mobiuskoan
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Sure could use some advice!
age: 49
height: 6' 2"
waist: 30
weight: 174
body hair: have lost almost all the hair on my lower legs and much on my upper legs.
facial hair: thick in the mustache and goatee areas, sparse elsewhere. I've noticed no changes.
body fat: I had a DEXA scan in March 2012. 16% body fat, most carried around my navel. Has increased recently, probably to 17%.
health conditions: low libido, low energy, low motivation since my early 30s.
diet: cyclic low-carb paleo. Nutrient-dense, low toxin. Mostly shrimp, pastured eggs and bacon, grass-fed beef and liverwurst, smoothies made with kale, celery, wild blueberries, whey concentrate.
training: brief heavy weightlifting sessions or HIIT every 3-7 days. Walking 2-6 days per week.
My testes have never ached, but I do suffer from periodic epididymitis. It has bothered me off and on for close to 20 years.
Morning wood: sporadic before AI, then every morning, and now sporadic again.
Labs, Free Cortisol Rhythm - Saliva (collected 4/12/2013):
06:00 - 08:00 AM: 14 (13-24 nM)
11:00 - 1:00 PM: 5 (5-10 nM)
04:00 - 05:00 PM: 4 (3-8 nM)
10:00 - Midnight: 5 (1-4 nM) elevated
Cortisol Load: 28 (22-46 nM)
Labs (collected 3/7/2013):
TSH: 1.66 (0.450-4.500 uIU/mL)
Thyroid Peroxidase (TPO) Ab: 10 (0-34 IU/mL)
Reverse T3, Serum: 3.0 (2.0-4.4 pg/ml)
Antithyroglobulin Ab: <20 (0-40 IU/ml)
T4, Free (Direct): 1.30 (0.82-1.77 ng/dL)
PSA, Serum: 1.1 (0.0-4.0 ng/mL)
Glucose, Serum: 83 (65-99 mg/dL)
BUN: 24 (6-24 mg/dL)
Creatinine/Serum: 0.94 (0.76-1.27 mg/dL)
eGFR If NonAfricn Am: 95 (>59 mL/min/1.73)
BUN/Creatinine Ratio: 26 (9-20)
Sodium, Serum: 142 (134-144 mmol/L)
Potassium, Serum: 4.8 (3.5-5.2 mmol/L)
Chloride, Serum: 103 (97-108 mmol/L)
Carbon Dioxide, Total: 27 (20-32 mmol/L)
Calcium, Serum: 9.8 (8.7-10.2 mg/dL)
Protein, Total, Serum: 7.0 (6.0-8.5 g/dL)
Albumin, Serum: 4.5 (3.5-5.5 g/dL)
Globulin, Total: 2.5 (1.5-4.5 g/dL)
A/G Ratio: 1.8 (1.1-2.5)
Bilirubin, Total: 0.6 (0.0-1.2 mg/dL)
Alkaline Phosphatase, S: 59 (25-150 IU/L)
AST (SGOT): 27 (0-40 IU/L)
ALT (SGPT): 33 (0-44 IU/L)
Immature Granulocytes: 0 (0-2%)
Immature Grans (Abs): 0.0 (0.0-0.1 x10E3/uL)
Baso (Absolute): 0.0 (0.0-0.2 x10E3/uL)
Eos (Absolute): 0.2 (0.0-0.4 x10E3/uL)
WBC: 6.6 (4.0-10.5 x10E3/uL)
RBC: 4.62 (4.14-5.0 x10E6/uL)
Hemoglobin: 14.2 (12.6-17.7 g/dL)
Hematocrit: 43.1 (37.5-51.0 %)
Lymphs (Absolute): 2.1 (0.7-4.5 x10E3/uL)
Monocytes (Absolute): 0.5 (0.1-1.0 x10E3/uL)
MCV: 93 (79-97 fL)
MCH: 30.7 (26.6-33.0 pg)
MCHC: 32.9 (31.5-35.7 g/dL)
Platelets: 292 (140-415 x10E3/uL)
Neutrophils: 58 (40-74 %)
Lymphs: 32 (14-46 %)
Monocytes: 8 (4-13 %)
Eos: 2 (0-7 %)
Basos: 0 (0-3 %)
Neutrophils (Absolute): 3.8 (1.8-7.8 x10E3/uL)
RDW: 13.5 (12.3-15.4 %)
Vitamin D, 25-Hydroxy: 56.0 (3.0-100.0 ng/mL)
Labs, Male Hormone Panel - Saliva (collected 3/7/2013):
DHEA/S: 4 (3-10 ng/ml)
Progesterone: 33 (5-95 PG/ML)
Androstenedione: 107 (151-350 pg/ml)
Estrone: 27 (30-58 PG/ML)
testosterone: 34 (40-70 PG/ML)
estradiol: 4 (1-3 PG/ML)
DHT: 38 (52-123 PG/ML)
Labs (collected 5/21/2012):
Testosterone, Total, LC/MS/MS: 634 (250-1100 ng/dL)
Testosterone, Free: 52.2 (35.0-155.0 pg/mL)
Cortisol, Total 13.2 (4.0-22.0 mcg/dL)
DHEA Sulfate: 248 (45-3 45 mcg/dL)
Estradiol: <15 (< OR = 39 PG/ML)
SHBG: 79 (10-50 nmol/L)
Here's my history:
Been on anastrozole since 2007.
For a few months in 2010 I tried bio identical testosterone cream at 75 mg/mL daily. It improved my total and free testosterone somewhat, but I noticed no improvement in libido, energy, etc. The only thing I noticed was extra sensitivity and periodic tingling in my nipples, despite the fact that my estradiol only got as high as 9. So the treatment was somewhat effective, but I certainly wouldn't say that it worked. I lost confidence in that doctor and was sufficiently creeped out by the nipple sensations that I lost interest in HRT (lab numbers below).
Total testosterone: 576 before, 682 after (range: 280-800)
Free testosterone: 8.6 before, 14.46 after (range 5-21)
estradiol: <5.1 before, 9 after (range: 3-70)
age: 49
height: 6' 2"
waist: 30
weight: 174
body hair: have lost almost all the hair on my lower legs and much on my upper legs.
facial hair: thick in the mustache and goatee areas, sparse elsewhere. I've noticed no changes.
body fat: I had a DEXA scan in March 2012. 16% body fat, most carried around my navel. Has increased recently, probably to 17%.
health conditions: low libido, low energy, low motivation since my early 30s.
diet: cyclic low-carb paleo. Nutrient-dense, low toxin. Mostly shrimp, pastured eggs and bacon, grass-fed beef and liverwurst, smoothies made with kale, celery, wild blueberries, whey concentrate.
training: brief heavy weightlifting sessions or HIIT every 3-7 days. Walking 2-6 days per week.
My testes have never ached, but I do suffer from periodic epididymitis. It has bothered me off and on for close to 20 years.
Morning wood: sporadic before AI, then every morning, and now sporadic again.
Labs, Free Cortisol Rhythm - Saliva (collected 4/12/2013):
06:00 - 08:00 AM: 14 (13-24 nM)
11:00 - 1:00 PM: 5 (5-10 nM)
04:00 - 05:00 PM: 4 (3-8 nM)
10:00 - Midnight: 5 (1-4 nM) elevated
Cortisol Load: 28 (22-46 nM)
Labs (collected 3/7/2013):
TSH: 1.66 (0.450-4.500 uIU/mL)
Thyroid Peroxidase (TPO) Ab: 10 (0-34 IU/mL)
Reverse T3, Serum: 3.0 (2.0-4.4 pg/ml)
Antithyroglobulin Ab: <20 (0-40 IU/ml)
T4, Free (Direct): 1.30 (0.82-1.77 ng/dL)
PSA, Serum: 1.1 (0.0-4.0 ng/mL)
Glucose, Serum: 83 (65-99 mg/dL)
BUN: 24 (6-24 mg/dL)
Creatinine/Serum: 0.94 (0.76-1.27 mg/dL)
eGFR If NonAfricn Am: 95 (>59 mL/min/1.73)
BUN/Creatinine Ratio: 26 (9-20)
Sodium, Serum: 142 (134-144 mmol/L)
Potassium, Serum: 4.8 (3.5-5.2 mmol/L)
Chloride, Serum: 103 (97-108 mmol/L)
Carbon Dioxide, Total: 27 (20-32 mmol/L)
Calcium, Serum: 9.8 (8.7-10.2 mg/dL)
Protein, Total, Serum: 7.0 (6.0-8.5 g/dL)
Albumin, Serum: 4.5 (3.5-5.5 g/dL)
Globulin, Total: 2.5 (1.5-4.5 g/dL)
A/G Ratio: 1.8 (1.1-2.5)
Bilirubin, Total: 0.6 (0.0-1.2 mg/dL)
Alkaline Phosphatase, S: 59 (25-150 IU/L)
AST (SGOT): 27 (0-40 IU/L)
ALT (SGPT): 33 (0-44 IU/L)
Immature Granulocytes: 0 (0-2%)
Immature Grans (Abs): 0.0 (0.0-0.1 x10E3/uL)
Baso (Absolute): 0.0 (0.0-0.2 x10E3/uL)
Eos (Absolute): 0.2 (0.0-0.4 x10E3/uL)
WBC: 6.6 (4.0-10.5 x10E3/uL)
RBC: 4.62 (4.14-5.0 x10E6/uL)
Hemoglobin: 14.2 (12.6-17.7 g/dL)
Hematocrit: 43.1 (37.5-51.0 %)
Lymphs (Absolute): 2.1 (0.7-4.5 x10E3/uL)
Monocytes (Absolute): 0.5 (0.1-1.0 x10E3/uL)
MCV: 93 (79-97 fL)
MCH: 30.7 (26.6-33.0 pg)
MCHC: 32.9 (31.5-35.7 g/dL)
Platelets: 292 (140-415 x10E3/uL)
Neutrophils: 58 (40-74 %)
Lymphs: 32 (14-46 %)
Monocytes: 8 (4-13 %)
Eos: 2 (0-7 %)
Basos: 0 (0-3 %)
Neutrophils (Absolute): 3.8 (1.8-7.8 x10E3/uL)
RDW: 13.5 (12.3-15.4 %)
Vitamin D, 25-Hydroxy: 56.0 (3.0-100.0 ng/mL)
Labs, Male Hormone Panel - Saliva (collected 3/7/2013):
DHEA/S: 4 (3-10 ng/ml)
Progesterone: 33 (5-95 PG/ML)
Androstenedione: 107 (151-350 pg/ml)
Estrone: 27 (30-58 PG/ML)
testosterone: 34 (40-70 PG/ML)
estradiol: 4 (1-3 PG/ML)
DHT: 38 (52-123 PG/ML)
Labs (collected 5/21/2012):
Testosterone, Total, LC/MS/MS: 634 (250-1100 ng/dL)
Testosterone, Free: 52.2 (35.0-155.0 pg/mL)
Cortisol, Total 13.2 (4.0-22.0 mcg/dL)
DHEA Sulfate: 248 (45-3 45 mcg/dL)
Estradiol: <15 (< OR = 39 PG/ML)
SHBG: 79 (10-50 nmol/L)
Here's my history:
Been on anastrozole since 2007.
For a few months in 2010 I tried bio identical testosterone cream at 75 mg/mL daily. It improved my total and free testosterone somewhat, but I noticed no improvement in libido, energy, etc. The only thing I noticed was extra sensitivity and periodic tingling in my nipples, despite the fact that my estradiol only got as high as 9. So the treatment was somewhat effective, but I certainly wouldn't say that it worked. I lost confidence in that doctor and was sufficiently creeped out by the nipple sensations that I lost interest in HRT (lab numbers below).
Total testosterone: 576 before, 682 after (range: 280-800)
Free testosterone: 8.6 before, 14.46 after (range 5-21)
estradiol: <5.1 before, 9 after (range: 3-70)