New Bloodwork. Follow Up To "25 Yr Old with Low T"

[yesman]

This is a follow up post to this thread: https://www.excelmale.com/forum/showthread.php?7142-25-year-old-with-low-T-symptoms-and-bloodwork

Thanks again to everyone who contributed to the previous thread. I am working with a new doctor and just received new lab results. I'm hoping I can receive additional advice/interpretation from this community prior to meeting again with my new doctor. I always like gathering input from more than one person.

Link to new bloodwork:http://imgur.com/a/jxcnZ

A little background...
I've been feeling noticeably different (Worse) for several months without an perceptible cause . Very low energy, no drive, loss of libido, disinterest and lack of focus, etc. Anyways, somehow I stumbled upon the symptoms of low testosterone and several aligned with my own symptoms. The first blood test indicated low T so I met with a new doctor and just received my results from a more comprehensive blood test. I am posting here to see if any members have more insight into what's going on with me a recommendations going forward. Again, I am following up with my doctor but thought it would be worthwhile to post here as well. Thanks!

 

[CoastWatcher]

You certainly are a candidate for intervention, but at your age it would be sensible to see if Clomid could restart your axis so as to keep you from undertaking TRT at this point, a life-long commitment. To that end, did your doctor order FSH to be run? Did I miss it? It's a foundational test, for someone considering testosterone replacement or Clomid therapy. He ran the incorrect estradiol test. Based on the ranges provided it seems the standard test was run; it is of no value in men. Going forward, to monitor estradiol, you need to make sure the sensitive (LC/MS,MS) assay is performed. The total estrogen is of no significance for men dealing with androgen issues. It isn't necessary for you to pay for it again. Iwould start supplementing Vitamin D now - do you live in a cold weather city?

Did your doctor mention your age and the possibility of using Clomid? How experienced is he/she with managing a Clomid protocol? Some questions to ask when you start discussing treatment options. Meanwhile here is a detailed thread from Dr. Justin Saya on that topic.

https://www.excelmale.com/forum/sho...rns-or-do-they-really-exist&highlight=Unicorn

 

[PAUL-E]

LH 2.5 1.7-8.6
TSH 1.88 0.45-4.5
T3 2.7 2.0-4.8
T4 1.0 0.8-1.7
DHEA 294 280-640
I see "low" LH but did not see FSH his DHEA is lower also. CoastWatcher what are your thoughts on adrenal fatigue if that was the case wouldn't his thyroid also be out of whack?

 

[yesman]

LH 2.5 1.7-8.6
TSH 1.88 0.45-4.5
T3 2.7 2.0-4.8
T4 1.0 0.8-1.7
DHEA 294 280-640
I see "low" LH but did not see FSH his DHEA is lower also. CoastWatcher what are your thoughts on adrenal fatigue if that was the case wouldn't his thyroid also be out of whack?

It looks like FSH wasn't tested for this time. Here's a link to bloods from about a month ago: http://m.imgur.com/ht6Lj2M
FSH 2.1 1.5-12.4

 

[yesman]

You certainly are a candidate for intervention, but at your age it would be sensible to see if Clomid could restart your axis so as to keep you from undertaking TRT at this point, a life-long commitment. To that end, did your doctor order FSH to be run? Did I miss it? It's a foundational test, for someone considering testosterone replacement or Clomid therapy. He ran the incorrect estradiol test. Based on the ranges provided it seems the standard test was run; it is of no value in men. Going forward, to monitor estradiol, you need to make sure the sensitive (LC/MS,MS) assay is performed. The total estrogen is of no significance for men dealing with androgen issues. It isn't necessary for you to pay for it again. Iwould start supplementing Vitamin D now - do you live in a cold weather city?

Did your doctor mention your age and the possibility of using Clomid? How experienced is he/she with managing a Clomid protocol? Some questions to ask when you start discussing treatment options. Meanwhile here is a detailed thread from Dr. Justin Saya on that topic.

https://www.excelmale.com/forum/sho...rns-or-do-they-really-exist&highlight=Unicorn

Thanks for the great info. I've seen a Clomid restart program mentioned several times on this site and it sounds like the best option going forward. I actually live in Arizona so I am exposed to plenty of sun and eat foods with vitamin D so I was surprised when I saw my Vit D result was so low.