Hi. It's great to stumble upon this site with so much knowledge available. After years of trying to heal from HPTA dysfunction(see conditions/symptoms below) I am seeing a new MD and am very optimistic as he treats the symptoms not necessarily the lab results. These are more extensive labs that I have ever had. I would love any help with interpreting these results as a second opinion. Never any steroid use. My goal is to get back to full energy/cognition levels and lead an active life. If I could get back to semi-serious weight training it would be a cherry on top. I tried to post as much information as I could. Let me know if anything else is needed.
1) Any help interpreting the labs below would be great. Please note that I was still on my hpta supplents listed below(adrenal cortex, thyroid glandular, dhea and pregnenolone) that would show up on these tests.
2) Not sure why I have low iron. I eat plenty of red meat. Any ideas?
3) Not sure why lipids and glucose have slid backwards for me(In Nov 2016 glucose was 97 and HDL- 65, Triglycerides-62). Is this due to high E2 or borderline low Thyroid?
4) Any labs that I should request next appt? Already have LH and FSH on my list just in case we try TRT.
39 - 6'2 - 43" -260lb
-lab results with ranges
Cholesterol, Total 205 (125-200 mg/dL)
HDL 50 (> OR = 40 mg/dL)
Triglycerides 76 (<150 mg/dL)
LDL 140 (<130 mg/dL)
GLUCOSE - 104 (65- 99 mg/dL)
TSH - 1.27 (.40- 4. 50 mi U/ L)
T4, Free - 1.3 (0 . 8- 1.8 ng/ dL)
T3, Free - 3.7 (2.3-4.2 pg/mL)
T3, Reverse - 13.0 (8- 25 ng/dL)
IGF 1 , LC/MS - 202 (53-331 ng/mL)
Z SCORE (MALE) - .8 (-2 .0- +2 .0 SD)
CORTISOL, TOTAL, LC/MS/MS - 15.0 mcg/dL (8-10 AM - 4 .6- 20.6 mcg/dL)
CORTISOL, FREE, LC/MS/MS - 0.51 (8 -10 AM - 0.07-0.93 mcg/dL)
IRON, TOTAL - 74 (50- 180 mcg/dL)
IRON BINDING CAPACITY - 378 (250- 425 mcg/dL)
% SATURATION - 20% (15-60 %)
ESTRADIOL - 37 (< OR = 39 pg/mL)
TESTOSTERONE , TOTAL - 677 (250-1100 ng/dL)
FREE TESTOSTERONE - 86.0 (35 . 0-155 . 0 pg/mL)
PSA, TOTAL 0.5 (< OR = 4.0 ng/mL)
VITAMIN D, 25-OH, TOTAL - 66 (30-100 ng/mL)
C. ALB I CANS IGG - 1.4 ( <1 . 0 Antibody not detected - > or = 1 .0 Antibody detected)
C.ALBICANS IGA - 1.8
C .ALBICANS IGM - 1.0
WHITE BLOOD CELL COUNT- 4.9 (3 .8 - 10.8 Thousand/uL
RED BLOOD CELL COUNT- 5.56 (4.20 - 5.80 Million/uL)
HEMOGLOBIN - 15.9 (13.2 - 17.1 g/dL)
HEMATOCRIT - 50.3 High (38 .5-50 .0 %)
MCV - 90.5 (80.0 - 100.0 fL)
MCH - 18.6 (27.0 - 33.0 pg)
MCHC - 31.6 Low (32 .0 - 36.0 g/dL)
RDW - 14.0 (11. 0-15 .0%)
PLATELET COUNT -163 (140 - 400 Thousand/uL)
MPV - 8.4 (7.5 - 12 .5 fL)
ABSOLUTE NEUTROPHILS - 3278 (1500-7800 cells/uL)
ABSOLUTE LYMPHOCYTES - 1269 (850-3900 cells/uL)
ABSOLUTE MONOCYTES - 225 (200-950 cells/uL)
ABSOLUTE EOSINOPHILS - 113 (15- 500 cells/uL)
ABSOLUTE BASOPHILS -15 (0-200 cel ls/uL)
NEUTROPHILS - 66.9%
LYMPHOCYTES - 25.9%
MONOCYTES - 4.6%
EOSINOPHILS - 2.3%
BASOPHILS - .3%
-describe body and facial hair
Lots of coarse body and facial hair. Hair is coarse(i'm half asian) but not too dense. Covers full torso(including back) and full beard including neck and cheeks.
-describe where you carry fat and how changed
Carry fat all over. More subcutaneous fat around midsection. Very broad/thick frame. Huge legs and calves. Classic endomorph. Weigh about 20lbs more than you think I would.
-health conditions, symptoms
Have been dealing with adrenal fatigue/hpta dysfunction for about 4 -5 years. I believe was the result of stimulant overuse and lifestyle(partying, over training, lack of sleep) Symptoms of hpta dysfunction: brain fog, fatigue/lethargy, concentration problems, panic attacks, lack of sex drive, crash with stress/overexertion. Extremely bad recovery - takes about a week to recover from workout. Have some injuries from 4 years ago that just won't full heal. Weight gain (approx 40lbs) - maintained at 210 - 220 for years - now gain very easliy and very hard to lose.
Most of these have gotten significantly better over the past 2.5 years with treatments below. I would say that I am at about 75% energy wise. At the lowest point I was at about 40% energy wise. Saliva tests showed low cortisol all day and Estrogen dominance.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever
For adrenal fatigue/hpta under Naturopath's care(All taken regularly for the tests above - except the morning of) Licorice, Adrenal Cortex, Thyroid Glandular, Vit C, Glutiathione, B 12 (Methly, Hydroxy and Adenyl), B5, Folate, DHEA(50mg), Pregnenolone(20mg), Berberine, D3(15000iu per day), Lugols's Iodine, Selenium, Magnesium, Zinc, Copper
New MD ordered tests shown above. Prescribed HCG shots(with very low calorie diet - 20 days worth to kick start weight loss - 10 days in have dropped 9lbs), Arimidex (1mg 3x per week), Iron Supplement, Probiotic, Glucose control(chromium). Considered for next visit: Sermorelin Injections for GH (Wondering if I should just use MK 677?) - Possible TRT once my weight is back down.
Was on Propecia for about a year in my mid 20's. Suffered ED so discontinued.
Generally low carb/paleo. Organic/grass fed meats and veggies. I eat the healthiest diet out of anyone I know.
Currently since trying to recover - 1 full body weight session a week.. Lots of walking. Yoga 2x per week.
-testes ache, ever, with a fever?
-how have morning wood and nocturnal erections changed
Morning wood rarely. Nocturnal erection seems to have increased from HCG shots.