.021 (0.450 to 4.5)
FT3: 3.5 (2.3 - 4.2
AM Cortisol: 16.3 (3.1-22.4)
PM Cortisol: 9.2 (3.1-22.4)
Estradiol: 31 (0 to 53)
Dihydrotestosterone (DHT): 29 (no reference range provided)
Ferritin, Serum: 235: (22-322)
Vit D, 25-Hydroxy: 83 (32-100)
Copper: 97 (70-155)
Zinc: 107 (70-150)
Magnesium, RBC 6.2 (4.2-6.8)
I have much more.
-describe diet: 160g protein, 200g carbs, 30g fat. Mostly: 3 egg whites and oatmeal with a protein drink for breakfast, large turkey or grilled chicken sandwich for lunch, steak for dinner, or salmon, or chicken. Another protein drink. Once in a while some almond butter, avocados on the turkey sandwich, and whatnot for fat.
-describe training: Currently lifting weights about 4 to 5 days a week for about 30 minutes to 45 minutes each day, split in two. No cardio other than riding my mountain bike once a week.
-testes ache, ever, with a fever? Ã?Â¢?? Yes. I have a vericocele that hurts. Urologist didnÃ?Â¢??t recommend surgery. Neither did the family doctor.
-how have morning wood and nocturnal erections changed Ã?Â¢?? Morning wood is random, maybe two or three times a week and itÃ?Â¢??s always when IÃ?Â¢??m asleep Ã?Â¢?? goes away when I wake up.
Original whiny post:
I'm tired, taking naps every day, my stomach and ass are fat and arms are skinny, and I don't have any energy or drive. My doctor says it is all in my head because my free T is perfectly in the middle range. Is he right?
I can't gain muscle without gaining way too much fat and all the fat goes to my back and lower abdomen. For example using a caliper my stomach has 30mm of fat while my upper arm, chest, etc. has 5mm. The calipers won't even fit on the big giant fat roll on my lower back. Maybe TRT is not a shortcut to fat loss, but doesn't low T cause fat to migrate downwards? My estrogen levels are normal.
I'm pale and appear to be sick to others, everyone always asks if I'm tired, and my skin is very thin compared to how it used to be. Low T? My doctor says I just need to go outside more and sleep more. For fucks sake I sleep 10 hours a day.
I'm always exhausted and I have no sex drive and no ambition. I want to stay home and not go out. Always tired and groggy. I'm just depressed and lazy according to my doctor, because my free T is Ã????Ã???Ã??Ã?Â¢Ã?????Ã?????perfectly fine".
So what is with Free T being normal and serum T low, and why is my SHBG so low (12 out of 10 Ã????Ã???Ã??Ã?Â¢Ã?????Ã????? 57)?
DHT is low (29)
My thyroid is normal (TSH 1, FT3 3.2, FT4 1.5, RT3 in range).
Blood chemistry all normal. Liver, cholesterol, etc. all fine.
I work out 30 minutes a day, eating lean meats and drinking LeanBody Ã????Ã???Ã??Ã?Â¢Ã?????Ã????? getting 150g protein a day (I weigh just 160 at 25% body fat), otherwise I barely eat, I don't do any cardio because I will lose the small gains I have made. I'm always tired and have to take a nap at least once a day. As soon as I lay down I'm out and snoring within 5 seconds. My sleep at night is fine. When I don't exercise for the 30 minute a day I'm fine.
I could be wrong but it sounds like Low T to me. But the doc says ALL IS FINE BECAUSE FREE T is "PERFECT". Is he right?
Maybe it is all in my head and I just need to step up my workouts. But judging by the way I feel, I'd have an adrenal crisis. Which by the way, my AM and PM cortisol are always perfect.