Advice

[cantrellsp]

Good evening,

Read some of your post and wanted to hash some things out and get some thoughts. Ive been low for awhile now I just got tested a week ago and my total test was 287 drawn at 930am. I've been tested in the past at like 12-1 and the levels were 150. I have a prescription for test from the doctor, but really don't want to be on test for the next 30 years until I die. I am 5' 11" 220 probably 25% body fat. Im trim around 205-210. I feel alright most days. I am tired when I get off work, but who isn't and I go to the gym everyday either in the morning or on lunch break for a quick pump. My concerns have been my Libido lately. I used to think about ***** and get rock hard and I actually had a time where I was having sex in the middle and my dick went limp. I am 31 and don't feel like I should be having these problems. My wife is hot and I've had two kids. Ive heard having kids lower test as well. I was on for about 6 months and decided I didnt want to do it anymore and my levels went back to 287 with no PCT or anything. I am not sure if its psychological or my test is just running low. just needing some thoughts on this. Thanks

[cantrellsp]

TESTOSTERONE
Mar-22- 2016 09:39:00
287.6
ng/dL
300.0 - 781.0
L
Panel Description: CBC
WBC
Mar-22- 2016 09:39:00
5.5
K/uL
4.1 - 10.9
LYM%
Mar-22- 2016 09:39:00
31.9
%
20.0 - 45.0
MID%
Mar-22- 2016 09:39:00
6.5
%
1.0 - 10.0
GRAN%
LYM#
Mar-22- 2016 09:39:00
61.6
%
K/mL
45.0 - 75.0
Mar-22- 2016 09:39:00
1.7
1.0 - 4.0
MID#
Mar-22- 2016 09:39:00
0.4
K/mL
0.2 - 1.1
GRAN#
Mar-22- 2016 09:39:00
3.4
K/mL
2.0 - 7.7
RBC
Mar-22- 2016 09:39:00
5.43
M/uL
4.20 - 6.30
HGB
Mar-22- 2016 09:39:00
15.3
g/dL
12.0 - 18.0
HCT
Mar-22- 2016 09:39:00
45.1
%
37.0 - 51.0



Test Name
MCV
Date and Time
Measure
Units
fL
Reference Range
Abnormal Flag
Comments
Mar-22- 2016 09:39:00
83.1
80.0 - 97.0
MCH
Mar-22- 2016 09:39:00
28.1
pg
26.0 - 32.0
MCHC
Mar-22- 2016 09:39:00
33.8
g/dL
31.0 - 36.0
RDW
Mar-22- 2016 09:39:00
12.6
%
11.5 - 14.5
PLT
MPV
Mar-22- 2016 09:39:00
198.0
K/uL
fL
140.0 - 440.0
Mar-22- 2016 09:39:00
7.6
0.0 - 99.8
Panel Description: THYROID
TSH
Mar-22- 2016 09:39:00
1.31
uIU/mL
0.34 - 5.60
FREE T4
Mar-22- 2016 09:39:00
0.76
ng/dL
0.61 - 1.12
Panel Description: LIPID
CHOLESTEROL
Mar-22- 2016 09:39:00
187
mg/dL
5 - 200
HDL-DIRECT
Mar-22- 2016 09:39:00
36
mg/dL
29 - 71
TRIGLYCERIDES
Mar-22- 2016 09:39:00
226
mg/dL
35 - 160
H
VLDL
Mar-22- 2016 09:39:00
45.2
Calc.
7.0 - 32.0
H
CALCULATED LDL
Mar-22- 2016 09:39:00
106
mg/dL
1 - 150
Panel Description: CMP
SODIUM
Mar-22- 2016 09:39:00
140
mEq/L
136 - 143
Please note Reference Ranges were updated 04-28-2015.
POTASSIUM
Mar-22- 2016 09:39:00
4.4
mEq/L
3.5 - 4.7
Plasma results for Potassium run 0.1-0.4 mEq/L lower than Serum samples.
CHLORIDE
Mar-22- 2016 09:39:00
102
mEq/L
101 - 111
CO2
Mar-22- 2016
31
mEq/L
25 - 33

Test Name
Date and Time
Measure
Units
Reference Range
Abnormal Flag
Comments
09:39:00
ANION GAP
Mar-22- 2016 09:39:00
7.0
Calc.
5.0 - 12.0
GLUCOSE
Mar-22- 2016 09:39:00
92
mg/dL
70 - 115
BUN
Mar-22- 2016 09:39:00
18
mg/dL
7 - 21
CREATININE
Mar-22- 2016 09:39:00
1.0
mg/dL
0.6 - 1.3
B/C RATIO
Mar-22- 2016 09:39:00
18.0
Calc.
7.3 - 21.7
CALCIUM
Mar-22- 2016 09:39:00
9.7
mg/dL
9.0 - 10.6
TOTAL PROTEIN
Mar-22- 2016 09:39:00
7.8
g/dL
6.3 - 8.3
ALBUMIN
Mar-22- 2016 09:39:00
5.0
g/dL
3.6 - 5.2
GLOBULIN
Mar-22- 2016 09:39:00
2.8
Calc.
-
A/G RATIO
Mar-22- 2016 09:39:00
1.8
Calc.
0.9 - 1.6
H
TOTAL BILI
Mar-22- 2016 09:39:00
0.6
mg/dL
0.6 - 1.7
ALK PHOS
Mar-22- 2016 09:39:00
56
IU/L
30 - 105
AST
Mar-22- 2016 09:39:00
22
IU/L
13 - 42

[cantrellsp]

sorry it was long but posted results

[kelkel]

I don't see free T but odds are it's low as well, even if shbg is extremely low.
I don't see LH and FSH which are crucial to assessing BW. Maybe I missed them as the format is brutal, which is probably why guys did not respond.
TSH is good. T4 on lower end but not significant.
I don't see prolactin or cortisol. These can suppress T levels.
Triglycerides are high. Add in a quality Omega-3 supplement, improve diet, cut out sugar, add fiber, etc.

Take some time and google the "Adam Questionnaire" and see how you do. And again, it's crucial to obtain your LH and FSH levels as it indicates pituitary function. Without it we don't know whether the issue is primary or secondary related. Use the list in the Finding A Doc Sticky thread and fill in the blanks. Then post them up on this thread for review.

[cantrellsp]

these are a little older but let you know where i was at when i first started


prolactin was at 12.8

Estradiol
20 pg/mL 20 - 77

TSH
1.295
uIU/mL
0.300 - 4.900

Free Testosterone (calculation)
Jul-30- 2013 00:00:00
71
pg/mL
33 - 227

Testosterone Bioavailable
Jul-30- 2013 00:00:00
175
ng/dL
131 - 682

free test
Jul-30- 2013 00:00:00
3.04
%
1.60 - 2.90

[cantrellsp]

thanks for the help kelkel it is definitely appreciated