Hi, I am a Dutch 23M. Height: 1.83 m/6 foot, Weight: 90kg/198lbs.
- No morning wood
- No spontaneous erections
- Weak erections
- One testicle is significantly smaller than other (pea-sized) from birth
- Brain fog
- Seeing women “as art”
- Sparse outer eyebrows
- Never had sex
- Poor results in the gym after years of training (~5 years of training with year break after two years due to frustration at lack of results: Bench 125kg, Squat 140kg, Deadlift: 175kg)
- A little breast tissue (confirmed by endo, I personally was under the impression my mild gyno was caused by my body fat being a tad too high)
- Depressive thoughts, suicidal thoughts at times
Labs that I have
May 2017 - Labtest GP:
Vitamin D was low and I was prescribed Vit D supplementation.
Test level was 11.4 nmol/l. I remember the range being something like 9-35 nmol/l.
June 2017 - Labtest GP:
retested my values for Vit D, T.
D was now raised to ~60. I am to this day still taking 12,000 IU/day of vitamin D supplementation. I did not get a referral to an endo at this point.
Due to the connections my father has in a hospital, one of his friends/colleagues managed to write a referral to an endocrinologist.
He performed a testicular examination and examination of upper body. A new blood test was performed. His conclusion was that my test levels are perfectly fine (12.8 nmol/l on a range 10-30 this time) , and that my prolactin was elevated (he was not sure as to the cause). As a result he put me on 1 mg/week of cabergolin (2 0.5mg tablets once a week) for 3 months, then wait a month (without taking caber) and then do a follow-up bloodtest. I thought: “Okay, fine, whatever; he thinks my test levels are fine, but lowering my prolactin levels can help raise them so I guess it is a win-win situation”. The issue here is that I had no insight into my lab values until he called me to deliver his opinion. I could thus not adequately prepare and read-up. Because If I HAD done so I would have told him I masturbated (multiple times) the day before the blood-test (I did not know a blood test would take place - I expected him to refer me to another place to get a bloodtest at a later date as that had been my prior experience), which very well could have been the reason for my elevated prolactin. Anyway, due to me tired of waiting I followed his protocol: browsing the internet I found most of the time 1mg of caber would be split in bi-weekly doses of 0.5mg, but I thought it would be better to just do what he told me to (so he cannot use it against me later).
Note that he did not measure my free testosterone, my Estradiol, my fT3.
start February 2018:
Becoming anxious with waiting I did my own bloodtest to determine those values.
This bloodtest was performed on Wednesday morning, latest caber pill was taken on Saturday Night.
Note that my test values seem quite good, although my impression is that they are artificially inflated by completely killing my prolactin - caber dose seems too high to me, but perhaps he is giving me a large dose of caber to completely kill any potential prolactinoma.
If I had presented with these testosterone values way at the start I probably would not have pursued this further. Note that my free test is at 11.4 ng/dl (2.42% of total test values) but my bioavailable test is at 285 ng/dl (!). Looking up ranges online here, this shows that this bio-available testosterone value is above the maximum range.
However symptoms really have not changed all that much. It is annoying that I do not know what my free/bio-available test was before starting caber.
I have my next appointment with the endo at the 13th of april. I am currently expecting either:
- prolactin still elevated, test still low
- prolactin normal, test slightly higher
I would not be satisfied with either. That is why I am currently further investigating thyroid problems. As @KSman has stated many have testosterone tunnel vision, and I don’t think I am an exception. I was originally planning to self-prescribe TRT if dissatisfied after next appointment with endo.
I have been measured body temps (AM only). Today (28-2-2018) I will measure PM temp as well:
Body Temps (oral under tongue):
- 26-2-2018: 36.2 C/97.16 F
- 28-2-2018: 35.3 C/95.54 F - although I slept with window open, and it is currently quite cold in the Netherlands.
I know that these body temps are low (but I barely ever actually feel cold: I can sit in underwear with window open without it really bothering me - I know that my mum is frequently cold while it doesn’t bother me).
I have been looking into Iodine and Selenium supplementation. However, I drink/eat a lot of diary (2l milk, 1kg quark (dutch version of cottage cheese)) and eat a fair amount of meat (currently mainly chicken, in the past also lots of beef). I possess salt with added iodine but I don’t use it too frequently because most food is salty enough. I am considering buying iodine/selenium supplementation but I could not find clear suggested dosages: I know @KSman suggests 750mcg of Iodine if completely Iodine depleted, but I could not find a selenium dosage to pair it with (to prevent auto-immune disease). Alternatively I have also found a 200 mcg Iodine and 150 mcg Selenium suggestion.
Thanks a lot for reading this far. I feel some of the best years of my life have been snatched away from me because of the symptoms I have experienced up until now. I do not want to live like this anymore.