Help with Lab Results

Pharma / TRT Testosterone Replacement
1

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So I’m 19 and had precocious puberty at age 10, leading to the discover of a brain tumor affecting my hypothalamus. I was put on “Lupron Depot” for about 5 years. I had surgery last September, and radiation therapy last December-January. The hypothalamus and pituitary gland received a full dosage of radiation.

The past several months I have not been feeling myself (significantly decreased libido primarily, and more recently decreased hunger), and am curious if my hormones may have something to do with it.

My long-time endocrinologist assured me that “I’m fine,” and when I pressed him to explain why he thought I was fine, he wouldn’t. He’s no longer my endo.

So in addition to some feedback about my labs, I’d appreciate if anyone knows a decent endocrinologist in the Phoenix area.
Thanks for your help. Here’s a quick summary:

-19 years old
-6’3"
-36" waist
-220 lbs
-moderate chest hair, patchy facial hair
-I carry fat around my stomach (so do my father and grandfather)
-Brain tumor near hypothalamus leading to precocious puberty. Recent radiation of hypothalamus and pituitary gland.
-Currently only taking Tylenol as needed for headaches (about 1g every other day)
-My diet consists largely of dairy (full-fat), berries, oranges, peanut butt-er and banana sandwiches, frozen vegetables (about 2 servings of broccoli, 1 of peas, 1 of carrots daily), and Mexican food of all varieties
-I lift about 3 times per week, one day of legs and upper-body pulls, one day of shoulders and upper body push, and one day of Olympic lifting. I also do one recreational cardio event per week, such as hiking, basketball, or racquetball.
-no testicular discomfort
-perhaps slightly less frequent morning wood (much less wood in general)

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low Vitamin D - maybe consider starting 5,000-6,000iu D3 daily (liquid/gel > powder).

cortisol looks low - when was the first blood draw done on 11/15 adn 12/27?

with the issues you are facing I am really surprised that the doctor wasn’t monitoring several others systems like E2… especially since he ran 17 hyfroxyprogesterone.

check out the blood test sticky for more possible tests…

3

The cortisol draw on 11/15 was at 2:30pm. The cortisol stim test on 12/27 was begun at 9am.

I had started taking 7,000 IU of vitamin D for about a week before that blood test. I was in Boston for a while by that time too, so I expect my vitamin D is much higher now that I’m spending time in shorts and t-shirt daily here in Phoenix. I’ve reduced my D-3 supplement to 5,000 IU per day now.

4

was it D3, and was it a liquid/gel form?

at 8am, the ideal cortisol reading is > 15. you were at 7. that plus all of your other issues, you really should get some more detailed tests including a 4x daily saliva cortisol test.

5

It was D3 in liquid capsules. I was also consuming a significant amount of enriched dairy.

6

I got the cortisol range from the lab (they didn’t print it since it depends on the time of day). For the 11/15/2011 afternoon draw the rr is 5-15, and for the 12/27/2011 9 am draw the rr is 5-25.