Hey guys, I'm just looking for some guidance. Let just start by posting the basics about myself that I found from one of the sticky threads:
describe body and facial hair- normal facial hair, little to no chest hair, hair on legs, underarms, and stomach
did to grow fast or slow and steady as a teen- I grew to about my current height around 9th grade, was about 130lbs at the time and then gradually filled into my current weight
testes ache or hurt? ever?- testes don't hurt of ache now but when I was in late teens early twenties, they did some (always thought it was because I went to long without sex)
mood-high highs and then sudden deep lows
libido-as of now, pretty much non-existent
get cold easily? a change?-yes, hands and feet are always cold
dry skin, brittle nails?-extremely dry skin, have to apply lotion on entire body after and shower and to hands everytime after I wash my hands. skin gets very white and scaley feeling
use iodized salt?-sometimes
eat much sea food?-sometimes
exposure to chemicals? -not that I'm aware of
ever used hair loss drugs?- no
Rx and OTC drugs-none except a multivitamin
I have had digestive issues basically since I hit puberty. They became progressively worse during my college years from age 22 to 28. It got to point that I would have to make sure I got to college early on test days so I could go to the bathroom before the exam. It progressed to the point that I had to start taking my tests in a special testing centers because I was having silent panic attacks due to my digestive problems at the start of every college exam. It was also around this time that I start to live in a constant state of exhaustion. I basically chaulked it up to nerves and potentially having ibs since ibs runs in my family a bit. At 28, I started seeing a gastroenterologist for my stomach problems thinking that would solve all of my issues. Essentially, he told me I had ibs and prescribed an anticholinergic. It helped my stomach issues a bit. I had to stop taking the anticholinergic because it left my brain in a constant fog and stopped helping my stomach issues. I had pretty much run into a dead end with the gastro and stopped persuing my medical issues.
A couple of years pasted and now I'm 31. I haven't had a super strong sex drive since my late teens but recently I began loosing erections in the middle of sex, becoming extremely fatigued every single day now matter how long I slept, and worsening brain fog despite no longer taking any medication. I read up some on low testosterone and decided to see my doctor to have it tested. I also thought that perhaps if I had a testosterone issue, it could also be related to my digestive issues. Perhaps, decreasing the ability to synthesize protein? I received my test results back and low and behold my testosterone levels were extremely low, cholesterol was high despite not being extremely overweight, vitamin d was insufficient, and prolactin levels were very high. (below are the labs).
My doctor has put me on a vitamin d supplement and referred me to an endocrinologist for the low t/prolactin issues. I've read through some of the stickies on this site and they are a wealth of information. I guess I'm just looking for some guidance of what to expect. Should I expect the endocrinologist to put me on cabergoline to try to lower my prolactin and would this in turn raise my testosterone? Or should cabergoline and trt be expected at the same time? Could this explain my digestive issues? I also have a lot of issues with my belly bloating and gas. Could this be indicative of an estradiol? Thanks so much in advance.
Testosterone, Total 122ng/dL range 300-1080ng/dL
Testosterone, Free 20 pg/mL range 47-244pg/mL
Testosterone %Free 1.7 range 1.6-2.9%
Prolactin 52 ng/mL range 3 - 14 ng/mL
Vitamin D 29ng/ml range 30-100ng/ml
TSH 2.25uIU/ml range 0.34-5.60uIU/ml
T4 Free 0.8ng/dL range 0.6-1.1ng/dL
Cholesterol, Total 221 <200 desirable
Triglycerides 117 <150mg/dL normal
HDL Cholesterol 45 <40mg/dL low and >59 high
LDL Cholesterol 153 <100 mg/dL optimal
It may also be of note that my Monocytes are at 9% where 0-8% are normal range. Looking back at a checkup a year earlier, Monocytes were 11% so they always run high. I've read that high monocytes can be an indicative of inflammation in the body. Also in a year ALT dropped from 21 (range 17 - 63IU/L normal) to 11. And AST dropped from 21 (range 15-41IU/L normal) to 16. I've read that both of these relate to the liver. My doctor said these did not concern her though but I would love to here opinions here too.