Hi T Nation,
I've been lurking/reading lots here for awhile. Appreciate the effort everyone has put into putting all this info together.
A bit of background info. I'm a 39 yo male, I have a complete spinal cord injury at the C4/C5 level from a car accident over 20 years ago.
3 years ago I was having many health issues, fatigue, severe blood pressure drops after eating, hot flashes, stomach issues like excessive gas, nausea to the point of dry heaving, no appetite, pain and major weight loss. I spent 8 months in a hospital where I received a full work up of MRI's, CT scans, full bone scan, multiple X-rays, upper GI, gastric emptying study & lots of blood work. Everything was clear or "within range".
They did decide I had low B12, potassium & Testosterone. I started B12& Potassium supplements and They also started me on TRT...with one injection of 100mg of test cyp every 4 weeks. My main symptoms didn't seem to change but I did gain much improved and lasting hardons.
I developed a pressure ulcer that turned into osteomyelitis which required surgery and a massive dose of IV antibiotics. I've had a lot of antibiotics over the years. I was discharged from hospital in worse shape than when I went in.
Once home, fed up with the medical system, I started seeing a naturopath doctor. She started me on lots of vitamins & supplements. CoQ10, B12 sublingual, D3 & K2, B-complex, Probiotics, amino acids. and a few others I can't recall. Very slowly I started to improve. My GP continued my monthly T shot.
Gradually over a year & a half my skin ulcer healed and I was slowly able to eat again and started gaining some weight. During this time however, my T levels dropped & the new found wood all but disappeared. My Dr increased my T shot dose but didn't increase the frequency. I didn't feel a difference, & still had infrequent, lacklustre wood.
I also started having new thyroid symptoms of feeling colder than usual, general hair loss, low body temps of 35Ã?Â°-36Ã?Â°C, bad muscle & joint aches in my neck & shoulders. My TSH was 3.5. But of course my Dr's shrugged it all off... "Within range".
I started an iodine supplement & symptoms improved a lot. TSH dropped to 1.4. A few months later I started feeling similar symptoms again. TSH had climbed back up to 3.2. I finally convinced my Dr to do a thyroid panel. It's next to impossible to get a full panel here with "in range" TSH.
The only results I received were:
T3Free: pmol/L range (3.5-5.9) result: 4.5
Antithyroid Peroxidase AB: iU/mL range (<=5) result: <3
I discovered that my iodine supplement only had 50mcg of iodine. My naturopath switched me to a kelp capsule with 500mg of iodine & I also started a selenium supplement and I started feeling better again. Ever since my TSH has fluctuated between 2 & 2.3.
I convinced my Dr to go to biweekly shots of 100mg, my T levels didn't increase in the first month or two, nor did my erections return. I gained more weight but mostly in the gut.
My bio available T has been around 1.3 - 1.4 for past 6 months. The best I had a record of was dec. 2014.
TT - 15.5 nmol/L Range: 8.4 - 28.7
Bio T - 2.92 nmol/L Range: 2.1 - 8.5
SHBG - 36 nmol/L. Range: 13 - 71
21/04/2015 these were my first levels after starting biweekly injections.
TT - 9.5 nmol/L. Range: 8 - 32
Bio T - 1.4 nmol/L Range: 2.5 - 10
SHBG - 35.2 nmol/L Range: 13.5 - 71
10/06/2015, this is my first E2 level in at least a year. After reading this forum & trying to educate myself.
Estradiol - 64.3 pmol/L. Range 28 -156
TSH - 2.3 mlU/L Range 0.27 - 4.20
PSA - 1.54 ug/L. Range 0 - 2.5
I just received my newest blood work. It was drawn the day before my two week shot. Maybe the biweekly shots are increasing my levels now. It was processed by a lab that never used to do bio T. My E2 is flying pretty high as well.
Albumin - 34 g/L Range: 35-50
TT - 22 nmol/L Range: 8 - 32
Bio T - 5.63 nmol/L. R: 2.5 - 10
SHBG - 30.7. R: 13.5 - 71
Estradiol - 119.8 R: 28 - 156
DHEAS - 11.73 umol/L. Range: 3.7-13.10
LH - 0.19 (I know there wasn't much point of this while on trt)
FSH - 0.1 (^^^^^^^^^^^)
Progesterone - 3.13 nmol/L. Range: 0.7-4.3
PSA - 1.42 ug/L. Range: 0-2.52
Cortisol.AM - 471.8 nmol/L. Range: 171-536
Vit D25 - 91 nmol/L Range: 75-250
TSH - 2.18 mlU/L. Range: 0.27-4.2
Ferritin - 25.6 ug/L. Range: 30 - 400
Vit B12 - >1476 pmol/L Range: 156-698
Sodium - 138 mmol/L. Range: 136-145
Potassium - 4.3 mmol/L Range: 3.6-5.2
Cholesterol - 4.04 mmol/L R: 3-5.17
Triglycerides - 2.32 mmol/L R: 0-1.7
LDL - 2.23
HDL - 0.76 mmol/L. R: 1.03-5.1
Ratio - 5.3
Albumin - 42 g/L. R: 35-52
Unfortunately I don't have my pre trt blood results. I've been unsuccessful so far in getting them. My b12 is through the roof. I've been on B12 Methylcobalamin 5000mg sublinguals for almost a year. My iron/ Ferritin has been low also. Im on a supplement & it seems to be increasing. It was 11. I have my CBC levels too, I'll post those tomorrow.
My GP is open to suggestions. He's considering the SC Tshot protocol. And I plan to discuss Hcg & an AI.
I also have a cortisol 4 point saliva test to do.
My body temps have been fluctuating. they were 36.5-37.2Â°c range
Yesterday & today am was 37Â°C", afternoon& evening were in mid to low 36.
Any help/suggestions are greatly appreciated!