Appreciate any comments

Just had blood test results. These are through a regular GP and not the complete set I’d like. I’m being referred to an endo once I’ve had an ultrasound on my balls so I’ll request everything else.

Symptoms: shrunken testicles, fatigue, ejaculation weak and low volume, patchy beard and eyebrows.

This is what I have so far:

Prostate specific antigen 0.63ug/l <3.00
serum sodium 144mmol/l (135-145)
serum potassium 4.1mmol/L (3.5-5.0)
serum creatinine 113umol/L (80-115)
TSH level 3.4miu/L (0.20-6.00)
Free T4 18.2pmol/L (10-25)
total bilirubin 13umol/L (5-21)
ALT 15iu/L (<40)
Eosinophil count 0.45 (0.04-0.40) HIGH*?
FSH Level 10.4iu/L (1.0-9.0) HIGH
LH Level 4.2 iu/L (1.0-9.0)
Prolactin 94mu/L (<550)
Oestradiol 95pmol/L (<150)
Serum testosterone 20.1nmol/L (8.0 - 30.0)
SHGB 24nmol/l (13-71)

Any comments would be helpful. Thanks.

albumin 47g/L (34 -48) High.

Your fatigue is most likely caused by low cortisol. Unfortunately, you neither tested cortisol nor your thyroid – You tested only TSH and T4, whose values are useless without the values of T3 and RT3. To check your cortisol, you have these possibilities:

  1. Test your reverse T3 (RT3). If high, then your cortisol is low and needs a boost
  2. (preferred) get a 4x cortisol saliva test
  3. (fastest) if you are in the US, get some transdermal (not oral) pregnenolone and start using it in increasing doses until you get an energy boost or you get weird feelings without energy boost. The first case indicates an energy boost (good); continue taking that dose. If it stops working, it will be because your thyroid hormones cannot keep up with the high cortisol (probably you will need to boost T3, but at this point you will need blood tests). In the second case, you are taking too much pregnenolone without it being converted to cortisol, and therefore you would likely need to boost T3 (but for that, you need to confirm with blood test first).

Your sex hormones look fine.

TSH is definately high. 1 is a good bench-mark for TSH.

FSH is high, too.

Thanks for the replies. A few questions/comments as I’m a complete amateur in all of this:

Creatinine 113umol/L (80-115) - looks high. This can cause fatigue I believe and I do have that. Can I lower this somehow?

Eosinophil count 0.45 (0.04-0.40) too high. No idea about this but linked to aoutoimmune disorders ie thyroid.

TSH level is on the high side, Free T4 is 18.2 (10-25) presume this is ok?

Is Estradiol at 95 (<150) too high?

Testosterone 20.1 (8.0 - 30) - seems ok?

FSH at 10.8 ain’t good - most seem to have too low on here?

SHGB 24 (13-71) - should it be higher or is this good?

albumin 47 (34-48) - seems high - should I be concerned?

Sorry for all the questions, just getting to grips with it all.

Please. :confused:

Fatigue = low cortisol. The rest is just noise. You want to get rid of fatigue? Boost your cortisol. Period.

Thanks. I’m going to get my cortisol checked but it makes so much sense. The fatigue really kicked in a few weeks ago when I came off Citalopram. Right now I’m exhausted. I’ve since read how muxh strain SSRIs can put on your adrenals. I’m peeing a lot too and have dry skin and hand and legs, loss of some body hair, eyebrow and facial hair thinning and strange pigmentation on the penis. All point towards a low cortisol/thyroid problem.

I read Mitch’s post in the recovery section and seem to have a lot of what he had. Shrunken balls (left one mostly) and lack of ejaculate are another problem.

Can anyone shed any light on the above?

Hi Chris

Your testosterone and oestradiol levels seem fine, with testosterone just above average and oestradiol well within range.

As others have pointed out, your TSH and FSH levels need further investigation. Has your GP given you any feedback yet?

Penguin

Gp doesn’t want to dp anything until I’ve had my ultrasound - next week.

It seems most on here have low FSH Levels. Mine is too high:

10.4 iu/l (1.0-9.0)

and LH Level:

4.2 iu/l (1.0-9.0)

Any ideas on how to get this down? I think thyroid/adrenals/cortisol are a problem with me which I will be addressing. Maybe they have an impact on the high reading?

I’m waiting for some more results but got these in the meantime. Any thoughts please?

Vitamin D 77.6nmol/L - no range given (says healthy though)

Serum copper -12.3umol/L (11.0 - 22.0)

Zinc - 12.5umol/L (9.8-17.9)

Thanks

Hi,
Your Vit D if my range is correct is 30-80 so 77 is good, mine was 16 so would love to get it tested. Where did you have it done?

Just at the regular NHS hospital with the endo. I asked them to test for everything. Other that Reverse T3 they pretty much did.

Also Coeliac disease came back as negative.

I am from the UK and my range suggested Vit D had to be more than 70 to be adequate, so whichever range you take it looks like your Vit D is OK.

That’s a start I suppose

Something to smile about, Chris :smiley:

Everything looks OK there Chris. What do you mean by ‘everything’, did you give them the list of blood tests on this website? also, how did you approach the doctor? did you mention finasteride?

Yes, just listed the lot which they did.

Go to your GP, tell them everything, tell them you feel like shit and your dick doesn’t work, get them to refer you to an endo, repeat step 3, insist on blood tests, get results, get dismissed by endo as there’s not a lot they can do.

That’s what I did anyway.

Interesting that your aluminum is high. IDK exactly what to make of that though… Heavy metal poisoning?