Looking for opinions on recent lab results. I’m currently 43 years old. Long story short, I was first diagnosed with low T a few years ago and the doctor put me on T replacement. Things were going great but I was forced to get off after only 3 months. All of the low T symptoms slowly returned and I lost all desire to even go to the gym. I actually took an entire year off because I just didn’t even care about going; which is weird because I used to hit the gym 5 days a week religiously.
I recently went back to my primary care doctor to get a yearly physical, this is a different doctor than the one that treated me for low T. Durning the exam I started talking about my symptoms; always tired, no motivation, weight gain, no libido, etc. The doctor suggested we run a bunch of blood work to see if we could figure out what the cause might be. Pending the blood work results, he stated that he would be open to discussing TRT. After I got the results of the blood work, the Doctor had a few concerns; the biggest one was elevated Prolactin levels. In addition to that, my Vitamin D levels were low (always have been) and my HDL and LDL levels were off the charts. He ordered an MRI to see what was causing my Prolactin levels to be so high. The results of the MRI came back normal so then the doctor was willing to start me on TRT with MONTHLY injections of 200mg. I tried to get him to change the dosages but he was not willing. Rather than follow his protocol, I decided to make an appointment with my original TRT doc. After looking over my lab results, he agreed to start me at 150mg per week.
Below are my lab results. I guess I’m looking for others to look it over and see if anything stands out that might help point to the underlying cause of my low T. It would be nice to fix the issue rather than continuing to use testosterone for the rest of my life. These results are all before recently starting back on TRT.
Total Test: 187 ng/dL (Range: 348-1197)
Free Test: 6.6 pg/mL (Range: 6.8-21.5)
Vitamin D: 20.6 ng/mL (Range: 30.0-100.0)
Hematocrit: 45.6 (Range: 37.5-51.0)
TSH: 4.260 uIU/mL (Range: 0.450-4.500)
LH: 2.9 mIU/mL (Range: 1.7-8.6)
FSH: 10.1 mIU/mL (Range: 1.5-12.4)
Prolactin: 16.0 ng/mL (Range: 4.0-15.2)
Cholesterol, Total: 248 (Range: 100-199
Triglycerides: 574 (Range: 0-149)
HDL Cholesterol: 36 (Range: >39)
VLDL: reading not valid when Triglyceride level >400
One thing I will add about the Cholesterol and Triglyceride levels. The doctor seems to thing that the numbers reflect me taking a year off from the gym and not doing any exercise. He was convinced that getting me back in the gym would bring these numbers back down to where they were before.