T Nation

New Labs


#1

-age 47
-height 6'
-waist 40
-weight 285#
-describe body and facial hair - thin body hair. Enough facial hair to grow a white goatee
-describe where you carry fat and how changed - Carrying fat in waist, belly, and butt with some soft moobs (A/B cups) up top
-health conditions, symptoms [history] - High BP & Cholesterol, mild depression
-Rx and OTC drugs - BP: Cozaar 100mg, Doxazosin 4mg, Hcz 12.5mg, Aspirin 81mg- Cholesterol: Zocor 40mg - Depression Celexa 60mg, Wellbutrin 300mg

-lab results with ranges

Glucose, Fasting 95 mg/dl 70-110 range
BUN 18 mg/dl 9-20 range
Creatinine 1.1 mg/dl .8-1.5 range
Calcium 9.3 mg/dl 8.3-10.9
Total Protein 7.4 6.4-8.3 range
Albumin 4.4 3.5-5.0 range
Total Bilirubin 1.0 .2-103
Alkaline Phosphate 72 38-126 Range
AST (SGOT) 25 17-45 range
ALT (SGPT) 38 21-72 range
Sodium 143 136-148 range
Potassium 4.3 3.5-5.5 range
Chloride 105 98-107 range
CO2 27 22-30 range
eGFR 77 60-137 range
Cholesterol 222 100-199 range
Triglycerides 114 0-200 range
HDL 22 34-100 range
LDL (Calculated) 147 75-130 range
WBC 5.9 4.0-10.5
RBC 4.64 4.1-5.60 range
Hemoglobin 15.0 12-18 range
Hematocrit 43.1 36-50
MCV 93.0 80-98 range
MCH 31.5 27.0-34.0
MCHC 33.9 32.0-36.0 range
Platelet Count 220 140-415 range
Testosterone 342ng/dL 348-1197 range
Free Test (direct) 9.9 6.8-21.5 range
PSA .49 0.0-4.0 range
Insulin-like Growth Factor 145 94-252 range
LH 4.0 - 1.7-8.6 range
FSH 5.2 - 1.5-12.4
Estradiol - 24.5 - 7.6-42.6 range
TSH .99 - .35-5.5 range
B12 474 - 211-946 range
Folate 13 - >3.0

-describe diet - Was crap but now clean (though maybe not enough calories). Trying to lose weight and fat. About 2200 cal/day with low carbs. Will increase as I get back to training. Bad Diet Mountain Dew habit that I'm trying to kick
-describe training - Virtually none for the past 5 years (Injuries)
-testes ache, ever, with a fever? No
-how have morning wood and nocturnal erections changed - Not much of either which is a big switch. Here and gone scenario

Been a strength athlete for many years. 2006 had microfracture surgery on right knee and that took a few years for the cartilage to fill in. Got the body weight down to 240# and started training only to get rear-ended in 2008. Still suffering from that and hard to get motivated.

Doctor wants to talk with me about creams. I searched the site for cream vs injection protocol but could not find anything. Thought I saw something awhile ago where creams were not as effective.

Any help is appreciated.


#2

PLEASE please test TSH (and if > 1 please test ft3, rt3, and 8am cortisol) before starting HRT.... as well as Estradiol, D25-OH, B12, ferritin.

Your doc should have also run LH and FSH to determine if you are primary or secondary before offering a prescription and if low, he should have recommended a pituitary MRI... since he didn't, I would run as fast I could from him, and find a new doctor who knows what they are talking about.

there are many possibilities, low T being one of them, but if you have fix your issue by undercovering and correcting another deficiency, then you should.


#3

Thanks for the reply PC. I took my template from a former post and forgot to put the other results in (that's why I had it redone in the first place).

Based on the added information, I would welcome any further thoughts.

Thanks


#4

did he say anything about your B12 being horrible? please tell me you started supplementing...

are you taking vitamin D3? if not, 6,000iu daily is a good start.

how are you daily body temps at waking, and at 9am, 12pm, 3pm?

LH/FSH look normal as does your estradiol. and your T is low.... hmmmm...

your high CHOL is your body trying to feed more raw material to the hormone creation chain... but something is breaking down in between... it makes me wonder what your progestrone, DHEA-S, and 8am cortisol look like...

nothing is really jumping out at me... besides the B12.... maybe test for ferritin/iron capacity?