…I nor my Dr know what to do next
41 years old
6-3 245 lbs
38 to 40 waist, I was a 42 but I lost 30 lbs in last 2 years without any explanation. I currently found out that I have low Cortisol and I have found that this can cause weight change. This is my best guess on my weight loss. Before weight loss I was 42.
Have a full beard and full head of hair. Body hair was low until I started Androgel 9 years ago. I noticed after TRT I got more body hair. No arm pit hair until I was 16 even then it was very little. Got a few more arm pit hairs after starting TRT.
Carry all my weight around my stomach and I have chicken legs. IÃ?Â¢??ve always been overweight.
Off and on depression for last 15 years. Type 2 Diabetic for last 5 years. Noticeable ED issues for last 15 years. Progressively worsened to the point that we have sex 2 to 3 times a month with very little fun for me except for the ending of course. Serve neuropathy in my feet for last 10 years. Serve low back pains for last 3 years. Diagnosed with low Cortisol 30 days ago. I get extremely fatigued by mid afternoon. If I drink alcohol it makes me very tired within an hour. I like everything about my life except for my health. I am successful with my job and between work and my hobbies I stay very busy with little to no time for exercise or relax time.
Long list of Rx and OTC. Never taken any hair loss drugs.
Metformin 850mg 3 times per day
Gaberpentin 600mg 3 times per day
Lovastatin 20mg 1 time per day
Enalapril 5mg 1 time per day
Bupropion SR (Wellbutrin) 150mg 2 times per day
Pregnenolone/DHEA 100/25MG 1 time per day (Started 4/18/2014)
60mg Testosterone Cypionate 2 times per week / 120mg total per week (Started 4/18/2014, recently increased from 50mg)
.5mg Anastrozole Ã?Â¢?? on days that I get TRT shot (Started 4/18/2014, never changed dose)
Rx Meds when needed:
Vicodin - Hydrocodone / Acetminophen 5-325 as needed (currently 0 to 3 a day 10 per week for back pain)
Raw Adrenal Glandular 700mg (Swanson brand) 350mg in the morning & 350mg early afternoon. Started this when I found out I had Cortisol issues. Has helped the brain fog but no help with ED or fatigue issues.
Blood test results
Haven’t done any TRT in over 60 days as of 3/15/2014 (All blood tests by Quest Diagnostics)
FSH 3 range 1.6 - 8.0
LH 3.8 range 1.5 - 9.3
Prolactin 6.7 range 2.0 - 18.0
Sex Hormone Binding Globulin 34 range 10.0 - 50.0
TSH w/Reflex to FT4 1.22 range .40 - 4.50
Testosterone, Total, LC/MS/MS 435 range 250-1100
Free Testosterone 66.8 range 35.0 - 155.0
Estradiol (not ultrasensitive) 12 range < OR = 29
Estradiol, Free 0.26 range < OR = 0.45
Estrogen, Total, Serum 161 range 130 or less
PSA, Total 0.5 range < OR = 4.0
A1c 6.6 <5.7 % of total Hgb
Dihydrostestosterone, LC/MS/MS 16 range 16-79
Testosterone, Total 365 range 250-1100
Testosterone, Free 58.9 range 35.0-155.0
Testosterone, Total 432 range 250-1100
Testosterone, Free 72.5 range 35.0-155.0
Last lab work right before starting TRT (Quest Diagnostics)
Cholesterol, Tolat 144 range 125-200
HDL Cholesterol 53 range > or = 40
Triglycerides 72 range <150
LDL Cholesterol 77 range <130
Pregnenolone, LC/MS/MS 87 range 13-208
Whiteblood cell count 5.1 range 3.8 - 10.8
DHEA Sulfate 261 range 45-345
Cortisol Test Ã?Â¢?? 5/1/2014 BioHealth Laboratory
Morning (6 to 8 am) 4.7 range 13.0-24.0
Noon (12 to 1 pm) 4.6 range 5.0-8.0
Afternoon (4 Ã?Â¢?? 5 pm) 2.3 range 4.0-7.0
Nighttime (10 Ã?Â¢?? 12 pm) 1.8 range 1.0-3.0
Cortisol Sum 23.4 range 23.0-42.0
DHEA-S Average 11.76 range 2.0-10.0
Corisol/DHEA-S Ratio 2.0 Ratio 5.0-6.0
First lab since starting TRT on 4/18/2014
Cholesterol, Total 138 range 125-200
HDL Cholesterol 42 range > or = 40
Triglycerides 156 range <150
LDL Cholesterol 65 range <130
T4, Free 1.1 range 0.8 1.8
T3, Free 2.7 range 2.3 - 4.2
Estradiol, Ultrasensitive 23 pg/ml < or = 29
Estradiol <15 range < or = 39
IGF I LC/MS 211 range 52-328
Z score (male) 0.9 range -2 to +2
LC/MS/MS 15 range 16-79
Whiteblood cell count 13.4 range 3.8 - 10.8
DHEA Sulfate 438 range 45-345
Prolactin 7.4 range 2.0 - 18.0
PSA, Total 0.4 range < or = 4.0
Testosterone, total 543 range 250-1100
Testosterone, Free 122.6 range 35.0 - 155.0
M-F I eat Honey Nut Cherrios w/ 2% milk for breakfast. For lunch I eat fast food 50% of the time mainly burger and fries. Subway and chicken the other days. I drink 1 to 3 sugary drinks per week. I manly drink water and beer Friday night to Sunday morning. No illegal drugs of any kind. When dinners are at home they are traditional. Meat and vegetables. Never fried food. .
Right nut hurts / feels sensitive 50% time. Not screaming pain but I definitely feel something is going on. Not so much the nut as it is to the piping leading to the nut.
Since starting this new type of TRT 52 days ago I get morning wood 30% of the time. Before 52 days ago I never got morning wood.
After 15 years of being together with my wife she is on the verge of leaving me and this would destroy my life. I canÃ?Â¢??t bare to think of how things would be if she did. Since Ive been together IÃ?Â¢??ve never ever been able to satisfy her in the sack. Ive tried Androgel and many doctors and theyve all told me that Im in range but I feel 100% like crap and I have a zero appetite for sex and when we do have sex I do a horrible job. Stumbling onto the T Nation website I feel is my last chance at keeping her and me avoiding a complete meltdown. Using the advise I found on this site I found a very good hormone / weight loss doctor in Corona Calif and she has donea lot but with zero success. I feel she is the right dr because what she tells me is pretty much identical to what Ive read on this site. All the recommended tests and needed numbers that she recommends are exactly the same. I asked about HGH and she told me no way, she does not offer that.
Her goal is to get me to 800 total testosterone and 22 on E2. After my first blood test results since starting TRT came back she has increased my dose of Testosterone to 120mg per week and 1mg of Anastrozole per week total divided into twice per week. Anything you can do to help will be highly appreciated.
Nothing that Ive tried has given me the desire to have sex. In case you wondering I have a hot wife, at least that’s what everyone tells me.