T Nation

Very Low T, Really Frustrated, Need Help with Lab Results


#1

I have been feeling like I have no drive to do anything. My libido is low and it gets difficult to maintain erections. I have also gained belly fat which is weird since I eat the same as I used to. I did try to lose weight by working out and I did lose a bit but then my weight loss stopped. It was just an endless weight cycle from there.

I went to the doctor and told him my symptoms, He sent me for bloodwork on my hormones.

Here are the results:
Hematology
WBC 8.1 4.0 - 11.0 x E9/L
RBC 5.42 4.50 - 6.00 x E12/L
Hemoglobin 144 135 - 175 g/L
Hematocrit 0.438 0.400 - 0.500 L/L
MCV 81 80 - 100 fL
MCH LO 26.6 27.5 - 33.0 pg
MCHC 329 305 - 360 g/L
RDW 13.3 11.5 - 14.5 %
Platelet Count 280 150 - 400 x E9/L

Differential
Neutrophils
4.1 2.0 - 7.5 x E9/L
Lymphocytes
3.5 1.0 - 3.5x E9/L
Monocytes
0.3 0.2 - 1.0x E9/L
Eosinophils
0.2 0.0 - 0.5x E9/L
Basophils
0.0 0.0 - 0.2x E9/L
Immature Granulocytes
0.0 0.0 - 0.1x E9/L
Nucleated RBC
0 /100 WBC

General Chemistry
Glucose Random 7.6 3.6 - 7.7 mmol/L
Hemoglobin A1C/Total Hemoglobin 5.3 <6.0 %

Creatinine 106 67-117|umol/L|
|Glomerular Filtration Rate (eGFR) 83

Lipids
Hours After Meal 2 Hours
Triglyceride 1.25mmol/L
Cholesterol 4.67mmol/L
HDL Cholesterol 1.08mmol/L
Non HDL Cholesterol 3.59 mmol/L
LDL Cholesterol 3.02 mmol/L

Cholesterol/HDL Cholesterol 4.3

Thyroid Function
Thyroid Stimulating Hormone [TSH] 1.67 0.32-4.00mIU/L

Reproductive and Gonadal
Testosterone LO 4.7 8.4 - 28.8 nmol/L

Help would be greatly appreciated.


#2

It’s nice to see thyroid function, even better to see the end result of the thyroid being stimulated --> actual thyroid hormones. TSH is a poor indicator of thyroid status, your doctor must be living under a rock. This doctor may not have the necessary skills to treat you, no actually thyroid hormone testing and a lack luster hormone panel that suggests he’s never prescribed TRT in his life.

Estrogen, SHBG and thyroid hormone completely skipped as if they weren’t important. SHBG will inform those trained in replacing a man’s hormone which injection frequency is best for you to mitigate testosterone --> estrogen conversion, lower SHBG men have more free hormones than high SHBG men. Injection frequencies differ on high vs low SHBG men.

It will be hell trying to locate a good hormone specialists in europe, private practice is the way to go over there. The NHS isn’t the answer.


#3

I live in Canada but even here it is hard to find a doctor that has good knowledge on hormones.I will go back to the Doctor and see if he will get me a blood test for SHBG.

I also thought of taking a good multivitamin as well as vitamin D for 6 months to see if that will increase my testosterone.

I only want to use TRT as a last resort since once i am on it then i’ll be on it for the rest of my life.


#4

@nam0r hi Bro I heard taking VITAMIN D everyday can apparently Kill SHBG Balance" and keep Lowering it. I have read sources & it could be correct. https://www.medscape.com/viewarticle/880957 https://www.ncbi.nlm.nih.gov/pubmed/26825918 https://www.ncbi.nlm.nih.gov/pubmed/26004987 articles. If this is the case, could still use Vitamin D3 but EOD & not every single day. I read on guy on this forum too, was upset his SHBG was too low, he said was taking D3 constantly too. Hope this helps somewhat before jumping on D3 Bandwagon. Myself i will use D3 EOD.


#5

I talked to my doctor about TRT, He said your natural testosterone will only shut down if you have too much testosterone. He also said that if you take the right dose then your natural testosterone wont shut down which relates to what you said about injection frequency.

My doctor has referred me to an Endo so we will see how it goes.


#6

Your doctor should stick to his area of expertise, his comment only shows his ignorance. Any amount of injectable testosterone will shut you down.

An endo in Canada, you’re better off going private.


#7

Ok I will look into that even though its not gonna be easy.

I am still considering increasing my vitamin D levels to see if that helps even though I am reading mixed views on it.

Do you think it could make a difference?