Hi all, any help is appreciated as I feel completely lost on where to start.
I am 40 years old and have had low total-T for many years. Usually around the 275 range. I just went to my primary care doc and he was willing to run a bunch of stuff for me.
I’m skinny but a bit of the love handles in the middle. 5’8" 155lbs.
I can share more results, but the ones that stuck out to me as out of range or within their range but not optimal:
Total Cholesterol … 203… <200
LDL…134… < 100
NonHDL Cholesterol …157 … <130
Glucose …102… <100
Luteneizing Hormone …1.3 …1.5-9.3mIU/mL
DHEA LC/MS/MS …489 … 61-1636 ng/dL
Testosterone Total LC/MS/MS …290 … 250-1100ng/dL
Testosterone Free …60.6 … 35-155pg/mL
TSH … 3.83 …0.40-4.5mIU/L
So my free T seems to be good, but LH is low as is Total T. Glucose is high, cholesterol is a bit high. I’m thinking TSH is a bit on the high side as well since I’ve heard the more recent optimal range is 0-2 vs 0-4.5. Prolactin is on the high end of normal.
Also a CBC/CMP were done but everything in the green. Let me know if there’s anything specific in there that could be out of optimal range to look at.
This looks like the beginning of full blown metabolic syndrome to me and I’m trying to stop it from progressing. I’ve had horrible memory for many years. Now I’ve started to experience some ED symptoms. 0 ambition but not depressed. Just “meh” on most things
I’ve started fasting and eat within a time window of late lunch and dinner to try to correct the blood sugar and no snacking. This seems to have helped the blood sugar as my morning glucose is now 85 vs 105 before the fasting.
I do weightlifting but not pushing myself too hard. I’m thinking about adding HIIT workouts instead of just general strength training.
I am just not sure what to attack. My GP told me to go see an endo doc but they all have 6 month waitinglists around here. And I’ve heard horror stories about most of them anyway. I’m not sure if I should first get down the blood sugar, or find a doctor willing to diagnose test shots, or look into thyroid replacement first.
I’d also like to get my iron tested as I wonder if any of this stems from high ferritin or screwed up iron metabolism. Planning to pay out of pocket for that. Any other tests I should run while I’m going?
Any suggestions would be appreciated!