28 yr old male results - low test, low FSH

[Irish11B]

I'm a 28 yr old male. I was planning a cycle and decided to get blood work done. I'll post my results below but I'm showing low test at 255 ng/dL and low FSH at 1.4. I did one 8 week cycle 2 years ago. 500 mg week test. I used HCG 250 IU every 4 days throughout cycle. I used an AI. I did a month long PCT with Nolva 40/40/20/20 and Clomid 100/100/50/50. I don't think I exhibit any signs of low test. I have no problem with sexual function. Sure I'm tired a lot but I work pretty hard. Anyone see anything else in these results that's abnormal and have any suggestions? I ordered these tests online and have not seen a doctor yet.

CBC With Differential/Platelet
WBC 5.5 3.4-10.8 x10E3/uL 01
RBC 5.46 4.14-5.80 x10E6/uL 01
Hemoglobin 15.8 12.6-17.7 g/dL 01
Hematocrit 46.1 37.5-51.0 % 01
MCV 84 79-97 fL 01
MCH 28.9 26.6-33.0 pg 01
MCHC 34.3 31.5-35.7 g/dL 01
RDW 14.2 12.3-15.4 % 01
Platelets 169 150-379 x10E3/uL 01
Neutrophils 52 % 01
Lymphs 36 % 01
Monocytes 8 % 01
Eos 3 % 01
Basos 1 % 01
Neutrophils (Absolute) 2.9 1.4-7.0 x10E3/uL 01
Lymphs (Absolute) 2.0 0.7-3.1 x10E3/uL 01
Monocytes(Absolute) 0.4 0.1-0.9 x10E3/uL 01
Eos (Absolute) 0.2 0.0-0.4 x10E3/uL 01
Baso (Absolute) 0.0 0.0-0.2 x10E3/uL 01
Immature Granulocytes 0 % 01
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL 01
Comp. Metabolic Panel (14)
Glucose, Serum 75 65-99 mg/dL 01
BUN 12 6-20 mg/dL 01
Creatinine, Serum 0.84 0.76-1.27 mg/dL 01
eGFR If NonAfricn Am 119 >59 mL/min/1.73 01
eGFR If Africn Am 138 >59 mL/min/1.73 01
BUN/Creatinine Ratio 14 8-19 01
Sodium, Serum 140 136-144 mmol/L 01
Potassium, Serum 4.4 3.5-5.2 mmol/L 01
Chloride, Serum 100 97-106 mmol/L 01
Carbon Dioxide, Total 24 18-29 mmol/L 01
Calcium, Serum 9.5 8.7-10.2 mg/dL 01
Protein, Total, Serum 7.0 6.0-8.5 g/dL 01
Albumin, Serum 4.8 3.5-5.5 g/dL 01
Globulin, Total 2.2 1.5-4.5 g/dL 01
A/G Ratio 2.2 1.1-2.5 01
Bilirubin, Total 1.1 0.0-1.2 mg/dL 01
Alkaline Phosphatase, S 85 39-117 IU/L 01
AST (SGOT) 25 0-40 IU/L 01
ALT (SGPT) 31 0-44 IU/L 01
Testosterone, Serum
Testosterone, Serum 255 LOW 348-1197 ng/dL 01
Comment: Comment 01
Adult male reference interval is based on a population of lean males
up to 40 years old.
Luteinizing Hormone(LH), S
LH 5.8 1.7-8.6 mIU/mL 01
FSH, Serum
FSH 1.4 LOW 1.5-12.4 mIU/mL 01
1 of 2
Estradiol
Estradiol 13.0 7.6-42.6 pg/mL 01

 

[Milton]

you dont feel signs of low test?

 

[Irish11B]

I haven't noticed any, meaning I don't have a problem with ED. I don't feel significantly depressed and I'm tired a lot but no more than at the end of a Long day.

 

[Mprtz]

ED is typically not a symptom of low test until you reach profoundly low levels. Libido will suffer first as test levels drop.

What's your body composition like? Abdominal fat? How is your strength relative to pre-cycle?

Did you get blood drawn in the morning?

If you don't have any symptoms I wouldn't take any action before retesting.

 

[Irish11B]

ED is typically not a symptom of low test until you reach profoundly low levels. Libido will suffer first as test levels drop.

What's your body composition like? Abdominal fat? How is your strength relative to pre-cycle?

Did you get blood drawn in the morning?

If you don't have any symptoms I wouldn't take any action before retesting.

I'm 5'11'' . my weight fluctuates daily between 194 and 202, depending on what I eat. My handheld Omron body fat monitor just now read 15% and my body fat scale read 24% which seems way off to me. A tape test this week, subtracting neck circumference from midsection gave a result of 17%. I believe the midsection, around navel circumference was 36 in. and neck 17 in.

I've always been around 12% body fat until about the last year with pretty consistent weight. I completed my cycle in November 2014. I jumped up to 215 lbs from 195, again at about 12% and leveled off around 210 after PCT. I was then deployed to Iraq for 8-9 months January 2015 to September 2015. I maintained most of my gained strength for about 6 months and then it started to fall off but it was hard to keep a consistent gym schedule out there. I attempted to do a dbol only cycle out there. I didn't want to be pinning in Iraq. I was on 50mg a day for about a week and then had to stop because we got word we were moving to a different area. I remember taking a bit of Nolva for maybe a week but didn't do a full PCT. I returned to the states at about 200 lbs. When I got back I got into a serious relationship and didn't lift much the past year though remained active, exercising with work. I started putting on fat which was abnormal for me. By December/January 2016 I was 215 lbs again but not in muscle. Most of it in the abdominal area. I was weighed and taped and the medic said my abdomen was distended. I also started experiencing a swollen feeling in my neck / lymph nodes area and anxiety. I was tested for mono because I felt sluggish like I did when I had mono before but it came back negative. I had a thyroid panel done privately in January 16 and the results read in range. I then had the tests done through the Army and same thing. I had an ultrasound done on my neck which showed nothing unusual. I was supposed to be scheduled for a barium swallow test but it never happened. We started an intensive training cycle from spring to summer. The swollen neck feeling subsided so I wrote it all off as a symptom of stress/anxiety and getting older and forgot about it. I started dropping weight, 4-5 lbs lighter every time we came back from training out in the woods and by September was seeing my weight as low as 192.

The testosterone labs were taken around 4pm after fasting all day because that's the only time I could get there after work. I know it should be taken in the morning but I've read total test should only drop about 30% over the course of the day and adding 30% to 255 would still read low. The test was also ECLIA not LC/MS. I'm now considering trying to do a HPTA restart with HCG / Nolva but my medic is worried now and wants me to get tested through the Army and see if the PA will put me on TRT. Getting treatment through the Army always takes forever and I'd like to fix it on my own before I start down that road. Since my LH levels are normal, I suspect that I'm secondary. With low test, my LH should be high because my body should be screaming to make more test, right?

I'll post the thyroid panel here but it's from way back in January 2016 so it may not be very relevant.

Thyroid Panel With TSH
TSH 3.490 uIU/mL 0.450 - 4.500 01
Thyroxine (T4) 7.2 ug/dL 4.5 - 12.0 01
T3 Uptake 32 % 24 - 39 01
Free Thyroxine Index 2.3 1.2 - 4.9
Thyroxine (T4) Free, Direct, S
T4,Free(Direct) 1.15 ng/dL 0.82 - 1.77 01
Reverse T3, Serum 12.6 ng/dL 9.2 - 24.1 02
Thyroglobulin Antibody <1.0 IU/mL 0.0 - 0.9 01
Thyroglobulin Antibody measured by Beckman Coulter Methodology
Thyroid Peroxidase (TPO) Ab 10 IU/mL 0 - 34 01
Triiodothyronine,Free,Serum 3.6 pg/mL 2.0 - 4.4

 

[Milton]

have you outlined your upcoming cycle yet?