Blood test results just came in. 33 y/o

[Sailorjerry]

Hello,

Little about me, i'm 33 years old, im 5'6 160 pounds. i have all the classic symptoms of low T, most effects on Brain fog and focus. second being low libido , joint pain, fatigue low energy. irritable.

I got my test results in yesterday, and here they are;

FSH 2.6 mIU/mL RANGE = 1.4 - 18.1 mIU/mL
LH 2.7 mIU/mL RANGE = 1.0 - 12.0 mIU/mL
TSH 1.25 uIU/mL RANGE = 0.40 - 4.20 uIU/mL

TESTOSTERONE TOTAL, ULTRASENSITIVE, LC MS/MS 365 ng/dL RANGE = >=240 ng/dL (so anything above 240 is normal)
TESTOSTERONE, FREE, CALCULATED 100.2 pg/mL RANGE = 59.0 - 166.0 pg/mL

anyone have any thoughts on this? of course i have Kaiser, and endo says im fine... regardless of my symptoms.

any help would be appreciated.

Thanks,

[kelkel]

That's an old range. More modern would be similar to Labcorp's at 348 - 1197.
With total T that low I'm surprised your free T is basically mid range. Free T is what works for you. Indicates your shbg is probably lower end, which is fine.
Would love to see prolactin, cortisol and more in depth thyroid tests to more fully assess things and see what's suppressing you.
Was blood work pulled first thing in the morning?
Is this blood work consistent with prior blood work?
Any head trauma in the past.

I've never dealt with Kaiser but have heard all the horror stories, so I can empathize. Are you able to request to see a Uro instead of an Endo? Uro's tend to be much better when dealing with hormones.

Bottom line is a doc should search for a causative factor. If one is not found after exhausting all avenues then you could be considered idiopathic. Rule everything out before jumping into TRT. I'm a huge proponent of it but would hate to start it if it were not needed.

Welcome to the Forum Sailor!

[Sailorjerry]

Thank you,

Yes is was taken in the morning but i had a shitty nights sleep. i had a total test result done in JAN/2017 and it was 480. but i do take 5000UI of D3 and i lift heavy 5 days a week if that helps you. i may have an injury as a kid i have participial blindness in my left eye but as far as i know its a birth defect.

[kelkel]

What was your free T level in January?
LH Level?
Taking any meds that may effect T production?

Remember, total T is not what works for you, FT does. Total really doesn't matter that much. D3 is one of the most important supps out there and will help reduce shbg thus raising FT a little. It's actually a hormone, not a vitamin. Not familiar with participial blindness but I was searching for trauma that could effect / impede pituitary function.

There are several types of hypogonadism. Primary, secondary or a combination of both:
Primary = testicular failure.
Secondary = pituatary failure
Or a bit of both....

Primary can be indicated by an elevated LH level yet T levels are still low.
Secondary is indicated by low LH levels and also low T.
You're showing lower LH and sub-optimal (imho) T levels resulting in how you now feel.

I'd be interested in filling in the blanks with your blood work, retesting hormones and LH/FSH a month or so after the last test (with adequate rest) and comparing results. If T and LH values are still dropping I'd request an MRI of your pituitary.

[Sailorjerry]

What was your free T level in January?
LH Level?
Taking any meds that may effect T production?

Remember, total T is not what works for you, FT does. Total really doesn't matter that much. D3 is one of the most important supps out there and will help reduce shbg thus raising FT a little. It's actually a hormone, not a vitamin. Not familiar with participial blindness but I was searching for trauma that could effect / impede pituitary function.

There are several types of hypogonadism. Primary, secondary or a combination of both:
Primary = testicular failure.
Secondary = pituatary failure
Or a bit of both....

Primary can be indicated by an elevated LH level yet T levels are still low.
Secondary is indicated by low LH levels and also low T.
You're showing lower LH and sub-optimal (imho) T levels resulting in how you now feel.

I'd be interested in filling in the blanks with your blood work, retesting hormones and LH/FSH a month or so after the last test (with adequate rest) and comparing results. If T and LH values are still dropping I'd request an MRI of your pituitary.

They ran a full panel in JAN of this my total t was 480.
Here is the info from my panel if it helps you.
Cholesterol 157 mg/dL <=239 mg/dL
Triglyceride 78 mg/dL <=499 mg/dL
HDL 45 mg/dL >=40 mg/dL
Low density lipoprotein calculated 96 mg/dL <=159 mg/dL
Creatinine 1.18 mg/dL <=1.34 mg/dL
Glomerular filtration rate, nonAfrican American >60 mL/min >=60 mL/min
GLOMERULAR FILTRATION RATE - AFRICAN AMERICAN >60 mL/min >=60 mL/min
ALT 43 U/L 0 - 36 U/L
Glucose, fasting 99 mg/dL 60 - 99 mg/dL
WBC COUNT 6.2 K/uL 3.5 - 12.5 K/uL
Red blood cells count 5.79 M/uL 4.10 - 5.70 M/uL
Hgb 16.8 g/dL 13.0 - 17.0 g/dL
Hematocrit 47.7 % 39.0 - 51.0 %
MCV 82 fL 80 - 100 fL
RDW, RBC 12.7 % 12.0 - 16.5 %
Platelets count 262 K/uL 140 - 400 K/uL
Neutrophils %, automated count 50 % 41 - 79 %
Lymphocytes %, automated count 40 % 13 - 44 %
Monos %, auto 9 % 5 - 14 %
Eosinophils %, automated count 2 % 0 - 6 %
Basophils %, automated count 0 % 0 - 2 %
Neutrophils auto count 3.1 K/uL 2.1 - 7.4 K/uL

Again these were my results from Jan of this year, i left out testosterone level that was 480. they didn't run LH or FSH then so thats the only sample i had also they requested i fast on both tests

Also i have partial blindness that was a typo. lol

[kelkel]

The above BW really doesn't help unfortunately.