I have been checking my blood levels for several years-usually just once per year with a general CBC/Chem/Basic Hormone panel. Levels for Testosterone have been somewhat on the low end of normal for the past few years, but even lower now, so I had more complete tests run to check more parameters.
Background:
45 years old, 5’ 10", 190# , waist is 32-33", body fat % right now probably 12-14%.
Have a full head of hair, facial hair grows regularly, but has always been a little patchy. Legs and forearms have good amount of hair, have never had much of any hair on my torso.
Fat is carried mainly in lower abdomen, but seems spread out pretty evenly over waist, butt, and hips.
No health issues that I have had to receive meds for, outside antibiotics for dog and cats bites, as I am a veterinarian (None in the past 2-3 years).
Diet is very strict most of the time. I competed in a few natural bodybuilding shows in my late 20’s and have stuck to that type of diet for the last 25 years. High protein, moderate fat, carbs are mostly fruits and vegetables, except for peri-workout Plasma.
Training is typically 4-5 days per week. Normally follow a Meadow’s-type plan, with the exception being that I incorporate a Deload week after every 3 weeks of training, otherwise I tend to feel over-trained. After completing the 12-week program (which I have stretched to 15 weeks with the Deloads), I’ll normally do a 3-4 week simple 5X5 plan which is about 3 training sessions per week.
No issues with morning wood or getting erections, although quality of erections is not as good as it used to be.
Overall feeling has been one where I do feel more tired than usual, considering I sleep pretty well (and about 7.5-8 hrs) each night, and maybe having more difficulty with recovering from workouts. Mentally, some brain fog and/or “lack of caring” seems to take place where many days by early afternoon, especially at work, I’m just counting down the # of patients that I need to see before I can get out of the office. I realize that some jobs may suck and this would be normal, but I have never really felt this way until the past couple of years.
Blood results:
Glucose 95 (65-99)
Uric Acid 4.2 (3.7-8.6)
BUN 23 (6-24)
Creatinine 1.16 (.76-1.27)
Na 142 (134-144)
K 5.0 (3.5-5.2)
Cl 101 (96-106)
P 3.5 (2.5-4.5)
Protein 7.3 (6.0-8.5)
Albumin 4.8 (3.5-5.5)
Globulin 2.5 (1.5-4.5)
TBil .5 (0.0-1.2)
ALP 41 (39-117)
LDH 149 (121-224)
AST 23 (0-40)
ALT 24 (0-44)
GGT 15 (0-65)
Iron 112 (38-169)
Cholesterol 177 (100-199)
HDL 49 (>39)
LDL 108 (0-99)
PSA .7 (0.0-4.0)
Total Test 559 (348-1197)
Free Test 7.5 (6.8-21.5)
DHEA 159.9 (71.6-375.4)
Estradiol 18.4 (7.6-42.6)
SHBG 54.3 (16.5-55.9)
A1C 5.5 (4.8-5.6)
Vit D 48.9 (30-100)
WBC 5.7 (3.54-10.8)
RBC 4.94 (4.14-5.8)
Hemoglobin 14.9 (12.6-17.7)
Hematocrit 44.6 (37.5-51)
Platelets 259 (150-379)
LH 5.4 (1.7-8.6)
FSH 11.7 (1.5-12.4)
TSH 2.96 (.45-4.5)
T4 6.9 (4.5-12.0)
Free T4 1.45 (.82-1.77)
Free T3 3.1 (2.0-4.4)
Reverse T3 18.9 (9.2-24.1)
Thyroglobulin Antibody 1.0 (0.0-0.9)
Prolactin 17.9 (4.0-15.2)
Morning Temps past 2 days-95.9, 96.5
Mid-Afternoon Temps past 2 days-97.4, 97.4
Late day Temps past 2 days-97.2, 97.1
So it obviously looks like Thyroid is an issue from the high TSH to the too low temps (I normally don’t feel cold). In evaluating diet and supplement, I am definitely well short on Iodine. My salt has Iodine, but I only use a very small amt, so that needs to increase. I just got some Iodine and Kelp supplements that should bump me to over 4mg per day, but is that enough? Do I need to get the higher dose, like the 12.5mg, to get levels normalized quicker?
What about the SHBG and Prolactin levels? It certainly explains at least some of the low Free T. Should I start to pursue TRT with a doc or wait until I get Thyroid hopefully straightened out with increased Iodine?