Seeking advice

[davsey27]

Hello everyone I got my lab results back recently and was wondering if anyone here

can recommend something based on these results that will help with energy

levels,brainfog and drive in life which i seem to be lacking.With the llow shbg my t

levels don't seem to be terribly low however i do have symptoms which may or may not

be related to testosterone as dhea-s is low-normal as well as dht.I am 32 and met with

a anti-aging doc here in atlanta who says that i am too young to be shutting down

natural production with these levels.He reccomended 25 mg dhea-s(which i think is \

rather high) as well as 20 mg of zinc and omega 3.Any advice on how i can optimize

energy levels with these numbers would be great appreciated.Resistance training tends

to wear me down despite adequate carbohydrate,protein and fat intake.I stopped

weight training months ago and the only exercise i do and seem tolerate is chopping

wood,a set of pullups every other day or couple times a week and table tennis which i enjoy.

LDH 221 IU/L 121-224 MB
AST (SGOT) 36 IU/L 0-40 MB
ALT (SGPT) 28 IU/L 0-44 MB
Iron 138 ug/dL 38-169 MB
Cholesterol, Total 148 mg/dL 100-199 MB
Triglycerides 111 mg/dL 0-149 MB
HDL Cholesterol 46 mg/dL >39 MB
VLDL Cholesterol Cal 22 mg/dL 5-40 MB
LDL Cholesterol Calc 80 mg/dL 0-99 MB

WBC 7.4 x10E3/uL 3.4-10.8 MB
RBC 5.43 x10E6/uL 4.14-5.80 MB
Hemoglobin 16.1 g/dL 13.0-17.7 MB
Hematocrit 46.0 % 37.5-51.0 MB
MCV 85 fL 79-97 MB
MCH 29.7 pg 26.6-33.0 MB
MCHC 35.0 g/dL 31.5-35.7 MB
RDW 13.8 % 12.3-15.4 MB
Platelets 226 x10E3/uL 150-379 MB
Neutrophils 41 % Not Estab. MB
Lymphs 47 % Not Estab. MB
Monocytes 9 % Not Estab. MB
Eos 3 % Not Estab. MB
Basos 0 % Not Estab. MB
Immature Cells MB
Neutrophils (Absolute) 3.1 x10E3/uL 1.4-7.0 MB
Lymphs (Absolute) 3.4 High x10E3/uL 0.7-3.1 MB
Monocytes(Absolute) 0.7 x10E3/uL 0.1-0.9 MB
Eos (Absolute) 0.2 x10E3/uL 0.0-0.4 MB
Baso (Absolute) 0.0 x10E3/uL 0.0-0.2 MB
This document contains private and confidential health information protected by state and
federal law. If you have received this document in error, please call 800-208-3444.
LIFE EXTENSION / NATIONAL DIAGNOSTICS, INC
FINAL REPORT
4/2/2018 11:58:25 AM
p:2 of 4
087-059-1937-0 638338 TESHOME, SEYOUM TESHOME, SEYOUM - ID#: 638338
Tests Result Flag Units Reference Interval Lab
CMP14+LP+4AC+CBC/D/Plt 087-059-1937-0
Immature Granulocytes 0 % Not Estab. MB
Immature Grans (Abs) 0.0 x10E3/uL 0.0-0.1 MB
NRBC MB
Hematology Comments: MB
Testosterone, Serum 518 ng/dL 264-916 MB
Free Testosterone(Direct) 11.6 pg/mL 8.7-25.1 BN
Pregnenolone, MS 65 ng/dL ES
Reference Range:
Adults: <151

Dihydrotestosterone 44 ng/dL ES
Reference Range:
Adult Male: 30 - 85
Thyroxine (T4) Free, Direct, S 087-059-1937-0
T4,Free(Direct) 1.19 ng/dL 0.82-1.77 MB
DHEA-Sulfate 087-059-1937-0
DHEA-Sulfate 249.1 ug/dL 138.5-475.2 MB
Cortisol 087-059-1937-0
Cortisol 12.4 ug/dL MB
Cortisol AM 6.2 - 19.4
Cortisol PM 2.3 - 11.9
TSH 087-059-1937-0
TSH 2.820 uIU/mL 0.450-4.500 MB
Estradiol 087-059-1937-0
Estradiol 28.4 pg/mL 7.6-42.6 MB
Prostate Specific Ag, Serum 0.3 ng/mL 0.0-4.0 MB
Triiodothyronine,Free,Serum 087-059-1937-0
Triiodothyronine,Free,Serum 3.8 pg/mL 2.0-4.4 MB
Sex Horm Binding Glob, Serum 23.7 nmol/L 16.5-55.9 MB

 

[Systemlord]

Thyroid labs are incomplete, you need fT3 tested as low fT3 can cause low energy levels, fat gain and brain fog. This is the free thyroid hormone and this result might explain why TSH is climbing, this would be the same as only measuring TT without regard for free T. A TSH of 2.8 is a thyroid in trouble not yet reaching the "disease status" when most doctors begin to act.

Free T is 13.3 ng/dL = 2.56 %, 2-3 percent is considered normal.

 

[davsey27]

Thyroid labs are incomplete, you need fT3 tested as low fT3 can cause low energy levels, fat gain and brain fog. This is the free thyroid hormone and this result might explain why TSH is climbing, this would be the same as only measuring TT without regard for free T. A TSH of 2.8 is a thyroid in trouble not yet reaching the "disease status" when most doctors begin to act.

Free T is 13.3 ng/dL = 2.56 %, 2-3 percent is considered normal.

Appreciate your input systemlord

(T3)Triiodothyronine,Free serum is 3.8 pg/ml 2.0-4.4 mb

I also got a thyroid panel done about a month ago

TSH 1.33 (0.5-5)
FT4 1.02 (.7-1.8)
fT3 3.3 (2.0-4.4)

 

[Systemlord]

Those tests a month ago are invalid, your new labs indicate a radical shift in TSH. You cannot add an old result to the current labs.

 

[Systemlord]

Your pituitary gland increases TSH whenever it senses thyroid hormones are lacking, you have two radically different TSH scores only a month apart. I've seen this before in other guys with thyroid issues, their TSH scores change drastically from one week to the next.

TSH should not be changing much from day to day, it should remain relatively the same. You may not know it right now but this is the reason you're here.

Your testosterone levels are not terrible slightly below average for your age group, but I believe the cause of your problems is your thyroid.

You could possibly improve your testosterone production if you can get this thyroid under control.

 

[davsey27]

Your pituitary gland increases TSH whenever it senses thyroid hormones are lacking, you have two radically different TSH scores only a month apart. I've seen this before in other guys with thyroid issues, their TSH scores change drastically from one week to the next.

TSH should not be changing much from day to day, it should remain relatively the same. You may not know it right now but this is the reason you're here.

Your testosterone levels are not terrible slightly below average for your age group, but I believe the cause of your problems is your thyroid.

You could possibly improve your testosterone production if you can get this thyroid under control.

Thanks Systemlord

Any advice on where to go from here?

 

[Systemlord]

Thanks Systemlord

Any advice on where to go from here?

You need a doctor that truly understands thyroid disorders, they are few and far between. Most insurance doctors play by these ridiculous outdated ranges that are too wide, it saves a ton on healthcare costs though. Defy Medical is the first that comes to mind, no travel necessary.