I met this Endocrinologist who in April 2012 whom I convinced for a few tests apart from sex hormones( others being cortisol, DHEA and DHT). Please see the results below and also 3 other results I have posted. One from Dec 2011 and two earlier results I posted are for a comparison of a test called “bio-available Testosterone” which the doctor says is very good indicator in itself instead of relying on Total T or Free T or measuring SHBG.
He is clear that my Hormones look normal. He said considering that my Bio-available T is mid value he would not give too much importance to lower side of Total T. He feels everything else is normal. He has adviced me to meet a Urologist regarding my poor urinary flow. He felt my cortisol was borderline (Can someone tell me how is it borderline when it is well above range, has it anything to do with the PM values? ). But althought he thinks there is no problem with cortisol as my stomach is doing fine. However he has agreed to provide me a simulation test to investigate cortisol. I have bad sleep (really bad) but fatigue is a lot of concern but I do fatigue. Can anyone make anything of low SHBG?
I am not convinced by his theory about Bio-available T. The reason is (look below), In Jan 2010 I had a mid level T when my Bio-available was top of the line ( the best I have felt (50% improved) sinceI had PFS 5 years back) but when it crashed, my bloodwork shows out of range T in April 2010 but still my Bio-available T is in range.
I am really sad and frustrated- - yes three knowledgable doctors had said that my hormones look in range - I have my cortisol testing due and an appointment with a Urologist - my urinary flow is bad and I don’t squirt any ejaculate well for last 5 years. Poor erections, poor sensitivity of testicles, low libido etc.
Current Agenda
I am starting Fish oil and 25 mg Zinc today onwards - Will add a B vitamin cap to it. Also thinking of starting Tribulus again but I feel my poor prostrate response in last 3-4 months could be because of Tribulus but am so frustrated that I want to try it again. Like someone said, it feels like a ‘Asexual Zombie’.
Please give your thoughts on the bloodwork and make any suggestions. I hope and pray I land a good job so I can meet Dr.Shippen in the future. I also want to pursue the neurotransmitter line.
May 2012
Hemoglobin – 158 (135 – 175 g/L)
WBC 6.9 (4-11)
RBC 5.56 (4.5 – 6)
DHEA (S) - 8.6 (3.3 – 14 IU/L)
FSH – 4 (2-8 IU/L)
LH – 3 (2-6 IU/L)
Estradiol -17 Beta – 107 (< 150 nmol/L)
**Cortisol (8:40 AM) 229 (AM 0 170 – 720 nmol/L,
(PM upto one of patient’s AM value) **
Testosterone 10.9 ( 8.4 – 28.7 nmol/L)
SHBG 8 (Low) (10-70 nmol/L)
Bio-available Testosterone 8.7 (2 to 14 pmol/L)
DHT - Pending
December 2011
Sensitive TSH - .86 ( .35 - 5.0 mIU/ML)
Vitamin B12 - 243 - (198 - 615)
Testosterone - 11.1 ( 8.4 - 28.7 nmol/L)
Free Testosterone - 39.0 ( 31 - 94 Pmol/L)
Total Prolactin 5 ( 2-18 ug/L)
LH - 3 (2-6 iu/L)
FSH - 4 ( 2- 8 iu/L)
Free T4 18 ( 9-23 pmol/L)
Glucose Fasting – 4.8 ( 3.6 – 6 nmol/L)
January 2010 ( On HRT and HCG therapy)
Prolactin – 21.13 (4.6 – 21.4 ng/ml)
Testosterone Total – 4.59 ( 2.8 - 8 ng/ml)
Free Testosterone - .182 ( .091 - .579 ng/ml)
SHBG – 8.81 (14.5 to 48.4 nmol/l)
Bio-available Testosterone – 12.56 ( 2.14 tp 13.6 nmol/L)
April 2010 (Still on Therapy but my T crashed)
Prolactin – 6.14 (4.6 – 21.4 ng/ml)
Testosterone Total - 1.59 (2.8 – 8 ng/ml)
Free T - .0547 ( .091 - .579 ng/ml)
SHBG – 9.11 ( 14.5 – 48.4 nmol/L)
Bio-available Testosterone – 4.05 ( 2.14 tp 13.6 nmol/L)
