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    Male 27
    300 pounds
    high normal bp
    high cholesterol
    low test with alot of symptoms, but ed improved alot. I think it was mainly mental. Anxiety is killing me and it is getting worse. Looking for thoughts, suggestions (besides lose weight and lower cholesterol I already know). I also tested prolactin 3 times previously and all three were a little high like 10 points. Varicocele on left testicle.


    Aldosterone................... ......11ngdl <28ngdl
    Vitamin B12........................530 >174
    Folate, Serum......................18. 6 >5.2
    Fsh........................... .........5.1 1.3-19.3
    Lh............................ ..........3.4 1.2-8.6
    Growth Hormone................<0.1 < or = 10
    Iron total......................... .110 45-125
    Test total......................... .240 250-1100
    Free %............................. 2.05% 1.2-2.2%
    49.2pg/ml 3.5-155
    Progesterone.................. ...0.6 ng/ml .3-.9
    Ferritin...................... .......161g/ml 25-371
    T3 total......................... ....146 ng/ml 77-178
    anti-thyroglobulin Ab..........<20 iu/ml <20
    Free T4............................ .1 ng/dl .6-1.7
    TSH ultrasentive tsh..........1.85 uiu/ml .47-5.01
    IGf binding protein-3...........3 mg/l 3.4-7.8
    Vitamin D(1,25 Dihydroxy)....45 pgml 15-60
    Renin Activity, Plasma.........2.2 ng/ml/hr .65-5
    Cortisol, free, serum............83 mcg/dl .07-.93 8:00am-10:00am
    Vitamin D, 25-oh total...........25 ng/ml 20-100
    (it says something about endogenous production and supplementation being indicated.)
    Vitamin D, 25-Oh, D3...........20 ng/ml
    Vitamin D, 25-OH, D2...........5
    Magnesium..................... ...1.9 1.8-2.4
    Uric Acid.......................... ..8.7 2.6-7.2

    CBC
    White blood count.............7.6 3.8-10.8
    Red blood cell count..........5.41 4-6.20
    Hemoglobin.................... ..15.3 14-18
    Hematocrit.................... ....44.5 42-54
    MCV........................... ...82 82-101
    MCH........................... ...28.2 26-34
    MCHC.......................... .34.4 32-36
    RDW........................... ..11.9 <14.5
    Neutrophil.................... ..52 40-80
    Lymphocyte.................... 34 12-44
    Monocyte...................... .9 0-12
    Eosinophil.................... .4 0-7
    Basophil...................... .1 0-2
    Platelet Count...............275 140-440

    Metabolic Profile
    Glucose....................85 70-99 fasting
    BUN.........................16 7-18
    Creatinine................1.1 .6-1.3
    GFR non african american..>60 Gfr< 60=chronic kidney disease
    Sodium..................139 134-145
    Potassium..............4.3 3.6-5.2
    Chloride..................101 100-108
    CO2.......................29 23-31
    Calcium....................9.1 8.5-10.5
    SGOT(AST).................15 15-37
    SGPT(ALT).................40 30-65
    Akaline Phosphate......60 50-136
    Bilirubin, total..............0.5 0-1
    Protein, total..................7.6 0-1
    albumin....................... ...4.2 3.2-5.0

    Hemoglodin A1C...............5.4 <7

    Urinalysis completely normal no problems.

    Semen Analysis
    Volume ........................3.5 1.5-5
    Viscosity..................... ..normal
    pH............................ .8.5 7-8
    Motility 30 min...........80 80-100
    motility 1hr...............75 80-100
    Motility 3 hr.................70 50-100
    total count..................160 million 60-150
    morphology.................70 >70 normal forms

    I left one paper at the doctors office from what I remember
    My cholesterol is high
    Ldl..................169 <110
    Total cholesterol 228 <200
    Hdl ??????? normal range

    Estrogen was tested not ultrasensitive estradiol. I know wrong test, but it was in normal range. I have tested ultrasensitive estradiol 3 times in the last 3 years all with in mid range or never high or low.

    Also usually my sbhg is pretty low.

    Doctor is giving me two months to lower cholesterol. BP was 120/80. If not I will probably go on meds. Do these meds affect HRT?

    Obviously my cholesterol and weight are a huge issue, but these other things stuck out to me:

    -Uric Acid was high.

    -IGF is low. Does that mean bone loss? WTF? like osteoperosis type?

    -Vitamin D is a little low?

    -Test sucks lh is still at 3.4. why is it not elevating? My total sperm count is "high" and fsh is low. Why is lh mid and test low? Primary? with good sperm and mid range lh?

    -Semen analysis total count high and ph is also high

    -Blood looks ok?

    -Thyroid looks ok?

    -Morning cortisol ok. I am sick of convincing docs to test things. 24hr urinalysis will have to wait until I get over to the states.

    -Im fertile a silver lining I want to keep it that way. I mean I knew I was fertile before, but with all of what is going on it felt like the results would be worse.

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    Sorry it was alot to type if you aren't clear on units or whatever let me know and I'll post.
  3. New Member
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    Just found that paper. I guess they didn't test any estrogen. I will double check but total cholesterol 228 <200 triglycerides 94. <150. Hdl 47. >39. Ldl 162 <100. Ratio 4.9. <5 and dhea 324. 85-690
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    Results looks a lot better then mine did.
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    you need more salt, potassium and or Florinef.

    DHEA could be bumped higher..

    you need Estradiol, Ultrasensitive, LC/MS/MS (30289X)
    Testosterone, DHT, SHBG, FREE T3
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    Quote Originally Posted by engival View Post
    you need more salt, potassium and or Florinef.

    DHEA could be bumped higher..

    you need Estradiol, Ultrasensitive, LC/MS/MS (30289X)
    Testosterone, DHT, SHBG, FREE T3
    Yeah I agree on the DHEA. With my blood pressure being high twice "borderline hypertensive" this time high normal my doctor is giving me a month and a half to bring it down. If it doesn't come down he said we will consider meds. He said the same for my cholesterol. He told me lowering my sodium intake and adding more fiber should be good enough to get in range in a month and a half.

    Those tests you suggested will have to wait until I see someone in the states. What is LC/MS/MS (30289X) testosterone? I did have my testosterone levels tested and they were low.

    Why do you suggest Florinef? Does my blood work show adrenal problems? I read it is used to retain sodium and replace cortisone? Sorry I don't really know a lot.
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    Quote Originally Posted by mikeyboyeee View Post
    Results looks a lot better then mine did.
    Yeah but I think we are both lucky to know where are problems come from. And you sound like you are in good hands. It will get better for you and me hopefully.
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    Yeah I agree on the DHEA. With my blood pressure being high twice "borderline hypertensive" this time high normal my doctor is giving me a month and a half to bring it down. If it doesn't come down he said we will consider meds. He said the same for my cholesterol. He told me lowering my sodium intake and adding more fiber should be good enough to get in range in a month and a half.

    Those tests you suggested will have to wait until I see someone in the states. What is LC/MS/MS (30289X) testosterone? I did have my testosterone levels tested and they were low.

    Why do you suggest Florinef? Does my blood work show adrenal problems? I read it is used to retain sodium and replace cortisone? Sorry I don't really know a lot.
    ur doc is a moron.

    you need more SALT, sea salt... 1-2TBS a day ..
    dont take any drugs for blood pressure or cholesterol


    your Aldosterone................... ......11ngdl <28ngdl
    thats low
    and your SODIUM is low
    read more here http://www.stopthethyroidmadness.com/aldosterone/
  9. New Member
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    Quote Originally Posted by engival View Post
    ur doc is a moron.

    you need more SALT, sea salt... 1-2TBS a day ..
    dont take any drugs for blood pressure or cholesterol


    your Aldosterone................... ......11ngdl <28ngdl
    thats low
    and your SODIUM is low
    read more here http://www.stopthethyroidmadness.com/aldosterone/

    Thanks for the reply what effect would adding the sea salt have on my blood pressure? This last time I checked it was the first time in a while it was in normal range. I don't want any meds, but my father died of heart disease.

    Maybe not an "idiot" he is just a gp. And I give him credit, because he is the first doctor to actually admit my horomone levels are a problem. This after four other doctors including an endo. I mean look at the amount of labs he ran. And he is willing to work with me in getting my insurance to cover treatment. This will be my "base" for now.

    My uncle had thyroid problems. Sodium and aldosterone are within range what is optimal level?

    The "wellbeing" feeling is missing. My main problems lately are energy, "wellbeing", and anxiety. I thought it could be cortisol and maybe low test levels. I have some hypothyroid symptoms, but my levels are "within range".

    I think my adrenals, pituitary and weight are my problems. I don't see how with these results I am primary. Lh and sperm count I don't care either way, but I want to treat the problem.

    Also alot of guys say find the cause first then treat. What else do I test? I know I should get an mri, because i tested with high prolactin three times about 10 points over, 24 hour cortisol........

    I need to see someone who knows what they are doing. It is going to be about six months until then. Right now my focus is my weight, cholesterol, and my blood pressure.
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    Engival I scanned through that link at first, but just read it. You might be right I lately had the "lightheadness". I thought the worst like heart or diabetes, but my doctor said he thought it was anxiety related. If your right and that is the cause of it if I take in that much sea salt a day will the lightheadness stop and my blood pressure go down?
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    eating a healthy diet will help overall..focus on lots of green leafy veggies..

    adding sea salt will definitely help
    i had had low sodium, aldo as well and i do about 1-2 tablespoons a day. this may be enough, it doesnt help your light head and BP you can use florinef later if need be..
    taking magnesium glycinate will help BP as well 1000mg daily.

    Seeing a good doctor is what i recommend, Dr. M as you mentioned in another thread.
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    Quote Originally Posted by engival View Post
    you need more salt, potassium and or Florinef.

    DHEA could be bumped higher..

    you need Estradiol, Ultrasensitive, LC/MS/MS (30289X)
    Testosterone, DHT, SHBG, FREE T3
    I agree, you ought to treat adrenals first, and your aldosterone is low according to this test. Did you rest for 30 minutes before hand. That's the only way to get a proper reading. And the ranges are different for sitting versus lying or standing. My aldosterone is WAY lower, and I am on Florinef. Salt loading may help for now. 1/2 tsp of sea salt in warm water several times per day. Monitor blood pressure. Is your pulse low? That could explain higher blood pressure, and salt loading and aldosterone could help balance, though they can increase pressure further.

    5k IUs of Vit D for a month, and then back down to 2k IU if back to range.

    Growth hormone is low. Usually you test IGF-1. I looked up your IGF test (which you postulated had something to do with bone strength). It is similar to IGF-1 -- see explanation below. You may have a pituitary issue, as your body isn't cranking up the thermostat in response to low hGH. You may well need hGH, and that could help how you feel, your BP, and your weight issue (making loss easier).
    _____________________________
    Insulin-like growth factor binding protein 3 (IGFBP-3) is the main carrier of somatomedin C (also called insulin-like growth factor-1, or IGF-1) in the body. Blood levels of both these proteins are controlled by human growth hormone (hGH), a hormone that's produced by the pituitary gland, a pea-sized gland in the brain that regulates growth and the function of other glands.

    But IGFBP-3 is more than just a transporter. It also helps extend the life of somatomedin C in the blood and helps control its effects on body tissues.

    Levels of IGFBP-3 are highest during childhood and puberty, then they decrease during adulthood. Levels also may be affected by sexual maturation and nutritional status.
    Why It's Done

    The main reason doctors order the IGFBP-3 test is for its usefulness as an indicator of whether someone is producing a normal amount of human growth hormone. In this way, the IGFBP-3 test is used to check for pituitary gland disorders and abnormalities in growth hormone production. Symptoms such as short stature or excessive growth (gigantism) may warrant an IGFBP-3 test. The test may also be used to monitor treatment of growth disorders.

    You also need TRT.

    Hope that helps.
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    Quote Originally Posted by engival View Post
    eating a healthy diet will help overall..focus on lots of green leafy veggies..

    adding sea salt will definitely help
    i had had low sodium, aldo as well and i do about 1-2 tablespoons a day. this may be enough, it doesnt help your light head and BP you can use florinef later if need be..
    taking magnesium glycinate will help BP as well 1000mg daily.

    Seeing a good doctor is what i recommend, Dr. M as you mentioned in another thread.
    Weird thing is that it doesnt sound like Jon suffers from orthostatic intolerance and low blood pressure.

    As for a doc, you NEED to see an endo for the adrenal issue. Please don't see a psychiatrist or anti-aging docs. Adrenal insufficiency is deadly.
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    Quote Originally Posted by jinxie View Post
    I agree, you ought to treat adrenals first, and your aldosterone is low according to this test. Did you rest for 30 minutes before hand. That's the only way to get a proper reading. And the ranges are different for sitting versus lying or standing. My aldosterone is WAY lower, and I am on Florinef. Salt loading may help for now. 1/2 tsp of sea salt in warm water several times per day. Monitor blood pressure. Is your pulse low? That could explain higher blood pressure, and salt loading and aldosterone could help balance, though they can increase pressure further.

    5k IUs of Vit D for a month, and then back down to 2k IU if back to range.

    Growth hormone is low. Usually you test IGF-1. I looked up your IGF test (which you postulated had something to do with bone strength). It is similar to IGF-1 -- see explanation below. You may have a pituitary issue, as your body isn't cranking up the thermostat in response to low hGH. You may well need hGH, and that could help how you feel, your BP, and your weight issue (making loss easier).
    _____________________________
    Insulin-like growth factor binding protein 3 (IGFBP-3) is the main carrier of somatomedin C (also called insulin-like growth factor-1, or IGF-1) in the body. Blood levels of both these proteins are controlled by human growth hormone (hGH), a hormone that's produced by the pituitary gland, a pea-sized gland in the brain that regulates growth and the function of other glands.

    But IGFBP-3 is more than just a transporter. It also helps extend the life of somatomedin C in the blood and helps control its effects on body tissues.

    Levels of IGFBP-3 are highest during childhood and puberty, then they decrease during adulthood. Levels also may be affected by sexual maturation and nutritional status.
    Why It's Done

    The main reason doctors order the IGFBP-3 test is for its usefulness as an indicator of whether someone is producing a normal amount of human growth hormone. In this way, the IGFBP-3 test is used to check for pituitary gland disorders and abnormalities in growth hormone production. Symptoms such as short stature or excessive growth (gigantism) may warrant an IGFBP-3 test. The test may also be used to monitor treatment of growth disorders.

    You also need TRT.

    Hope that helps.
    Pulse is 60 in the morning when I wake and around 100-110 after 30 minutes cardio or heavy anxiety. I think I might have white coat hypertension. I suffer from health anxiety and being at the doctors doesn't help much. I am going to buy a bp monitor and keep track so we have a better idea of what is going on. Morning temperature 96-97 later in day around 98.

    My concern right now is bp and cholesterol.

    Here is my plan:

    -adding one serving of oatmeal everyday

    -one fish oil cap with every meal (before i was only taking it with breakfast)

    -supplement fiber with metamucil

    -add celery seed extract

    -continue exercising regularly

    -continue working on diet

    I want to see where that gets me. I don't want to take meds for bp, but it was 140/90 consecutively followed by a reading of 120/80 so I don't know.

    For the aldosterone i sat in the waiting room for almost 2 hours before seeing doc. It was when I was sitting down and the range if for that.

    For the igf I think I tested the wrong one. I have no growth disorders that I know of. I requested all the labs they weren't ordered. I am 6'.

    You say for sure I need test, but should I do a clomid test first or not? I mean there are things pointing toward pit problems with prolactin, IGFBP-3 and maybe lh. I don't understand why it is not elevated.

    So far I haven't seen a qualified specialist, but from what I gather I need

    -Test
    -HCG
    -Arimidex maybe
    -Adrenal support
    -Maybe thyroid support
    -Hgh? (which I have heard is hard to get)

    And all are for life?

    I don't know I'm 27 and that sounds major. I realize the alternative is worse with not receiving treatment, but holy sh*t it looks like I'm screwed? HGH is expensive from what I have read. Could I just do the test and cycle the HGH to help drop fat?

    For the HGH I wonder if you could be right. I can't handle this I might be moving my trip up sooner. I need someone who knows what they are doing to treat me. I can't spend my life focusing on these things.

    Sorry one more thing I'm not sure on the supplementing vitamin d thing. I have pill form. What do you mean by this 5k IUs of Vit D for a month, and then back down to 2k IU if back to range. Sorry noob.
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    you prolly wont need hgh.. usually fixing thyroid and or testosterone will bring up gh..

    test

    igf1 and ifgbp1
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    Thyroid is inconclusive low ft4 need total t4
    Vitamin d levels are low 50,000 ius for 3 days then 10,000 ius for 6 weeks retest
    5,000 ius a day will not do crap as fat as he is. Fat uses up vitamin D faster then skinny person
    dhea levels need to be evaluated
    MCV is low potentially indicating thalassemia - please rule this out (zinc deficeincy)
    Testosterone is low
    Metabolic syndrome is obvious
    also too potential for fatty liver
    24 hour rhien urine gh test
    Insulin fasting and free should also be check ed as welll as catecholamines.
    Flornef is not needed just use more salt. Worthless drug IMO more damage then good.
    I am not a medical Dr, please keep in mind that this answer is for information purposes only, and is not intended to diagnose, treat or replace sound medical advice from your physician or health care provider.
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    sumed it up
  

  
 

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