Please help with my Lab results

[Maven9]

Hi,

New to the forum. I'm a 31yr old male who has always felt something was wrong. Besides my height and facial beard, I've always felt frail and not very masculine. My current weigh about 150lbs has been heaviest ever though I'm 6'1. In my opinion my male organ is underdeveloped, my voice is fairly high pitched (compared to my brothers) and I'm sexually weak; ED and all.

Over the past year, I've noticed a marked dip in my cognitive capacity. I struggle to string words together when i speak. Simple work emails take me forever to put together eventually coming out basic at best and I'm in a constant state of forgetfulness and mental confusion. Despite my slim frame, I sweat a lot in my armpits and palms even without any physical exertion. I'm always on the edge of depression, anxiety and highly anti-social. After a prolonged period of fatigue, headaches and general weakness i started researching to find possible answers. I concluded I was hypogonadal before taking the lab tests. Please find the results below;

FT3=1.67 pg/ml (ref: 1.40 - 4.20)
FT4=1.57 ng/dL (ref: 0.8 - 2.o)
LH= 2.13 IU/L (ref: 0.7 - 7.4)
FSH=1.31 IU/L (ref: 2 - 10)
TSH=0.63 mIU/L (ref: 0.3 - 4)
TT=5.05 ng/ml (ref: 3.5 - 8.6)


Could you please help me make meaning of this? All the results are borderline low except TT which is above the low border and FT4. I expected this to be low. Am I primary or secondary hypogonadal. If secondary, does my FSH indicate the I'm irreparably infertile? Thanks in advance. It's a difficult time.

 

[PrinceDianabol]

You are not clinically hypogonadal by definition. Although that doesn't mean you don't need more T.

Don't worry about FSH. Even with levels of >0.1 FSH you will still be producing sperm. If you're really worried get a motility test.

You would likely benefit from SERM or AI therapy. Try a clomid restart; (50mg every day for four weeks, then wait six AFTER your last dose and retest bloods.)

If that doesn't bring you much higher you could try AI mono (something along the lines of 0.5-1mg Adex everyday... wait four weeks and test bloods. You will have to stay on that forever as a form of TRT in order to keep the increased levels.)

If neither of those alleviate your symptoms AND your T has increased then you have a different issue. You do seem anxious - have you considered seeing a psychologist at all?


Edit: Increasing your T should help your thyroid numbers as well, although you're not hypothyroid either. They often go hand in hand.

 

[Megatron28]

My hunch is that this may be diet related. You probably are not eating enough calories. Can you talk to use about your diet -- calories, macros and TDEE?

I am not convinced you need to use a SERM.