Male, 27, 175 cm, 60.6 kg, lean.
No disease.
Lab results:
TT 524.9 ng/dL (249 - 836; optimal: 799 – 1211)
FT 25.63 U (23.30-103.0)
FSH 3.79 mIU/mL (1.5 - 12.4; optimal: 9.2 – 12.4)
LH 3.27 mIU/mL (1.7 - 8.6; optimal: 1.5 – 9.3)
SHBG 71 nmol/l (16.6- 55.9; optimal: 10 – 30)
Estradiol 22 pg/ml (13 - 54; optimal: 20 – 30)
Progesterone 77 ng/dL (6 – 106; optimal: 27 – 90)
Prolactin < 0.52 ng/mL (2.5 – 16.98; optimal: 2.00 - 3.00)
DHEA-S 289 ug/dL (160 - 450; optimal: 350 - 500)
TSH 2.296 uIU/mL (0.27 - 4.2; optimal: 1.8 – 2.5)
T3 132.8 ng/dL (80 - 200; optimal: 100 - 180)
T4 7.3 ug/dL (4.5 – 11.0; optimal: 6.0 – 12.0)
Free T3 3.8 pg/ml (2.5 - 4.3; optimal: 3.0 - 4.0)
Free T4 1.03 ng/dL (0.9 - 1.7; optimal: 1.0 - 1.5)
GH 0.37 ng/ml (0.02 – 0.55)
Albumin 5.1 g/dL (3.8 - 5.0; optimal: 4.5 – 5.0)
ALT 21.2 U/L (0 - 44)
AST 22.29 U/L (0 - 40)
Cortisol 18.5 ug/dL (4.8 – 19.5)
Glucose 70.3 mg/dL (< 200)
Cholesterol 150.6 mg/dL (< 200)
LDL cholesterol 76.1 mg/dL (0 - 129; optimal: 100 - 129)
HDL cholesterol 49.8 mg/dL (> 39; optimal: > 60)
Triacylglycerol 46.9 mg/dL (< 200; optimal: < 100)
Atherogenic index 2.0 U (< 3.0 U)
Risk index 3.02 U (< 4.5 U)
IgM anti-Hbc negative
Meds: just stopped a 4 months course of cabergoline (had elevated prolactin)
Basic daily supplements: Zinc 15 mg, Selenium 50 ug, Vitamin D 1000IU, Iodine (kelp) 0.3 mg
Diet: More frequently: Alaska pollock, chicken breasts and thighs, Pangasius, spinach, rice, eggs, potato dumplings, tomatoes, peppers, carrots, cheese, Greek yoghurts, nectarines, plums, apples; Less frequently: pork, tuna, bacon, broccoli, cauliflower, potatoes, bananas, onion, Rural yoghurts.
Training: Compound lifts (lighter weights) + Pushups, Squats and Burpees, about 15-20 mins ED-EOD. Sprints 2 times a week for about 15-20 mins.
Sleep: 8-9h
Morning wood: sometimes do, sometimes don’t
Nocturnal erections: yes
Oral temperature: 7AM: 96.62 F, 95.54 F; 3PM: 96.62 F
Symptoms:
- Literally close to zero libido. I feel only a small bit of “it”.
- Very low sexual desire.
- Average ED problems. Problems to sustain erection.
- Moderately severe and persistent fatigue 24/7. Waking up unrested and unrefreshed.
- Feel pretty much like sedated rather than fully alive, wakeful and focused. This problem is persistent.
- Memory problems (long-term especially).
Please help.
My goal is to achieve very strong, healthy and sustainable libido and sexual desire, gradually fit to super-optimal (not lab ranges) levels of hormones, have more energy and less fatigue, be much more wakeful and focused, and have a clear mind without a brain fog.
All of that is bothering me tremendously for almost a year now. Especially that I have almost no libido at all, and a very low sexual desire.
Please give me some advices if you can:
- how to fix or improve my hormones’ levels for better libido and well-being
- which other hormones/neurotransmitters could be the culprit behind symptoms
- which supplements to take
- what should I change in training and diet
Thank you for reading this. Doctors are ignoring my symptoms and my complaining. They’re unwilling to provide any kind of help or explanation.