binkybonky
New Member
Hi bloods below and attached pic
I seem to have low end normal total t and below range free t, I think because of my high end SHBG.
My main symptoms are lack of drive (including sex), fatigue, brain fog, forgetfulness, lack of confidence, and mild anxiety.
I spend the week at work (doing just about ok), and most of my weekend and time off in bed or on the sofa because I'm exhausted and don't feel like doing anything at all. I've also been going to the gym 6 days a week and watching calories and macros very carefully on bulk cut cycles, but gaining little muscle mass.
Should I be looking into TRT or something else?
Thoughts, input much appreciated.
Thanks
Labs
Haematology
Result Name Result Value Result Units Reference Range Status
Haemoglobin 150 g/L ( 130-170 ) N
Haematocrit 0.426 L/L (0.400-0.500) N
RBC 4.7 x10e12/L ( 4.5-5.5 ) N
MCV 91.1 fL ( 80-100 ) N
MCH 32.0 pg ( 27-32 ) N
MCHC 351 g/L ( 315-345 ) H
RDW 12.5 % ( 12.0-16.0 ) N
Platelets 194 x10e9/L ( 150-410 ) N
MPV 7.5 fL ( 7.0-11.0 ) N
WBC 9.4 x10e9/L ( 4.0-10.0 ) N
Neutrophils 6.5 x10e9/L ( 2.0-7.0 ) N
Lymphocytes 2.1 x10x9/L ( 1.0-3.0 ) N
Monocytes 0.8 x10e9/L ( 0.2-1.0 ) N
Eosinophils 0.07 x10e9/L ( 0.02-0.5 ) N
Basophils 0.03 x10e9/L ( 0-0.1 ) N
ESR 2 mm/Hour ( 0-10 ) -
Biochemistry
Result Name Result Value Result Units Reference Range Status
Sodium 139 mmol/L ( 133-146 ) N
Potassium 4.0 mmol/L ( 3.5-5.3 ) N
Urea 9.6 mmol/l ( 2.5-7.8 ) H
Creatinine 87 umol/L ( 62-106 ) N
eGFR 85 - - -
Units are mL/min/1.73 m2.Multiply eGFR by 1.2 for African/Caribbean subjects.Interpret with regard to UK CKD Guidelines.
Glucose (Non-Fasting) 4.1 mmol/L - -
Calcium 2.32 mmol/L ( 2.10-2.55 ) N
Calcium (Corrected) 2.22 mmol/L ( 2.10-2.55 ) N
Inorganic Phosphate 1.31 mmol/L ( 0.80-1.50 ) N
Uric Acid 330 umol/L (200 - 430) N
Total Protein 73 g/L ( 60-80 ) N
Albumin 48 g/L ( 35-50 ) N
Globulin 25 g/L ( 20-40 ) N
Total Bilirubin 7 umol/L ( < 21 ) -
Alkaline Phosphatase 74 IU/L ( 30-130 ) N
AST 48 IU/L ( < 41 ) H
ALT 47 IU/L ( < 41 ) H
Gamma GT 16 IU/L ( 8-61 ) N
Serum Iron 10.0 umol/L ( 5.8-34.5 ) N
Cholesterol 3.4 mmol/l ( <5.0 ) -
Triglycerides 0.82 mmol/L ( < 1.70 ) -
HDL Cholesterol 1.5 mmol/L ( 0.9-1.5 ) N
LDL (Calculation) 1.6 mmol/L ( < 3.0 ) -
HDL/Cholesterol Ratio 0.44 - ( > 0.25 ) -
Cholesterol/HDL Ratio 2.27 Ratio - -
Non-HDL Cholesterol 1.9 mmol/L - -
TSH 2.75 mU/L ( 0.27-4.20 ) N
Testosterone 6.27 nmol/L ( 8.64-29.0 ) L
Sex Hormone Binding Globulin 51 nmol/L ( 18.3-54.1 ) N
Free Androgen Index 12.2 - ( 22-104 ) LL
Hormones
Cortisol (8-10am) 312.0 166 - 507 nmol/L
Markers
PSA (Prostate) 0.772 <4 ug/L
I seem to have low end normal total t and below range free t, I think because of my high end SHBG.
My main symptoms are lack of drive (including sex), fatigue, brain fog, forgetfulness, lack of confidence, and mild anxiety.
I spend the week at work (doing just about ok), and most of my weekend and time off in bed or on the sofa because I'm exhausted and don't feel like doing anything at all. I've also been going to the gym 6 days a week and watching calories and macros very carefully on bulk cut cycles, but gaining little muscle mass.
Should I be looking into TRT or something else?
Thoughts, input much appreciated.
Thanks
Labs
Haematology
Result Name Result Value Result Units Reference Range Status
Haemoglobin 150 g/L ( 130-170 ) N
Haematocrit 0.426 L/L (0.400-0.500) N
RBC 4.7 x10e12/L ( 4.5-5.5 ) N
MCV 91.1 fL ( 80-100 ) N
MCH 32.0 pg ( 27-32 ) N
MCHC 351 g/L ( 315-345 ) H
RDW 12.5 % ( 12.0-16.0 ) N
Platelets 194 x10e9/L ( 150-410 ) N
MPV 7.5 fL ( 7.0-11.0 ) N
WBC 9.4 x10e9/L ( 4.0-10.0 ) N
Neutrophils 6.5 x10e9/L ( 2.0-7.0 ) N
Lymphocytes 2.1 x10x9/L ( 1.0-3.0 ) N
Monocytes 0.8 x10e9/L ( 0.2-1.0 ) N
Eosinophils 0.07 x10e9/L ( 0.02-0.5 ) N
Basophils 0.03 x10e9/L ( 0-0.1 ) N
ESR 2 mm/Hour ( 0-10 ) -
Biochemistry
Result Name Result Value Result Units Reference Range Status
Sodium 139 mmol/L ( 133-146 ) N
Potassium 4.0 mmol/L ( 3.5-5.3 ) N
Urea 9.6 mmol/l ( 2.5-7.8 ) H
Creatinine 87 umol/L ( 62-106 ) N
eGFR 85 - - -
Units are mL/min/1.73 m2.Multiply eGFR by 1.2 for African/Caribbean subjects.Interpret with regard to UK CKD Guidelines.
Glucose (Non-Fasting) 4.1 mmol/L - -
Calcium 2.32 mmol/L ( 2.10-2.55 ) N
Calcium (Corrected) 2.22 mmol/L ( 2.10-2.55 ) N
Inorganic Phosphate 1.31 mmol/L ( 0.80-1.50 ) N
Uric Acid 330 umol/L (200 - 430) N
Total Protein 73 g/L ( 60-80 ) N
Albumin 48 g/L ( 35-50 ) N
Globulin 25 g/L ( 20-40 ) N
Total Bilirubin 7 umol/L ( < 21 ) -
Alkaline Phosphatase 74 IU/L ( 30-130 ) N
AST 48 IU/L ( < 41 ) H
ALT 47 IU/L ( < 41 ) H
Gamma GT 16 IU/L ( 8-61 ) N
Serum Iron 10.0 umol/L ( 5.8-34.5 ) N
Cholesterol 3.4 mmol/l ( <5.0 ) -
Triglycerides 0.82 mmol/L ( < 1.70 ) -
HDL Cholesterol 1.5 mmol/L ( 0.9-1.5 ) N
LDL (Calculation) 1.6 mmol/L ( < 3.0 ) -
HDL/Cholesterol Ratio 0.44 - ( > 0.25 ) -
Cholesterol/HDL Ratio 2.27 Ratio - -
Non-HDL Cholesterol 1.9 mmol/L - -
TSH 2.75 mU/L ( 0.27-4.20 ) N
Testosterone 6.27 nmol/L ( 8.64-29.0 ) L
Sex Hormone Binding Globulin 51 nmol/L ( 18.3-54.1 ) N
Free Androgen Index 12.2 - ( 22-104 ) LL
Hormones
Cortisol (8-10am) 312.0 166 - 507 nmol/L
Markers
PSA (Prostate) 0.772 <4 ug/L