Low T, Low SHBG, Low E, Frequent Urination, Cold intolerance, chronic sinusitis

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reddevil

New Member
Hello to everyone,

Was hoping someone could help me out here.

I have been suffering from my condition for about 14 years (I am currently 33 years) I think and recently I have been trying to find the root cause of my condition / low Testosterone levels. I have been doing my own research to find cause of my low T and other health problems I have.


My symptoms:


1) Erectile dysfunction
2) High fatigue, especially since I started having ED
3) Extremely low stamina
4) Very low confidence professionally (although I have done ok) and low motivation at work
5) Minor depression
6) Extreme negative thoughts
7) Chronic stress and tension
8) Huge belly fat (I used to be very skinny till I was 22);
9) Brain fog
10) Cold intolerance
11) Frequent urination
12) Suffer from cervical and lower back pain
13) Chronic sinusitis and headache
14) High cholesterol
15) Chronic acid reflux (GERD)


Have got various tests done in the past for which I am listing the results below.


RED BLOOD CELL COUNT 5.72 High (4.5 - 5.5 mil/μL)
HEMOGLOBIN 15.4 (13.0 - 17.0 g/dL)
HEMATOCRIT 45.1 (40 - 50 %)


GLUCOSE, FASTING, PLASMA 88 74.0 - 99.0 mg/dL
GLUCOSE, POST-PRANDIAL, PLASMA 113 (Upto 140 mg/dL)
CHOLESTEROL 188 (< 200 Desirable, 200 - 239 Borderline High, >/= 240 High mg/dL)
TRIGLYCERIDES 154 (Normal <150; Borderline high: 150 - 199, High: 200 - 499, Very high: > or = 500)
CHOLESTEROL HDL 32 (< 40 Low; >/=60 High)


Thyroid profile:
Free T3: 3.03 pg / ml (2.5-3.9)
Free T4: 0.99 pg / ml (.61-1.12)
TSH: 1.75 uIU / ml (.34-5.6)
Peroxidase antibody: 53.2 uIU / ml (<60)
Thyrglubin Antibody: 16.1 uIU / ml (<60)


TOTAL T: 270.09 ng/dl (241.00 - 827.00 ng/dl)
FREE T: 5.84 pg/ml (8.9 - 42.5 pg/mL)
FSH: 5.75 mIu/ml (1.40 - 18.10 mIU/mL)
LH: 4.16 miu/ml (1.50 - 9.30 mIU/mL)
SERUM PROLACTIN LEVEL: 11.39 ng/ml
SERUM ESTRADIOL E2: <10 pg/ml
SHBG: 12.8 nmol/L (14.5 - 48)




I had started with 25mg Clomid every day for little more than 6 weeks.




After about 6 weeks on clomid:


TESTOSTERONE, TOTAL 424.20 (241.00 - 827.00 ng/dl)
TESTOSTERONE,FREE 11.30 (8.9 - 42.5 pg/mL)
LUTEINIZING HORMONE 8.29 (1.50 - 9.30 mIU/mL)
FOLLICLE STIMULATING HORMONE 15.34 (1.40 - 18.10 mIU/mL)
PROLACTIN 7.37 (2.10 - 17.70 ng/mL)


Then I met an endocrinologist who asked me to stop clomid and retest after 4 weeks.


The following is 4 weeks after stopping clomid:


TESTOSTERONE, TOTAL 236 (241.00 - 827.00 ng/dl)
LUTEINIZING HORMONE 2.8 (1.50 - 9.30 mIU/mL)
FOLLICLE STIMULATING HORMONE 6.1 (1.40 - 18.10 mIU/mL)
SHBG: 14.1 nmol/L (14.5 - 48)
PSA 0.7 (<4 ng/mL)
TOTAL TRIIODOTHYRONINE (T3) 60 ng/dl (60 - 200)
TOTAL THYROXINE (T4) 5.1 µg/dl 4.5 - 12.0)
THYROID STIMULATING HORMONE (TSH) 2.20 µIU/ml (0.30 - 5.5)
FREE TRIIODOTHYRONINE (FT3) 3.2 pg/ml (1.7 - 4.2)
FREE THYROXINE (FT4) 1.44 ng/dl (0.70 - 1.80)
ANTI MICROSOMAL ANTIBODY (AMA) C.L.I.A 7 IU/mL Negative : <34


Met the endo and he wanted me to start me on TRT but suggested an insane protocol of 250 mg Testterone enanthate every 3 weeks. When I told him this would not be suitable especially for me (my SHBG is 14.1) he didn't agree and wanted me to stick to the insane protocol. He also suggested an MRI of pituitary to rule out the possibility of a tumor.


I am from India and all these tests and medications / TRT is out of pocket for me. However, testosterone is quite cheap here if I were to get on it eventually.


So just wanted to have some thoughts on my underlying disease / condition / syndrome and the next course of action. Any help is appreciated.


Thanks,
Red-devil
 
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