Most of us have a mild cold compaired to this poor guy

Crazy Crew

New Member
My jaw dropped while reading this poor mans situation.
Perhaps someone could lend him some credible advise.


Hey guys I was referred here by someone over on a thyroid.

Hey guys. I am a 21 year old male. I am 5 10 and weigh 123 pounds (you will find out why so low if you keep reading :P )

This all started back in my senior year of high school. I ended up getting
mono/hepatits during cross country season without even realizing it. We ran
anywhere from 60-70 miles a week. After the season ended we discovered I had
both of those. After I "recovered", I continued to run on my own (still around
50 miles a week). I always felt tired and continued to make myself run
everyday. I never lost weight or anything, I just never allowed myself to
recover. I also think that while I was eating enough calories I may not have
been getting enough nutrition (the right vitamins/minerals/etc). My energy
continued to slowly decline at a very slow pace. My first year of college I
continued to run 30-40 miles a week for a runners club, and also lifted weights
6 times a week. Along with the weight lifting I began taking these pre-workout
nitric oxide/energy drinks that are loaded with caffeine and other stimulants
(and continued to take them every day up until maybe a month or so ago, so for 2-3 years!). By
the next year I no longer had enough energy to run much anymore, but I
continued to lift and take the pre-workout energy drinks. THe following summer
is when I developed the bad constipation. I never got over it and for the past 2
years I have had to use my finger in the morning to stimulate a bowel movement
(otherwise I dont go for 4-5 days). Nothing I have done has fixed my symptoms, not going dairy or gluten free, using
digestive enzymes, supplementing with magnesium/selenium/zinc, eating lots of
raw veggies an fruit, cultured fermented veggies, coconut oil, raw butter, not even colonics. The colonoscopy and endoscopy ruled out any thing wrong in the intestines and stomach itself, no celiacs, no cancer/diverticuli/etc, healthy vili. Anal rectal manometry and bio feedback indicate nothing I wrong with the way I have a bowel movement either. Now all along I have been treating the
constipation as the cause of my fatigue/sluggishness, dry skin, non existent sex
drive, difficulty getting erections, very weak erections, almost no semen production, low body temp (around 96.9/97 in mornigs-97.4 or so in he afternoon and at night...but stable, doesnt wildly fluctuate), etc. However, after reading online about thyroid and
adrenal problems I think the constipation is just another symptom.

I went to my docs and they drew some blood. My TSH was 6.01 (0.27-4.20), and my free t4 was 1.030 (1.01-1.79).

IGG 875.5 (700-1600)
IGA 112.4 (70-400)
IGM 199.3 (40-230) WHat do these represent?

Thyroglobul AB <20 (<20)
thyroid per AB <10 (<35)

They put me on trial of syntrhroid and after about 2 months of 50 mcg a day then 2 months of 100 mcg a day my tesh was at 1.20 and m4 ft4 was up to 1.36. I still had all the symptoms though. I found STTM and began doing research. I tried to get them to look at ft3 an other things but they wouldn't listen.

I have now had mary shomons breakthrough done along with testosterone (total). The results were

Test Name Flag Result Ref Range Units
Glucose 80 65-99 mg/dL
Uric Acid 3.2 2.4-8.2 mg/dL
BUN 26 5-26 mg/dL
Creatinine 0.92 0.76-1.27 mg/dL
eGFR >59 >59 mL/min/1.73
eGFR AfricanAmerican >59 >59 mL/min/1.73
BUN/Creatinine Ratio HIGH 28 8-27
Sodium 140 135-145 mmol/L
Potassium 4.5 3.5-5.2 mmol/L
Chloride 104 97-108 mmol/L
Calcium 9.2 8.7-10.2 mg/dL
Phosphorus 3.6 2.5-4.5 mg/dL
Protein, Total 6.4 6.0-8.5 g/dL
Albumin 4.6 3.5-5.5 g/dL
Globulin, Total 1.8 1.5-4.5 g/dL
A/G Ratio HIGH 2.6 1.1-2.5
Bilirubin, Total 0.5 0.0-1.2 mg/dL
Alkaline Phosphatase, S 83 25-150 IU/L
LDH 144 100-250 IU/L
AST (SGOT) 34 0-40 IU/L
ALT (SGPT) 52 0-55 IU/L
GGT 51 0-65 IU/L
Iron 77 40-155 ug/dL
Cholesterol, Total 159 100-199 mg/dL
Triglycerides 31 0-149 mg/dL
HDL Cholesterol 79 >39 mg/dL
VLDL Cholesterol Cal 6 5-40 mg/dL
LDL Cholesterol Calc 74 0-99 mg/dL
T. Chol/HDL Ratio 2.0 0.0-5.0 ratio units
Estimated CHD Risk < 0.5 0.0-1.0 times avg.
TSH 2.950 0.450-4.500 uIU/mL

Testosterone LOW 115 280-800 ng/dL

LH LOW 0.5 1.7-8.6 mIU/mL

Vitamin D, 25-Hydroxy 37.6 32.0-100.0 ng/mL

T4,Free(Direct) 1.23 0.82-1.77 ng/dL

Prolactin 9.5 4.0-15.2 ng/mL

Estradiol 15.0 7.6-42.6 pg/mL

DHEA-Sulfate 455.3 211.0-492.0 ug/dL

FSH 2.3 1.5-12.4 mIU/mL

Progesterone 0.9 0.2-1.4 ng/mL

Thyroid Peroxidase (TPO) Ab 17 0-34 IU/mL

Triiodothyronine,Free 2.1 2.0-4.4 pg/mL

After only two weeks of being off synthroid my TSH is already going back up, and like I suspected my freet3 is at the very bottom of its range. I am also essentially castrated testosterone wise.

We then did a more detailed testosterone workup and got the following

We got the testosterone workup back and I am worse off then we thought

Name Value Reference Range
TESTOSTERONE<a> 67 241-827
SEX HORM BIND GLOBULIN<a> 40 13-71
CALC. FREE TESTOSTERONE<a> 1.1 6.0-27.0

Reading online it seems having low lh and low fsh along with low testosterone indicates something wrong with the pituitary or hypothalamus. How does this link up with thyroid? And does the fact that I had mono put me at a greater risk of having the hashimotos disease (an could that be causing all my problems?)


Does such a high DHEA-S indicate any adrenal problems? I am doing the salivary cortisol test today and will mail it in tommorow. I don't "feel" as if I have adrenal problems, I can go to the gym 4-5 times a week, and walk 3 miles a day and not feel super fatigued or anything. I have no trouble sleeping, no waking up at night, sleep gives me some energy back, but not as much as it should (though the fact it refreshes me a bit is a good thing...no adrenal exhaustion at least, if anything only mild). The only thing that had me suspecting adrenals as well is my history (running is definitely harsh on adrenals and all the energy/nitric oxide drinks).

My D3 levels were also pretty low but I take a lot of cod liver oil and am good about supplementation. WOuld it be wise to check any other vitamins/minerals to see if there is any degree of malabsorption going on? I am awesome about nutrition and supplementation (magnesium = 800-1000 mg, vit c = 4-5 grams throughout the day, zinc, selenium, b-12, digestive enzymes, probiotics, lots of sea vegetables, granulated kelp, etc).

The worse symptom to me both mentally and physically is the constipation. I just don't get the urge to go for 3 days, sometimes 4, and when I do go I just ont feel like I have a lot of push/power in expelling the crud. It also comes out in soft narrow pellets, so it may just be squeezing past older harder feces.. I need to put back some weight (since the constipation started two years ago I have gone from 135ish to about 123). I am eating very high healthy fats (rich in vitamins too) to keep things as calorie dense as possible while still getting in goo amounts of fruit/veggies/fiber. I also have a thing of meat (lean meat, fatty red meat, or salmon) every day along with a scoop of goat milk or egg white protein powder. I cant gain weight eating close to 3000 calories a day and I dont burn a lot of calories in activities.

I have been giving myself a 64 ounce enema on advice from my colonic lady as well as a naturopath just so I can keep things from stagnating, becuase being constipated sure as shi* (pun intended) wont help my situation. I stopped using my finger because I hought I had gotten my body addicted to it, but all the finger had been doing all along was stimulating peristalsis, which wasnt working because of the hypo stuff.


I just had blood work done this mornig for ACTH, 8 AM serum cortisol (still waiting for results for a 24 hour saliva test), and we re-did LSH ans FSH to check.


http://musclechatroom.com/forum/showthread.php?t=14250
 
I understand your concern, but I really don't think this guy has it any worse off than Mob, Tyler81, Chem, KSUZach, myself, or whoever else frequents these forums.

Only thing different is that this guy is constipated. He is pretty much in the same boat as MOB and KSU with the whole hypogonadism caused by an eating/exercise disorder thing, so perhaps someone could forward him their threads.
 
I wasn't trying to take away from the plight you or anyone else here faces. Just pointing out that he has had no help apparantly and we have been there. The more light shed in his direction the faster he can deal with it.
 
I wasn't trying to take away from the plight you or anyone else here faces. Just pointing out that he has had no help apparantly and we have been there. The more light shed in his direction the faster he can deal with it.

Absolutely. Has he been here yet? I see he has just posted Dr. Crisler's board. I don't think the mods over there will like the Meso link, but maybe you (or someone) can send him a PM.
 
Hey guys. Apparently I am much worse off then I thought. This al started with me worrying about the constipation but has uncovered much much more.

I feel kinda hopeless right now. I just hope I can be "fixed". Gotta find the right doctor first though and unfortunately I cant seem to locate anyone around here, and have no idea how to go about treating things and in what order is best. I know I will need some kind of hormones to fix those probs, an I will need to address thyroid for the constipation and other symptoms associated with it. Like i said, I am just overwhelmed.

Should I consider having Dr crisler try and do phone treatment through a local doc
 
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What area are you in? Maybe someone knows of a good dr there.

The problem with phone consults is that your PCG has to be on board and finding one who will is rare.
 
Got some more test results back, input welcome

Test Name Flag Result Ref Range Units Graph Info
LH LOW 0.8 1.7-8.6 mIU/mL
Cortisol HIGH 20.3 2.3-19.4 ug/dL
ACTH, Plasma 23.9 7.2-63.3 pg/mL
FSH 2.7 1.5-12.4 mIU/mL
progenelone, serum 53 (23-173 ng/dl)
ferritin 107.8 (22-322ng/dl)
 
I wouldn't worry about the cortisol being high. That's probably a good sign and means that your adrenal glands are working.

Your HPTA axis is clearly shut down. You have two options:

(1.) Do a restart using clomid

(2.) Testosterone replacement

I suggest trying the restart and if that doesn't work then start replacing your testosterone.

But first you must find a competent doctor.
 
Who would you recommend. Some people are telling me to go see Dr crisler in lansing.

And you mean a restart doing something like clomid correct?
 
Per your PM, I am looking. I could not read any further past the running deal. WTF??

I would say your body is merely compensating for what you are putting it through. Thats a lot of running. Perhaps some psychological evaluation is needed as well. At this rate you are going to be one of those skinny guys out on the road whos knees are bigger that their calves.!! It takes a certain type to run all that much. Anyone conditioning like that should be able to see the results of the work, and if they are not happy, then make the change. I think you pushed that running too far. There has to be more than coincidence going on here. No man needs to run more that a mile of two a day to stay in excellent condition. If anyone is doubting that just hit the street and see how far you get......

I don't intend to sound harsh or rude, so imaging us sitting around the table over a beer. IMO, You need to "settle down" and cut the running to 2 miles EOD. Thats just too much. Thats all I have on it. Good luck....
 
I havent run at all in 2 years................

I think the length of running and the damage you have done will be a while before it changes. You should truly try a restart attempt first, an endo dr would probably be your first best route to go. Usually medical colleges with great programs are great places to look for doctors, you usually get ones that think outside the box.

On another note, my question is, I often wonder is with all that running, what does a persons diet look like?? Because I know you are not getting all the nutrients your body needs.

Even though you say you haven't ran in 2 years, you still said you can walk 3 miles a day, and lift weights. I know you probably are still training pretty intensly, so how about listing all the food and total calories you take in every day, along with any supplements you are on.
 
I use fit log to make sure I am getting in a minimum of 2500 cals a day. Usually comes out to around 40% fat, 30% protein, 30% carbs (trying to make calories as energy and nutrient dense as possible since its gets hard to keep eating after 4 days of meals are sitting in your intestines.....)

Only been walking 20-30 minutes and lifting like 3 days a week now. Not really getting any better. Only thing I have noticed is since taking naturthroid sleep refreshes me a bit and I am dreaming again.

Proteins = whole eggs, red meat (buffalo, new york strip, rib eye, etc), grilled turkey breast, salmon, egg white protein powder, etc), kefir

carbs = all kinds of fruits, milet/amaranth/quinoa/buckwheat (gluten free due to gi issues), veggies, kefir

fat = olive oil, fat from all kinds of meat, eggs, all kins of nuts, raw butter, coconut oil, olive oil, cod liver oil, etc

Only fiber I supplement with is chia seeds. Everything makes it worse, and chia doesnt work that well either.

Supps = proobiotics, digestive enzymes, hcl, magnesium, vitamin c, vitamin d, selenium, zinc, iodine as granulated kelp

medications = naturthroid
 
i use fit log to make sure i am getting in a minimum of 2500 cals a day. Usually comes out to around 40% fat, 30% protein, 30% carbs (trying to make calories as energy and nutrient dense as possible since its gets hard to keep eating after 4 days of meals are sitting in your intestines.....)

only been walking 20-30 minutes and lifting like 3 days a week now. Not really getting any better. Only thing i have noticed is since taking naturthroid sleep refreshes me a bit and i am dreaming again.

Proteins = whole eggs, red meat (buffalo, new york strip, rib eye, etc), grilled turkey breast, salmon, egg white protein powder, etc), kefir

carbs = all kinds of fruits, milet/amaranth/quinoa/buckwheat (gluten free due to gi issues), veggies, kefir

fat = olive oil, fat from all kinds of meat, eggs, all kins of nuts, raw butter, coconut oil, olive oil, cod liver oil, etc

only fiber i supplement with is chia seeds. Everything makes it worse, and chia doesnt work that well either.

Supps = proobiotics, digestive enzymes, hcl, magnesium, vitamin c, vitamin d, selenium, zinc, iodine as granulated kelp

medications = naturthroid

just fucking eat.
 
Regardless, Two years doesn't change the psychological issues/forces behind that. 50miles a week!! Come on. Next I see you have stated to only "walk".. Right...:popcorn:

You need to present your info clearly, FULLY, to a third party to evaluate you thoroughly. While there is a slim chance for coincidence, more has to be here. NOBODY runs that much EVER...

I havent run at all in 2 years................
 
He kinda sounds like m_ob with the diet stuff. I'm going to just straight up say it: you have a problem with anorexia! Your calorie intake is decent at best on its own, but it pales in comparison to the caloric demands you have created through exercise. Think of all of the days that you ran a deficit of 500+ calories. And some days you probably did more than that.

At this rate, you are down about 182,000 calories per year. So just to get back to caloric equilibrium you need to eat a surplus of 182,000 calories or more in the next year. And that's just to make up for one year. nIt sounds like you did this for several.

Boat: I challenge you to gain 30 lbs. Just eat all day. 5'10" 123 lbs? That is NUTS! When you read this, go to the nearest fast food joint and stuff your face.

I am 6'6" and I got down to 195 and it f***** me up so bad. It wasn't the only factor but it didn't help. I'm now back up to about 220-225 and slowly recovering. I am, however, on TRT now.
 
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