35 yr old male, 6ft 3 195 lbs. Was involved in a Tbone car accident 6 years ago. I got hit by a car going 60mph and my SUV went airborne and landed on it’s side. After I escaped from the small gap in the driver side window and the road, I collapsed on the ground, started hyperventilating, and a painful burning sensation went through my extremities.
Diagnosed with mild TBI. My symptoms are brain fog, headaches, sensitivity to light and sound, low energy, neck pain/muscle tightness, sleep issues, post convergence insufficiency(eyes struggle to converge and track objects).
Medications: Lortab, ambien. Lortab started about 2 years ago. I had my second child and with the lack of sleep, I couldn’t control the pain. Several attempts to stop longest being 2 months but not successful thus far.
Below are my blood test.
Dihydrotestosterone 179 pg/mL 112 - 955 pg/mL
Testosterone,Free 6.42 ng/dL 4.85 - 19.0 ng/dL
Testosterone, Bioavailable 79 ng/dL 72 - 235 ng/dL
TESTOSTERONE,TOTAL 207 ng/dL 240 - 950 ng/dL
T3, Free 2.9 pg/mL 1.7 - 3.7 pg/mL
Free T4 1.16 ng/dL 0.70 - 1.48 ng/dL
TSH 1.36 mcIU/mL 0.35 - 4.94 mcIU/mL
Cortisol 10.2 mcg/dL
Prolactin 12.7 ng/mL 3.5 - 19.4 ng/mL
FSH 2.0 mIU/mL See Below mIU/mL
LH 1.9 mIU/mL See Below mIU/mL
Estradiol, Sensitive 23 pg/mL 10 - 40 pg/mL
Vitamin D, 25-OH, Total 103 ng/mL
SEX HORMONE-BINDING GLOBULIN,S 18 nmol/L 10 - 57 nmol/L
A couple months later I got another test done which was normal
Total T 573 ng/dL
T Bioavailable 252 ng/DL range 72-235
FSH 3.5IU/L range 1-18
LH(S) 5.5 IU/L
AM Cortisol 9.2 mcg/DL range 7-25
My first blood test 6 months ago showed Total T 429.
My MRI w DTI showed no damage. Reading about HPA dysfunction, it seems that may be my issue and explains why I can’t handle any stressors, sleep disturbances and low energy. I’m not sure if pituitary would show up as damaged or not on MRI of the brain.
There’s a book by Dr Larry Komer who’s theory is that people with head injuries need optimal levels of Testosterone, above 600+ in order for brain to start to heal.
At this point, I’m ready to try anything. I’m suffering every second. My primary doctor was ready to start TRT but I said I wanted to wait till I was off pain pills for 6 months+. Also, I just did 6 weeks of keto but my pain got worse and had to stop it today.
I appreciate any input. Thanks!