20 year old with super Low Testosterone please Help.

[alijan]

Hi, everybody, I am a 20-year male and I recently found out that I am suffering from super Low T. I went on a diet last year from March to June and lost around 25 Lbs. I was about 175 at 7-8% body fat at my leanest. At that time I started to notice that my sex drive was suffering and I decided to get tested. My Test was at 90. My doctor advised me to stay patient because she believed that my diet might've shocked my hormones. I recently got retested and my Test bumped to only 150. I live a quality, healthy lifestyle so it is concerning to have these results at my age. My urologist sees no problems with my reproductive system and advised me to take DHEA 25 mg. My endocrinologist has no idea what is causing this. Here is my blood panel. And also, if anyone can recommend a great endocrinologist in NYC I would greatly appreciate that.
Labs
CELIAC DISEASE COMP PANEL on 01/20/2017
Details
TISSUE TRANSGLUTAM AB IGA - 3 Range: <4 - U/mL
IGA,SERUM - 270 Range: 81-463 - mg/dL
INTERPRETATION -

ESTRADIOL,ULTRASEN,LCMSMS on 01/20/2017
Details
ESTRADIOL,ULTRASEN,LCMSMS - 12 Range: < OR = 29 - pg/mL

NEGATIVE TTG AB IGG on 01/20/2017
NEGATIVE ENDOMYSIAL SCR on 01/20/2017
NEGATIVE ENDOMYSIAL AB TITER on 01/20/2017
SEX HORMONE BINDING GLOB on 01/20/2017
Details
SEX HORMONE BINDING GLOB - 59 Range: 10-50 - nmol/L Flag: H

PROLACTIN on 01/20/2017
Details
PROLACTIN - 5.7 Range: 2.0-18.0 - ng/mL

HEREDITARY HEMOCHROMAT, NY on 01/20/2017
Details
DNA MUTATION ANALYSIS - see note

ESR,WESTERGREN on 01/20/2017
Details
ESR,WESTERGREN - 4 Range: < OR = 15 - mm/h

PROTEIN ELECTRO,SERUM on 01/20/2017
Details
ALBUMIN - 5.0 Range: 3.8-4.8 - g/dL Flag: H
ALPHA 1 GLOBULIN - 0.2 Range: 0.2-0.3 - g/dL
ALPHA 2 GLOBULIN - 0.6 Range: 0.5-0.9 - g/dL
BETA 1 GLOBULIN - 0.4 Range: 0.4-0.6 - g/dL
BETA 2 GLOBULIN - 0.4 Range: 0.2-0.5 - g/dL
GAMMA GLOBULIN - 1.0 Range: 0.8-1.7 - g/dL
INTERPRETATION -
PROTEIN,TOTAL - 7.5 Range: 6.1-8.1 - g/dL

COMP METAB PANEL W/EGFR on 01/20/2017
Details
ALT - 20 Range: 9-46 - U/L
ALBUMIN - 5.0 Range: 3.6-5.1 - g/dL
A/G RATIO - 2.0 Range: 1.0-2.5 - (calc)
AST - 20 Range: 10-40 - U/L
BILIRUBIN,TOTAL - 0.4 Range: 0.2-1.2 - mg/dL
CALCIUM - 10.2 Range: 8.6-10.3 - mg/dL
CARBON DIOXIDE - 25 Range: 20-31 - mmol/L
CHLORIDE - 102 Range: 98-110 - mmol/L
CREATININE - 1.21 Range: 0.60-1.35 - mg/dL
GLOBULIN,CALCULATED - 2.5 Range: 1.9-3.7 - g/dL (calc)
POTASSIUM - 4.5 Range: 3.5-5.3 - mmol/L
PROTEIN,TOTAL - 7.5 Range: 6.1-8.1 - g/dL
SODIUM - 139 Range: 135-146 - mmol/L
UREA NITROGEN - 29 Range: 7-25 - mg/dL Flag: H
BUN/CREATININE RATIO - 24 Range: 6-22 - (calc) Flag: H
ALKALINE PHOSPHATASE - 59 Range: 40-115 - U/L
EGFR NON AFR AMERICAN - 86 Range: >=60 - mL/min/1.73m2
EGFR AFRICAN AMERICAN - 99 Range: >=60 - mL/min/1.73m2
GLUCOSE - 87 Range: 65-139 - mg/dL

TESTOSTERON,FR/TOT,LCMSMS on 01/20/2017
Details
TESTOSTERONE,FREE - 9.7 Range: 35.0-155.0 - pg/mL Flag: L
TESTOSTERONE,TOTAL - 109 Range: 250-1100 - ng/dL Flag: L
IGF-I,ECL on 02/02/2017
Details
Z-SCORE (MALE) - -1.1 Range: -2.0 - +2.0 - SD
IGF-I,ECL - 158 Range: 83-456 - ng/mL

ALPHA SUBUNIT on 02/02/2017
Details
ALPHA SUBUNIT - 0.1 Range: - ng/mL

GROWTH HORMONE (GH) on 02/02/2017
Details
GROWTH HORMONE (GH) - 0.2 Range: <or=7.1 - ng/mL

ANGIOTENSIN CONV ENZYME on 02/02/2017
Details
ANGIOTENSIN CONV ENZYME - 22 Range: 9-67 - U/L

PROTEIN ELECTRO,SERUM on 02/02/2017
Details
ALBUMIN - 5.0 Range: 3.8-4.8 - g/dL Flag: H
ALPHA 1 GLOBULIN - 0.2 Range: 0.2-0.3 - g/dL
ALPHA 2 GLOBULIN - 0.6 Range: 0.5-0.9 - g/dL
BETA 1 GLOBULIN - 0.4 Range: 0.4-0.6 - g/dL
BETA 2 GLOBULIN - 0.3 Range: 0.2-0.5 - g/dL
GAMMA GLOBULIN - 1.0 Range: 0.8-1.7 - g/dL
INTERPRETATION -
PROTEIN,TOTAL - 7.4 Range: 6.1-8.1 - g/dL

ANA TITER and PATTERN on 02/02/2017
Details
ANTI-NUCLEAR AB TITER - <1:40 Range: <1:40 - Titer
ANA PATTERN -
ANA TITER 2 - <1:40 Range: <1:40 - Titer
ANA PATTERN 2 -

THYROID AB (ATA,TPO) on 02/02/2017
Details
THYROGLOBULIN AB - <1 Range: < OR = 1 - IU/mL
THYROID PEROXIDASE AB - <1 Range: <9 - IU/mL

CBC (INCLUDES DIFF/PLT) 42A on 02/02/2017
Details
BASOPHILS,ABSOLUTE - 25 Range: 0-200 - Cells/mcL
BASOPHILS,% - 0.4 Range: 0-2 - %
EOSINOPHILS,ABSOLUTE - 38 Range: 15-500 - Cells/mcL
EOSINOPHILS,% - 0.6 Range: 0-6 - %
HEMOGLOBIN - 13.1 Range: 13.2-17.1 - g/dL Flag: L
LYMPHOCYTES,ABSOLUTE - 3011 Range: 850-3900 - Cells/mcL
TOTAL LYMPHOCYTES,% - 47.8 Range: 15-50 - %
MONOCYTES,ABSOLUTE - 378 Range: 200-950 - Cells/mcL
NEUTROPHILS,ABSOLUTE - 2848 Range: 1500-7800 - Cells/mcL
TOTAL NEUTROPHILS,% - 45.2 Range: 40-75 - %
MPV - 9.7 Range: 7.5-12.5 - fL
PLATELET COUNT - 249 Range: 140-400 - Thous/mcL
MCH - 31.8 Range: 27.0-33.0 - pg
MCHC - 33.0 Range: 32.0-36.0 - g/dL
MCV - 96.3 Range: 80.0-100.0 - fL
RDW - 14.1 Range: 11.0-15.0 - %
RBC - 4.13 Range: 4.20-5.80 - Mill/mcL Flag: L
HEMATOCRIT - 39.8 Range: 38.5-50.0 - %
MONOCYTES,% - 6.0 Range: 0-10 - %
WBC - 6.3 Range: 3.8-10.8 - Thous/mcL
DIFFERENTIAL -

PROLACTIN,DILUTION STUDY on 02/02/2017
Details
PROLACTIN, UNDILUTED - 8.4 Range: 2.0-18.0 - ng/mL
PROLACTIN, DILUTED - Range: 2.0-18.0 - ng/mL

 

[Milton]

welcome and thanks for sharing your results.

 

[Gainjin260]

7% is too lean to maintain healthy natural levels of test, although I'm guessing yours would be low regardless.

Most people, however, severely underestimated their BF. How did you get those numbers?

 

[tbonexl]

A consistent 7% would be anorexic looking.

 

[alijan]

I am no longer around 7 %. I have gained about 10 pounds since then. I got it tested on one of those fat measuring things by my nutritionist. Right now I would guess I am 10-12%.

 

[alijan]

I got it measured by my nutritionist when I was around 183-185 and it was 10% so I kind of calculated it to be around 7% because of my body composition and the fact that I was actually almost 10 lbs lighter at the peak of my cut.

 

[Megatron28]

Calipers (guessing this is what you used) are not accurate for measuring body fat. Get a Body Pod or DEXA scan. Or post pics and let guys estimate it for you.

Caloric Deficits for a long period of time are very suppressive to your HPTA. Did you go very low fat? Your body needs a certain amount of fat in your diet to be healthy and function properly. It looks like you failed to check cholesterol levels which would give us some insight into this.

Also, you didn't check LH or FSH. We need those to understand what is going on with your HPTA with any certainty. TSH would be a nice one to have too.

Once you get those labs we can advise you if an HPTA Restart might work.

How many calories are you eating daily? Do you exercise regularly? What are your daily diet macro nutrients?

 

[alijan]

it was a Omron Fat Loss Monitor. At the time my diet was really low fat, but now I am around 80G of fat a day with most of it coming from eggs, walnuts and almonds. I am currently running on 2400 Cals, since I started a cut about a month ago. I exercise 6 days a week. My macros are 140g carbs, 220 g protein, 80-85 g fat a day. I started this protocol in January. Before that it was 100g fat and 250g of carbs with around 180 g protein during my bulk from last year's August.

 

[Slhardee]

Agreed on everything Megatron stated.

You need LH and FSH tested to see what your HPTA is doing. I would bet these numbers would possibly cooralate to why your Testosterone is so low.

 

[alijan]

I am going to do my blood work for these panels today
LH/Fsh TSH, FT3, FT4, rT3 and fasted cholesterol

IGF-1 Test and Thyroid antibodies today

 

[Megatron28]

it was a Omron Fat Loss Monitor. At the time my diet was really low fat, but now I am around 80G of fat a day with most of it coming from eggs, walnuts and almonds. I am currently running on 2400 Cals, since I started a cut about a month ago. I exercise 6 days a week. My macros are 140g carbs, 220 g protein, 80-85 g fat a day. I started this protocol in January. Before that it was 100g fat and 250g of carbs with around 180 g protein during my bulk from last year's August.

Don't out yourself in a caloric deficit when your HPTA is suppressed. At least eat a maintenance.

On a different note, did I read correctly that you ate less protein when bulking than you do when cutting? If I did, why would you do that?

And yeah, electrical impedence meters are pretty much crap too for determining body fat percentage.

 

[alijan]

Yea, when I cut I try to eat more protein just for the purpose of satiety and fulfilling my calories through them, instead of carbs.