Please help me with my bloods ... Low E2, Low T, High Prolactin & Cortisol

[InternalFire]

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[kelkel]

I'd have to see more thyroid numbers before I'd make the leap to hypothyroidism. You're TSH is not bad and your T4 is lower. This can be indicative of subclinical hypo but I would not think beyond that with the numbers provided. Hypothyroidism can elevate prolactin though.

When it comes to a possible adenoma, sure it's possible and you'd need an MRI to rule this out. A prolactinoma can elevate prolactin (obviously) and thus lower LH/FSH values resulting in low T. Non-prolactin secreting adenoma's can also elevate prolactin.

Bit short on time but will check back.

[InternalFire]

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[Mr.BB]

Kel is spot on as ussual.

Was cheking your other thread and you were mentioning nicotine pills, nicotine and smoking can also be associated with low T, just some food for thought.

Also, agree that 5 pills of dbol might not really do much.

At your age low T ussually has a clinical explanation, sometimes can be hard to find it but you should try to find and fix it, if not you can try the TRT path which is no sea of tranquility for most.

[InternalFire]

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[InternalFire]

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[kelkel]

Head or testicular trauma can impact T production. Normally head trauma / pituitary issues would be indicated by low LH/FSH values and thus low T. Testicular issues can be indicated by elevated LH/FSH levels yet still, low T.

Guys always tend to think hypogonadism is either primary or secondary. In reality it can be a combination of both, or simply idiopathic.

[InternalFire]

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[InternalFire]

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[Mr.BB]

Forget about this doc, he doesnt know better or doesnt want to help you.

How could he say your prolactin value is normal is too weird.

[xLoganx]

Yeah.. I don't have .0000025% of the knowledge of Mr.BB and Kelkel, but I can tell you the same thing to dump the GP. Most of them aren't well equipped to deal with HRT. I had a buddy that just got his labs pulled the other day by LabCorp and his GP told him that 180ng Total Test and 1.8ng Free Test is normal. Went on to tell him that he just needs to exercise more and take a multivitamin!! NO JOKE!! I had a similar experience with my own GP before I dumped him too. Cheers and good luck!

[InternalFire]

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[Mr.BB]

Find a urologist, many times is better than endo. Endos main subject is diabetes.

[bigdil511]

Find a urologist, many times is better than endo. Endos main subject is diabetes.

I personally had no luck with any doc, the gp let me self inject but wouldn't check my labs and had absolutely 0 knowledge. They thought the only test dose was 100mg or 200mg because that's how it comes in the vial.

[InternalFire]

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[kelkel]

Kelkel? Any more review input from you suggesting my possible diagnosis/causes? Thanks

Nothing more than what we already spoke of. Agree with BB that you need to find another doc and get to the bottom of it. Also agree with a Uro over and Endo. Highly unlikely that it's idiopathic so let's see how your upcoming BW comes out..