Trying to follow stickies as well as I can. There is a ton of information that is a bit overwhelming at first – and it’s hard to tell which questions are case-specific and which are basic musts. I’ll be as specific as I can and follow the “template” sticky guidelines.
Age: 26
Height: 6’3" (Brother 6’2", Dad 6’3", Mom 5’3")
Weight: 210, est. 15-20% bf
Waist: 34 jean size (around the hips), belly sticks out further. My fat distrubition is almost entirely in my belly (visceral, beneath the muscle, very little to pinch). There is some outside my obliques and kidneys, very little anywhere else
Hair: Pretty good coat of chest/stomach hair (not quite gorilla-like though), patches of thinly sparsed back hair, full facial hair/beard growth Full arm/leg hair. Full head of hair (history of full heads of hair past age 80 on males in both sides of family)
-Health: Was diagnosed with ADHD, prescribed adderall, but was diagnosed via a 20-minute conversation with an older doc, not a written test or anything official looking.
IMPORTANT Dad has Thyroid issues. Has taken Synthroid as long as I can remember. He said it’s not genetic BUT I have no clue if his doc was any good.
Drugs: No hair loss or prostate drugs. Had a prescrip for Adderall, barely used half the bottle though-- stopped after graduating college (don’t want to use meds if I can get by without). Haven’t used in years.
Supps: Vit D3 (4,000-6,000IU/day for 4-6 months now), Vit C, Fish Oil, Calcium, Vit B complex (recent addition to see if energy would go up), Creatine, Zinc, Magnesium
–conditions existed before I took any of that
Diet: Currently bulking at around 4200 calories/day. I did once diet with 1700cals/day for about 6 weeks, but symptoms pre-date that diet. I use iodized salt.
Training: 5-6 days a week, 1-1.5hours/day. Symptoms existed when I was training 2-3x per week at only a half hour at a time, so I doubt it’s overtraining related
-testes may have ached a couple times, honestly, it’s something I would forget a minute after it happened. I vaguely recall it happening several times a couple year sback but it may just be false memory.
Symptoms
-Constant fatigue. No amount of sleep is enough. Fight off urge to sleep at work sometimes, and during meetings. Occasionally yawn during working out, even as I’m working up to near max attempts.
-Brain fog. Never feel like I’m “in the moment”. Always thinking of something unrelated to what I’m doing or talking about
-Absolutely no motivation at work. Surf the web for 7.8 hours, do .2hrs work, go home. Definitely not depressed though, I like my life.
-Sex drive: I have plenty of desire, but my erections often go away practically instantly.
-Testes feel soft/small to me but I have no idea what a “normal” pair feels like obviously
-morning wood pretty regular
-Body Temp: generally fine except my hands are always cold.
-Some joints ache, particularly my knees
-Digestive issues: loose stool, frequent gas and “bubblegut”/indigestion. Thought I was gluten intolerant (which would lead to poor nutrient absorption and explain some of my problem) so I tested for tTG/IgA and it came out surprisingly normal (results below)
How do I react to stress? – I wildly overreact at first and try violently to fix the problem or win the argument. However I very quickly settle down into “well, nothing I can do about it now, no need to worry about it” mode
Mood swings: like I said I overreact to stuff, but my mood won’t change without some sort of antagonizer or reason. I don’t change moods if there’s no impetus.
Strongest symptoms are definitely fatigue and lack of motivation. They dominate my life at times. My mom’s birthday is in 3 days and I haven’t gotten her card yet FFS, let alone mailed it.
I don’t THINK I’m forgetting anything but the bloodwork results - sorry if anyhting important is missing but I’ll check this thread consistently.
-----RELEVANT TEST RESULTS—
(IMO) IMPORANT ones first
TSH - 3.620 uIU/mL [0.450-4.500] <---------!!!
T3,Free,Serum - 3.7 pg/mL [2.0 - 4.4]
T4,Free(Direct) - 1.29 ng/dL [0.82-1.77]
Cortisol (8:10am draw) - 24.2 ug/dL [2.3-19.4] <-----!!! (thought it would be low)
Vitamin D, 25-Hydroxy - 48.3 ng/mL [32.0-100.0] <–! (alarming consider I supp this)
Testosterone, Serum - 562 ng/dL [249-836]
Free Testosterone(Direct) - 11.7 pg/mL [9.3-26.5]
t-Transglutaminase (tTG) IgA - <2 U/mL - [0-3 Negative, 4-10 Weak Positive, 10+ Positive]
Cholesterol, Total - 141 mg/dL [100-199]
Triglycerides - 57 mg/dL [0-149]
HDL Cholesterol - 52 mg/dL [>39]
LDL Cholesterol Calc - 78 mg/dL [0-99]
-------FULL UNFORMATTED TEST RESULTS------
-Note: Everything says “01”, it’s some Lab Number
Glucose, Serum 93 mg/dL 65-99 01 (fasted) (is that high?)
Uric Acid, Serum 5.7 mg/dL 3.7-8.6 01
BUN 30 HIGH mg/dL 6-20 01
Creatinine, Serum 1.26 mg/dL 0.76-1.27 01
eGFR If NonAfricn Am 78 mL/min/1.73 >59 01
eGFR If Africn Am 90 mL/min/1.73 >59 01
Calculated using CKD-EPI formula.
BUN/Creatinine Ratio 24 HIGH 8-19 01
Sodium, Serum 142 mmol/L 135-145 01
Potassium, Serum 4.3 mmol/L 3.5-5.2 01
Chloride, Serum 102 mmol/L 97-108 01
Carbon Dioxide, Total 26 mmol/L 20-32 01
Calcium, Serum 9.3 mg/dL 8.7-10.2 01
Phosphorus, Serum 4.3 mg/dL 2.5-4.5 01
Protein, Total, Serum 7.4 g/dL 6.0-8.5 01
Albumin, Serum 4.9 g/dL 3.5-5.5 01
Globulin, Total 2.5 g/dL 1.5-4.5 01
A/G Ratio 2.0 1.1-2.5 01
Bilirubin, Total 1.1 mg/dL 0.0-1.2 01
Alkaline Phosphatase, S 97 IU/L 25-150 01
LDH 180 IU/L 0-225 01
AST (SGOT) 28 IU/L 0-40 01
ALT (SGPT) 35 IU/L 0-55 01
GGT 17 IU/L 0-65 01
Iron, Serum 105 ug/dL 40-155 01
Cholesterol, Total 141 mg/dL 100-199 01
Triglycerides 57 mg/dL 0-149 01
HDL Cholesterol 52 mg/dL >39 01
LDL Cholesterol Calc 78 mg/dL 0-99 01
T. Chol/HDL Ratio 2.7 ratio units 0.0-5.0 01
TSH 3.620 uIU/mL 0.450-4.500 01
Thyroxine (T4) 5.9 ug/dL 4.5-12.0 01
T3 Uptake 38 % 24-39 01
Free Thyroxine Index 2.2 1.2-4.9 01
WBC 5.4 x10E3/uL 4.0-10.5 01
RBC 4.68 x10E6/uL 4.10-5.60 01
Hemoglobin 14.6 g/dL 12.5-17.0 01
Hematocrit 44.3 % 36.0-50.0 01
MCV 95 fL 80-98 01
MCH 31.2 pg 27.0-34.0 01
MCHC 33.0 g/dL 32.0-36.0 01
RDW 13.3 % 11.7-15.0 01
Platelets 275 x10E3/uL 140-415 01
Neutrophils 43 % 40-74 01
Lymphs 40 % 14-46 01
Monocytes 12 % 4-13 01
Eos 4 % 0-7 01
Basos 1 % 0-3 01
Immature Cells 01
Neutrophils (Absolute) 2.4 x10E3/uL 1.8-7.8 01
Lymphs (Absolute) 2.1 x10E3/uL 0.7-4.5 01
Monocytes(Absolute) 0.6 x10E3/uL 0.1-1.0 01
Eos (Absolute) 0.2 x10E3/uL 0.0-0.4 01
Baso (Absolute) 0.1 x10E3/uL 0.0-0.2 01
Immature Granulocytes 0 % 0-1 01
Immature Grans (Abs) 0.0 x10E3/uL 0.0-0.1 01
Hematology Comments: 01
Testosterone, Serum 562 ng/dL 249-836 01
Free Testosterone(Direct) 11.7 pg/mL 9.3-26.5 01
T4,Free(Direct) 1.29 ng/dL 0.82-1.77 01
Cortisol 24.2 HIGH ug/dL 2.3-19.4 01
Vitamin D, 25-Hydroxy 48.3 ng/mL 32.0-100.0 01
t-Transglutaminase (tTG) IgA <2 U/mL 0-3 01
Negative 0 - 3
Weak Positive 4 - 10
Positive >10
.
Tissue Transglutaminase (tTG) has been identified
as the endomysial antigen. Studies have demonstrated that endomysial IgA antibodies have over 99%
specificity for gluten sensitive enteropathy.
Triiodothyronine,Free,Serum 3.7 pg/mL 2.0-4.4 0
I am confused and slightly scared after I read a post from PureChance saying TSH>3.0 is really bad. Also am shocked I don’t have gluten intolerance because my digestive issues ease up when I eat low gluten (though don’t disappear). Payed for test out of my own pocket and would appreciate help!
Already need an edit:
I was fasted for my test. I was not nervous or amped up about it at all.
I’m guessing Estradiol/E2 and rT3 next?