Labs (from 1/1/18):
Meds?: No prescription, I do take THC tincture to sleep
- 30 y/o white male
- 174.6lbs @ 5’9" currently
tl;dr Low libido/energy levels despite various lifestyle changes and weight loss over two years, recently visited a urologist who was very dismissive, now what?
My story begins two years ago this month when I noticed greatly decreased libido and greatly lowered energy reserve. I was overweight in the beginning @ 230lbs / 5’9", and have been to varying degrees since my early teens. It started out with just cutting out the obvious junk from my diet, doing some light cardio like biking, walking, etc. I didn’t notice any difference in libido or energy levels after six months.
I meandered through this stage for another 6 months, trying various small tweaks to my diet, and getting nowhere. So, we’re 12 months in with no change other than some weight loss, and I read and discover I could try powerlifting. Bought the stronglifts app, a cage, barbell, plates, etc, and start training. I slowly start to become stronger than I’ve ever been in my entire life, able to do things like chin ups / pull ups for the first time EVER. Still, I notice no increase in energy or libido. But I keep at it.
Fast forward to 1/1/18. I decide I’m going to be militant about my diet after reading about the ketogenic diet. I just took the sample meals from /r/keto, and meal prep those same two meals every Sunday. I cook breakfast every morning, but it’s always the same: eggs, bacon, horseradish, mushrooms. I’m now down to 174.6lbs, but I still have a high % of body fat. I’m still keeping at it, still losing weight, but I have also still not noticed any increase in libido or energy levels.
I continued reading, and found recommendations to try taking some supplements. Through my reading, I began taking the following daily:
- Walmart multivitamin/multimineral
- Maca root powder extract
- Garlic extract
- Calcium/Magnesium/Zinc supplement
- Caffeine 200mg (for the energy issues)
Still no help.
I saw a urologist yesterday, and had my reservations. This dude was…older, having graduated medical school in 1972. Still, I kept an open mind and went. I had my labs I linked above with me, and a write up detailing what I’m telling you all here. The nurse saw the labs in her preparatory questioning and was excited I had that sort of data already.
The doctor comes in and is in quite the opposite mood:
Dr: “Who ordered these labs?”
Me: “Oh I bought the lab order off the internet, it was collected right here at _ though”
Dr (staring at me): “You know, they ought to run these places out of business.”
Me (waiting for him to expound on that): “…yeah?”
The rest of the appointment, his attitude could be generously described as dismissive. Tried explaining I haven’t had morning wood since I was 18, tried explaining I have energy low enough I have to take a lot of caffeine every day to stay functioning, tried saying I have issues sleeping, but it was all hand waved away.
“You’re healthy on paper, want some Cialis?” was the final takeaway. He did give a rectal exam and said I had a small prostate. His only other advice to me was to see a GP and that I might have some other problem that is outside the scope of his practice, like a, “heart or psych issue or something”.
The Cialis does work quite well, but I’m also getting hard after looking at porn and then very quickly losing interest. Even with the Cialis, I have to really concentrate to stay interested (and thus hard). If my wife doesn’t initiate, I don’t think about sex. I also don’t ever think about masturbating.
I also don’t think it’s due to stress or other psychological problems. I’ve been married to the same woman for 10 years, we’re quite comfortable together. I also have increased my income 5x in the last 3 years, and my job has only gotten easier. The people I work with are chill. The place I work for is…phenomenal, compared to anywhere else I’ve ever been. I work from home 24x7, but make sure I use my body all day (standing desk, use the stairs, etc) besides just the lifting.
In order to combat even the possibility it is stress related, I ordered Ashwagandha extract since I’d read it can reduce cortisol levels: https://examine.com/supplements/ashwagandha/
So, what are my next steps? What should I look for in a GP? That urologist visit was my first visit to a doctor of any kind in…well, forever. I do have insurance, and I’m not super price sensitive. But the way that appointment went is exactly why I’m adverse to going to doctors in the first place.
Also, how are my labs looking? Please let me know if you’d like to know anything else.
Thanks for reading all this.