Thunder Honkey
Member
Hello everyone,
It's a pleasure to be here. I'm looking for some advice regarding some recent bloodwork I've had done.
Background: I am a 22 year old male in very good physical health overall. I am 5'7" 170 ~8-9% Bf, very strong, good endurance yada yada. I started my health journey around 3 years ago and have seen massive improvements physically and mentally over that timeframe. dropped from 205 lb while adding substantial muscle over said timeframe. Highly adverse to processed food, high protein diet, cyclical carb consumption depending on workout intensity (only ever zero carb if fasting), low pufa, high saturated fat consumption (love fresh fish though), occasional drinking, low-moderate tobacco consumption. I use jiu jitsu for cardio and I weightlift. I so struggle with digestion issues but not so much recently, taking cypro and occasional 10-meo for serotonin suppression, which I believe to have been elevated previously.
Here are the results from a recent panel
Estradiol (pg/mL) 24.9 L (25.8~60.7)
FSH (mIU/mL) 7.2 (1.5~12.4)
DHEA-S (μg/dL) 399.5 (211.0~492.0)
LH (mIU/mL) 5.0 (1.7~8.6)
SHBG (nmol/L) 71.6 H (16.5~55.9)
Testosterone, Total (ng/dL) 927.4 (243.0~1148.0)
Free Testosterone (ng/dL) 11.55 (4.85~25.56)
Progesterone (ng/mL) 0.453 (≤0.595)
Prolactin (ng/mL) 26.06 H (4.04~15.20)
Dihydrotestosterone (ng/dl) 53.7 (14.8~101.8)
Pregnenolone (ng/mL) 3.12 (0.38~3.50)
Albumin (g/dL) 5.4 H (3.5~5.2)
ACTH, Plasma 25.5 pg/mL (7.2-63.3)
I also tested cortisol about a month prior:
Cortisol 17.2 ug/dL (9 AM collection)
Cortisol AM 6.2 - 19.4
Cortisol PM 2.3 - 11.9
Vitamin D was also very low at time of cortisol test (31.3 ng/mL 30.0-100.0) but I have been treating that with calcirol 10-20k orally ~5 times a week.
Most other test do come back pretty normal.
My issues are as such. I frequently go through spells where I last excessively long during sex and struggle to finish, and I have a long refractory period. I occasionally have low libido in general but it rarely lasts more than a few days. I have always had a strong desire to be a father, and strong protective instincts which I certainly consider to be a good thing and likely related to the prolactin. How much should I be concerned about this level and what efforts should be taken to lower it? Any insights here would be appreciated.
I don't really know how to interpret my high SHBG given my other level. I know about the preferential bonding with testosterone over estrogen but both of those levels look pretty good to me. I am not sure how to interpret my DHT numbers either but it seems ok. General knowledge/insight/advice welcome.
Mentally I am pretty good. I have days where I'm bulletproof, and ones where I feel all too human. Will likely have future thread on things like subconscious visualizations, weed demons, sleep paralysis, etc. Happy to be here!
Replies welcome and appreciated! I will answer and questions to the best of my ability!
It's a pleasure to be here. I'm looking for some advice regarding some recent bloodwork I've had done.
Background: I am a 22 year old male in very good physical health overall. I am 5'7" 170 ~8-9% Bf, very strong, good endurance yada yada. I started my health journey around 3 years ago and have seen massive improvements physically and mentally over that timeframe. dropped from 205 lb while adding substantial muscle over said timeframe. Highly adverse to processed food, high protein diet, cyclical carb consumption depending on workout intensity (only ever zero carb if fasting), low pufa, high saturated fat consumption (love fresh fish though), occasional drinking, low-moderate tobacco consumption. I use jiu jitsu for cardio and I weightlift. I so struggle with digestion issues but not so much recently, taking cypro and occasional 10-meo for serotonin suppression, which I believe to have been elevated previously.
Here are the results from a recent panel
Estradiol (pg/mL) 24.9 L (25.8~60.7)
FSH (mIU/mL) 7.2 (1.5~12.4)
DHEA-S (μg/dL) 399.5 (211.0~492.0)
LH (mIU/mL) 5.0 (1.7~8.6)
SHBG (nmol/L) 71.6 H (16.5~55.9)
Testosterone, Total (ng/dL) 927.4 (243.0~1148.0)
Free Testosterone (ng/dL) 11.55 (4.85~25.56)
Progesterone (ng/mL) 0.453 (≤0.595)
Prolactin (ng/mL) 26.06 H (4.04~15.20)
Dihydrotestosterone (ng/dl) 53.7 (14.8~101.8)
Pregnenolone (ng/mL) 3.12 (0.38~3.50)
Albumin (g/dL) 5.4 H (3.5~5.2)
ACTH, Plasma 25.5 pg/mL (7.2-63.3)
I also tested cortisol about a month prior:
Cortisol 17.2 ug/dL (9 AM collection)
Cortisol AM 6.2 - 19.4
Cortisol PM 2.3 - 11.9
Vitamin D was also very low at time of cortisol test (31.3 ng/mL 30.0-100.0) but I have been treating that with calcirol 10-20k orally ~5 times a week.
Most other test do come back pretty normal.
My issues are as such. I frequently go through spells where I last excessively long during sex and struggle to finish, and I have a long refractory period. I occasionally have low libido in general but it rarely lasts more than a few days. I have always had a strong desire to be a father, and strong protective instincts which I certainly consider to be a good thing and likely related to the prolactin. How much should I be concerned about this level and what efforts should be taken to lower it? Any insights here would be appreciated.
I don't really know how to interpret my high SHBG given my other level. I know about the preferential bonding with testosterone over estrogen but both of those levels look pretty good to me. I am not sure how to interpret my DHT numbers either but it seems ok. General knowledge/insight/advice welcome.
Mentally I am pretty good. I have days where I'm bulletproof, and ones where I feel all too human. Will likely have future thread on things like subconscious visualizations, weed demons, sleep paralysis, etc. Happy to be here!
Replies welcome and appreciated! I will answer and questions to the best of my ability!