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Thread: Fat and impotent (bloodwork advice)

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    Doyaevenliftlol is offline New Member
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    Fat and impotent (bloodwork advice)

    I'm posting this here and any other forums desperately hoping that there is someone with some obscure knowledge about bloodwork that can help me at all. Here's my background:

    I was lean my whole life. I've always been an athlete and had no problem losing weight or getting a six pack - in fact it was really easy for me. During the summer when I was 22, I gained about 35-40lbs of fat with no change in diet or exercise in only a few months. Needless to say, I was beyond baffled. I went straight to the doctor and he was no help at all. In fact, he didn't care at all about my problem. I changed doctors so I could get a huge panel done but came up with nothing. As more months go by, I start losing erection quality and libido. My morning erections had vanished by 23! Once again, I went to the doctor and they acted like I was insane or stupid. I even went as far as to see an Endo which turned up nothing as well.
    I'm now 31 and for the past 9 years, I've been dealing with being fat and completely impotent. I haven't had a morning erection even once since then. Considering that I have no quality of life, I've very seriously been considering steroids like tren . So now for my question: does anyone have any insight into rare bloodwork that they could be over looking? Here is a list of tests from my last workup with all normal results:

    TSH, T4,FREE, FSH, LH, COMPREHENSIVE METABOLIC PANEL W/EGF, DHEA SULFATE, HEMOGLOBIN A1C, PROLACTIN, T3,TOTAL, IGF-I,LC/MS, 17-OH-PROGESTERONE,LC/MS/MS, ANDROSTENEDIONE,LC/MS/MS, TESTOSTERONE ,FREE (DIALYSIS) AND TO, CORTISOL,A.M.

    Now here are tests that people have suggested to me that I've never had done:

    regular progesterone
    DHT alongside 3a-diol-g
    reverse t3
    ferritin

    Someone suggested that I may have low androgen sensitivity too but I have no idea how they test for that.

    I should also add that I've never taken steroids or any other exogenous hormones. Also, my fat distribution is very even. I have a lot of glute and thigh fat which is unusual for a guy but I've had my E2 tested and it's normal. I'm completely desperate so I'll take any advice on suggested bloodwork. Thanks!

  2. #2
    songdog's Avatar
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    You need to get a new doctor you could have low T and steroids isn't your answer bro.Now if you got a copy of your blood work someone like Kel could help you if you can post it.

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    ryobi1 is offline Associate Member
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    I agree with songdog, thyroid could be a problem,
    I would think something to do with hormones for sure,
    ED can be psychosymatic, but the weight gain needs
    investigating

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    Doyaevenliftlol is offline New Member
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    Guys, thank you for giving a shit! Usually, when I ask anyone about it, they just start talking about calories. I'm not a moron. I understand energy balance. Also, I really think the erection problems are somehow related to all of this. I haven't had a decent boner in almost ten years. Before this all happened I used to get them in public like when I was driving my car and stuff. Some months go by and I have a broken dong.
    It's really hard to explain to people when you are eating a reasonably reduced calorie diet and busting your ass in the gym and you see ZERO results, everyone thinks you're lying. Anyway, here are my last lab tests from January. I will be going to the doctor on the last day of July and I'm hoping to find some new tests to request. At my last visit, they actually showed some remorse and apologized for not being able to do anything for me so I think they are willing to listen.

    CORTISOL AM 85.4
    Reference range:
    4.0-22.0
    MCG/D

    DHEA sulfate 228
    Reference Range:
    106-464
    (MCG/DL)

    PROLACTIN 8.5
    Reference Range:
    2.0-18.0
    (NG/ML)

    T3,TOTAL 126
    Reference Range:
    76-181
    (NG/DL)

    FSH 3.4
    Reference Range:
    1.6-8.0
    (MIU/ML)

    LH 3.6
    Reference Range:
    1.5-9.3
    (MIU/ML)

    TSH 1.39
    Reference Range:
    0.40-4.50 (miU/L)

    T4Free 1.4
    Reference Range:
    0.8-1.8
    (NG/DL)

    IGF-I,LC/MS 319
    Reference Range:
    53-331
    (ng/mL)

    17-OH-PROGESTERONE,LC/MS/MS 87
    Reference Range:
    42-196
    (ng/dL)

    ANDROSTENEDIONE,LC/MS/MS 134

    Reference Range:
    40-190
    (ng/dL)

    TESTOSTERONE ,TOTAL,LC/MS/MS 480
    Reference Range:
    250-1100
    (ng/dL)

    TESTOSTERONE,FREE 85.4
    Reference Range:
    35.0-155.0
    (pg/mL)

    If there are any other results you guys wanna see, I could probably provide them. Every test I've ever had has been in range.

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    Obspowerstroke's Avatar
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    Damn your cortisol is high! Is that a typo?
    What is your estimated bodyfat %?
    Last edited by Obspowerstroke; 07-22-2017 at 11:27 PM.

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    bizzarro's Avatar
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    Quote Originally Posted by Doyaevenliftlol View Post
    Someone suggested that I may have low androgen sensitivity too but I have no idea how they test for that.
    You are usually born with that, it's not like it develops at random points.

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    Doyaevenliftlol is offline New Member
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    Quote Originally Posted by Obspowerstroke View Post
    Damn your cortisol is high! Is that a typo?
    What is your estimated bodyfat %?

    My bad, haha. It's definitely a typo! the range is 35-155 so it's actually pretty good. My bodyfat is about 31-32%. I was recently at 2,100 calories and now I'm at 1,900 on a high frequency full body program. It's volume equated so the volume isn't crazy or anything but still somewhat high. I'm also taking the Bayesian Bodybuilding PT course starting September 1st and I'm hoping that will give me more insight into what's going on in my body because there is a huge section in the course about fat loss.
    Some people say to increase the calories but I think "metabolic damage" is total bullshit. Plus, I've tried that and it didn't work. Everyone else eats less and loses weight so it seems pretty obvious that something is wrong. Hopefully they will find something at my next doctor visit in a week.

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    Doyaevenliftlol is offline New Member
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    Yeah, I was just reading about it. You're right and that's definitely not the problem.

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    Obspowerstroke's Avatar
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    Quote Originally Posted by Doyaevenliftlol View Post
    My bad, haha. It's definitely a typo! the range is 35-155 so it's actually pretty good. My bodyfat is about 31-32%. I was recently at 2,100 calories and now I'm at 1,900 on a high frequency full body program. It's volume equated so the volume isn't crazy or anything but still somewhat high. I'm also taking the Bayesian Bodybuilding PT course starting September 1st and I'm hoping that will give me more insight into what's going on in my body because there is a huge section in the course about fat loss.
    Some people say to increase the calories but I think "metabolic damage" is total bullshit. Plus, I've tried that and it didn't work. Everyone else eats less and loses weight so it seems pretty obvious that something is wrong. Hopefully they will find something at my next doctor visit in a week.
    No, at mcg/dl the range is 4.0-22 or 23.
    If your blood has 85.4 mcg/dl
    You have the cortisol level of someone being tortured.

  10. #10
    Chicagotarsier is offline Senior Member
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    got any non hormone panel bloodwork

    also post your estrogen

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    Marcus G's Avatar
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    Quote Originally Posted by Doyaevenliftlol View Post
    I'm posting this here and any other forums desperately hoping that there is someone with some obscure knowledge about bloodwork that can help me at all. Here's my background:

    I was lean my whole life. I've always been an athlete and had no problem losing weight or getting a six pack - in fact it was really easy for me. During the summer when I was 22, I gained about 35-40lbs of fat with no change in diet or exercise in only a few months. Needless to say, I was beyond baffled. I went straight to the doctor and he was no help at all. In fact, he didn't care at all about my problem. I changed doctors so I could get a huge panel done but came up with nothing. As more months go by, I start losing erection quality and libido. My morning erections had vanished by 23! Once again, I went to the doctor and they acted like I was insane or stupid. I even went as far as to see an Endo which turned up nothing as well.
    I'm now 31 and for the past 9 years, I've been dealing with being fat and completely impotent. I haven't had a morning erection even once since then. Considering that I have no quality of life, I've very seriously been considering steroids like tren . So now for my question: does anyone have any insight into rare bloodwork that they could be over looking? Here is a list of tests from my last workup with all normal results:

    TSH, T4,FREE, FSH, LH, COMPREHENSIVE METABOLIC PANEL W/EGF, DHEA SULFATE, HEMOGLOBIN A1C, PROLACTIN, T3,TOTAL, IGF-I,LC/MS, 17-OH-PROGESTERONE,LC/MS/MS, ANDROSTENEDIONE,LC/MS/MS, TESTOSTERONE ,FREE (DIALYSIS) AND TO, CORTISOL,A.M.

    Now here are tests that people have suggested to me that I've never had done:

    regular progesterone
    DHT alongside 3a-diol-g
    reverse t3
    ferritin

    Someone suggested that I may have low androgen sensitivity too but I have no idea how they test for that.

    I should also add that I've never taken steroids or any other exogenous hormones. Also, my fat distribution is very even. I have a lot of glute and thigh fat which is unusual for a guy but I've had my E2 tested and it's normal. I'm completely desperate so I'll take any advice on suggested bloodwork. Thanks!
    Because of your body fat % it'd be interesting to see estrogen levels...

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    bizzarro's Avatar
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    Quote Originally Posted by Obspowerstroke View Post
    No, at mcg/dl the range is 4.0-22 or 23.
    If your blood has 85.4 mcg/dl
    You have the cortisol level of someone being tortured.
    That would be almost diagnostic for cushing disease.

  13. #13
    Doyaevenliftlol is offline New Member
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    My AM cortisol is 18.2
    Reference range 4.0-22.0 MCG/DL

    My bad. The part with the cortisol on the report was in a weird place and I was looking at the wrong result. This one is finally correct. As far as my estrogen goes, I asked to have it tested a few years ago through a urologist because they don't generally do it. It came out normal but I don't have the results in front of me because they did it through some other lab. I can't check it on the Quest lab reports. I'm going to request it again.
    I was reading this:

    https://bayesianbodybuilding.com/bio...y-weight-loss/

    It's a pretty interesting look into various hormones and bodyfat distribution. The part about estrogen and progesterone cross-talk is particularly interesting. I have somewhat even bodyfat distribution. It doesn't seem particularly localized and I don't have a massive gut(relatively). Quite a bit of fat in my quads and glutes. I've never had bitch tits even though I'm pretty fat. I've always had a hard time gaining muscle too but I figured that is somewhat genetic. It's a complete fucking conundrum anyway because if I increase my calories at all, my body becomes a complete mess.

    I'm going to post the non-hormone results when I get home. I know that my vitamin D was low on one of them but I've since corrected it.

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    Doyaevenliftlol is offline New Member
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    Chicagotarsier, I think these are the tests you're talking about. but I'll be getting estrogen done at the end of this month:




    COMPREHENSIVE METABOLIC PANEL W/EGFR
    SODIUM 142
    Reference Range:
    135-146
    (MMOL/L)
    POTASSIUM 4.6
    Reference Range:
    3.5-5.3
    (MMOL/L)
    CHLORIDE 105
    Reference Range:
    98-110
    (MMOL/L)
    CARBON DIOXIDE 30
    Reference Range:
    20-31
    (MMOL/L)
    CALCIUM 10
    Reference Range:
    8.6-10.3
    (MG/DL)
    ALKALINE PHOSPHATASE 61
    Reference Range:
    40-115
    (U/L)
    AST 20
    Reference Range:
    10-40
    (U/L)
    ALT 33
    Reference Range:
    9-46
    (U/L)
    BILIRUBIN,TOTAL 0.6
    Reference Range:
    0.2-1.2
    (MG/DL)
    GLUCOSE 89
    Reference Range:
    65-99
    (MG/DL)
    GLUCOSE
    REFERENCE
    RANGE
    BASED
    ON
    FASTING
    SPECIMEN.
    UREA NITROGEN 14
    Reference Range:
    7-25
    (MG/DL)
    CREATININE 1.10
    Reference Range:
    0.60-1.35
    (MG/DL)
    BUN/CREATININE RATIO 12.9
    Reference Range:
    6-22
    PROTEIN,TOTAL 6.9
    Reference Range:
    6.1-8.1
    (G/DL)
    ALBUMIN 4.6
    Reference Range:
    3.6-5.1
    (G/DL)
    GLOBULIN,CALCULATED 2.3
    Reference Range:
    1.9-3.7
    (G/DL)
    A/G RATIO 2.0
    Reference Range:
    1.0-2.5
    EGFR NON-AFR. AMERICAN 89
    Reference Range:
    > OR = 60
    (ML/MIN/1.73M2)
    EGFR AFRICAN AMERICAN 103
    Reference Range:
    > OR = 60
    (ML/MIN/1.73M2

    HEMOGLOBIN A1C 5.2
    Reference Range:
    0.0-5.6
    (%)

    As far as I understand. These tests show that I'm in perfect metabolic condition. That's why I'm desperate for new tests. Hopefully they think of something at this next visit...

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    Doyaevenliftlol is offline New Member
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    So lately, I've been very fascinated with Progesterone. As I was saying before, my bodyfat is NOT centralized into belly fat like most people who overeat/don't exercise. I have a very even body fat distribution. Looking back on my tests, I don't think I've ever had a progesterone test done. Only a 17-OH progesterone test. In that link that I posted two comments up, it says that Progesterone "Decentralizes fat storage, conditional on estrogen and cortisol concentrations". In other words, my body would not perceive estrogen or cortisol correctly because of incorrect receptor site binding and would, without a doubt cause a shit load of fat gain along with libido/erection problems. What do you guys think?
    This is the big one. I'm going to beg for this test if I have to.

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    Quote Originally Posted by Doyaevenliftlol View Post
    So lately, I've been very fascinated with Progesterone. As I was saying before, my bodyfat is NOT centralized into belly fat like most people who overeat/don't exercise. I have a very even body fat distribution. Looking back on my tests, I don't think I've ever had a progesterone test done. Only a 17-OH progesterone test. In that link that I posted two comments up, it says that Progesterone "Decentralizes fat storage, conditional on estrogen and cortisol concentrations". In other words, my body would not perceive estrogen or cortisol correctly because of incorrect receptor site binding and would, without a doubt cause a shit load of fat gain along with libido/erection problems. What do you guys think?
    This is the big one. I'm going to beg for this test if I have to.
    Most of progesterone in the male comes from the Testes.

    When I went on TRT, I had virtually no improvement in libido and erections, until I introduced a progestin (progesterone-like substance).

    What happened, is exogenous Test must have suppressed endogenous P4 output by shutting down the testes.

    But, your HPTA is intact. Why would you have a problem with progesterone?

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    Doyaevenliftlol is offline New Member
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    It sounds far fetched but I've been reading posts by young males with erection/libido problems on the net on various forums for a while and there were a few that said that they had high progesterone despite everything else being normal. They didn't seem to complain of weight gain though. It also seems to be a kind of freak occurrence. Then again, people are completely full of shit, haha.
    Obviously, this isn't the best guess but I think it's my best prospect right now.

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    I recall someone here having similar issues after a cycle and he developed high progesterone for unknown reasons.

    I don't recall the username or the thread so perhaps you might hit the search bar if your interested.

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    Doyaevenliftlol is offline New Member
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    Okay, I'm definitely gonna look for it. Thanks.

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    This is really an interesting situation. Please post your test results.

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    How is your HDL-C, Triglycerides and glucose? I ask as (to me) it seems like metabolic syndrome / type 2 diabetes is a possibility. Nothing else jumps out at me.
    -*- NO SOURCE CHECKS -*-

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    Doyaevenliftlol is offline New Member
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    Quote Originally Posted by kelkel View Post
    How is your HDL-C, Triglycerides and glucose? I ask as (to me) it seems like metabolic syndrome / type 2 diabetes is a possibility. Nothing else jumps out at me.
    Glucose is 89
    reference Range:
    65-99
    (MG/DL

    HDL-C is 77
    Reference Range:
    > OR = 40
    (MG/DL)

    Triglycerides are 58
    Reference Range:
    <150
    (MG/DL)

    I did test positive for MTHFR gene mutation and high homocysteine but they are correlated and not really a huge concern.


    And Scotchguard02, I will definitely post my next test results as soon as they come in. They have to find something eventually. I'm really, really wondering about this progesterone now. I know it's extremely unusual to have high progesterone as a guy so I've never been tested but it fits the bill. Especially the non-centralized fat distribution. I used to think I had high estrogen because I have a bit of lower bodyfat but I had that tested and it came out normal. I don't remember what the actual value was though.
    Last edited by Doyaevenliftlol; 07-25-2017 at 04:10 PM.

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    Doyaevenliftlol is offline New Member
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    Does anyone know if Progesterone blood tests results and Progesterone 17-OH results depend on each other? In other words, If my 17-OH is normal, regular progesterone can still be pretty out of wack, right? From what I've read the values don't depend on each other but the information online is a bit confusing. I'll keep reading about it either way.

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    Quote Originally Posted by Doyaevenliftlol View Post
    Does anyone know if Progesterone blood tests results and Progesterone 17-OH results depend on each other? In other words, If my 17-OH is normal, regular progesterone can still be pretty out of wack, right? From what I've read the values don't depend on each other but the information online is a bit confusing. I'll keep reading about it either way.
    Nope. they don't. The only reason why 17-OH steroids are tested is to look for congenital adrenal hyperplasia.

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    Doyaevenliftlol is offline New Member
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    Well, that's good news then. Bizzarro, you sure seem to know a lot about this shit.

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    Doyaevenliftlol is offline New Member
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    I got my blood tests back. Nothing abnormal at all unfortunately. I asked him about other tests such as DHT, 3a-diol-g and Reverse T3 and he said he would like to send me to an Endo because they would know more about that stuff. I'm pretty disappointed because I've already seen an endo but I'm willing to try another opinion.




    SEX HORMONE BINDING GLOBULIN = 26
    Reference Range:
    10-50
    (NMOL/L)

    FSH = 3.4
    Reference Range:
    1.6-8.0
    (MIU/ML)

    LH = 2.7
    Reference Range:
    1.5-9.3
    (MIU/ML)

    PROGESTERONE = 0.7
    Reference Range:
    <1.4
    (NG/ML)


    TESTOSTERONE ,TOTAL,LC/MS/MS = 611
    Reference Range:
    250-1100
    (ng/dL)


    TESTOSTERONE,FREE = 130.8
    Reference Range:
    35.0-155.0
    (pg/mL)

    ESTRADIOL,ULTRASENSITIVE = 25
    Reference Range:
    < OR = 29
    (pg/mL)

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