Let's start with this.
weight: 165lbs. (10% bodyfat)
body and facial hair: Not a super hairy guy though I do have a little bit of growth on my traps and lats. I do not need to shave everyday, but what does eventually come in is pretty even, not really patchy.
where you carry fat and how changed: I Carry most all of my fat in the midsection, typically laterally (love handles).
health conditions, symptoms: Always tired, decreased sex drive, performance in the gym and on the mats has dwindled and gains are all but impossible.
Rx and OTC drugs: No drugs just Krill oil, garlic extract, green tea extract, Magnesium and 10000IU vitamin D daily.
lab results with ranges: Initial. This was for a physical not hormone specific.
Cholesterol, Total 214 (125-200 mg/dL)
HDL 68 (>or= 150 mg/dL)
Triglycerides 62 (<or= 150 mg/dL)
LDL 134 (<130 mg/dL (calc))
Chol/HDCL Ratio 3.1 (<or= 5.0 (calc))
NON HDL Chol 146 (calc) No real range given
Glucose 100 (65-99 mg/dL) Fasting
BUN 25 (7-25 mg/dL)
Creatinine 1.18 (.6-1.35 mg/dL)
eGFR- NON African 80 (>or= 60 mL/min/1.73m2) Got me.
Sodium 137 (135-146 mmol/L)
Potassium 4.4 (3.5-5.3 mmol/L)
Chloride 102 (98-110 mmol/L)
Carbon Dioxide 29 (20-31 mmol/L)
Calcium 9.7 (8.6-10.3 mg/dL)
Protein, Total 7.1 (6.1-8.1 g/dL)
Albumin 4.7 (3.6-5.1 g/dL)
Globulin 2.4 (1.9-3.7 g/dL (calc))
Albumin/Globulin Ratio 2.0 (1.0-2.5 (calc))
Bilirubin, Total 0.4 (0.2-1.2 mg/dL)
Alkaline Phosphate 60 (40-115 U/L)
AST 33 (10-40 U/L)
ALT 45 (9-46 U/L)
Testosterone, Total 247 (250-827 ng/dL)
Vit D 25-OH 36 (30-100 gn/mL) Started supplementing 10000IU a day.
A1C 5.3 (<5.7)
TSH 1.03 (0.40-4.5 mlU/L)
White Blood Cell 5.3 (3.6-10.8 1000/uL)
Red Blood Cell 5.01 (4.2-5.8 million/uL)
Hemoglobin 15.2 (13.2-17.1 g/dL)
Hematocrit 45 (38.5-50 %)
MCV 89.8 (80-100 fL)
MCH 30.3 (27-33 pg)
MCHC 33.7 (32-36 g/dL)
RDW 13.6 (110-15 %)
Platelet Count 196 (140-400 1000/uL)
MPV 9.4 (7.5-12.5 fL)
PSA, Total .05 (< or = 4.0 ng/mL)
describe diet: Past 4 months I've been going slow carb, high protein, fats, complex carbs and fiber. One cheat day a week. Before that I just tried to keep everything within reason, tried to eat pretty clean.
describe training: The big lifts, bench, squat (many variations), dead lift and kettlebell work. Jiu Jitsu as much as I can.
testes ache, ever, with a fever: I will get a shooting pain in my testicle every once in a while, doesn't last, no fever.
how have morning wood and nocturnal erections changed: Don't get morning wood too often anymore, in fact I wet the damn bed last week. I cant think of the last time I had a nocturnal erection, used to get them pretty regular, bugged the heck out of the wife.
I spoke with my GP (the office that pulled the blood for the aforementioned test) and he did not consider my testosterone to low, so I got a second opinion. The new doctor pulled a lab, the results were as follows:
Testosterone, Total 265 (250-1100 ng/dL)
Free Test. 37.1 (46-224 pg/mL)
Bio Test 81.1 (110-575 ng/dL)
SHBG 28 (10-50 nmol/L)
Albumin, Serum 4.8 (3.6-5.1 g/dL)
The new doc is really into the whole TRT idea, he is on it himself, but I am not sure if he is into finding the root cause of the low T. After reading some of the posts in this forum I realized I need to have the labs pulled for my thyroid (working on the temperature test and adding iodized salt to the diet) and pituitary gland, specifically prolactin (though I don't have any of the specific symptoms, man boobs and all), my LH/FSH and estrogen. I have an appointment on Tuesday, at which time I will have them take the blood and send it off.
My worry is he will want to get me on injections that day, which I think is awesome and I want to feel better, but I'm not sure it is a good idea until I nail down the reason my T is low, as it may skew some numbers, and shutdown my system unless it is safe just to get on the injection and use HTPA when we start treating the root cause, if there is one.
Looking for some input from the pros.
Not sure if it makes a difference or not but I am a recovered alcoholic 9.5 years sober. Drank HEAVY from the time I was 15 until I was 25. I have a feeling this did some damage, but it is hard to find any research confirming my thought. Alcohol does lower T in the short term but not sure about the long term.