@KSman and others, hope someone can guide me in the correct direction.
GP’s ignore me (I’m just old apparently!)
-age. 48
-height. 172cm (5’6")
-waist. (34")
-weight 80.5kg
-describe body and facial hair…
hairy chest and back. Used to be thick but now back hair is softer, thinning and leg hair bare on calves. Shave every three to four days. I have only once had a 5 o’clock shadow which lasted a week or so. Never again.
-describe where you carry fat and how changed…
fat around waist. Very lean shoulders and arms, but still carry hard to shift spare tyre around waist.
-health conditions, symptoms [history]
General fatigue, depression (well a lack of drive really, cannot be bothered to go out and find it hard to socialise) general stiffness when getting up after resting. Eases with time. Restless legs at night.
Asthma which I seem to have mostly grown out of. Had taken Ventolin and Salbutamol since I was about 8yrs old. So nearly 40yrs. But weened myself off and now don’t need them.
Have had joint and muscle pain for years which is getting worse. Diagnosed with Chronic Fatigue but seems to be a catch all diagnostic and told to just take it easy. But when I rest the joint pain worsens, I have to keep moving.
Multiple tendinosis, elbows and shoulders but also ankles and feet. Train eccentricity which helps but problems getting worse.
Joints dislocate and click, knock etc. Both thumbs have trigger finger and my bench press and general strength has dropped over the last year as the joints move.
Taking collagen, gelatin to try to help.
No libido. ED issues.
Mother and Sister both hypothyroid and mother also has adrenal fatigue.
I had a DEXA scan and spine is in osteoporosis but hips are normal. GP won’t do anything.
Tried T4 and T3 and Natural thyroid but none had any effect. Didn’t matter how much a took, I could stop, start, take large does and nothing. Genuine tablets. I used my mothers genuine drugs. Thyroid has always been low normal for years. Since around 40yrs.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever
No RTX currently. No hair loss or prostate drugs.
Vit D 10,000 IU balanced with
Vit K-MK7 100mcg
Vit B6 500mg
Omega 3
Pregnenolone 50mg
Started Magnesium Malate today…
As much collagen and gelatin as I can get from home made chicken broth and beef broths plus collagen protein shakes. (As I cannot tolerate whey proteins)
General testosterone boosting supplements tried over the years. Nothing made any difference.
Always kept active and like to keep fit and strong but pain increasing and energy reducing.
Have tried HcG which did work but started to get gyno. Really felt testicles ache. But a nice ache. Felt alive down below. But this would only last a few weeks and slowly the effects would diminish and back to square up one.
Tried testosterone ethanate for two weeks but nothing. So either crap drugs or body countering the extra test.
Prolactin is high normal and high but not high enough for MRI scan. So is it cortisol based problem ? Never checked cortisol over 24hrs.
SHBG is high normal with testosterone low normal and below normal albumin. Which makes free test below normal. GPs say it’s not significant as my total T is in range.
Trying to reduce SHBG and Prolactin with supplements but not having much luck.
-lab results with ranges
Sports Hormone Test (Serum Sample Date 01/03/17)
[details=Red Blood Cells]
HAEMOGLOBIN (G/L) 138 g/L 130.00 - 170.00
HCT 0.400 0.37 - 0.50
RED CELL COUNT * 4.38 x10^12/L 4.40 - 5.80
MCV 91 fl 80.00 - 99.00
MCH 31.4 pg 26.00 - 33.50
MCHC (G/L) 344 g/L 300.00 - 350.00
RDW 13.1 11.50 - 15.00[/details]
[details=White Blood Cells]
WHITE CELL COUNT 6.9 x10^9/L 3.00 - 10.00
NEUTROPHILS 3.18 x10^9/L 2.00 - 7.50
LYMPHOCYTES 2.73 x10^9/L 1.20 - 3.65
MONOCYTES 0.75 x10^9/L 0.20 - 1.00
EOSINOPHILS 0.19 x10^9/L 0.00 - 0.40
BASOPHILS 0.05 x10^9/L 0.00 - 0.10[/details]
[details=Clotting Cells]
PLATELET COUNT 301 x10^9/L 150.00 - 400.00
MPV 9.9 fl 7.00 - 13.00[/details]
[details=Kidney Function]
SODIUM 140 mmol/L 135.00 - 145.00
UREA 5.8 mmol/L 1.70 - 8.30
CREATININE 97 umol/L 66.00 - 112.00[/details]
[details=Liver Function]
ALKALINE PHOSPHATASE 57 IU/L 40.00 - 129.00
ALANINE TRANSFERASE 29 IU/L 10.00 - 50.00
CK 140 IU/L 38.00 - 204.00
GAMMA GT 18 IU/L 10.00 - 71.00[/details]
[details=Proteins]
TOTAL PROTEIN 65.6 g/L 63.00 - 83.00
ALBUMIN 35.5 g/L 34.00 - 50.00
GLOBULIN 30.1 g/L 19.00 - 35.00[/details]
[details=Diabetes Test]
HBA1C (MMOL/MOL) 36 mmol/mol 20.00 - 42.00[/details]
[details=Iron Profile]
IRON 20.57 umol/L 10.60 - 28.30
FERRITIN 80.29 ug/L 30.00 - 400.00
Lipid Profile
TRIGLYCERIDES 0.8 mmol/L 0.00 - 2.30
CHOLESTEROL 4.19 mmol/L 0.00 - 4.99
HDL CHOLESTEROL 1.18 mmol/L 0.90 - 1.50
LDL CHOLESTEROL 2.65 mmol/L 0.00 - 3.00[/details]
[details=Heart Disease Risk]
HDL % OF TOTAL 28.16 % 20.00 - 100.00[/details]
[details=Cardiovascular Disease - Inflammation]
CRP - HIGH SENSITIVITY 1.3 mg/L 0.00 - 5.00[/details]
[details=Endocrinology]
Thyroid Function
THYROID STIMULATING HORMONE 3.94 mIU/L 0.27 - 4.20
FREE THYROXINE 14.57 pmol/L 12.00 - 22.00[/details]
[details=Hormones]
FOLLICLE STIM. HORMONE 3.61 IU/L 1.50 - 12.40
TESTOSTERONE 15.98 nmol/L 7.60 - 31.40
FREE-TESTOSTERONE(CALCULATED) * 0.261 nmol/L 0.30 - 1.00
BIOAVAILABLE TESTOSTERONE 5.09 nmol/L = 31.8 %
SEX HORMONE BINDING GLOB 53.05 nmol/L 16.00 - 55.00
17-BETA OESTRADIOL 86.87 pmol/L 0.00 - 191.99
LUTEINISING HORMONE 4.27 IU/L 1.70 - 8.60
PROLACTIN * 358 mIU/L 86 - 324 (sample 03/16) has been in the 500’s[/details]
-describe diet [some create substantial damage with starvation diets]
Calorie control to 2000 a day and make sure to get plenty of protein and fats. Cut refined sugars but eat potatoes, pasta and rice for carbs. Plenty of chicken and meat and veg.
-describe training [some ruin there hormones by over training]
45mins to 60mins three times a week. cardio 15mm and weight training 45min, plus 1hr martial arts a week.
Hard to gain muscle. If anything, loosing strength and muscle.
Legs really tire quickly so hard to do circuits.
Thumbs, wrists, shoulders and elbows all have tendinosis.
-testes ache, ever, with a fever?
Used to ache when I could tell LH was rising with HCG but no more. Only ache now is from a hydrocele.
Currently untreated.
Had Prostatitis over Xmas 2016 which made me very ill for two months. Antibiotics, chest infection, eye infection then stomach ulcer. Now lactose intolerant, helped by healing my gut with collagen. Tested for all STI’s but none detected.
-how have morning wood and nocturnal erections changed
No nocturnal wood. Maybe when I need the toilet but it’s not a subconscious response. No morning wood and no wet dreams for years. Erectile strength reducing, now about 65%
Have to use Cialis when I do want sex, which currently is about once a year
However my brain says I’d like sex but I get zero response to any stimulus.
No libido. No thoughts at all even when presented with it on a plate.
Very very occasionally for about two weeks in every year my libido rockets and I can think of nothing else, but that soon passes and then nothing for the rest of the year. I have never been able to work out why or how I could replicate it. I did think B6 and Omega3 had the largest map to but that didn’t last long.
Just don’t know where to turn…
Advice appreciated…