Good morning all,
I have recently been to the doctor for noticeable symptoms of Low T. Personally I experience the fatigue, low libido, and brain fog the most. Wife urged me to go to the doc after seeing me mope around for too long. Bless her heart.
Bio: I'm a 26 year old male, 5'11" 175 lbs with a mesomorph physique. I've been married for a year and 8 months. I'm in the Coast Guard Reserve and a full time project manager/estimator where I sit at a desk most of the day. I typically get 6-8 hours sleep. Try to make it to the gym atleast 3 days a week. After my last Physicians visit, Urologist visit, then finally and Endo visit, I was prescribed 50k IU of Vitamin D once a week because of a Vitamin D deficiency. I started 1 week ago.
Sex history: I waited until marriage, and masturbated frequently as an adolescent. I no longer wake with morning wood, can't remember last wet dream, sex life with the Mrs. is struggling mostly due to myself not feeling the urge or not being horny.
Body and facial hair: Hairy legs, armpits, have quite a bit of chest hair, some hair on shoulders and back, but beard isn't as full as I'd like.
As a teenager and kid I was usually on the small side of the growth chart.
Testes hurt? I occasionally get a dull pain in either one, not particular, and nothing excruciating but a little reminder every once in awhile.
Mood: I have lost a lot a motivation recently, not like I used to be out of Boot Camp, where I felt I had the world by the balls.
Get cold easily? Yes
Dry Skin?: Yes
Use iodized salt? Always thought of salt to be a dirty vice, but since coming here that has changed my opinion of Iodized Salt.
Eat much sea food? Occasionally
Exposure to chemicals? A lot of chlorine in my days as a life guard
Ever used hair loss drugs? No
Medical History: No past history of any disease, surgeries, never had to go to the hospital for any reason. Been healthy as can be most of my life.
Rx and Medications: Recently on Vitamin D 50k IU per week
Outer eyebrows: normal
Haven't taken temps yet.
First set of blood tests from Physician
* WBC 5.8 THOUS/uL 4.1 - 10.9 THOUS/uL
* RBC 5.41 MIL/uL 3.35 - 5.50 MIL/uL
* Hemoglobin 14.7 GM/DL 12.9 - 16.6 GM/DL
* Hematocrit 44.9 % 38.0 - 48.0 %
* MCV 83.0 FL 81.0 - 95.0 FL
* MCH 27.2 PG 27.0 - 33.0 PG
* MCHC 32.7 G/DL 33.0 - 37.0 G/DL
* RDWCV 12.9 % 11.5 - 14.5 %
* RDWSD 38.4 FL 35.0 - 42.0 FL
* Platelets 234 THOUS/uL 130 - 400 THOUS/uL
* MPV 11.3 FL 7.4 - 10.4 FL
* nRBC 0.0 /100 WBC'S 0 /100 WBC'S
* ABS NRBC 0.0 THOUS/uL 0.0 THOUS/uL
* Differential Type AUTO
* Neutrophils 49.4 % 42.2 - 75.2 %
* Lymphs 29.0 % 20.5 - 51.1 %
* Monocytes 12.5 % 1.7 - 9.3 %
* Eos 7.9 % 1.0 - 3.0 %
* Basos 1.0 % 0.0 - 2.0 %
* IMM Gran 0.2 % 0.0 - 0.4 %
* Neutrophils Absolute 2.9 THOUS/uL 1.7 - 8.7 THOUS/uL
* Lymphocytes Absolute 1.7 THOUS/uL 0.8 - 5.6 THOUS/uL
* Monocytes Absolute 0.7 THOUS/uL 0.1 - 1.0 THOUS/uL
* Eosinophils Absolute 0.5 THOUS/uL 0.0 - 0.3 THOUS/uL
* Basophils Absolute 0.1 THOUS/uL 0.0 - 0.2 THOUS/uL
* ABS IMM Gran 0.01 THOUS/uL 0.00 - 0.04 THOUS/uL
* GLUCOSE 85 MG/DL 70 - 99 MG/DL
* BUN 17 MG/DL 8 - 23 MG/DL
* CREATININE 1.2 MG/DL 0.6 - 1.2 MG/DL
* Sodium 139 MMOL/L 136 - 145 MMOL/L
* Potassium 4.1 MMOL/L 3.5 - 5.4 MMOL/L
* Chloride 105 MMOL/L 98 - 107 MMOL/L
* CO2 RENAL 27 MMOL/L 20 - 33 MMOL/L
* Calcium 9.7 MG/DL 8.7 - 10.4 MG/DL
* Total Protein 7.5 G/DL 6.0 - 8.2 G/DL
* Albumin 4.4 G/DL 3.4 - 4.8 G/DL
* A/G Ratio 1.4
* Bilirubin, Total 0.5 MG/DL 0.3 - 1.2 MG/DL
* AST 23 U/L 0 - 39 U/L
* LIVER ALKP 99 U/L 25 - 100 U/L
* ALT 17 U/L 10 - 40 U/L
* Est GFR >60 ML/MIN/1.73sq.m >60 ML/MIN/1.73sq.m
* GFR Comment IF PATIENT IS AFRICAN AMERICAN, MULTIPLY RESULT BY 1.21
* ANION GAP 11 MMOL/L 7 - 14 MMOL/L
* TSH, High Sensitivity 2.85 uIU/ML 0.55 - 4.78 uIU/ML
* Tot Testosterone,Male 228 NG/DL 276 - 957 NG/DL
MALE 20-70 YRS 1.5-9.3
- Prolactin 5.7 NG/ML 2.1 - 17.7 NG/ML
* PSA 1.01 NG/ML 0.0 - 2.0 NG/ML
* Tot Testosterone,Male 392 NG/DL 276 - 957 NG/DL
* Sex Hormone Binding Globulin 23.4 NMOL/L 14 - 93 NMOL/L
* Free Testosterone 95 PG/ML 43 - 227 PG/ML
Blood Work from the Endocrinologist
VITAMIN D 25 HYDROXY 12/23/2016 (#68297340, Final, 12/22/2016 8:15am)
Vitamin D Status 25-OH Vitamin D
Deficiency <20 ng/mL
Insufficiency 20-29 ng/mL
Optimal > or = 30 ng/mL
AGE: >/= 18 YEARS
LH REFERENCE VALUES
MALE: 1.5- 9.3 mIU/mL
FSH REFERENCE VALUES mIU/mL
MALE: 0.9- 11.9
The Endocrinologist prescribed Vitamin D. Can this restore all my symptoms? I am skeptical. Again, I am married with no kids yet, but hope to in the future. Thank you so much for your time and advice.
Random thoughts: My NP said my thyroid levels were fine... but my senses tell me that this may still be a concern based on the symptoms, and the fact that my preconceived notion of salt was bad (could be an ID). Not sure if its related but, I started getting grey patches on the top of my head when I lifeguarded one summer, very weird. After research Chlorine wreaks havoc on Iodine (but I'm not sure they are related to this day) Since then the greying has stopped, but still remains. I've always tried to eat clean, stayed out of drugs, etc.
My check up with the Eurologist seemed to go fine after getting a physical done. Will check back. Thank you for the input