What is causing my low T? (lab results included)

mack truck

New Member
Hey all,

Looking to start TRT but want to see if i could first find the underlying cause of my low t levels, and cure it instead of masking it with TRT.

I'm also thinking of an HPTA restart but then i'm wondering if it will achieve anything since my LH/FSH are at normal levels. Appreciate any help!

Hormones


Testosterone, total
216 (286 - 802) ng/dL

Testosterone, free
34.17 (34.51 - 107.78) pg/mL

Testosterone, bioavailable
138 (138 - 430) ng/dL

SHBG
16.0 (14.5 - 48.4) nmol/L

E2 (Estrogen)
32.6 (7.6 - 43.0) pg/mL

LH
4.0 (1.7 - 8.6) mIU/mL

FSH
3.5 (1.5 - 12.4) mIU/mL

Prolactin
16.7 (3.46 - 19.4) ng/mL

Cortisol (AM)
8.30 (3.7 - 19.4) ug/dL

IGF-1
160.3 (150 - 350) ng/mL

Thyroid Panel

TSH
4.54 (0.27 - 4.20) uIU/mL

T3, free
3.6 (2.0 - 4.4) pg/mL

T4, free
1.24 (0.93 - 1.70) ng/dL

Lipid panel

Cholesterol
216.1 mg/dL
Desirable: <200
Borderline: 200 - 239
High risk: >240

HDL
32.7 mg/dL
Low: <130
High: >60

LDL
139.5 (<130) mg/dL

VLDL
27.90 (<40.0) mg/dL

Tg (Triglyceride)
219.5 (<200) mg/dL

CBC

HB (Hemoglobin)
12.5 (14 - 18) g/dL

Hematocrit
45.1 (42 - 50) %

RBC
4.79 (4.5 - 6.2) x10*6/uL

WBC
5.60 (5.0 - 10.0) x10*3/uL

WBC & diff / Lymphocyte
40.6 (20 - 40) %

MCH
26.0 (27 - 31) pg

MCHC
29.5 (32 - 36) g/dL

MCV
94.2 (80 - 95) fL

RDW
10.1 (2 - 20) %

Platelet count
250.0 (150 - 400) x10_3/uL

ESR
(up to 10) mm/hr

Clotting time
(2 - 6) mins

Bleeding time
(1 - 6) mins

CMP

-General

Glucose (fasting)
98 (65 - 99) mg/dL

Calcium
8.60 (8.40 - 10.2) mg/dL

-Liver

ALP
82.0 (40 - 130) U/L

ALT (SGBT)
40.2 (Up to 41) U/L

AST (SGOT)
24.9 (Up to 40) U/L

Bilirubin, total
0.80 (up to 1.1) mg/dL

Bilirubin, direct
0.20 (up to 0.25) mg/dL

Bilirubin, indirect
0.60 (0.1 - 0.75) mg/dL

-Kidney

Urea Nitrogen (BUN)
43.5 (<50) mg/dL

Creatinine
0.862 (<1.1) mg/dL

-Electrolytes

Potassium
4.60 (3.60 - 5.5) mmol/L

Sodium
141.0 (135.0 - 152.0) mmol/L

Chloride
99.0 (98.0 - 110.0) mmol/L

-Proteins

Albumin
4.40 (3.6 - 4.6) g/dL

Protein, total
7.30 (6.4 - 8.3) g/dL

================================================================

Stats:

Age: 33
Height: 6'5
Weight: 264 lb
Body fat: %27

================================================================

A little history:


I started bodybuilding at 13. Seriously when I was 15. So as far as I can remember, I'd been bodybuilding my entire life.

For 15 years, I religiously followed a bodybuilding and nutritional regiment. I knew so much about the two, I honestly felt almost most trainers, bodybuilders were idiots.

But unfortunately, no matter how much effort and dedication I put in...it never really paid off. People that barely knew anything about bodybuilding, zilch about nutrition and were half assing their workouts, were making gains in less than a year what took me 15 years. And I'm not talking about your genetic freaks. I'm talking about your average Joe.

With clothes on, people couldn't even tell I worked out. What's more frustrating was hearing "you must be doing something wrong" "you gotta change your diet" "change your training" "you have to hit your muscles slower, faster"...etc. And all I could think was "Really dude? You really think in 15 years I haven't tried every single variable? You think the reason I haven't packed on slabs of muscle is because I didn't go slower on the weights or that I didn't eat an extra spoon of peanut butter?"

About 12 years into bodybuilding natty, I decided to pick up the needle. Unfortunately, I never done blood work beforehand.

I made nice gains, nothing spectacular, just satisfactory. But for the first time in my life, people were coming at me with "wow!" The compliments meant that results weren't bad at all.

Cycle ended. Ran PCT. Went back to my natty regiment.

Unfortunately, I lost most of the gains I'd made in about 6 months even though I tried all I could to maintain and add to the gains.

2 years after my first cycle, I started another one. 6 months after ending it, like the first time, I was left with nothing to brag about.

Typical stats off-cycle:

Weight: 214 lb
Body fat: %16

1st cycle:

Week 1-4: D bol 35mg ED
Week 1-12: Test E 500mg EW (250mg x 2)

PCT (1st cycle):

HCG 1000 IU ED for 10 days, 4 days after last pin of Test E, then...

Clomid: 100/100/50/50
Nolvadex: 40/40/20/20

2nd cycle:

Week 1-2: Anadrol 50mg ED
Week 3-4: Anadrol 100mg ED
Week 1-12: Deca 500mg EW
Week 1-15: Test C 600mg EW
Week 1-16: Eq 600mg EW

PCT (2nd cycle):

HCG 1000 IU ED for 10 days, 4 days after last pin of Test E, then...

Nolvadex: 20/20/20/10/10
Clomid: 50/50/50/25/25

About a year after my 2nd cycle, I moved, started traveling a lot, hence wasn't able to maintain my bodybuilding and nutrition regiment. I stopped going to the gym. And since I wasn't working out, I felt dieting and 6 healthy meals a day was useless. So for the first time in my life (well, sorta), I started eating junk food. Plan was to get back on track soon as I settled down.

Settling down didn't come till 3 months later. But by then, I'd already broken my habit. I was too lazy and too demotivated to get back to my healthy lifestyle.

4 years later, today, I'm yet to get back to working out and eating healthy. I've been leading a pretty sedentary lifestyle and my diet consists of a lot of fried food and white carbs. Needless to say, 15 years of gains went down the drain. I now stand at the above stats. Used to hover at around %15-18 body fat.

So now, looking at my lab results, im thinking "Holy fuck! My T is tanked. I wonder if its been like that all my life?!". But i'll never know since i'd never done BW...yeah, wish i could slap old me.
I'm not surprised though, since what got me to get BW done now was the low T symptoms i'm experiencing...all %99.9 of them.

So here i am, trying to determine why my T is so low. Find the underlying cause, and fix it. That would be the ultimate success story. If cause cannot be determined, and TRT is safe to start, then that's the route i'd like to go. I'm hoping you guys can chime in.

Thank you for taking the time to read my post and for any point in the right direction!
 
Low T... Maybe its all the shit you were pounding at one point. Ha no really. You dont know so best thing to do is head to the doctor and try having him put you on either TRT or clomid or HCG to see if he can jump start something again but hes just gonna have you get on TRT in my opinion.

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Oh by the way. I think there was an introduction page here.

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Awesome find! Thanks!

My thoughts...It talks about hypothyroidism. My levels are subclinical rather than all out hypothyroidism. Difference being my T3 levels are at their optimal levels, whereas if I were truly hypothyroid, they would be low, hence all the negative sides your link talks about. In thyroid induced hypogonadism,
its not elevated TSH which causes hypogonadism, but rather low levels of T3.

Low T3, I don't have. Therefore I don't see how my thyroid case would be causing such low T levels.

Would appreciated your input!
 
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Will clomid really do anything? He's already producing a reasonable amount of LH and FSH. Even if clomid causes an increase in those, it still seems that his T will not go up to an acceptable level. It seems like it's a testes problem; not responding to LH.
 
Yeah you could be right.

His fasting glucose is on the high side and shbg is low. That could indicate insulin resistance which can cause low T too. I have the same two indicators and I'm on metformin to control my glucose.
 
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