Hey guys, new here and asking for some help. I went to an endocrinologist to get my T levels checked (gp referral) because of fatigue, no libido, anxiety, belly fat I could not lose (everywhere else I am trim and cut), and finally the fact that I have had low T in the past. We did a couple tests before the ones below about a year ago and my test was under 200 ng/dl both times. I didn't go on TRT b/c I was scared to for some reason. Now I am on TRT and just feel worse. I take 100mg testosterone cyp shots once per week. I began shots on 7/29, so that is a total of 8 injections so far. I feel really depressed and lethargic. My anxiety has surprisingly gone away and I have a better libido. But this depression is crazy.
After doing research, I know my doctor needs to test some of my other hormone levels and would just like an idea of what I should tell him to check being I feel so crummy.
Here are my first test results - this is all they tested. (had one test before this which was very similar but can't find the results
Testosterone, Total - 203.1 ng/dl - Range (348.0 - 1197.0)
Free Testosterone (Direct) 7.9 - Range (8.7 - 25.1)
Thyroxine (T4) Free (Direct) - 1.09 ng/dl - Range (0.82 - 1.77)
Cortisol (AM) - 27.3 ug/dl (HIGH) - Range (AM 6.2 - 19.4)
TSH - 3.160 uIU/mL - Range (0.450 - 4.500)
LH - 2.9 mIU/ML - Range (1.7 - 8.6)
FSH - 0.8 mIU/mL (LOW) - Range (1.7 - 8.6)
ACTH, Plasma - 62.8 pg/ML (on the higher end) - Range (7.2 - 63.3)
Prolactin - 16.2 ng/ML (High) - Range (4.0 - 15.2)
Second Blood Test after 1 month of T Treatment - (100mg test cyp shots per week)
Hepatic Function Panel
Protein, Total, Serum - 7.0 g/dL - Range (6.0 - 8.5)
Albumin, Serum - 4.4 g/DL - Range (3.5 - 5.5)
Bilirubin, Total 0.6 mg/dL - Range (0.0 - 1.2)
Alkaline Phosphatase, S - 70 IU/L - Range (39 - 117)
AST (SGOT) - 15 IU/L - Range (0 - 40)
ALT (SGPT) - 19 IU/L - Range (0 - 44)
Testosterone, Serum - 1045 ng/dL - Range (348 - 1197)
*(why didn't they check free test?)
ACTH, Plasma - 15.9 pg/mL - Range (7.2 - 63.3)
Prolactin - 19.5 ng/mL (High) - Range (4.0 - 15.2)
Cortisol (AM) - 5.8 ug/dL (LOW) - Range (AM 6.2 - 19.4)
WBC - 8.2 x10E3/uL - Range (3.4 - 10.8)
RBC - 4.86 x10E6/uL - Range (4.14 - 5.80)
Hemoglobin - 15.2 g/dL - Range (12.6 - 17.7)
Hematocrit - 44.8 % - Range (37.5 - 51.0)
I am looking for a place to start so I can feel better. I know there MANY different issues I can be having because of other hormones, I just need to know where to start. I know this is going to be a long process and am not expecting to feel better overnight. I am patient and just looking for help. Consider me a newbie at this point as I am just starting my journey. Any and all help is appreciated. I have an MRI on Friday to check for a pituitary tumor so will see what happens there as well.
Thanks guys and god bless.