What's up guys.
I'm in a rather unique situation. I likely have several conditions affecting me and I've been on a ~2 year journey trying to figure out how to fix them. It's obvious (to me) that one of them is a testosterone problem, with the other one(s) being a bit more complicated. I'm dealing with moderate/severe cognitive issues likely mixed with mild hypogonadism issues (fatigue/mood/motivation). The cognitive issues are my primary concern and other avenue's of addressing them have fallen short. While T deficiency may or may not be fully or even partially responsible for my primary concerns I'm beginning to think it's almost fully responsible for my secondary concerns.
If you'd like to see my inquiries/methods/details to/for treating my cognitive issues you can find them here:
I'm thinking Lyme disease or Toxoplasmosis Gondii may be responsible primarily for the cognitive issues and the blend of T problems with it may be causing my overall situation. So onto my T concerns!
Alright, I've had a strong feeling I have had T problems for quite some time, my whole life really. Some of my anecdotal indicators:
26 year old male. 6'1" 170 lbs.
- Very late puberty (~14)
- Glandular Gynecomastia (Caused me severe emotional stress when I was younger)
- Slim to no facial hair
- Poor sleep quality. (Always 5 hours solid, then continual wake/sleep cycles until rise. Always wake up feeling very tired. Very hard to get myself out of bed.)
- Seemingly OK sex drive, not too strong not too weak. Possible that my psychological drive is just as strong.
- Erections seem OK as well, could be better. Never late to rise though!
- Orgasms definitely weak. Very low volume/velocity, very unsatisfying. (lol.. sorry!)
- Mild fatigue (from sleep? chicken/egg?)
- DEFINITE word recall problems (from this or other conditions I don't know)
So about 1.5 years ago I went into my doctors to get this checked out, mostly motivated from my cognitive issues (again check http://bit.ly/1AevFjs to see what those are, it's complicated). I go get a blood test. The best part about this was having my doctor say that I will in fact be disappointed with my results and when I come back and am I can then pick up the antidepressants that he can hardly contain himself from writing for me right on the spot. I'll never forget that. Anyways, I wasn't disappointed with my results, they were exactly what I had suspected.
My complete lab can be located here: http://imgur.com/a/seSIH but basically the relevant stuff is:
Free Testosterone @ 8.9 ------- UNITS: pg/mL ----- Reference Range: (9.3-26.5)
Total Testosterone @ 399 ------- UNITS: ng/dL ------ Reference Range: (348-1197)
TSH @ 1.19 --------------------- UNITS: UIU/ML ----- Reference Range: (0.34 - 5.60)
I have a TT of a 90 year old man and a FT of a 50 year old man. My TSH appears to be fine but I'm definitely not ruling out adrenal fatigue (rT3). I've yet to be able to test my body temperature (just learned about that tonight) but will be doing that ASAP.
I didn't take action after getting my results because I just couldn't fathom that my severe problems could stem from T problems, but I'm starting to get desperate after running out of options and I'm beginning to take any problem area very seriously.
So I've yet to understand where the exact problem could be in the Adrenals/Thyroid/Testes chain but I wanted to get the ball rolling and see what you guys think about it. Do you think this could be causing my primary symptoms or is it likely just exacerbating it?
I suppose I already know this is a problem but I feel it'd be foolish to go into my doctors office unsure of myself as I don't trust their judgment or understanding of this kind of stuff at all.
------------------------------------------------------------\ ADDITIONAL INFORMATION
- Lion's Mane - 2g 2/day (4g total)
- Reishi - 2g 2/day (4g total)
- Ashwagandha - 500mg KSM-66
- Bacopa - 600mg 60%
- ALCAR - 2g
- Fish Oil - 1g EPA
- Pregnenolone - 25mg (still need to play with dosing)
- Vitamin D3 - 4k IU
- Cebria (Cerebrolysin peptide derivative)
-age = 25
-height = 6'0
-waist = 32
-weight = 170
-describe body and facial hair = Body hair is light/normal. Legs seem normal (hairy even), no chest hair. Facial hair is extremely patchy and peach fuzzy. At 22 it was basically bare but from 23-25 that small amount developed. My father said he could grow a mustache at 19.
-describe where you carry fat and how changed = My body fat is pretty naturally low, with the only amount I have being on my hips (by/on Iliac Crest) and abdomen. Both are minimal.
-health conditions, symptoms [history]
Physically very healthy, only conditions as mentioned above.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever
Effexor - 6 months
Mirtazapine - 6 months
Zoloft - 3 months?
Vyvanse - 2 weeks max
Welbutrin - 2 months?
All problems were WELL underway by many years before I touched an SSRI. Only used them out of PURE desperation, I've never considered myself depressed in any way. I was desperate for anything at all in the beginning of my realization this was physiological and let doctors talk me into that shit.
-lab results with ranges = Above
-describe diet [some create substantial damage with starvation diets]
Ages 22 and below were a pretty poor standard American diet. Junk food all the time, processed crap, mild pop intake, always lots of water though. During my workout days (2008-2009) I drank LARGE quantities of whole milk and crammed the calories good or bad)
@ 23 I started learning about real nutrition and now I eat healthier than probably 99% of America. Quality fats/proteins. Coconut oil. Organic as much as possible. Minimal processed carbs. High protein when possible. Lots of water. Kale shakes.
-describe training [some ruin there hormones by over training]
None atm. 2008-2010 heavy weight training. Gained ~50 lbs in a year. Lost it slowly over ~2 years due to my situation. Used to be my passion, now stresses me out just thinking about it. I'll get back to it some day!
-testes ache, ever, with a fever?
Not that I can recall.
-how have morning wood and nocturnal erections changed
Morning wood a lot on my initial wake ups (see sleep disturbances above) but none on my final wake up usually.
Hope that about covers it!