Hello guys,
I am really struggling to cope with life at the moment and feel that this is severely effecting my young years as I have so much that I want to do but really can't be normal, below I will list my lab results and as much information that I could list that may be useful for you to help me.
I have had symptoms for 2 years but light and bad spells: I've always had low libido and just thought that was me. The past 4 months ish I have really had the below symptoms amplified a huge amount.
Symptoms include:
Serum prolactin: 571mU/L (86-324)
Serum testosterone :12.2 (9-29) - have had 9.8 test before
Serum FSH: 1.6iu/L (1.0-12)
Serum LH: 4.6iu/L (1 - 10 )
Serum free T4 - 19 pmol/L (10-22)
Serum TSH - 2.5mu/L (0.3-5.5)
Serum alkaline phostphate: 77IU/L (30-300)
!! Serum albumin: 50g/L (35-48)
Serum calcium: 2.36nmol/L (2.2 - 2.6)
Serum C reactive protein level <1mg/L (0-9)
Serum folate: 7.7 (2.1 - 26.8)
!! Serum B12: 738NG/l (190 - 660)
Erythrocyte sedimentation rate: 2mm (0-7)
Vitamin D: 108.9 (>50) - Was 35 1 month ago, before supplementing vitamin D
Haemoglobin: 145g/L (130-170)
White cell count: 4 109/L (4-11)
Platlet count: 275 109/L (150-400)
RBC count: 4.87 1012/L (4.5-6.5)
Haematocrit: 0.448 (0.400-0.540)
MCV: 92.1 fL (78-99)
MCH: 29.9 (27-32)
MCHC: 324 g/L (310-360)
!! Neutrophil count: 1.8 109/L (2-7.5)
Lymphocyte count: 1.6 109/L (1.5-3.5)
Monocyte count: 0.4 109/L (0.2-1.4)
Eosinphil count: 0.1 109/L (0-0.4)
Basophil count: 0.1 109/L (0-0.1)
Nucleated RBC 0
Following these results, I was referred to and endocrinologist which I paid private in the end because the waiting list was months and I needed it sooner. He wanted some additional levels tested before I saw him. These are my most recent test results.
Total test :12.2nmol/L (9-29)
SHBG: 26nmol/L (17-56)
Free androgen Index: 62.7
FSH: 1.7 iu/L (1-12)
LH: 7 iu/L (1-10)
Prolactin: 442 mU/L (86-324)
He said that my testosterone was not low as the FAI, was a healthy amount meaning that i had a good amount of free test. ( I think that for my age 9.8 - 12 average is poor)
Also prolactin was slightly lower.
FSH/LH/SHBG was said to be good levels
He stated that my urea level was 6.8 (2.5-6.7), meaning that i was dehydrated and he thinks this could play a part?? ( I don't think that this could have as much of an imp pact to my life as it has had)
Do people agree that these levels are ok, and put my symptoms down to other illnesses like depression, or do you think that i should continue with the endo route? I don't think that this is all caused from mental illnesses and think that that is just caused from something like hypogonadism/hypothyroidism/pituitary Tumor for example. I just need answers really and direction.
Below is the additional information that you may want to read to get a better understanding.
Age: 20 (2nd April)
Height: 6ft 1
Weight: 160lb (Seems to be fluctuating a lot, goes up a lot then returns to normal)
Body and facial hair I get facial hair which has increased recenty a little bit, but is still not a lot. This is only recent in my life, I’d say about a year but very little amounts.Have a small amount of chest hair.
Fat I carry most of my fat around my waist, its always been around this area.
Medical history / Symptoms In my family we have a history of thyroid problems. My dad has Hypothyroidism and Hashimoto disease. His parents also have hypothyroidism. I have been a tired reasonably low libido person for easily 2 years but never really thought much of it as I thought it was just me growing up. I have had blood tests over the years and they always came back as ‘fine’
Recently over the past 3-4 months, my symptoms have got progressively worse to the stage where at times I have thought I have been going insane, but then at other times, I don’t feel as bad just lethargic.
Drugs Have smoked weed in the past but not frequently, no more than 2 times in one month. Also finished some medication of terbinafine for 6 weeks about 1.5 - 2 months ago. The last time I drank alcohol was about 3 months ago due to not wanting to go out anymore.
Diet + Fitness I was going the gym regularly from the new year for about 2 months (with a good diet counting macros etc around 3000cals) I have been to the gym on and off for 2 years made very small improvements, even though I eat well and train well. My diet when going to the gym is always high cals. The reason I cannot maintain going to the gym consistently without having to stop is because after a couple of months I am completely drained and I just have all of these symptoms. My training is a Push,Pull,Legs 2x a week and I used to run a bro split beforehand (5-6 days for both)
Supplements Been taking vitamin D as my levels were low now well within the range. Dont take any others. Dont use iodized salt.
Damage Never had any head damage
Dehydration I have had issues in the past with dehydration from a young age which I have been to the hospital with (was a lot younger) I seem to get dehydrated easily - feel like I have to worry about drinking enough fluids more than others. - have to drink more recently
I am really struggling to cope with life at the moment and feel that this is severely effecting my young years as I have so much that I want to do but really can't be normal, below I will list my lab results and as much information that I could list that may be useful for you to help me.
I have had symptoms for 2 years but light and bad spells: I've always had low libido and just thought that was me. The past 4 months ish I have really had the below symptoms amplified a huge amount.
Symptoms include:
- Concentration lacking massively / brain fog. (almost feel like I am not here a lot of the time, kind of like I’m in a dream/imagination)
- Low libido - No interest at all - Get erections but seems to be getting less.
- Legs ache a lot and neck. Sometimes fingers seems to ache?
- Very tired most of the time, falling asleep in places I shouldn’t be
- Anxiety and depression has increased a lot
- Feel like I am just passing time at the moment with not much point and direction in life
- Weight goes up a lot then back down
- Headaches daily
- Vision feels like it has got worse over the last 6 months
- Mood swings
- Forgetful
- Disengage from social activity
- Brauxism - daytime and night teeth clenching and grinding
- Seem to get very hot at times but only for a short period of time maybe 10 minutes
- Facial spasms, left side upper lip/left side under eye
The list goes on…
Serum prolactin: 571mU/L (86-324)
Serum testosterone :12.2 (9-29) - have had 9.8 test before
Serum FSH: 1.6iu/L (1.0-12)
Serum LH: 4.6iu/L (1 - 10 )
Serum free T4 - 19 pmol/L (10-22)
Serum TSH - 2.5mu/L (0.3-5.5)
Serum alkaline phostphate: 77IU/L (30-300)
!! Serum albumin: 50g/L (35-48)
Serum calcium: 2.36nmol/L (2.2 - 2.6)
Serum C reactive protein level <1mg/L (0-9)
Serum folate: 7.7 (2.1 - 26.8)
!! Serum B12: 738NG/l (190 - 660)
Erythrocyte sedimentation rate: 2mm (0-7)
Vitamin D: 108.9 (>50) - Was 35 1 month ago, before supplementing vitamin D
Haemoglobin: 145g/L (130-170)
White cell count: 4 109/L (4-11)
Platlet count: 275 109/L (150-400)
RBC count: 4.87 1012/L (4.5-6.5)
Haematocrit: 0.448 (0.400-0.540)
MCV: 92.1 fL (78-99)
MCH: 29.9 (27-32)
MCHC: 324 g/L (310-360)
!! Neutrophil count: 1.8 109/L (2-7.5)
Lymphocyte count: 1.6 109/L (1.5-3.5)
Monocyte count: 0.4 109/L (0.2-1.4)
Eosinphil count: 0.1 109/L (0-0.4)
Basophil count: 0.1 109/L (0-0.1)
Nucleated RBC 0
Following these results, I was referred to and endocrinologist which I paid private in the end because the waiting list was months and I needed it sooner. He wanted some additional levels tested before I saw him. These are my most recent test results.
Total test :12.2nmol/L (9-29)
SHBG: 26nmol/L (17-56)
Free androgen Index: 62.7
FSH: 1.7 iu/L (1-12)
LH: 7 iu/L (1-10)
Prolactin: 442 mU/L (86-324)
He said that my testosterone was not low as the FAI, was a healthy amount meaning that i had a good amount of free test. ( I think that for my age 9.8 - 12 average is poor)
Also prolactin was slightly lower.
FSH/LH/SHBG was said to be good levels
He stated that my urea level was 6.8 (2.5-6.7), meaning that i was dehydrated and he thinks this could play a part?? ( I don't think that this could have as much of an imp pact to my life as it has had)
Do people agree that these levels are ok, and put my symptoms down to other illnesses like depression, or do you think that i should continue with the endo route? I don't think that this is all caused from mental illnesses and think that that is just caused from something like hypogonadism/hypothyroidism/pituitary Tumor for example. I just need answers really and direction.
Below is the additional information that you may want to read to get a better understanding.
Age: 20 (2nd April)
Height: 6ft 1
Weight: 160lb (Seems to be fluctuating a lot, goes up a lot then returns to normal)
Body and facial hair I get facial hair which has increased recenty a little bit, but is still not a lot. This is only recent in my life, I’d say about a year but very little amounts.Have a small amount of chest hair.
Fat I carry most of my fat around my waist, its always been around this area.
Medical history / Symptoms In my family we have a history of thyroid problems. My dad has Hypothyroidism and Hashimoto disease. His parents also have hypothyroidism. I have been a tired reasonably low libido person for easily 2 years but never really thought much of it as I thought it was just me growing up. I have had blood tests over the years and they always came back as ‘fine’
Recently over the past 3-4 months, my symptoms have got progressively worse to the stage where at times I have thought I have been going insane, but then at other times, I don’t feel as bad just lethargic.
Drugs Have smoked weed in the past but not frequently, no more than 2 times in one month. Also finished some medication of terbinafine for 6 weeks about 1.5 - 2 months ago. The last time I drank alcohol was about 3 months ago due to not wanting to go out anymore.
Diet + Fitness I was going the gym regularly from the new year for about 2 months (with a good diet counting macros etc around 3000cals) I have been to the gym on and off for 2 years made very small improvements, even though I eat well and train well. My diet when going to the gym is always high cals. The reason I cannot maintain going to the gym consistently without having to stop is because after a couple of months I am completely drained and I just have all of these symptoms. My training is a Push,Pull,Legs 2x a week and I used to run a bro split beforehand (5-6 days for both)
Supplements Been taking vitamin D as my levels were low now well within the range. Dont take any others. Dont use iodized salt.
Damage Never had any head damage
Dehydration I have had issues in the past with dehydration from a young age which I have been to the hospital with (was a lot younger) I seem to get dehydrated easily - feel like I have to worry about drinking enough fluids more than others. - have to drink more recently