Male 30 years old
31 inch waste
155 pounds (been about 148-155 since 16 years old)
Body/Facial hair: Average (can grow beard)
I don’t really carry any fat, very hard to put on weight
-Had my left testicle removed as a young child, the right one is and always has been very large as far as I can remember.
-Depression, anxiety, ADHD all coming on around age 18. None of these severe, but enough to seek therapy. Recently decided to get medication to help…
-Started taking 150mg of Welbutrin (snri) and 27mg Concerta about 5 months ago
-Acne (a bit more than average) age 15-17
-Erections/morning wood: never changed same as 10 years ago
-Started using tobacco in high school and picked up cigarettes in college (quitting now…on the patch)
-Lots of carbs, Nuts, Salads, Veggies (broccoli, carrots), Veg/lentil soups. I eat “ok” generally, eating high carb/low nutritional value foods (trying to put on weight), with salads, veggies, and soups mixed in.
-Never have much of an appetite in the morning, except for coffee. If I’m eating within the first 3 hours of when I wake up it’s because I feel I should, not b/c I’m hungry.
-I drink alcohol 1-2 times every coupe weeks
-Last 4 months or so been lifting 3-4 times a week, 2 of those being heavy but not max low rep leg days (usually get just a little sore from these workouts) and the other days I usually just workout what I’m feeling staying in the low rep higher weight routine (again just trying to put on some mass)
In decided to go out and get some lab tests thinking maybe I could find a link to my depression, and adhd symptoms. I had also never done any hormone panel before and wanted to make sure things were normal with the lone teste and all, and here is what I found…
Lab Results (taken fasted at 11am back in December 2018):
Testosterone, Serum (Total)…1022ng/dL
% Free Testosterone…0.7%
Free Testosterone, S…72pg/mL (7.2ng/dL)
Carbon Dioxide, total…25mmol/L
Protein, total, serum…7g/dL
Vitamin D, 25-Hydroxy…39.7ng/mL
Methylmalonic acid, serum…101nmol/L
Cholesterol, Total …199mg/dL
T.Chol/HDL Ratio…2.6 ratio
Immature Grans (Absolute)…0.0x10E3/uL
The hormone tests were ordered from a Urologist, he told me my LH and SHBG were very high, but since my total testosterone was also high I’m in good shape. I mentioned that I thought my % free testosterone was pretty low and he said not a big deal because total was so high and also mentioned Clomid as a possible medical solution. The rest of the tests were ordered by a primary care physician, she said everything is within the normal range, and that was it.
My goal is to get off the medications, and be at my optimal health. I love weight lifting, rock climbing, pushing myself physically, running, backpacking, yoga, etc. and I want to do them all as best I can for as long as possible. Getting completely off tobacco and eating a cleaner diet are the obvious places to start. But need some advice on where to go from here other than the doc’s obligatory “you’re fine, you’re within the range we’ve deemed normal”