Hi all
Based on the excellent stickies and some feedback in another thread, I went and got full labs. They are below, and I'm wondering what folks thoughts are in terms of HRT and/or supplements.
My Doctor's comments are "normal/unremarkable (FSH just 0.1 < reference range...Creatinine just 0.04 < reference range, resulting in elevated BUN/Creatinine ratio)". But advice I am seeing on places like LEF state I want to be in the upper third of the T ranges, which would be double what I have for free and for bioavailable. My FSH being below reference worries me also. Also, my free has been low for a while and even below the reference range.
My below-ref Creatinine sticks out a bit also. Since I have been most-vegetarian I associate that mostly with my diet. I suppose I could look at hitting the gym or swimming to increase my upper body muscle mass as well (my legs do all the work for running and biking :).
Background on me....
Age 43, Weight 166, Height 5'10", BMI (from tanita scale) 16%
I have realized my energy levels have been generally low for a while (though I get a good amount of exercise and feel fit). I also feel my excitement for life in general feels low (including libido). I tested with low T levels in the past a couple years ago, tried AndroGel for a couple months but didn't stick with it because the Cyalis seemed to be working fine :/.
I do feel athletically I am ok, certainly when compared to the couch potato I was ten years go. I don't "train" or spend much gym time, but I do run, mountain bike, and occasional whitewater kayak 2-4 times a week. I do trail, mountain bike, and adventure races and actually podium fairly often in my age group on the trail runs (which still surprises me each time :).
My diet since early 2009 is mostly vegetarian and fish, with occasional meat when dining out. Note I went in for my first T test near the end of the same year I went most-vegetarian so I do wonder about my diet. If I need to add more meat for my health I am willing to do so.
Thoughts?
Thanks,
d
Lab results (updated 11/9)...
Date Testoterone
SerumTestoterone
Serum RangeTestosterone
Free (Direct)Testosterone, % Free & Weakly Bound Testosterone, Free & Weakly Bound Estradiol Estradio, Sensitive SHBG,
SerumFSH LH DHT Creatinine,
SerumTSH T3, Free ACTH T4 T4, Free IGF-1 Prolactin Cortisol - AM PSA Serum DHEA Vitamin D Zinc, Serum Protein
Total
SerumTotal
CholesterolHDL LDL Cholesterol Triglycerides VLDL
CholesterolTC/HDL Hemoglobin Glucose BP-systolic BP-diastolic Pulse Body Fat
(15-21)BMI Weight 6.8-21.5 pg/ml 9.0-46.0 40.0-250.0 7.6-42.6 3-70 pg/mL 16.5-55.9 1.5-12.4 1.7-8.6 none? 0.76-1.27 0.45-4.5 2.0-4.4 pg/ml 7.2-63.3 pg/ml 4.5-12.0 ug/dl 0.82-1.77 ng/dl 64-210 ng/ml 4.0-15.2 6.2-19.4 0-4 ng/ml 32-100 ng/ml 70-150 ug/dl 6.0-8.5 100-199 mg/dl >39 mg/dl 0-99 mg/dl 0-149 mg/dl 5-40 mg/dl 11/9/12 7 3.2 18.7 4.5 1.05 140 10/9/12 525 348-1197 10.1 16.6 87.1 19.6 44.9 1.4 2.6 59 0.72 0.989 8 15 0.7 ? 45.5 80 (56-134) 172 59 94 93 19 116 67 8/3/11 541 249-836 7.8 0.808 58.7 116 (70-150) 6.4 128 50 70 41 8 10/4/10 0.79 0.464 43.5 6.9 4/2/10 453 280-800 5.8 12/20/09 (on androgel) 510 280-800 8.6 0.9 - 186 55 110 104 21 10/15/09 388 241-827 9.4
Supplements: My current vitamin supplements are multi, fish oil, and some extras to end up with the following daily totals. Not including food and many others are not listed of course.
Vitamin C 3,392 mg Manganese 8 mg Glucosamine HCI 3,350 mg Chondroitin 3,075 mg MSM 300 mg Vitamin D 2,800 IU Vitamin K 75 mcg Vitamin B6 50 mg Folate (B9, Folic Acid) 600 mcg Vitamin B12 1,100 mcg Calcium 1,700 mg Magneisum 100 mg Fish Oil Concentrate 4,000 mg Omega-3 (EPA, DHA, other) 2,300 mg EPA 2,000 mg DHA 300 mg Zinc (as Zinc Oxide) 55 mg
Vitamin E
240 IU Copper 2 mg