Thanks KSMAN and everyone else who contribute to this site, I've been lurking for a while and learned a lot. If you're ever in my neck of the woods KS, beer is on me At age 20 I had been feeling pretty much all of the classic low T symptoms except for libido, on my physical I asked for a T test, the doctor refused so I made up a story that I had tested low before and wanted to see where I was at. Got the test and sure enough TT came back at 240 ng/dl. At the time I was studying medicine and knew this wasn't right, of course I wasn't as educated on this as I am now and I got the usual, "you're only a little low, there is no problem." So I ignored it for a while.
-describe body and facial hair
Naturally strong and muscular legs, but weak upper body
hard time gaining muscle, very thin forearms, arm is 12.5 flexed Also have asymmetric pectus excavatum. Facial hair began at about age 14, can grow a beard, goatee, sideburns.
-describe where you carry fat and how changed
Mostly lower abs. Fat has always been mostly around the gut area since before puberty.
-health conditions, symptoms [history]
Just the Pectus.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever
Never no meds.
-describe diet [some create substantial damage with starvation diets]
Never been on starvation diets. I get around 2,500 to 3,000 calories a day. I try to avoid all processed and frozen food as well as simple carbs. Consist mainly of meats, vegetables, and some complex carbs. Supplements B comlex, multi minerals, krill oil, 5,000 IU vit D
-describe training [some ruin there hormones by over training]
Began training 1 year ago, 45 minutes weights. I do 10X10 then increase weight and do 5X5. I mostly use isolation machines which I know are not good for mass, but my back is messed up from the pectus and I can't work my chest because I'm trying to get surgery and already have a hard chest according to surgeon as it is. I do every isolation machine that doesn't target chest for now.
-testes ache, ever, with a fever?
-how have morning wood and nocturnal erections changed
Incredibly inconsistent. I can go almost two weeks of nothing or weak and 1 week decent.
-lab results with ranges A bit old have been without insurance for long periods of time.
Cholesterol 180 (125-200)
HDL 35 L (> =40 mg/dl)
LDL 110 (<130 mg/dl)
Glucose 104 (65-99)
Creatine .67 L (.80 1.30)
WBC 5.5 (3.8-10.8 Thousand/UL)
RBC 4.50 (4.20-5.80 Million/UL)
Hemoglobin 14.7 (13.2-17.1 g/dl)
Hematrotic 42.7 (38.5-50.0 %)
MCV 94.9 (80.0-100.0 fl)
MCH 32.3 (27.0-33.0 pg)
MCHC 33.9 (32.0-36.0 g/dl)
RDW 12.5 (11.0-15.0 %)
Platelet count 216 (140-400 Thousand/UL)
2/13/11 Went to another GP who gave me a lab printout he refused to check anything aside from TT again so I added a few things on the slip.
HGBA1C 5.8 % 4.0-6.0 I have a strong hereditary tendency for diabetes my HGBA1C is at risk level and yet knowing this these docs tell me there is nothing to worry about. I put myself on a low carb and sugar diet.
Prolactin 14.8 ng/ml 2.5-17.0
TT 295 ng/dl (241-827)
FSH 1.6 (1.6-8.0)
LH 4.0 (1.5-9.3)
Progesterone 0.9 (<1.4 ng/ml)
After this I told the GP I seem to have secondary hypogonadism, he had no idea what I was taking about so I tried an endo. Mistake number 2. Ran a few more test and told me my HGBA1C is nothing to worry about and my T is perfectly normal and "not that low."
I suggested we try to find the root cause and check the adrenals, thyroid, pituitary, again I found no support and didn't get proper labs, they were in office so I could add nothing else.
TSH 0.967 (0.340-5.600)
Free T3 3.3
Free T4 1.4 (0.8-1.9)
Testosterone free pg/ml 16.00 8.8-27.0
Growth Hormone 8.2 ng/ml <10.1
IGF-1 411 127-424
Cortisol 29 H 8.7-22.4
Adrenotopic hormone 27 6-46 pg/ml
In these labs free T didn't look too bad, but I know free T works in spikes. Cortisol concerned me, but again I got the its perfectly fine answer.
I now tried an endo specialized in reproductive medicine. Heard some pretty questionable things. "I see nothing wrong with your total T levels" "you are not that low, this is a wild goose chase" and the strangest quote "Testosterone tests are useless, the only way to get an accurate reading is with a dialysis machine in and academic medical school." "If you really want to be sure I'll run a sperm test and if that's normal your T is normal"
So they sent me on my merry way with a lab form for:
FSH LH FT TT progesterone SHBG VIT D 24 urinary aldosterone 24 hour free urine cortisol.
Convinced him to add vit D, but no luck with estradiol or dhea-s. I have the print out and am wondering if I should add them, I don't see it as doing something bad after all I'm paying for it. What's the worst that will happen, they run me out and tell me never to come back again? I need proper tests. I will push for MRI if FSH comes back low again.
BTW I use a lot of the knowledge if got from KSMAN and others here and some of these docs were actually impressed, wondering if I'm a med student. That's a testament of how knowledgeable you cats on this site are. Taught an actual med student about igf-1 as indicator of HGH levels and its production by the liver. Keep at it guys.