In October I decided to see my doctor due to fatigue and concentration issues. Thinking my cause was shiftwork and sleep disorder.
After initial blood work, it was apparent I had low Test. I had my blood checked at in the am, to see if there was an increase. Meantime I was prescribed Androgel 1.62%. 2 pumps for 1 month, did not help. 6 weeks at 3 pumps and nothing.
Updated...
Went to a Urologist and got more blood done. Im waiting on that now. Though the doc wants me to get 14 testopel's in my ass. I am not sold on that idea so far. I have 3 weeks before that can happen anyways.
I am more for personal injections. Not sure how to arrange it, and have the doc on board.
Male
34
5-11
215
Body Fat 26%
BMI 29.98
Here are my results so far...
10/01/14 3:11pm
TEST 229
10/03/14 7:50am
Test 303
Test Free 7.54
%Free Test 2.49
HGB 42.9
HCT 15.2
11/10/14 7:50am
Test 281
Test Free 7.11
%Free Test 2.53
HGB 15.2
HCT 44.4
What would you do?
Is there anything I should ask my doctor?
What are my options?
What other prescriptions should I be open to for T Replacement/Supplementation?
Is an E blocker needed?
I read about Testicle shrinkage, what should I be taking if this occurs?
Is there any other blood work that I may be missing, or need to follow?
At what point should I seek help elsewhere?
From my research and understanding... I would like to think 700-900 on the T levels would ideal. I am open to all responses and treatments. Supplements, vitamins, herbal and mineral included. Even though I work out 3-4 times a week and eat a healthy diet, I feel like I am fighting a losing battle.
I know this may be a loaded Post, I feel that I can only get the best answers from the men and women that have tackled Test, Energy, Libido and Growth issues that we live with today.
-Sex- Male
-Age- 34
-Height- 5'-11
-Waist- 38
-Weight- 215-220
-Body Type- Endomorph
-Body and Facial hair - Forearms, thy and legs, average.
-Fat placement, and changes- Blessed with equal fat distribution. Gut and love handles increased in last 24 months.
-Health conditions, Symptoms [history]- Low Testosterone. Fatigue, Decreased libido, Concentration and Sleeplessness. Feel powerless, drained and hollow at gym, compared to what I know I can , should and have done. No depression initially, though I do feel a bit low or moody at times due to my inability to perform at the level I should be able to.
-Rx and OTC drugs, Other - Multivitamin, Vit D w/minerals, Glucosamine and Chondroitin and Provigil -Modafinal-
Prescribed Provigil to help Shift Work Disorder and Fatigue during long days and long drives.
Stopped all Protein, Creatine and Pre-Workout Supps to give tests a solid baseline. Reduced alcohol to 3 beers/week tops.
-Lab Results with ranges
Labs being updated
10/01/14 3:11pm
Testosterone
TESTOSTERONE 348-1197 ng/dL 229
Thyroid Cascade
TSH 0.27-4.20 mcU/mL 1.28
Comprehensive Metabolic Panel
POTASSIUM 3.5-5.5 mmol/L 4.0
SODIUM 133-145 mmol/L 140
CHLORIDE 98-110 mmol/L 103
Glucose 65-99 mg/dL 100
CALCIUM 8.4-10.4 mg/dL 9.4
ALBUMIN 3.5-5.0 g/dL 4.8
SGPT (ALT) 5-40 U/L 51
SGOT (AST) 10-37 U/L 30
BILIRUBIN TOTAL 0.2-1.2 mg/dL 0.3
Alkaline Phosphatase 25-115 U/L 105
BUN 6-22 mg/dL 19
CO2 20-32 mmol/L 22
CREATININE 0.5-1.2 mg/dL 1.1
eGFR African American >60.0 >60.0
GLOBULIN SERUM 2.0-4.0 g/dL 2.3
A/G RATIO 1.1-2.6 ratio 2.1
TOTAL PROTEIN 6.4-8.3 g/dL 7.1
ANION GAP 15.4
CBC W/Differential
WBC x 10*3 4.0-11.0 K/uL 6.2
RBC x 10*6 3.80-5.80 M/uL 5.35
HGB 13.2-17.3 g/dL 15.2
HCT 36.6-51.9 % 42.9
MCV 80-95 fL 80
MCH 26-34 pg 28
MCHC 32-36 g/dL 35
RDW 10.0-16.0 % 13.4
PLATELET 140-440 K/uL 220
MPV 6.0-10.8 fL 10.9
SEGMENTED NEUTROPHILS 40-75 % 60
LYMPHOCYTES 27-45 % 29
MONOCYTES 3-9 % 11
EOSINOPHIL 0-6 % 1
BASOPHILS 0-2 % 1
ABSOLUTE NEUTROPHILS 1.8-7.7 K/uL 3.7
ABSOLUTE LYMPHOCYTES 1.0-4.8 K/uL 1.8
ABSOLUTE MONOCYTE COUNT 0.1-0.9 K/uL 0.7
ABSOLUTE EOSINOPHIL 0.0-0.5 K/uL 0.0
ABSOLUTE BASOPHIL COUNT 0.0-0.2 K/uL 0.0
10/03/14 7:50am
TESTOSTERONE,FREE AND TOTAL
Testosterone 348 - 1197 ng/dL 303
Testosterone Free 5.00 - 21.00 ng/dL 7.54
%Free Testosterone 1.50 - 4.20 % 2.49
11/10/14 7:50am
TESTOSTERONE,FREE AND TOTAL
Testosterone 348 - 1197 ng/dL 281
Testosterone Free 5.00 - 21.00 ng/dL 7.11
%Free Testosterone 1.50 - 4.20 % 2.53
H&H
HGB 13.2-17.3 g/dL 15.2
HCT 36.6-51.9 % 44.4
PSA SCREEN
PSA SCREEN <=1.400 ng/mL 0.866
1/12/15 8:45am
TESTOSTERONE,FREE AND TOTAL
Testosterone 348 - 1197 ng/dL 277
Testosterone Free 5.00 - 21.00 ng/dL 4.68
%Free Testosterone 1.50 - 4.20 % 1.69
H&H
HGB 13.2-17.3 g/dL 14.8
HCT 36.6-51.9 % 43.4
Hepatic Function Panel
ALBUMIN 3.5-5.0 g/dL 4.1
TOTAL PROTEIN 6.4-8.3 g/dL 6.7
GLOBULIN SERUM 2.0-4.0 g/dL 2.6
A/G RATIO 1.1-2.6 ratio 1.6
BILIRUBIN TOTAL 0.2-1.2 mg/dL <0.1
BILIRUBIN DIRECT 0.0-0.3 mg/dL <0.2
SGOT (AST) 10-37 U/L 28
Alkaline Phosphatase 25-115 U/L 118
SGPT (ALT) 5-40 U/L 36
1/16/2015
ESTRADIOL 8-43 ng/L 15
CORTISOL 6.49
DHEA Sulfate 138.5 - 475.2 ug/dL 152.5
-Diet-
4-5 days a week.
Meal 1 - 4:30-5:30am
2-3 Eggs with Plain oats, Cream of Wheat or Grits.
1 pint of 2% Milk
Snack 1 - 10:00am While Working
Apple or Orange
Meal 3 - Noon Lunch Break
1 Bag of BBQ Baked Chips <-guilty
2-3 Hard boiled eggs
Snack 2 - 4:00pm In Car
Apple or Orange
Snack 3 - 5:00pm
1 can of Tuna fish or Fruit Smoothy -Frozen berrys and water-
or
1-2 Hard boiled eggs
Meal 3 - 7:00-8:00pm 50%
Home cooked meal, boneless meat and veggies
or
Mom and Pop Diner, Chain Restaurant, Take out Chinese or Pizza. <- Guilty
-Current Training- Gym 3-4 days/week. Med weight/Med Reps.
-Testes ache, ever, with a fever? - Only once have I had a noticeable pain in the left testicle. Recently.
-Morning/Night wood - Yes. Fully operational. No changes that I am aware of.
After initial blood work, it was apparent I had low Test. I had my blood checked at in the am, to see if there was an increase. Meantime I was prescribed Androgel 1.62%. 2 pumps for 1 month, did not help. 6 weeks at 3 pumps and nothing.
Updated...
Went to a Urologist and got more blood done. Im waiting on that now. Though the doc wants me to get 14 testopel's in my ass. I am not sold on that idea so far. I have 3 weeks before that can happen anyways.
I am more for personal injections. Not sure how to arrange it, and have the doc on board.
Male
34
5-11
215
Body Fat 26%
BMI 29.98
Here are my results so far...
10/01/14 3:11pm
TEST 229
10/03/14 7:50am
Test 303
Test Free 7.54
%Free Test 2.49
HGB 42.9
HCT 15.2
11/10/14 7:50am
Test 281
Test Free 7.11
%Free Test 2.53
HGB 15.2
HCT 44.4
What would you do?
Is there anything I should ask my doctor?
What are my options?
What other prescriptions should I be open to for T Replacement/Supplementation?
Is an E blocker needed?
I read about Testicle shrinkage, what should I be taking if this occurs?
Is there any other blood work that I may be missing, or need to follow?
At what point should I seek help elsewhere?
From my research and understanding... I would like to think 700-900 on the T levels would ideal. I am open to all responses and treatments. Supplements, vitamins, herbal and mineral included. Even though I work out 3-4 times a week and eat a healthy diet, I feel like I am fighting a losing battle.
I know this may be a loaded Post, I feel that I can only get the best answers from the men and women that have tackled Test, Energy, Libido and Growth issues that we live with today.
-Sex- Male
-Age- 34
-Height- 5'-11
-Waist- 38
-Weight- 215-220
-Body Type- Endomorph
-Body and Facial hair - Forearms, thy and legs, average.
-Fat placement, and changes- Blessed with equal fat distribution. Gut and love handles increased in last 24 months.
-Health conditions, Symptoms [history]- Low Testosterone. Fatigue, Decreased libido, Concentration and Sleeplessness. Feel powerless, drained and hollow at gym, compared to what I know I can , should and have done. No depression initially, though I do feel a bit low or moody at times due to my inability to perform at the level I should be able to.
-Rx and OTC drugs, Other - Multivitamin, Vit D w/minerals, Glucosamine and Chondroitin and Provigil -Modafinal-
Prescribed Provigil to help Shift Work Disorder and Fatigue during long days and long drives.
Stopped all Protein, Creatine and Pre-Workout Supps to give tests a solid baseline. Reduced alcohol to 3 beers/week tops.
-Lab Results with ranges
Labs being updated
10/01/14 3:11pm
Testosterone
TESTOSTERONE 348-1197 ng/dL 229
Thyroid Cascade
TSH 0.27-4.20 mcU/mL 1.28
Comprehensive Metabolic Panel
POTASSIUM 3.5-5.5 mmol/L 4.0
SODIUM 133-145 mmol/L 140
CHLORIDE 98-110 mmol/L 103
Glucose 65-99 mg/dL 100
CALCIUM 8.4-10.4 mg/dL 9.4
ALBUMIN 3.5-5.0 g/dL 4.8
SGPT (ALT) 5-40 U/L 51
SGOT (AST) 10-37 U/L 30
BILIRUBIN TOTAL 0.2-1.2 mg/dL 0.3
Alkaline Phosphatase 25-115 U/L 105
BUN 6-22 mg/dL 19
CO2 20-32 mmol/L 22
CREATININE 0.5-1.2 mg/dL 1.1
eGFR African American >60.0 >60.0
GLOBULIN SERUM 2.0-4.0 g/dL 2.3
A/G RATIO 1.1-2.6 ratio 2.1
TOTAL PROTEIN 6.4-8.3 g/dL 7.1
ANION GAP 15.4
CBC W/Differential
WBC x 10*3 4.0-11.0 K/uL 6.2
RBC x 10*6 3.80-5.80 M/uL 5.35
HGB 13.2-17.3 g/dL 15.2
HCT 36.6-51.9 % 42.9
MCV 80-95 fL 80
MCH 26-34 pg 28
MCHC 32-36 g/dL 35
RDW 10.0-16.0 % 13.4
PLATELET 140-440 K/uL 220
MPV 6.0-10.8 fL 10.9
SEGMENTED NEUTROPHILS 40-75 % 60
LYMPHOCYTES 27-45 % 29
MONOCYTES 3-9 % 11
EOSINOPHIL 0-6 % 1
BASOPHILS 0-2 % 1
ABSOLUTE NEUTROPHILS 1.8-7.7 K/uL 3.7
ABSOLUTE LYMPHOCYTES 1.0-4.8 K/uL 1.8
ABSOLUTE MONOCYTE COUNT 0.1-0.9 K/uL 0.7
ABSOLUTE EOSINOPHIL 0.0-0.5 K/uL 0.0
ABSOLUTE BASOPHIL COUNT 0.0-0.2 K/uL 0.0
10/03/14 7:50am
TESTOSTERONE,FREE AND TOTAL
Testosterone 348 - 1197 ng/dL 303
Testosterone Free 5.00 - 21.00 ng/dL 7.54
%Free Testosterone 1.50 - 4.20 % 2.49
11/10/14 7:50am
TESTOSTERONE,FREE AND TOTAL
Testosterone 348 - 1197 ng/dL 281
Testosterone Free 5.00 - 21.00 ng/dL 7.11
%Free Testosterone 1.50 - 4.20 % 2.53
H&H
HGB 13.2-17.3 g/dL 15.2
HCT 36.6-51.9 % 44.4
PSA SCREEN
PSA SCREEN <=1.400 ng/mL 0.866
1/12/15 8:45am
TESTOSTERONE,FREE AND TOTAL
Testosterone 348 - 1197 ng/dL 277
Testosterone Free 5.00 - 21.00 ng/dL 4.68
%Free Testosterone 1.50 - 4.20 % 1.69
H&H
HGB 13.2-17.3 g/dL 14.8
HCT 36.6-51.9 % 43.4
Hepatic Function Panel
ALBUMIN 3.5-5.0 g/dL 4.1
TOTAL PROTEIN 6.4-8.3 g/dL 6.7
GLOBULIN SERUM 2.0-4.0 g/dL 2.6
A/G RATIO 1.1-2.6 ratio 1.6
BILIRUBIN TOTAL 0.2-1.2 mg/dL <0.1
BILIRUBIN DIRECT 0.0-0.3 mg/dL <0.2
SGOT (AST) 10-37 U/L 28
Alkaline Phosphatase 25-115 U/L 118
SGPT (ALT) 5-40 U/L 36
1/16/2015
ESTRADIOL 8-43 ng/L 15
CORTISOL 6.49
DHEA Sulfate 138.5 - 475.2 ug/dL 152.5
-Diet-
4-5 days a week.
Meal 1 - 4:30-5:30am
2-3 Eggs with Plain oats, Cream of Wheat or Grits.
1 pint of 2% Milk
Snack 1 - 10:00am While Working
Apple or Orange
Meal 3 - Noon Lunch Break
1 Bag of BBQ Baked Chips <-guilty
2-3 Hard boiled eggs
Snack 2 - 4:00pm In Car
Apple or Orange
Snack 3 - 5:00pm
1 can of Tuna fish or Fruit Smoothy -Frozen berrys and water-
or
1-2 Hard boiled eggs
Meal 3 - 7:00-8:00pm 50%
Home cooked meal, boneless meat and veggies
or
Mom and Pop Diner, Chain Restaurant, Take out Chinese or Pizza. <- Guilty
-Current Training- Gym 3-4 days/week. Med weight/Med Reps.
-Testes ache, ever, with a fever? - Only once have I had a noticeable pain in the left testicle. Recently.
-Morning/Night wood - Yes. Fully operational. No changes that I am aware of.
