Big thanks to you all and KSman. The stickies have been an incredible resource in helping me keep myself together and prepare over these past few months. Let’s get into it.
-Ethnicity: 50% Swiss and the rest even between Irish/English. First generation removed from rural farm living/eating.
-age: 30 next month
-height: 6’0
-waist: size 40’ pants.
-weight: 244 lbs.
-describe body and facial hair:
Full beard/mustache. Thick at mid chest, belly, decreased but still full at pubic area and legs. One thick 4 in. oval patch at mid-left back, otherwise hairless. Thick at top of plumbers crack.
-describe where you carry fat and how changed: Centralized (belly,hips it’s all in the hips,thighs)
-health conditions, symptoms [history]:
-Age 1 1/2 years fell off 2nd story balcony onto cement. Was found 30mins-hour later unconscious. Awoke at hospital admission. 4in skull fracture only found damage besides superficial bruising. 3 day hospital stay and released when I could hold down food and stand for short periods, though dizzily and walked diagnol to intended goal. No follow up Dr. appointments.
-Age 6-7 had a single incident of being repeatedly hit in the genitals by some psycho neighborhood kid.
-Around that time started receiving extreme daily migraines. They went on like that till 12-13.
-Frequent constipation since childhood into adulthood
-Age 10-11 started forming Gynecomastia (bilateral) as first sign of puberty.
-Started putting on weight easily 11 years old and onward storing it centrally.
-At 12 years was concussed and unconscious after slip at top of stairs.
-14, 145 lbs, fell during gym class breaking right ulna and hitting back of head. Concussed and unconscious. Awoke confussed but sobered fully within 15 minutes.
-By 16-17, 185 lbs, gynecomastia had proceeded to type 3 (I was packing some torpedo’s), tender, swollen, and with some nipple discharge from left breast. Put on some body/facial hair around this age. Penis had little growth up to this point (no noticable growth after this point) and testes were small, scrotum tight to body.
-Present day- Scrotum loose and testes small and soft.Erections weak and fleeting. Ultrasound from last month found “Small right epididymal head spermatoceles”
-Depression
-Acquired acanthosis nigricans
-Goiter, unspecified. Ultra sound tech states Normal thyroid sonogram, though.
-Get cold easily
-Brain Fog and memory issues
-High Cholesterol
-Collapsed arch right foot. Plantar Faciitis, both. Right heel spur (recent). Right foot arthritis. Had issues with feet as far back as I can remember (possibly caused by fall as a toddler). Currently going to rehab to improve strength in right ankle and range of movement.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever: No current RX. Never any hair loss or prostate. Here’s my Vitamins
-Fish oil 1200mg
-Vit-D 2000iu
-One Daily Multi vit
-Magnesium 250mg
-Vit-B12
-lab results with ranges
-===Labs taken on 2/27 @11:34am===- (Ranges Parenthesized) I was eating bad for months leading up to this test and weighed 275 of flabbyness.
TT 204L (241-827 ng/dL)
FSH 1.2L (1.6-8.0 mIU/mL)
LH 2.3 (1.5-9.3 mIU/mL)
Prolactin 9.0 (2.0-18.0 ng/mL)
T3 Uptake 33 (22-35%)
T4 Total 7.2 (4.5-12.0 mcg/dL)
fT4 (T7) 2.4 (1.4-3.8)
TSH 3.68 (0.40-4.50 mIU/L)
Cholesterol Total 331 H (125-200 mg/dL)
HDL 37L (> or = 40mg/dL)
Triglycerides 180 H (<150mg/dL)
LDL 258 H (<130 mg/dL (calc))
CHOL/HDLC Ratio 8.9 H (< or = 5.0)
NON HDL CHOL 294 H (target is 30mg/dL higher than LDL target)
Glucose 94 (65-99 mg/dL)
Urea Nitrogen (bun) 14 (7-25 mg/dL)
Creatinine 0.97 (0.60-1.35 mg/dL)
eGFR NON-AFR. 105 (> or = 60 ml/min/1.73m2)
eGFR AFRICAN 122 (> or = 60 ml/min/1.73m2)
Bun/Creatinine Ratio N/A (6-22 (calc))
Sodium 140 (135-146 mmol/L)
Potassium 3.9 (3.5-5.3 mmol/L)
Chloride 102 (98-110 mmol/L)
Carbon Dioxide 26 (19-30 mmol/L)
Calcium 10.0 (8.6-10.3 mg/dL)
Protein Total 7.4 (6.1-8.1 g/dL)
Albumin 4.4 (3.6-5.1 g/dL
Globulin 3.0 (1.9-3.7 g/dL (calc))
Albumin/Glob Ratio 1.5 (1.0-2.5 (calc))
Bilirubin Total 0.6 (0.2-1.2 mg/dL)
Alkaline Phosphatase 103 (40-15 U/L)
AST 22 (10-40 U/L)
ALT 14 (9-46 U/L)
PTH Intact 28 (10-65 pg/ml)
GH 0.1 (> or = 10.0 ng/mL)
White Blood Count 10.2 (3.9-10.8 Thousand/uL)
Red 4.70 (4.20-5.80 Million/uL)
Hemoglobin 14.8 (13.2-17.1 g/dL)
Hematocrit 43.5 (38.5-50.0 %)
MCV 92.6 (80.0-100.0 fL)
MCH 31.5 (27.0-33.0 pg)
RDW 12.8 (11.0-15.0 %)
Platelet Ct 242 (140-400 Thousand/uL
Absolute Neutrophils 5590 (1500-7800 cells/uL)
Absolute Lymphocytes 3886 (850-3900 cells/uL)
Absolute Monocytes 500 (200-950 cells/uL)
Absolute Eosinophils 163 (15-500 cells/uL)
Absolute Basophils 61 (0-200 cells/uL)
Neutrophils 54.8 (%)
Lymphocytes 38.1 (%)
Monocytes 4.9 (%)
Eosinophils 1.6 (%)
Basophils 0.6 (%)
-===Labs done 8/25/2014 @8:11am===- Weight 255. Didn’t masturbate for 48 hours prior to test. Incomplete fasting.
TT 192 L (250-1100 ng/dL)
FT 35.5 (35.0-155.0 pg/mL)
HCG,Total,QN <2 (<5mIU/mL)
Estradiol 22 (<or= 39 pg/mL)
Prolactin 11.9 (2.0-18.0 ng/mL)
LH 2.6 (1.5-9.3 mIU/mL)
FSH 1.2 L (1.6-8.0 mIU/mL)
DHEA-S 328 (85-690 mcg/dL)
Urine Volume 1500ml
Cortisol,Free,Urine 8.2 (4.0-50.0 mcg/24 h)
Cortisol,Free,Urine 5.9 (3.1-42.3 mcg/g creat)
Creatinine Urine 1.39 (0.63-2.50 g/24 h)
Glucose 100 H (65-99 mg/dl)
Urea Nitrogen (bun) 12 (7-25 mg/dL)
Creatinine 0.84 (0.60-1.35 mg/dL)
eGFR Non-African 118 (>or= 60 mL/min/1.73m2)
eGFR African 137 (>or= 60 mL/min/1.73m2)
Bun/Creatinine Ratio N/A (6-22 (calc))
Sodium 141 (135-146 mmol/L)
Potassium 3.9 (3.5-5.3 mmol/L)
Chloride 105 (98-110 mmol/L)
Carbon Dioxide 25 (19-30 mmol/L)
Calcium 9.5 (8.6-10.3 mmol/L)
Protein Total 7.1 (6.1-8.1 g/dL)
Albumin 4.4 (3.6-5.1 g/dL)
Globulin 2.7 (1.9-3.7 g/dL (calc))
Albumin/Glob Ratio 1.6 (1.0-2.5 (calc))
Bilirubin, Total 0.5 (.02-1.2 mg/dL)
Alkaline Phosphatase 91 (40-115 U/L)
AST 20 (10-40 U/L)
ALT 14 (9-46 U/L)
TSH 2.54 (0.40-4.50 mIU/L)
T4, Free 1.2 (0.8-1.8 ng/dL)
T3, Total 75 L (76-181 ng/dL)
Thyroglobulin Antibodies <1 (<or= 1 IU/mL)
Thyroid Peroxidase Antibodies <1 (<9 IU/mL)
17 Hydroxyprogesterone,LC/MS/MS 27 L (32-307 ng/dL)
White Blood Ct 9.9 (3.8-10.8 Thousand/uL)
Red 4.69 (4.20-5.80 Million/uL)
Hemoglobin 14.6 (13.2-17.1 g/dL)
Hematocrit 43.3 (38.5-50.0 %)
MCV 92.3 (80.0-100.0 fL)
MCH 31.2 27.0-33.0 pg)
MCHC 33.8 (32.0-36.0 g/dL)
RDW 13.1 (11.0-15.0 %)
Platelet Ct. 234 (140-400 Thousand/uL)
Absolute Neutrophils 5356 (1500-7800 cells/uL)
Absolute Lymphocytes 3960 (850-3900 cells/uL)
Absolute Monocytes 406 (200-950 cells/uL)
Absolute Eosinophils 139 (15-500 cells/uL)
Absolute Basophils 50 (0-200 cells/uL)
Neutrophils 54.1 (%)
Lymphocytes 40.0 (%)
Monocytes 4.1 (%)
Eosinophils 1.4 (%)
Basophils .4 (%)
ACTH, Plasma 15 (6-50 pg/mL)
-describe diet: 1800-2000 cal diet. Keeping away from breads, grains, sugars.
-describe training: 45mins-Hour long walks daily with Indian club routine afterwards. Had to stop the walks 6 weeks ago after developing bad heel spur pain. Doing 1 hour long walk per week now and working back up.
-testes ache, ever, with a fever?: Never noticed having a fever during an episode. Yes, they do ache sometimes for hours or a few days.
-how have morning wood and nocturnal erections changed: Both rarely.
Tests my endo requested today. Next Appointment Oct 10th.
-PSA
-IGF-1
-Androstenedione
-MRI Pituitary
My Endo says we’ll wait till these last tests are done and then I can choose have the TRT route I explained from the ‘Protocol for Injections’ sticky. Hearing that was such a relief. I have a few questions related to this to better help me go into the next appointment ready.
Continued for I fear this post is too long.