Hi guys. I trust this site and would like to get some input to help make sense of whats going on with my body. I have done a lot of research on my own but there is so much information out there and it can be overwhelming. I have my next appointment with my endocrinologist soon and I want to go in as informed as I possibly can.
- I’m 25 years old. I’m 5’11. I weigh about 165lbs. My waist is 32/34.
- Most would describe me as very lean but I actually carry a lot of extra body fat. I have a very thin neck, wrist and ankles. I have always carried extra fat around my chest and nipples. The rest of my body fat is all centered around my waist (love handles) and thighs.
- I can grow a full beard but it’s not very thick. I have very little chest hair and no back hair. My thighs and calves are very hairy.
The following symptoms first began sometime around late 2014 or early 2015. I dont smoke or drink.
I constantly feel tired/fatigued and feverish throughout the day (hot flashes?). I have lost my motivation/drive and have been dealing with bouts of depression. I suffer from anxiety and have trouble sleeping. Although I am extremely dedicated to lifting weights and tracking what I eat I can’t put on muscle or lose fat effectively. My sex drive is really low. I can get an erection but it doesn’t get as hard as before. I don’t really have spontaneous or morning erections any more.
I have been tracking what I eat for several years now. The calories have always been based on whether I was trying to gain muscle or lose fat. I usually stuck with a 45 carb, 30 protein, and 25 fat split. I try to eat as healthy as I can. I never under ate during a caloric deficit.
I supplement with garlic, apple cider vinegar, green tea and turmeric daily.
I stick with a upper/ lower body weightlifting split. I go to the gym 4× a week when attempting to build muscle and only 3× when losing fat. I always gave my body enough time to recover but I was still constantly sore.
The only supplements I take are a pre-workout, creatine and bcaa.
- Here’s the twist * On October 31, 2017 I was diagnosed with Testicular Cancer. I had a testicle removed November 2, 2017. It was found very early and in January my oncologist told me I was officially cancer free. No chemo or any other medication was needed. The cancer was not responsible for the symptoms stated earlier because it was discovered in the very early stages and I’ve had those other symptoms for years.
Here are my Labs from when I finally went to see an endocrinologist after I had surgery. I was actually supposed to go see the endocrinologist the day after I found out about the cancer and had to reschedule for December.
Taken 12/8/2017 at 10 am fasted @ Quest
TSH: .86 ( .40 - 4.5 mIU/L)
T4, free: 1.2 ( .8 - 1.8 ng/dL)
ACTH, PLASMA: 17 ( 6 - 50 pg/mL)
DHEA SULFATE: 210 ( 85 - 690 mcg/dL)
FSH: 14.6 ( 1.6 - 8 mIU/mL) HIGH
LH: 13.9 ( 1.5 - 9.3 mIU/mL) HIGH
ESTRADIOL: 55 ( < OR = 39 pg/mL) HIGH
TT, TOTAL, LC/MS/MS: 679 ( 250 - 1100 ng/dL)
TT,FR(DIALYSIS): 69.9 ( 35 - 155 pg/mL)
CORTISOL 8 AM: 13.4 ( 4 - 22 mcg/dL)
After these results I changed my diet to try and lower E2 and might as well try to raise TT also. I started taking Vit D, Zinc, Magnesium, and Dim. I started eating more dietary fat and ate a few natural foods that should help lower estrogen like grapes, oranges, pomegranate juice and broccoli/cauliflower.
At my next endocrinologist appointment I was told I would have to be completely cleared from my cancer before they could help me. Flash forward to when I’m cancer free and I had more blood work scheduled by my endocrinologist.
Taken 2/14/2018 at 12pm unfasted @ Quest
FSH: 29.8 ( 1.6 - 8 mIU/mL) HIGH
LH: 22.9 ( 1.5 - 9.3 mIU/mL) HIGH
ESTRADIOL: 50 ( < or = 39 pg/mL) HIGH
SHBG: 96 ( 10 - 50 nmol/L) HIGH
TT, TOTAL, TC/MS/MS: 854 ( 250 - 1100 ng/dL)
TT,FR (DIALYSIS): 54.5 ( 35 - 155 pg/mL)
As you can see TT did go up and Estradiol did decrease slightly but now I have to deal with the sky high shbg. I don’t really know what to make of these results and I have a hard time finding another similar case.
I want some advice on possible treatments or courses of action going forward before I go see my endocrinologist in March. I want to make sure I do what is best for my health and I’m not at the mercy of my endocrinologists’ decision.