Firstly, this forum is amazing. I have learned so much thus far.
Recently I have been experiencing almost every symptom of low T. I crash mid day, I have been forgetting things, have a hard time staying awake, random joint pains, anxiety. I constantly back out of obligations just because I do not want to do anything. I’m sure some of this is to do with my weight. Even a lot of it. The problem is to get my weight in check, I need to get my T taken care of! I am overweight (250lbs). I have been attempting to get back into shape, and thus far have lost about 30 pounds just from diet modifications, cutting out junk etc. I have been seeing a PCP for treatment and he finally tested my T at my request. This is the second time its been tested. It was tested years ago and fell within range albeit just barely. In hindsight, I should have done something about it then. I was around 200 lbs at that time. The results of the last test were low and under range, 195 on a 348-1197 scale. He immediately prescribed a topical testosterone gel. I had my reservations and after reading more on it, have even more. I think other avenues should be explored first. I requested more labs and received them for the most part minus the E2. They came back and LH and FSH are both lower, which seems to indicate secondary hypogonadism? I pushed for HPTA restart, Clomid, or anything other that TRT and got nowhere. I have tried to find another doctor and saw a local Endo after doing some research and gained even less ground than with my PCP. There has got to be a cause that can addressed. I have had no testicular trauma or anything. I have no problem starting TRT, I just want to make sure it is 100% necessary.
I have been trying to find a doctor that will actually treat me, not blindly push TRT or write me off. It seems to be either extreme. If anyone can PM me a good doctor in the Houston area that actually knows his stuff, id love to have it. I have contacted a compounding pharmacy but they told me they couldn’t (or wouldn’t) tell me any doctors names. I will get the E2 test handled directly with a lab along with anything else, ill just have to pay out of pocket.
Body/Facial Hair - Limited to moustache and patchy neck area. No stomach/back hair. Full head of hair.
Fat - I have been extremely obese for the last few years. Most of the fat is in the stomach and chest area.
Health conditions - High Cholesterol.
RX/OTC - Atorvastin to lower cholesterol. Started after first low T lab result.
Diet - I have recently cleaned my diet up (and lost over 30 lbs). Chicken / Red meat, leafy greens, whole grain rice, etc. I get sufficient iodine from my salt intake.
Training - I currently do no training. I lifted heavily in high school.
Testes ache, ever, with a fever? Nope
How have morning wood and nocturnal erections changed? I have not had morning wood in quite a few years. My libido has decreased as ive aged, but it is not yet nonexistent.
Lab Results (Afternoon draw)
Testosterone, Serum 195 348-1197 ng/dL
DHEA-Sulfate 323.8 138.5-475.2 ug/dL
Prolactin 6.0 4.0-15.2 ng/mL
Prostate Specific Ag, Serum 0.6 0.0-4.0 ng/mL
LH 3.1 1.7-8.6 mIU/mL
FSH 2.1 1.5-12.4 mIU/mL
TSH 2.070 0.450-4.500 uIU/mL
Estrogens, Total (Not E2) 75 (40-115 pg/mL)
New results - 8/16/2016 (Early morning draw)
Estradiol, Sensitive 22 (8-35 pg/mL)
Testosterone, Serum 240 (348-1197 ng/dL)
Testosterone, Free 11.6 (8.7-25.1)
SHBG, Serum 17.9 ( 16.5-55.9 nmol/L)
Glucose, Serum 91 65-99 mg/dL
BUN 12 6-20 mg/dL
Creatinine, Serum 0.94 0.76-1.27 mg/dL
eGFR If NonAfricn Am 108 >59 mL/min/1.73
eGFR If Africn Am 124 >59 mL/min/1.73
BUN/Creatinine Ratio 13 8-19
Sodium, Serum 140 134-144 mmol/L
Potassium, Serum 4.3 3.5-5.2 mmol/L
Chloride, Serum 101 97-108 mmol/L
Carbon Dioxide, Total 21 18-29 mmol/L
Calcium, Serum 9.7 8.7-10.2 mg/dL
Protein, Total, Serum 7.3 6.0-8.5 g/dL
Albumin, Serum 4.6 3.5-5.5 g/dL
Globulin, Total 2.7 1.5-4.5 g/dL
A/G Ratio 1.7 1.1-2.5
Bilirubin, Total 0.5 0.0-1.2 mg/dL
Alkaline Phosphatase, S 89 39-117 IU/L
AST (SGOT) 20 0-40 IU/L
ALT (SGPT) 20 0-44 IU/L