Hi, this is my first post, I have been reading for sometime, but I did not sign up until like a week ago, I have read the stickies a few times. I would really like your help before I go to the doctor, I want to be prepared. My symptoms are weaker erections since years ago, libido is fine, morning wood a couple of times a week, but my main concern is that I have not been able to add muscle, only a little, and getting stronger is going very very slow, I am very slim, I have been reading T-nation articles for about 7 years, I have learned a lot, so, my diet, workout routine, and sleeping are dialed in, and I have tried different methods, and end up gaining fat instead of muscle. I do have a small bone structure, shoe size is 8, pant size 30x30. I would be happy at around 140lbs 12% bf. So I decided to get some labs. These are my numbers:
Gender: Male
Age: 44
Height: 5’ 8”
Weight: 129lbs. Max 155lbs (mostly fat) Min 122lbs (losing fat and muscle)
Body fat: 14%
Vasectomy in 2006, I have three children. LH, FSH LOW?
Hernia surgery in groin area in 2014.
I suffer from respiratory allergies, I take loratadine for that from time to time. Mostly seasonal allergies.
My fat is mostly in belly, love handles. When I was heavier most of my fat was in my torso, neck and face, my limbs remained skinny, just a little more fat there.
Body hair: Forearm a little and thin, legs more than forearms and less thin, torso only a little in middle chest and around nipples, also thin. I can grow a full beard but not high on the cheeks, not thick, a little sparse, it takes almost two months to look full. Thick eyebrows. Full head hair.
No history of using iodized salt, since junior high school trying to avoid it, (father=hypertension) only the salt that already comes in food, when eating out, never add salt to anything. Did not know about iodine.
Supplements: Multivitamin daily (150mcg iodine, 75mcg selenium, No Iron), 2000mg vitamin C daily, 5000 iu Vitamin D3 daily, 3grams fish oil daily, ZMA (magnesium aspartate 450mg, zinc 30mg, vitamin b6 15mg) daily. Whey protein.
Never used AAS.
I train four days a week, 45-60minutes, Back and chest twice a week, Shoulders, arms and abs once a week, lower body once a week, walk for 30 minutes three to five days a week, I do not run, I walk at a moderate pace and sometimes just a breeze walk.
Diet: 2550Cal, 19.7XBW, 166gr Protein 26%, 1.3gr per pound of BW, 299gr Carbs 47%, 77gr Fat 27% Close to 30/40/30. Main carb sources are white rice, boiled sweet potatoes and potatoes, bananas, apples, pineapple, unlimited veggies. Main fat sources are Olive oil, fish oil, avocado, almonds, and what comes with meat and fish. Protein sources are red meat, white and whole eggs, fish, chicken, shrimp, whey protein and casein. No sugar (only from fruit) No alcohol, No bread, limited saturated fats from meat and eggs.
May/5/2018 8am
TT 334 ng/dL 132 – 813
FT 4.4 pg/mL 4 – 30
SHBG 43 nmol/L 11.2 – 78.1
E2 14.335 pg/mL 5.37 – 65.9 Asked sensitive and got ECLIA
DHT 370 pg/mL 135 – 1365
FSH 1.38 mUI/mL 1.55 – 9.74 LOW
LH 3.41 mUI/mL 4 – 28 LOW
PSA 0.664 ng/mL 0 – 4
Cholesterol:
Total 173 mg/dl 50 – 200
HDL 52 mg/dl
LDL 95 mg/dl
Triglycerides 63 mg/dl 50 – 150
Fasting Glucose 93 mg/dl 60 – 110
RBC 4.97 Mu/L 4.7 – 6.1
Hemoglobin 16.42 g/dL 13.8 – 17.2
Hematocrit 47.99 %. 41 – 50
MCV 96.63 ft 80 – 100
MCH 33.07 pg/cell 27 – 31 HIGH
MCHC 34.22 g/L 32 – 36
RDW 10.03 % 11.5 – 14.5 LOW
Leukocytes 6.3 K/uL 4.5 – 10.5
Neutrophils 50.2 % 40 - 60
LYMPHOCYTES 41.2 % 20 – 40 HIGH
Monocytes 4.8 % 2 – 10
Eosinophils 3 % 0 – 4
Basophils 0.8 % 0 - 1
PLATELETS 136 K/uL 150 – 400 LOW
MPV 9.34 fl 6 – 10
Body temperatures
(All my life I have to wear socks to sleep all year round, my feet get very cold, my hands and my body according to my wife and kids are always too warm, I like warm weather better than cold weather, I cannot tolerate cold weather that much)
May-15 5am 96.6 2pm 98.4
May-16 5am 96.8 2pm 98.6
May-17 5am 96.8 2pm 98.6
May-18 5am 96.8 2pm 98.6
May-19 6am 97.1 2pm 98.8
May-20 5am 96.8 2pm 98.4
May-21. 5am. 96.7 2pm 98.4
Thyroid Labs:
TSH 1.96 uUI/ml 0.465 – 4.68
T3 111 ng/dL 97 – 169
T4 8.55 ug/dL 5.53 – 11
FT4 1.01 ng/dL 0.78 – 2.19
FT3 3.0 pg/mL 1.9 – 5.4
PBI 6.39 mg/dl 4 – 8.5 Protein bound Iodine
T4I 5.55 mg-dl 3 – 7.5 Serum thyroxine Iodine
I will see the doctor on Monday may-25. I would really appreciate your help. Thank you.