19,No libido, Help Understanding Labs, At a Loss

C

ccpowers

New member
Hey guys, just got back from my doctor: Patrick Barrett in Long Island.
Basically, I've had a very low libido my whole life. This past summer I finally went to a urologist who tested my testosterone: 268, put me on cpyionate shots for 6 weeks. I came off because I noticed absolutely no improvements whatsoever. Fast forward a few months, saw Dr. Barrett, had a slew of labs done, now just got them back today. Here is the important stuff: (I have been off everything for a few months, not taking any medications) Also BP taken today was 140/80 and I weigh 220lbs, 5'9, although I am not fat, just have absolutely no muscle, skinny frame, but a belly I guess. Labs done by Sunrise Medical Laboratories.

FSH: 1.0(1-11)
LH: 1.2(1-8)
Cholesterol: 208(under 170)
HDL: 41(over 40)
LDL: 150(under 130)
Alkaline Phosphatase: 54(60-270)
Testosterone: 119(160-726)
Free Testo w/ Total and SHGB: 4.19(2.03-13.48)
SHGB: 5.7(10-57)
%Free Testosterone: 3.5 High(1.50-3.2)
Estradiol: 41: (0-56) How can zero be an acceptable value???????
Progesterone: 0.4(0.0-.09)
Cortisal: 14.9(AM: 5-25)(PM: 5-14) Blood drawn at 12:30PM
T3 Total: 1.53(0.80-2.00)
T4: 7.1(4.5-11.7)
TSH-Ultrasensitive: 4.060(0.270-4.200)
Free T3: 4.95(2.0-4.4) HIGH
Vitamin D: 33(30-100) This does not make sense to me, I've been supplementing with 10,000 iu D-3 everyday for the past year, why isn't it higher?
DHEA Sulfate: 389(108-441)
Anti-ThyroGlobulin AB: under 20(0-40)
Estriol Serum: 0.02(00.00-0.16) What is this and how does it differ from Estradiol?

All in all I am satisfied with this doctor, at least compared to the vast majority of others. IGF-1 is not listed here but I believe they ordered it, it is just taking longer than expected. He did not test free T-4 which confuses me. He could not explain why my SHGB is so low. He said it is good to have low SHGB as it frees more testosterone but I believe mine is way too low, thus not allowing testosterone to circulate and be delivered to receptors. This is my theory as to why I did not feel better on the shots. My research told me that low SHGB is a symptom of Hypothyroid, which is what I assumed I had, with my TSH being so high, but now my FT-3 contradicts that. It is over the range, which would suggest hyperthyroid. So I have no idea what is going on here.

He has prescribed a regimen of HCG and Nolvadex to be taken for the next 6 weeks. I will take the HCG for the first 2, then discontinue and start Nolva. He wants a blood test 1 week after cessation but I will wait at least 3, maybe 4 to get a true value. If this does not work, then I will go on hormone replacement therapy with a lose dose HCG and possibly anti-estrogen. My concern though, is that my libido will not improve on this without something else in the equation because of my low SHGB. Any thoughts?

Edit: also, why is my alkaline phosphatise low on a consistent basis? I've had a number of blood test and this number always hovers around 54. And how can I have such low total testosterone while having high free%testosterone?

Also symptoms: Basically google low testosterone symptoms: I have every single one, Google hypothyroid symptoms: I have every single one.

Posted this on mesorx as well as Tnation but haven't really gotten any solid answers so far, so figured I'd post here as well.

thinksteroids.com/forum/mens-health-forum/19-no-libido-help-134328206.html
tnation.t-nation.com/free_online_forum/sports_training_performance_bodybuilding_trt/19no_libido_help_understanding_labs_at_a_loss

Thanks.
 
Your test levels are insanely low, I mean almost to the sterile levels. I'm guessing you fucked around with juice not knowing what you were doing. I've never seen levels so low at such a young age unless there's been aas abuse.
 
No, no steroids, except for the testosterone my previous urologist was giving, I have been off that for a few months though. What angers me is that I just saw a new endo today for a second opinion and she basically told me my test levels are fine. You have to look at not the total test but the free testosterone, as that is all that matters, and in that regard, according to her, I am fine. Obviously I am not seeing this person ever again. My reason for seeing her in the first place was for a diagnosis on my thyroid. I feel that my thyroid is out of whack and I just want answers as to why my TSH is high, suggesting hypothyroidism, while my FT-3 is over the range high, suggesting hyperthyroidism. This is a contradiction and I have no idea why my levels are like that. She could not answer this and basically said my thyroid is fine as well, it does not matter if levels are out of range, everyone is different.

I am just worried that even if I get my test levels back naturally, or if I have to get on hormone replacement therapy, my libido will never improve because of my low SHGB.

Edit: No other drugs either. I used to be a hardcore long distance runner, around the time I should have been going through puberty. That could be a potential reason for my messed up HPTA.

Also, my levels prior to seeking treatment were 268. After being put on cpyionate and coming off cold turkey, my levels are now 119. So I guess you could say I did a cycle with no post cycle therapy (pct). Going to that uro, I knew was a mistake, but I was desperate to feel better so I didn't care. It obviously didn't turn out too well because he didn't even set me up with a proper pct, just straight took me off. This new family doctor though has set me up with HCG and nolva so I will see how that turns out.
 
I guess what I meant was that with a shirt, you would never guess that I was fat. But without, its clear that I have a belly and could lose like 10 pounds. I am eating well though, it's just hard to be active at all because I have absolutely no energy.
 
What dosage and frequency of test cyp were you taking? Are you taking any other medications? Did you ever take narcotic pain medications in the past?
 
The doc that put u on the cyp only hurt u more. By putting u on for such a short time. Then having u stop cold turkey, was just enough to shut down your natural test production (what little there was) then by not doing any post cycle therapy (pct) screwed u big time. Can't believe a doc would do that.
 
Okay guys. I am seeing a new family doctor that specializes in anti-aging medicine and deals specifically with bio-identical hormones. Her website is here: drcarfora.com/

Really, at this point, if she decides to put me on replacement therapy I think I am just gonna go that route. I can't wait around anymore hoping my test levels will come back naturally. I've been suffering so long that even if my test levels come back naturally with the Human Chorionic Gonadotropin (HCG) and Nolva, I'm sure they'll plummet again soon afterwards. My concern is that even if I do decide to go this route, I will not experience any alleviation of symptoms because my SHGB is so FUCKING LOW. It was this low on the testosterone shots(300mg ever other week) and is still the same low after being off. I'm almost positive I have a thyroid problem. Everything I've read points that way. Hypothyroidism=low SHGB.
 
Muqali said:
How can you be 5'9" 220lbs and not be fat if you have no muscle?
Click to expand...

+1

But have you tested your thyroid or checked your iron levels. At 19 I would be very leary of going on testosterone replacement therapy (TRT) before having and MRI done to check your pituatary. At that age your not done growing and still could be in pueberty although I doubt it. I would be sure to check into some other things first as thyroid get your liver checked and maybe some other things. At that age unless you had a prior injury to your balls or some other defect I would think you have something else going on specially since T did nothing for you over 6 weeks. Not to be a dick at 5'9" 220 you got about 40lbs extra carrying around unless you truely pump, being a good portion over weight can raise estrogen levels and kill T levels. If all checks out and before you start testosterone replacement therapy (TRT) I would try and drop 20lbs, check your sleeping habits are you sleeping 7-9hrs a night, caffeine intake, diet in general, alcohol and drugs. Your cholesterol is high which at that age is a sign of of a very poor diet.

A better option might be for your age to do a clomid restart, might want to check that.
 
Last edited:
I don't even know where to start here, none of it makes sense and then you top it off with going to a chick doctor for your man problems?

I am confused. Usually when men are your age with lowT there is an underlying issue that can possibly be corrected.
 
Your TSH is right on high too. And so is free t3. Should get rt3 checked. Definately sort thyroid out first, then your weight. No offense but at 220lb, 5"9 no muscle you are obese. With a lot of our population now overweight it seems a lot of us are underestimating how overweight we actually are.
 
You really think going to a chick doctor is a bad idea? She seems pretty knowledgeable in the hormone area. I don't really have that many options here. I went to the A4M website and she was the first doc that came up in my area.
 
I'm not a fan of the "bio-identical" all natural "vegetable pill" they implant into your ass and call it Hormone Replacement Therapy (HRT). I'll stick with the injections.
 
I'm with DetOak and RedLang. Det is right - there are so many things weird here it almost seems like you're trolling. (No offence - I believe you!) Red is right - you are obese, yet you say you aren't fat. Cmon man - 5'9" 220lbs no muscle - dont say youre not fat. I'm with Red - thyroid is probably the key to this.

So far you have learned that doctors are ignorant. Good. Now you are taking control. Good. it is extremely unlikely that you will ever find a doctor who will know more than you will be able to learn. And I am certainly not against female doctors - I have had better experiences with them than with males. (Professionally speaking.)

And you're right - the vegetable pill in your ass comment did not help. That's a two out of two fail for the newbie.
 
I'm new so take with grain of salt but...I'm with 300 on getting your pituitary checked. I had a long discussion about pituitary tumors with my HRT doc and being an endo, he said that pituitary tumors are unicorns but that doesn't mean they don't happen in the strangest of cases. Your case, your labs, your background seems to fit in the strange case category. I also would do a lot of research on the doc you're looking to help you, and I mean a lot. You've been to a lot of different docs based on your reports. When you said that Test Cyp wasn't working for you? What exactly wasn't working for you? What was the full hormone protocol? What was your diet like? Good, Bad, or Clean as Fcuk? Are you taking other prescribed medications at all? physical or psychological? I think that if I was to take the injections and commit to processed high carb, high fat junk all the time I wouldn't see much of improvement either; physically or mentally. Same goes for drugs like prozac, etc...Food is so important. I think someone posted on the AAS forum here 85% diet, 15% workout, 5% gear (in your case HRT)...this still applies to you and not just AAS crowd. Good luck, Trey
 
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