For a long time I have been tired, I have lack of energy, the results in the gym are staying at the same level or even worse - stagnation, despite the onpoint diet, supplementation and training / deloads, etc …
I have been testing my hormones for about 3 years and always testosterone is low/mediocre - lh and fsh levels probably explain that, but the doctors keeps telling me that everything is normal.
Now I’m falling into some depression, because the libido has been way worse than it was and erections are not what it used to be, sometimes so weak that my girl thinks I am cheating on her and/or I am not anymore attracted with her body (that’s totally not the point as she is a sex bomb…) - it’s probably the worst thing that can happen for a guy who loves sex.
I have already tried to cooperate with the best dietitians here in Poland, thinking that I will be able to naturally grasp the situation - of course I have tried nearly all of the Ayurvedic herbs, zinc, shilajit etc etc…
In general, I have spent a lot of money, nerves and time, but the improvement was only delicate…
It seems to me that TRT is the only right way out, and I would like to start as soon as possible. Below are the latest blood results: after blood tests I also had a magnetic resonance of my brain - not specifically the pituitary, but apparently you can see the pituitary gland on such a scan and everything there is probably okay.
AST: 33 U/I [10-37]
ALT: 20 U/I [10 - 41] before: 30 U/i
GGTP: 16 U/I [<73] before: 15 U/i
LDH: 169 IU/I [120 - 246]
Cholesterol total: 128 mg/dl [115 - 190] before: 119 mg/dl
Cholesterol HDL: 50 mg/dl [>40] before: 54 mg/dl
Glukoza: 81 mg/dl [70-99] before: 86 mg/dl
PSA: 1,43 ng/ml [<4,00]
TSH: 1,386 uIU/ml [0,550 - 4,780] before: 1,601 uIU/ml
FT3: 3,65 pg/ml [2,30 - 4,20] before: 4,32 pg/ml
FT4: 1,55 ng/dl [0,89 - 1,76] before: 1,55 ng/ml
ATG: <15,0 U/ml [<60]
ATPO: < 28,0 [<60]
Estradiol (E2): 29,40 pg/ml [11,80 - 39,80] before: 31,20 pg/ml
FSH: 2,71 mIU/ml [1,40 - 18,10] before: 2,43 mIU/ml
LH: 7,77 mIU/ml [1,50 - 9,30] before: 4,08 miU/ml -sometimes even lower than that
Progesteron: 0,588 ng/ml [0,05 - 0,149] before: 0,474 ng/ml
PRL: 7,4 ng/ml [2,1 - 17,7]
Kortyzol: 28,62 ug/dl [5,27 - 22,45] before: 12,97 ug/dl
Witamina 25(OH)D: 39,80 ng/ml before: 32,00 ng/ml
SHGB: 48,9 nmol/l [17,3 - 65,8] before: 26,6 nmol/l
Testosteron total: 523 ng/dl [241 - 827] before: 426 ng/dl
Testosteron free: 15,06 pg/ml [ 4,5 - 42] before: 16,18 pg/ml
DHEA-S: 339,3 ug/dl [34,5 - 568,9] before: 363,3 ug/dl
*before = before the last tests, which were performed relatively not long ago, the oldest have a maximum of 2 years.
In general, there are no major changes in results in the past 3 years. The only thing that changes is sometimes LH sometimes higher, sometimes lower, but it’s also possible that it has a relationship with ashwagandha herbs, I’ve also had a slightly higher level of FT3 (as shown above)