Height: 5 ft 10 in
Fat: Used to not have fat on belly but have some now
I had taken the drug MDMA (1st time) 5 months ago and had a bad comedown which lasted 1 week but I recovered completely. Every week I would also drink like 5-6 drinks. Then mid May I got really dehydrated and that is when my symptoms started. Even after drinking plenty of water/gatorade I felt very fatigued/out of it. I expected this to go away after 1 day but it kept continuing. I could not concentrate on anything (both socially and work-wise) and became extremely anxious,felt depressed, had low motivation, lower libido (which i just attributed to anxiety). I am also very sensitive to the heat and get hot flashes. I got scared my one time MDMA use might be related but that seemed absurd since I recovered from that but yet nobody was giving me answers.
I even tried out antidepressants b/c GP said this is standard anxiety for like 9 weeks which were not much help. Now things have gotten better but I still experience occasional anxiety and still have low motivation/fatigue/low libido/brain fog/hot flashes/belly fat/noise sensitivity/irritability. Morning wood happens less often too. Only recently (last month) I finally got answers from a psychiatrist that my HPA axis was thrown off balance by all these events in succession. And only recently (2 weeks ago) did I bother to get my T levels checked and they were on the lower end of the range which also supported the HPA axis theory…
I was relieved to find out my problem was physical and not psychological but I still am wondering what to do from here and if TRT would make for a quicker recovery since I am still experiencing symptoms. Following are some test results:
TSH: 1.6 (0.40-4.50 mIU/L)
Cholesterol: 115 (125-200) Low but GP said this is really good
Vitamin D3: 35 ng/mL (30-100)
TSH: 0.89 (0.40-4.50 mIU/L) Dropped but fluctuations are normal says dr.
Free T4: 2.1 (1.0-2.4 ng/dL)
Total T4: 10.3 (4.8-10.4 mcg/dL)
Free T3: 297 (210-440 pg/dL)
Total T3: 125 (76-181 ng/dL)
Docs say Thyroid is normal even though my T4 was on the higher end of the range but to retest again in a few weeks.
WBC count: 8.1 (3.8-10.8 Thousand/uL)
RBC count: 5.61 (4.20-5.80 million/uL)
Vitamin B12: 609 (200-1100 pg/mL)
Folates, Serum: 14.5 (>5.4 ng/mL)
September: (9 AM tests)
Copper, Serum: 77 (72-166 ug/dL)
Zinc, Serum: 62 (56-134 ug/dL)
TSH: 1.71 (0.40-4.50 mIU/L) Looks like it went back up…
Free T4: 1.6 (0.8-1.8 ng/dL) Still on the higher end and ref range changed…
Total T3: 131 (76-181 ng/dL)
Other thyroid labs were not done this time and Dr says ok thyroid is def normal.
LH: 3.6 (1.7-8.6 mIU/mL)
FSH: 1.1 (1.5-12.4 mIU/mL) LOW
Ferritin: 38 (30-400 ng/mL) To me this seemed like it was on the low end but dr said its good.
Cortisol, Serum: 11 (3-20 ug/dL) Seemed low for AM test but dr said normal
Prolactin: 11 ng/mL (no range)
Total Testosterone: 359 ng/dL (348- 1197 ng/dL)
Bioavailable T: 225 ng/dL (62.6%)
Free Testosterone: 86 pg/mL (no range given)
What should be my plan of action once I see an endo? I also read the thyroid sticky–should I get thyroid stuff done again with reverse T3 this time?