Hello Please look at my Levels

[Deathgrind]

Im 31 years old just went and had some bloodwork done due to fatigue etc...

Free Testosterone 52.1 pg/ml

Total Testosterone 3.77 ng/ml

Vitamin D 30.69 ng/ml

Thyroid stimulating hormone 3.22 miu/ml

Albumin 5.0 gm/dl

Alkaline 75 u/l

Blood Urea Nitrogen 18 mg/dl

Calcium 9.9 mg/dl

Chloride 101 mEq/L

Co2 30 mEq/L

Creatinne 1.0 mg/dl

I was told I was in all normal ranges so no hints on the cause of my fatigue etc...
any help or insight would be most helpful thanks
Cheers,
Deathgrind

[Deathgrind]

Anybody?

[Vettester]

Your total serum level isn't in the tank, BUT, it's definitely on the low end. Free test is low at approx. 1.4%. A good range to aim for is 2% to 3%, that is also permitting your serum level is a more optimum range. I don't know why your test serum is on the low end ... A good starting point would be to run LH/FSH to see what part of the feedback loop needs more review (HPTA or testicular). IMO, testosterone serum ranges should be redefined by the medical community. These ranges from 280ng to 1,000ng are like 5F in Alaska to 110F in AZ, Big Difference between the two!

Your free test is low due to your SHBG and Albumin. Your albumin is leaning a little on the higher side, but SHBG is the main culprit for binding up testosterone, and yours is calculated roughly in the low 50's. This can be managed fairly easily ... Starting with getting your Vitamin D up (double +). One option might be getting a script for Drisdol for a bit, or just get a therapeutic dosage of OTC D3; possibly 10,000iu/day. You can also look at a little nettle root to help in that area.

Lastly, your TSH doesn't tell much, except that it's telling you to look deeper for possible hypothyroidism or hashis. This might be the factor correlating with your low'ish T level. Additional labs will be needed, FT4, FT3, RT3 and thyroid antibodies. Iron and ferritin would also be advised, as the hemochromatosis gene can elevate ferritin levels, and then start playing havoc with vital components like the thyroid (that would be me). You probably need to review your current physician to make sure you are getting everything you need. It's not a crime to get a 2nd opinion, or to seek specialized endocrine support. I have a great relation with my GP, and she is fully in the loop with my endeavors with my hormone and wellness clinic.

Also, on the fatigue part ... Look at your adrenals, B12, and refer to some of the items mentioned above. If you have the full set of labs (CBC's, metabolic & lipids) with ranges, please post em up. Thanks.

[bass]

^^^ very nice response by Vette!

OP, it will be helpful to ad the ranges too.

[Deathgrind]

vette thank you so much for arming me with some info to bring back to the doc. Hopefully he will be open to the info. thanks again

[Vettester]

vette thank you so much for arming me with some info to bring back to the doc. Hopefully he will be open to the info. thanks again

Good luck on it ... Keep an open mind and a positive attitude, good things will come.