Some Test Results --would like review

[Guest guest]

Hello Mods,

I posted here awhile back but I have several update.

I found out just two months or so ago I have low T but would like to get some

feedback on my symptoms and labs and current suggested treatments. It's fairly

comprehensive and I think it gives those in the know a better idea of what I am

looking at and perhaps the next course of action I need to take. I am 40 and

within normal weight range, used to be highly active and no emotional histories.

Never had a problem with wood, hardness or libido before the gym.

I never felt symptoms of anything until April 2009 after a workout. I have seen

quite a few here overdo it and wonder if I suffer from the same issues. After

completing a squatting routine my left arm started to shake and suffered from a

panic attack then wired and tired symptoms. Couldn't sleep for days. I thought

I was going to die and went to the ER two days later. They found nothing wrong,

although I was slightly dehydrated and my liver levels were a bit elevated. I

never took any supplements, drugs, or meds prior to this incident. Had MRI and

CT head/neck, MRA, ultrasound liver/thyroid, EMG, NCV all neg except mention of

fatty liver but minor. All blood tests normal from ER. So I was sent home and

told to visit GP.

Went to GP, and after many other tests, including 24 hr epinephrine, Thyroid,

and T. All within the limits I was told. Meanwhile the insomnia was still

there, was having some dull achy pressure in the back of my neck,shaky upper

body, felt wired but tired all day, and continued to suffer from occasional

panic attacks and anxiety. Even after seeing endos, neurologists, GI, and

internal medicine docs, the GP concluded it was all in my head and pushed the

usual Klonopin, Ambien, Zoloft and their variables. Of course as I realized

later this just added on side effects and made my condition worse.

I am am trying to keep this sermon short but the picture will not be complete.

After placing faith and trust in all these docs for many months who basically

screwed me up with masking tape and their faliures to follow up and identify the

underlying issues, I decided to take on matters and address the labs I had.

Back in may 09 I reviewed the T test and it was blatantly obvious to me the T

levels were borderline low (330 total, 11 free T). Little did I know they were

on the decline until I had follow up tests these past couple of months. Just to

make sure had them done with ZRT AND Labcorp. The results were very similar.

But what is the cause of the low T and is it provoking my current symtpoms of

upper body weakness and muscle tone loss, shaky internal feelings, extreme

fatigue exhaustion and insomnia?

So I had further tests done, here they are:

Cortisol (in ng/ml):

AM 5.5 (3.7-9.5)

noon 1.3 (1.2-3.0)

eve 0.4L (0.6-1.9)

night 0.3L (0.4-1.0)

Estradiol 21 12-56 pg/ml

Test Total 257L 400-1200 nm/dl

free t 7.5L 8.7-25.1 pg/ml

ratio T/SHBG 0.2L 0.7-1.0

DHEAS 171 70-325 ug/dl

SHBG 49 15-50 nmol/L

PSA 1.8 <0.5-4 (opt 0.5-2)

Free T4 1.5 0.7-2.5 ng/dl

free T3 3.2 2.5-6.5 pg/ml

TSH 3.5 H 0.5-3.0 uu/ml

TPO 8 0-150 iu/ml

anti AB <20 0-40

dihydrotest 36 30-85 ng/dl

T3 112 71-180 ng/dl

RT3 215 90-350 pg/ml

Progesterone 0.4 0.2-1.4 ng/ml

Ferritin 183 30-400

B12 422 211-911

D3 25 OH 37.6 32-100

Cholesterol 242 100-199

Triglyc 331 0-149

HDL 36 >39

VLDL 66 5-49

LDL 140 0-99

Folate >24 >5.4

hemoglobin 5.4 <7.0 (healthy 4.8-4.9)

B6 22.3 5.3-46.7

Sed Rate west 1 0-15

Creatine Kin 79 24-204

C-reative Pro 0.4 0.0-4.9

Glucose Serum 89 65-99

Creatinine Ser1.27 0.76 - 1.27

Sodium Ser 140 135-145

Potassium 4.3 3.5-5.2

Calcium 10.1 8.7-10.2

Protein 7.5 6.0-8.5

AST 24 0-40

AGT 29 0-55

So the recommedation from a so-so literate doc on T and thyoid is low does T3

Cytomel and 100 mg/10 ml T compounded as well as 5 mg cortef @ 12 and 4 daily.

I was not convinced this is the right thing to do b/c he is addressing labs and

not the cause.

since I don't want to be on T for life and have no idea what triggered the low T

besides the gym incident I decided to curtail the amounts of T down to .4 ml/

100mg daily. So far it las lowered incidence of shakiness but insomnia is

horrible. I can sometimes get 2-3 really good symptom-free days then a return

1-2 weeks of all above symptoms. Worst is feeling fatigued and exhausted all

day. no morning wood really. Sometimes get dreams and wake in the night with

wood. Forget about lifting anything--I feel the effects for 2-3 days just from

carrying my kid. A new really wierd symptom is my groin vibrating, much liek a

cell phone in my pocket, except that its not a cell phone. comes for 2-3 days

then comes back every 1-2 weeks.

I thought about taking the Isocort in 4-3-2 dosage, afraid to take late at night

based on cortisol saliva labs.

At this point I just want to know what is causing the problem and what to test

and look for next before taking anything else that may not be the isssue so I am

not stuck on anything for life unless I absolutely have to. The local Pharma

anti-aging specialist seems to think I have a leaky gut issue so suggests

Priobiotic and digestive enzymes. Thinks is could be malabsorption issue.

Tks for reading my long sob story--legend.