age 46
-height 6ft
-waist 36
-weight 220
-describe body and facial hair modest amount on legs chest,facial just grows sideburns like elvis
-describe where you carry fat and how changed mostly in the butt then waist gained about 40lbs of fat over the past year
-health conditions, symptoms [history] depression,lack of motivation,energy
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever
40mg Viibryd(ssri), otc claritin
-describe diet [some create substantial damage with starvation diets]
Diet has really gone off the rails over past year which coincides with depression, pretty much fast food except for breakfast which is usually eggs and oatmeal or fruit
-describe training
brief workouts switching betweed low intensity cardio and moderate weights 3 or 4 times a week
-testes ache, ever, with a fever? No
-how have morning wood and nocturnal erections changed
few and far between. used to be every day now rarely
LABS FASTED 8AM
cortisol 17.6ug/dl range 602-19.4ug/dl
estradiol 21.1pg/ml 7.6-42.6pg/ml
fsh 3.1mIU/ml 1.5-12.4 mIU/ml
hgb a1c 6.0%(abn) 4.8-5.6% diabetes >6.4
igf-1 186 ng/ml 67-205 ng/ml
Lh 4.5 mIU/ml 1.7-8.6 mIU/ml
Prolactin 11.3 ng/ml 4.0-15.2 ng/ml
T4 free(direct) 1.03 ng/dl 0.82-1.77 ng/dl
Test, free and weakly bound 397ng/dl 348-1197ng/dl
test.,%free+weakly bound 17.8% 9.0-46.0%
test., F+W bound 70.7 ng/dl 40.0-250.0 ng/dl
TSH 1.080 uIU/ml .450-4.50 uIU/ml
b12 607 pg/ml 211-946 pg/ml
vit d (25-oh) 57.3 30.0-100.0 ng/ml
I also have the results from CBC w/diff and comp metabolic but didn’t have time to type it. If it helps I will later on.
My morning temp has been 97.3 and 97.7 two days in a row but my afternoon temp has been 96.4 both days so I started IR today.
Also I was confused by my E2 being at 21 because i was so sure it was high that in between taking the labs and getting the results I took .5g liquid anastrozole split into two doses the last week and had a few days of semi morning wood.
I asked to Dr for other tests as well thyroid/adrenals but he said we could start here and he seems pretty open because i had copied and pasted a list of tests and he spent about a half hour with me so I will go back after I lose some weight.
I suspect my low T and adrenals could be the problem for my decreased motivation and all around energy levels. I used to pop out of bed quickly in the am and def a morning person now I struggle to get up and usually pop ephedra/caffeine to get going although I’ve stopped now. I’m not sure what to do because I feel my low t could’ve caused depression or depression could’ve caused low t.
Any help would be greatly appreciated