Hey all. New to this Forum. So a quick bit of background before my results.
I’m a healthy 25 year old male. I’ve not been not been training/exercising much in the last few months but I’m generally quite/very fit. And when I train hard (have done p90x a few times) I can get into great shape. Diet is pretty good, probably better than most and I don’t smoke or take any drugs. I don’t carry much fat around on me (I’m not as lean as I normally am though), and can put on muscle mass quite easily. In fact when I first started training at 17/18, some guys thought I may be on steroids! If I dedicate myself and lift heavy for a few weeks, I can put on good size.
I would describe myself as a confident person and ambitious - run an online business. I’m also assertive as an individual and a lot of people would describe me as having a masculine personality. Basically, I’m not effeminate character wise. Energy levels - pretty good. I work mostly from home, so as you can imagine pretty average during these hours. But when I’m out and about, with friends or at meetings, my energy levels tend to be high.
Taking the above into consideration, it really confuses me how I have such low testosterone. What triggered me to get tests done was basically inconsistent erectile strength and an inconsistent libido as well as general curiosity. I just thought both should be top notch at my age. With getting my results, I am shocked - I would have expected at least average testosterone results, and thought my actual issue would have been something else out of control (prolactin/cortisol) and not testosterone itself.
But the results speak for themselves. And I have to accept them and deal with them. Do I need TRT? I would rather not, but want to know your thoughts. Can I get to normal levels naturally or is TRT my only real option?
And does anyone think there could be a bigger issue behind all of this? (tumour/underlying condition) What, if anything, could be causing such low total testosterone and ridiculously low free testosterone? Are there any other tests I need to get done?
Finally - I’m surprised the free testosterone is so low. Total testosterone is low, but with low SHBG levels and average albumin levels, what can explain such low FT?
I’d really appreciate any thoughts. All my tests were paid for privately, and I spent quite a bit to get these results. I guess I should go see a specialist too, which I will be looking into.
Thanks - and look forward to interacting.
My Results
TSH: 4.08 mIU/L (0.27 - 4.2)
Prolactin: 364 mIU/L (86 - 324)
Testosterone: 13.4 nmol/L (7.6 - 31.4)
Free Testosterone: 2.77 pg/ml (4.0 - 30.0)
SHBG: 13 nmol/L (16 - 55)
Testosterone/SHBG Ratio: 102.3 (24 - 104)
Prostate Specific Ag(Total): 0.52 ug/l (0.00 - 1.40)
FSH: 2.5 IU/L (1.5 - 12.4)
LH: 4.4 IU/L (1.7 - 8.6)
Insulin: 11.9 mIU/L (2.6 - 24.9)
Cortisol: 402 nmol/l (9 am: 171 to 536)
Vitamin D: 27 nmol/L (50 – 200)
Albumin: 50 g/L (34 - 50)
Oestradiol: 117 pmol/L (44 - 156)
Random Blood Glucose (FL): 5.1 mmol/L (3.5 - 7.9)
Fasting Blood Glucose (FL): 5.1 mmol/L (3.5 – 5.8)
HbA1c: 40 mmol/mol (20 - 42)
Triglycerides: 1.3 mmol/L (< 2.3)
Cholesterol: 4.3 mmol/L Optimum (<5.0)
HDL Cholesterol: 1.6 mmol/L (0.9 - 1.5)
LDL Cholesterol: 2.1 mmol/L (Up to 3.0)
HDL % of total: 37 % (20 and over)
I’m a healthy 25 year old male. I’ve not been not been training/exercising much in the last few months but I’m generally quite/very fit. And when I train hard (have done p90x a few times) I can get into great shape. Diet is pretty good, probably better than most and I don’t smoke or take any drugs. I don’t carry much fat around on me (I’m not as lean as I normally am though), and can put on muscle mass quite easily. In fact when I first started training at 17/18, some guys thought I may be on steroids! If I dedicate myself and lift heavy for a few weeks, I can put on good size.
I would describe myself as a confident person and ambitious - run an online business. I’m also assertive as an individual and a lot of people would describe me as having a masculine personality. Basically, I’m not effeminate character wise. Energy levels - pretty good. I work mostly from home, so as you can imagine pretty average during these hours. But when I’m out and about, with friends or at meetings, my energy levels tend to be high.
Taking the above into consideration, it really confuses me how I have such low testosterone. What triggered me to get tests done was basically inconsistent erectile strength and an inconsistent libido as well as general curiosity. I just thought both should be top notch at my age. With getting my results, I am shocked - I would have expected at least average testosterone results, and thought my actual issue would have been something else out of control (prolactin/cortisol) and not testosterone itself.
But the results speak for themselves. And I have to accept them and deal with them. Do I need TRT? I would rather not, but want to know your thoughts. Can I get to normal levels naturally or is TRT my only real option?
And does anyone think there could be a bigger issue behind all of this? (tumour/underlying condition) What, if anything, could be causing such low total testosterone and ridiculously low free testosterone? Are there any other tests I need to get done?
Finally - I’m surprised the free testosterone is so low. Total testosterone is low, but with low SHBG levels and average albumin levels, what can explain such low FT?
I’d really appreciate any thoughts. All my tests were paid for privately, and I spent quite a bit to get these results. I guess I should go see a specialist too, which I will be looking into.
Thanks - and look forward to interacting.
My Results
TSH: 4.08 mIU/L (0.27 - 4.2)
Prolactin: 364 mIU/L (86 - 324)
Testosterone: 13.4 nmol/L (7.6 - 31.4)
Free Testosterone: 2.77 pg/ml (4.0 - 30.0)
SHBG: 13 nmol/L (16 - 55)
Testosterone/SHBG Ratio: 102.3 (24 - 104)
Prostate Specific Ag(Total): 0.52 ug/l (0.00 - 1.40)
FSH: 2.5 IU/L (1.5 - 12.4)
LH: 4.4 IU/L (1.7 - 8.6)
Insulin: 11.9 mIU/L (2.6 - 24.9)
Cortisol: 402 nmol/l (9 am: 171 to 536)
Vitamin D: 27 nmol/L (50 – 200)
Albumin: 50 g/L (34 - 50)
Oestradiol: 117 pmol/L (44 - 156)
Random Blood Glucose (FL): 5.1 mmol/L (3.5 - 7.9)
Fasting Blood Glucose (FL): 5.1 mmol/L (3.5 – 5.8)
HbA1c: 40 mmol/mol (20 - 42)
Triglycerides: 1.3 mmol/L (< 2.3)
Cholesterol: 4.3 mmol/L Optimum (<5.0)
HDL Cholesterol: 1.6 mmol/L (0.9 - 1.5)
LDL Cholesterol: 2.1 mmol/L (Up to 3.0)
HDL % of total: 37 % (20 and over)