Help! 19yr old with high e2 TSH, no libido

[arson2]

In the middle of December this year I started feeling really sluggish, anxious, and started to lose my libido. During this time I also noticed that I began lactating. Throughout my life and during the period of the past few years in which I began working out, I have always had a great deal of difficulty staying in shape. When I was younger, I was chubby and weaker than everyone else, and even after I began working out and dieting properly, I still found that people would progress far beyond me with a fraction of the effort and time that I had put in. After I began noticing these symptoms I did some research and I though that I might be hypothyroidic, so I got a full blood panel and, it turns out there are some other issues as well, the main being high E2. I have already had an appointment with an endo after being referred by my GP but she seemed kind of reluctant to treat me because of my age. I am looking for any advice or direction that you may be able to provide me with.

Here are my test results


Quest Diagnostics


Testofreetot
Testosterone total 677ng/nl reference: 241-827

Testbio
Testosterone bioavailable 593 ng/dl reference: 62-512 ng/dl

Apolopoprotein A-1 121mg/dl reference 128-276 mg/dl

Alpha Subunit 0.3 ng/ml

CMP
Na 141mmol/l 134-145
K 4.3mmol/l 3.5-5.1
CL 104mmol/l 96-108
CO2 29mmol/l 22-32
AG 12 5-20
CA 9.2mg/dl 8.5-10.5
GLU 92mg/dl 74-118
BUN 19mg/dl 6-23
CREAT 1.0mg/dl .5-1.2
BCR 19ratio 6-25
TP 6.8g/dl 6.4-8.3
ALB 4.6g/dl 3.4-5.2
GLOB 2.2g/dl
AGR 2.1
TBIL .4mg/dl 0-1.5
AP 106u/l 29-126
AST 35u/l 0-43
ALT 47u/l 0-65
HIND normal 0-65

LIPP
CHOL 145mg/dl <200
TRIG 101mg/dl 0-200
HDLC 34mg/dl 29-76
LDL 91mg/dl <100
VLDl 20mg/dl
COR1 4.26

CORTA 21.8ug/dl reference: 4.3-22.4
ESTRADIOL 67.5pg/ml reference: 11-41
LH 2.4miu/ml reference: 1.5-9.3
FSH 1.7miu/ml reference: 1.4-18.1
PROL 10.1ng/ml reference: 2.1-17.7
TSH 3.8uiu/ml reference: .35-5.5
FT4 1.26ng/dl reference: .89-1.76
ACTH 21pg/ml reference: 6-46
IFG-1 271ng/ml reference: 141-483
IGFBIND3 5.77mg/l reference: 2.90-7.30

My endo now wants to test for the following:
vitamin b12
thyroperoxidase antibodies
thyroglobulin antibodies
folate
FSH
Beta HCG (Quant)
Iron profile
LH
bioavailable testosterone
free testosterone
estradiol
prolactin
TSH
testosterone
vitamin D 25-hydroxy


Thanks!!

 

[The Matrix]

In the middle of December this year I started feeling really sluggish, anxious, and started to lose my libido. During this time I also noticed that I began lactating. Throughout my life and during the period of the past few years in which I began working out, I have always had a great deal of difficulty staying in shape. When I was younger, I was chubby and weaker than everyone else, and even after I began working out and dieting properly, I still found that people would progress far beyond me with a fraction of the effort and time that I had put in. After I began noticing these symptoms I did some research and I though that I might be hypothyroidic, so I got a full blood panel and, it turns out there are some other issues as well, the main being high E2. I have already had an appointment with an endo after being referred by my GP but she seemed kind of reluctant to treat me because of my age. I am looking for any advice or direction that you may be able to provide me with.

Here are my test results


Quest Diagnostics


Testofreetot
Testosterone total 677ng/nl reference: 241-827

Testbio
Testosterone bioavailable 593 ng/dl reference: 62-512 ng/dl

Apolopoprotein A-1 121mg/dl reference 128-276 mg/dl

Alpha Subunit 0.3 ng/ml

CMP
Na 141mmol/l 134-145
K 4.3mmol/l 3.5-5.1
CL 104mmol/l 96-108
CO2 29mmol/l 22-32
AG 12 5-20
CA 9.2mg/dl 8.5-10.5
GLU 92mg/dl 74-118
BUN 19mg/dl 6-23
CREAT 1.0mg/dl .5-1.2
BCR 19ratio 6-25
TP 6.8g/dl 6.4-8.3
ALB 4.6g/dl 3.4-5.2
GLOB 2.2g/dl
AGR 2.1
TBIL .4mg/dl 0-1.5
AP 106u/l 29-126
AST 35u/l 0-43
ALT 47u/l 0-65
HIND normal 0-65

LIPP
CHOL 145mg/dl <200
TRIG 101mg/dl 0-200
HDLC 34mg/dl 29-76
LDL 91mg/dl <100
VLDl 20mg/dl
COR1 4.26

CORTA 21.8ug/dl reference: 4.3-22.4
ESTRADIOL 67.5pg/ml reference: 11-41
LH 2.4miu/ml reference: 1.5-9.3
FSH 1.7miu/ml reference: 1.4-18.1
PROL 10.1ng/ml reference: 2.1-17.7
TSH 3.8uiu/ml reference: .35-5.5
FT4 1.26ng/dl reference: .89-1.76
ACTH 21pg/ml reference: 6-46
IFG-1 271ng/ml reference: 141-483
IGFBIND3 5.77mg/l reference: 2.90-7.30

My endo now wants to test for the following:
vitamin b12
thyroperoxidase antibodies
thyroglobulin antibodies
folate
FSH
Beta HCG (Quant)
Iron profile
LH
bioavailable testosterone
free testosterone
estradiol
prolactin
TSH
testosterone
vitamin D 25-hydroxy

Your dr is on the right track ask him to add in ft3 ft4 total t3 and total t4 and rt3 to get the over all pics on the thyroid. Your are purely hypothyroid, but I think it may be adrenal related and you could be low cortisol instead of high. Cortisol salvia test from ZRT would rule this out. If you need a good Dr in north east USA please PM ME.