I have finally compiled the timeline from my case and everything has been going on in the last few years into one thread. Sorry its so much info!
2005 Joint pain begins lifting injuries accumulate in tendons and do not go away.
2005-2009 Three knee surgeries and more injuries take me out of lifting
2009 Crash dieting and losing 65 lbs cause test levels to crash and not return.
Height : 6'0
Weight : 190
Body Fat %: - 8%
Age : 21
Gyno - Never
Hair - Never really hairy, some facial hair but no major chest or back hair
Hair Loss - Never
Testes - Normal size maybe slightly larger than normal - Hang Low - never ache
Brain Fog - Sometimes
Short tempered - Yes
Intolerant - Yes
Sensitive to loud noise - partially
Get Cold easily - Yes
No Past AAS use or Prohormone use - closest thing would be tribulus and ZMA
Drug Use - caffeine 400 + mg per day Nicotine from swedish snus - 48 mg per day - Minor anti inflammatory use (naproxen). Some pain killer use post knee surgery. No long term drug use
Diet - Low carb very rich in omega 3's DHEA , fish oil. Only lean meats nuts, fruits, and vegetables
Major Areas of Fat storage - Umbilical region, thighs, lovehandles
FSH - 1.7 ^2 mIU / ml Range 1.6 -9.7 mIU/ ml
LH - 0^3 mIU/ ml Range - <15 mIU / ml
Prolactin - 5 ng/ml Range - 0 -20 ng/ml
CRP - .8^1 ng/ ml Range - Range for inflammation 0.0 - 7.4
Total Test - 130 ng / dl Range - 241-827
Free Test - .55L ng / dl Range - .95-4.30
Free Test Percentage - .21 L ^2 Range .32-.51
Free T4 - 1.06 ng / dl Range - .65 - 1.40
TSH - 2.14 mIU / l - Range - .46 - 4.68
Glucose Serum 95 mg / dl Range - 74-106
Creatinine - 1.07 mg / dl Range .66 - 1.25
Bun / Creatinine ratio 21.50H Range 12.00 - 20.00
Bun 23 range mg / dl - Range 12-20.00
After this I was put on 100mg Test Cyp and also took 250 iu HcG EOD plus 1.0 mg adex weekly. I stayed on this protocol for four months and after feeling no difference decided to attempt a restart. I ran nolvadex at 60 mg for two weeks than 40 mgs for two weeks than 20mg for 2 weeks. I finished with 10mgs for 2 weeks and called it good. I never really started feeling any better after that and was still getting erection fine after I came off (just no morning wood). I never had labs to confirm or deny any of this I was going purely on feeling.
Last December I was reading the ultramind solution and decided since I felt like garbage I may try ti implement a few of the supplement recommendations. I started taking 10,000 iu Vit d3 and some b12. Within two or three weeks I started getting morning wood again!
I then was blessed with the opportunity to see Hans and Dr. O (special thanks to you know who!). I flew out to philly and got a full panel of labs.
Testosterone - 763 - Range (132 -813)
Testosterone Free - 17.0 - Range (9.3-26.5)
Estradiol enhanced serum - 38 Range - ( 10-40)
Thyroxine Binding Globulin - 12 - range (12-26)
Iondine Random U - 109 - Range (26-705)
Dhea Sulfate - 280 - Range (280-640)
Ceruloplasmin - 19 - Range (20-60)
Bun - 26 - Range (9-20) High again
Bun/Creatinine ratio - 23.01 Range (12 - 20)
Total Bilirubin - 1.6 Range (.2-1.3)
MCV - 95.4 - Range -( 84-94)
Monocytes - 10.0 (4.0-9.0)
TSH -2.11 Range (.46-4.68)
SHBG 32.2 Range - (10-57)
Prolactin 15 Range - (0-20)
Free t3 4.28 Range (2.77 -5.27)
T3 Total - 1.27 Range (..97 - 1.69)
Free T4 - 1.11 Range ( .65-1.40)
Total T4 - 6.2 Range -(4.3 - 11.0)
LH - 2 Range ( 0-14)
Progesterone 2.86 - Range (.21 -1.54)
Cortisol AM - 19.7 Range (5-24)
IGF-1 - 317 - Range (116-358)
ACTH - 22 Range <46
Pregnenelone Ã¢?? Very high ( do not have numbers present but 3 times the range)
So it appears as tho my HPTA has been restored! Test numbers are good and morning erections are back (Vit d and b12? ). However I still have chronic joint and tendon pain and am still dealing with some depression. Those are main problems that need to be addressed.
KSMAN has presented the following words of wisdom
Things that jump out:
-review iodine intake from salt and vitamins
-thyroid hormones look decent, but TSH is up. From low iodine?
-prolactin is about 2x what we see here for most guys, but the range is wider too, is HPTA repressive
-progesterone may be helping cortisol, a few drugs can elevate, is HPTA repressive
-active cortisol function may be 'stealing' pregnenolone, reducing pregnenolone-->DHEA
-possible reduced T production, rate limited by DHEA
-E2 is high, reducing LH, FSH, and T
-E2 probably high because of reduced E2 clearance in the liver or effect of drugs
-SHBG is consistent with E2
-SHBG contributing to low FT
-FT is highly variable and you can't do much with any lab number
-LH is highly variable, leading to the above
-FSH is more valuable than LH as it has a long half life, a proxy for LH
You will be way better off with lower E2. You should seek to find and fix causes, however, there is a role for an AI here.
Hans and Dr. O presented the following words of wisdom :
- Narrowed It down to either a copper (toxicity/deficiency problem) or Congenital Adrenal Hyperplasia
- Suggested that I seek out an Endo for further Testing
- No Rx required at this current time.
So there you have it. Still a medical mystery but special thanks to Mr. LowT, Hans and Dr. O, and KSMAN. You guys have been awesome. My experience with Hans went very well and he is very good at quickly communicating and responding when needed. As you all may know I have very limited resources and do not really know where to go from here. I will try to seek out a good doc that can look at this and also accept my insurance.
Any suggestions are more than welcome.