I'm back, 21yr old, low T, thyroid trouble? Update

[mclendonc]

My older thread will be posted down below


Since then I've been through tons of completely ignorant endo's and I've finally found a competent one. Before finding this one, I had a number of days I felt completely fine, with high libido and everything, but it's very inconsistent. Also, I found a link between my morning erections and being out in the sun, tanning, etc. My sleep is very bad, and I find it really hard to sleep more than 4 hours at a time.
These are my latest labs

TSH 8.350 HIGH uIU/mL RANGE: .450- 4.500
T4, Free 1.61 ng/dL RANGE 0.82-1.77

Complete metabolic panel, everything was fine except

BUN/Creatinine Ratio 20 HIGH. RANGE 9-19
Calcium 10.3 HIGH .RANGE 8.7-10.3

Everything else
LH 4.2 mIU/ML RANGE 1.7-8.6
FSH 2.5 mIU/ML RANGE 1.5-12.4
Serum T 256 ng/dL LOW RANGE 348-1197
FREE T 9.6 pg/mL RANGE 9.3-26.5
Cortisol 5.2 ug/dL LOW RANGE A.M. 6.2-19.4
Prolactin 10.1 ng/mL RANGE 4.0-15.2
IGF-1 264 ng/mL RANGE 83-344


My endo has put me on clomid for 2 weeks, 25mg a day, the first few days I was horny as anything, but it dropped off. I appreciate any advice and any insight on what I should have my endo test me for next. Thanks

 

[The Matrix]

My older thread will be posted down below


Since then I've been through tons of completely ignorant endo's and I've finally found a competent one. Before finding this one, I had a number of days I felt completely fine, with high libido and everything, but it's very inconsistent. Also, I found a link between my morning erections and being out in the sun, tanning, etc. My sleep is very bad, and I find it really hard to sleep more than 4 hours at a time.
These are my latest labs

TSH 8.350 HIGH uIU/mL RANGE: .450- 4.500
T4, Free 1.61 ng/dL RANGE 0.82-1.77

Complete metabolic panel, everything was fine except

BUN/Creatinine Ratio 20 HIGH. RANGE 9-19
Calcium 10.3 HIGH .RANGE 8.7-10.3

Everything else
LH 4.2 mIU/ML RANGE 1.7-8.6
FSH 2.5 mIU/ML RANGE 1.5-12.4
Serum T 256 ng/dL LOW RANGE 348-1197
FREE T 9.6 pg/mL RANGE 9.3-26.5
Cortisol 5.2 ug/dL LOW RANGE A.M. 6.2-19.4
Prolactin 10.1 ng/mL RANGE 4.0-15.2
IGF-1 264 ng/mL RANGE 83-344


My endo has put me on clomid for 2 weeks, 25mg a day, the first few days I was horny as anything, but it dropped off. I appreciate any advice and any insight on what I should have my endo test me for next. Thanks

Instead of looking into all these elaborate testing, You need to ask one simple question " WHY? and what precipitated these symptoms" Clomid is probably going to help but will not resolve the problem if the cause is not addressed. The same thought process applies with diabetics with Dr. Typical case scenario I see. "DR my blood sugar levels went from 99 to 130 on the last blood test what do you recommend? Dr replies, "what dosage is current dosage of glipzide you are taking?" Patient replies "10 mgs" Dr responds "increase it to 20 mgs" .. Instead of asking "Could you give me an example of what you ate yesterday?" PAtient responds "2 cups of coffee, 2 egg mcmuffins, 2 slices of pizza, a snickers bar, a yogurt with apples, chicken casserole for dinner, bowel of icecreams." Dr Replies "how about we work on some better food selection so we do not have to increase your medication" .....again common sense, but rarely used.