Thoughts / Advice on bloodwork

[Trilko]

Hi all,

As a little background .... I've been struggling quite heavily over the past 3/4 years with elements of low mood/depression, fatigue, lack of energy, low libido etc. To be honest, just not feeling myself. Have always put it down to mental issues and just aspects of life but thought i may as well get checked physically to rule anything out. Results attached from yesterday.

Admittedly, i'm still fairly new to doing my own research into the detail so thought i would also reach out for some opinions and potentially advice on how i could improve across a few areas from peoples experiences.

As an FYI my Albumin was also 46 (Got from a finger prick)

Any advice would be welcome

 

[Cataceous]

With the caveat that your results are hard to read due to low resolution, it appears that Vermeulen calculated free testosterone is about 11 ng/dL. This is not really into hypogonadal territory. On the other hand, having prolactin near top-of-range can be problematic. If your health and lifestyle are otherwise good then you could run a trial with low doses of cabergoline to see if that ameliorates your symptoms. You'd be looking to push prolactin down to 100-200 mIU/L. Starting doses for cabergoline would be 50-100 µg twice a week. Because prolactin also opposes the HPTA it's possible you'd see improvements in testosterone. More aggressive doctors might order an MRI to rule out blatant pituitary abnormalities. But these are less likely unless prolactin is considerably out-of-range.