This is my first post in this part of T-Nation. I'm 33 years old. I am doing a lot of research on TRT and so forth these days, but the fact is that I'm still a real rookie in this area. I therefore need your help on this. I really appreciate it if you are willing to share some insights here.
I recently moved to the UK from Norway for a new job. During the last year, I've started feeling gradually worse. I have a lot of symptoms of low testosterone. Extremely low energy, low libido, fatigue, problems concentrating etc, etc.... In short, I truly feel like shit (ALL the time).
After reading on this forum I decided to go to a doctor here in the UK. I described my situation and asked for the full hormone panel (as many advise on the forum):
Free Testosterone (with Total)
I expected the doctor to be hesitant about this (as usual), so I was ready to explain my rationale. The doctor would not listen to any of my arguments at all. She did not even know what some of the stuff on the list were and said that the costs of such a test could not be justified.
So, that means I will have to go to a private clinic to get the full lipid. I will do so very soon. It's just that I am new to the UK, don't know the health system here and I'm extremely busy with my new job.
Anyway, these are the results I got from what the doctor was willing to examine. I know it will be somewhat limited what you can say about this, but perhaps you have some comments nonetheless. My values first / (average values)
Prostate specific antigen: 0.65 ug/L / (0 - 2.0)
Serum testosterone: 9 nmol/L / (9 - 27)
Serum free T4 level: 19.3 pmol/L / (10.5 - 24.5)
Serum TSH level: 3.48 miu/L / (0.3 - 4)
Plasma glucose level: 4.9 mmol/L / (2.8 - 11)
Urea & electrolytes
Serum sodium: 147 mmol/L / (136 - 146)
Serum potassium: 3.9 mmol/L / (3.5 - 5.1)
Serum urea level: 8.0 mmol/L / (2.5 - 6.4)
Serum creatinine: 94 umol/L / (62 - 106)
Serum chloride: 103 mmol/L / (98 - 106)
GRF calculated abbreviated MDRD: 83 ml/min
Liver function test:
Serum total protein: 82 g/L / (60 - 83)
Serum albumin: 52 g/L / (35 - 50)
Serum total bilirubin level: 12 umol/L / (1 - 17)
Alk phos: 69 iu/L / (40 - 129)
ALT/SGPT serum level: 53 iu/L / (10 - 40)
Serum calcium: 2.41 mmol/L
Corrected serum calcium level: 2.17 mmol/L / (2.15 - 2.65)
Serum inorganic phosphate: 1.10 mmol/L / (0.8 - 1.5)
Serum cholesterol: 4.6 mmol/L / (0 - 5.0)
Serum gamma GT level: 17 iu/L / (10 - 66)
AST serum level: 35 iu/L / (15 - 40)
WBCs: 7.7 _ 10*9/L / (4.0 - 11.0)
RBCs: 5.61 _ 10*12/L / (4.50 - 6.50)
HB: 16.4 g/dl / (13.5 - 17.5)
Haematocrit: 0.48 L/L / (0.40 - 0.54)
MCV: 85.0 fl / (80.0 - 96.0)
Red blood cell distribution width: 12.6% / (9.0 - 15.0)
MCH: 29.3 pg / (27.0 - 32.0)
MCHC: 34.4 g/dL / (32.0 - 36.0)
Platetelet count: 246 _ 10*9/L / (150 - 400)
Differential white cell count
Neutrophil count: 4.1 _ 10*9/L / (2.0 - 7.5)
Lymphocyte count: 2.7 _ 10*9/L / (1.5 - 4.0)
Monocyte count: 0.7 _ 10*9/L / (0.2 - 0.8)
Eosinophil count: 0.2 _ 10*9/L / (0 - 0.4)
Basophil count: 0.0 _ 10*9/L / (0.0 / 0.1)
Nucleated red blood cell count: 0.0 _ 10*9/L / (0.0 - 0.2)
The nurse claimed everything was 'pretty much normal', but looking at my Test levels I don't know if I agree about that. I'm at the low end of the spectrum. I should be much higher considering my age. What do you think?
Anyway, the doctor wanted me to do more tests, so these will comming up soon.
I've done 2 cycles of AAS in the past. Basic cycles as commonly recommended. The first was 500 mg of Test Enanth a week for 10 weeks and SERM PCT. The second cycle was Test E (500mg) and Deca (300mg) for 12 weeks and Tapering PCT. It is about 9 months since this last cycle.
So, finally my questions:
What should I do next?
Anyone have advise on UK doctors? I'm in London...
What should I say to the doc?
Should I ask to see a specialist right away?
Again, I really appreciate your comments. I'll continue my own research and keep this thread going as my results come in. Hopefully others can benefit too.
PS: I know, that was a VERY long post... Sorry...