23 y/o test results. Thoughts?

[austinbrad525]

Im a 23 year old male who's is 6'0 170 lbs, and has never touched aas. I'm an extremely active individual and have been for most of my life. The past year or so I have been experiencing issues with keeping on muscle mass and extreme fatigue. Mood swings are also something I have been experiencing often. I also have begun to notice symptoms of libido loss and ED (no morning wood; sometimes go days without an erection). After receiving my first round of blood work my total test came back at 240 which as you know is extremely low for my age. The doctor looked at me and basically said sorry there's nothing I can do. I decided to quit chewing tobacco and clean my diet up. My workout routine became very strict and I have basically been doing everything in my power to jumpstart my natural production. I just recently had bloods done again at 8am to see if any progress has been made. Looking for some interpretation or thoughts.

FSH 1.9 range 1.6-8 MIu/ml
LH 4.2 range 1.5-9.3 MIu/ml
Total Test 469 ng/dl
Free Test 67.7 pg/ml range 50-225
Test bioavailable 151 ng/dl range 110-575
SHBG 29 nmol/L range 10-50
Albumin 4.9 range 3.6-5.1 g/dl

[skubes50]

Hi It's great that you were able to clean up your diet and stop tobacco use. It may help to get a more comprehensive hormone panel done, including your thyroid. It seems some of your levels are on the low end, but I think it's more important to judge how you're feeling and this seems to coincide with your low free test levels. There are many members here that are very knowledgeable about this stuff and hopefully they will reach out. It also helps to search for a doc that will work with you on this instead of discounting your symptoms. Good Luck.

[MrBafner]

The stuff you put into your body (food and drink) can play a lot in your sleeping pattern. Your diet and sleeping pattern can alter the results on your bw.

[kelkel]

You pituitary output (LH) is good. With that number I'd think you'd have higher Total T levels which in turn would allow for a higher FT level. FT is what works for us. Your shbg is fine meaning you're not overly binding your FT.

Skubes mentioned thyroid which is always a good place to start to establish baselines and see a full picture. Cortisol and prolactin would also be viable. If I were to look anywhere first, based on the limited BW you've presented, it would be for a testicular issue, varicoccele, etc.

Again, just some thoughts based on limited BW supplied. Always best to get a second opinion based on full BW if you can. Sometimes low T can simply be idiopathic. Lets hope that's not the case.

Let us know how you do on this thread please.

[austinbrad525]

You pituitary output (LH) is good. With that number I'd think you'd have higher Total T levels which in turn would allow for a higher FT level. FT is what works for us. Your shbg is fine meaning you're not overly binding your FT.

Skubes mentioned thyroid which is always a good place to start to establish baselines and see a full picture. Cortisol and prolactin would also be viable. If I were to look anywhere first, based on the limited BW you've presented, it would be for a testicular issue, varicoccele, etc.

Again, just some thoughts based on limited BW supplied. Always best to get a second opinion based on full BW if you can. Sometimes low T can simply be idiopathic. Lets hope that's not the case.

Let us know how you do on this thread please.

Thanks for the insight. I have had my thyroid levels checked in the past and they all came back within normal limits but it wouldnt hurt to check again. Im just at a dead end. Sick of doctors not doing any digging or giving me any advice.

[kelkel]

Re thyroid, too many doc's look at only your TSH level to evaluate it and go no further as long as it's in range. Thing is, the range used is old. A newer, more modern range is .3 - 3.0. Anything of 2 should probably be evaluated. Try to get FT3, FT4 and probably antibodies at a minimum.