Blood work - Low T. Advice/tips ?

[sun-maid]

I currently take some NDT and some T3 (I was doing higher T3 dose prior to blood test, maybe this is why my T4 was low). Been peating 2 years. Last time I checked my T was 364, now its 196. I also take K2, occasional magnesium, calcium carbonate and 2 aspirin a day. Early 20s male.


SODIUM 137 mmol/L ( 135 to 145 )

POTASSIUM 3,8 mmol/L ( 3,5 to 5,0 )

CHLORURES 102 mmol/L ( 98 to 107 )

CREATININE 69 umol/L ( 60 to 105 )

BILIRUBINE TOTAL 7 umol/L ( 3 to 21 )

CALCIUM TOTAL 2,45 mmol/L ( 2,15 to 2,55 )

MAGNESIUM 0,73 mmol/L ( 0,66 to 1,07 )

ALBUMINE 43 g/L ( 35 to 50 )

PHOSPHATASE ALCALINE 119 U/L ( 40 to 130 )

AST 17 U/L ( 5 to 40 )

LD 192 U/L ( 135 to 220 )

ALT 38 U/L ( 5 to 45 )

GGT 26 U/L ( 0 to 60 )

TRIGLYCERIDE 1,35 mmol/L ( 0,60 to 2,26 )

CHOLESTEROL 4,39 mmol/L

HDL-CHOLESTEROL 0,90 mmol/L

LDL-CHOLESTEROL 2,87 mmol/L

CHOLESTEROL NON-HDL 3,49 mmol/L

RATIO CHOL TOT/HDL 4,9

CREATININE 69 umol/L ( 60 to 105 )

HbA1C 0,053 ( 0,040 to 0,060 )

CRP (BLOOD) 6,1 mg/L ( 0,0 to 5,0 )

TESTOSTERONE BIOAVAILABLE (calculated) 6,80 nmol/L ( 4,36 to 14,30 )

TSH <0.005 mU/L

T4 FREE 8,0 pmol/L ( 12,0 to 22,0 )

25-OH VITAMIN D 89 nmol/L ( 50 to 125 )

VITAMIN B12 451 pmol/L ( 145 to 570 )

FERRITIN 69 ug/L ( 30 to 400 )

IRON 14 umol/L ( 6 to 35 )

TRANSFERRINE 3,21 g/L ( 1,40 to 3,10 )

TIBC 81 umol/L ( 45 to 80 )

IRON SATURATION 0,17 ( 0,20 to 0,50 )

WHITE BLOOD CELL 8,6 X109 /L ( 3,8 to 10,7 )

RED BLOOD CELL 5,42 X1012/L ( 4,30 to 5,80 )


What should I do with the low T ? Doc put me on T4

 

[sun-maid]

bump

 

[sun-maid]

I think I'm gonna try to get on TRT. See if it helps

 

[ecstatichamster]

DHEA + Progesterone fixes this within a few months.

5mg - 10mg of DHEA
10mg - 30mg of progesterone

 

[jomamma007]

DHEA + Progesterone fixes this within a few months.

5mg - 10mg of DHEA
10mg - 30mg of progesterone

How so? 196 test level for a man in his 20's is astronomically low. His HDL seems a bit low and CRP is high combined with his WBC being a bit high too. Would seem quite a bit of inflammation going on. Transferrin and TIBC elevated as well, yet low saturation %. Maybe @Hans can help out.
How much d3 are you taking?

 

[sun-maid]

DHEA + Progesterone fixes this within a few months.

5mg - 10mg of DHEA
10mg - 30mg of progesterone

I tried Cortinon. Sensitive nipple after a few days (only 2-3 drops topical). I stopped.

 

[sun-maid]

How so? 196 test level for a man in his 20's is astronomically low. His HDL seems a bit low and CRP is high combined with his WBC being a bit high too. Would seem quite a bit of inflammation going on. Transferrin and TIBC elevated as well, yet low saturation %. Maybe @Hans can help out.
How much d3 are you taking?

I was not taking any d3 supplement. It was from the sun. However I started using an old bottle of Calcirol since I received the result. I don't understand all the inflammation. My diet is super clean and my sleep is good.

 

[ecstatichamster]

I tried Cortinon. Sensitive nipple after a few days (only 2-3 drops topical). I stopped.

typical estrogen symptom. Just work through it.

 

[sun-maid]

typical estrogen symptom. Just work through it.

It's gonna stop ? I thought It was the DHEA going into estrogen.

 

[sun-maid]

I forgot to mention that my morning cortisol was also slightly higher then the top of the range.

 

[Hans]

I currently take some NDT and some T3 (I was doing higher T3 dose prior to blood test, maybe this is why my T4 was low). Been peating 2 years. Last time I checked my T was 364, now its 196. I also take K2, occasional magnesium, calcium carbonate and 2 aspirin a day. Early 20s male.


SODIUM 137 mmol/L ( 135 to 145 )

POTASSIUM 3,8 mmol/L ( 3,5 to 5,0 )

CHLORURES 102 mmol/L ( 98 to 107 )

CREATININE 69 umol/L ( 60 to 105 )

BILIRUBINE TOTAL 7 umol/L ( 3 to 21 )

CALCIUM TOTAL 2,45 mmol/L ( 2,15 to 2,55 )

MAGNESIUM 0,73 mmol/L ( 0,66 to 1,07 )

ALBUMINE 43 g/L ( 35 to 50 )

PHOSPHATASE ALCALINE 119 U/L ( 40 to 130 )

AST 17 U/L ( 5 to 40 )

LD 192 U/L ( 135 to 220 )

ALT 38 U/L ( 5 to 45 )

GGT 26 U/L ( 0 to 60 )

TRIGLYCERIDE 1,35 mmol/L ( 0,60 to 2,26 )

CHOLESTEROL 4,39 mmol/L

HDL-CHOLESTEROL 0,90 mmol/L

LDL-CHOLESTEROL 2,87 mmol/L

CHOLESTEROL NON-HDL 3,49 mmol/L

RATIO CHOL TOT/HDL 4,9

CREATININE 69 umol/L ( 60 to 105 )

HbA1C 0,053 ( 0,040 to 0,060 )

CRP (BLOOD) 6,1 mg/L ( 0,0 to 5,0 )

TESTOSTERONE BIOAVAILABLE (calculated) 6,80 nmol/L ( 4,36 to 14,30 )

TSH <0.005 mU/L

T4 FREE 8,0 pmol/L ( 12,0 to 22,0 )

25-OH VITAMIN D 89 nmol/L ( 50 to 125 )

VITAMIN B12 451 pmol/L ( 145 to 570 )

FERRITIN 69 ug/L ( 30 to 400 )

IRON 14 umol/L ( 6 to 35 )

TRANSFERRINE 3,21 g/L ( 1,40 to 3,10 )

TIBC 81 umol/L ( 45 to 80 )

IRON SATURATION 0,17 ( 0,20 to 0,50 )

WHITE BLOOD CELL 8,6 X109 /L ( 3,8 to 10,7 )

RED BLOOD CELL 5,42 X1012/L ( 4,30 to 5,80 )


What should I do with the low T ? Doc put me on T4

Your iron might be too low. Have you checked hemoglobin and hematocrit?
Your TSH is very low, but your fT4 is also very low. I suspect that you do have enough T4, it's just all being bound up by thyroid binding globulin. So check total T4 and total T3 and perhaps also rT3. Were you using thyroid when you took the test?
Also have a look at estradiol.

To increase T, you want to make sure you're eating enough (calories, proper macros and micros) and optimizing gut health. That's the best foundation to get started with.

 

[sun-maid]

Your iron might be too low. Have you checked hemoglobin and hematocrit?
Your TSH is very low, but your fT4 is also very low. I suspect that you do have enough T4, it's just all being bound up by thyroid binding globulin. So check total T4 and total T3 and perhaps also rT3. Were you using thyroid when you took the test?
Also have a look at estradiol.

To increase T, you want to make sure you're eating enough (calories, proper macros and micros) and optimizing gut health. That's the best foundation to get started with.

Hematocrit is the HCT marker I think. HGB is the Hemoglobin.

HGB 159 g/L ( 134 to 170 )
HCT 0,470 L/L ( 0,390 to 0,500 )

Yes, I was using NDT and I was doing an experiment with adding more T3 than usual.

I got more blood test here done 2 days ago. I got prescribed synthroid after the first blood test. So this one is back with my usual NDT + T3 with a little synthroid. As you can see, I feel like my thyroid marker are perfect. I just feel like I got no T in my system.

LH 4.5 UI/L [1,2-8,6]
FSH 3.1 UI/L [1,3-19,3]
Prolactin 9.2 µg/L [2,6-13,1]
Cortisol (Morning) 637 nmol/L [185 -624]
Testosterone Total 11.9 nmol/L [9,0-28,3]
Test Free Calculated 300 pmol/L [223-915]
Test Bioavailable Calculated 6.2 nmol/L [4,6-18,8]
SHBG 24.8 nmol/L [13,3-89,5]

TSH <0.01 mUI/L [0,38-5,33]
T4 Free. 14.4 pmol/L [8,0-20,0]
T3 Free. 7.6 pmol/L [3,8-6,0]

I have been doing no starch/grain for the past 5 months (except occasionnal corn cracker with no PUFA). I always do an ounce of liver or a can of oyster a day, eggs, gelatin, fruits, brown sugar, fruit juice, milk, yogourt, cheese. My gut feel also good, no gas, 2 to 3 bowel a day. I do think I got too much fat on me. My body composition is not really good (low T I guess?).

 

[Hans]

Hematocrit is the HCT marker I think. HGB is the Hemoglobin.

HGB 159 g/L ( 134 to 170 )
HCT 0,470 L/L ( 0,390 to 0,500 )

Yes, I was using NDT and I was doing an experiment with adding more T3 than usual.

I got more blood test here done 2 days ago. I got prescribed synthroid after the first blood test. So this one is back with my usual NDT + T3 with a little synthroid. As you can see, I feel like my thyroid marker are perfect. I just feel like I got no T in my system.

LH 4.5 UI/L [1,2-8,6]
FSH 3.1 UI/L [1,3-19,3]
Prolactin 9.2 µg/L [2,6-13,1]
Cortisol (Morning) 637 nmol/L [185 -624]
Testosterone Total 11.9 nmol/L [9,0-28,3]
Test Free Calculated 300 pmol/L [223-915]
Test Bioavailable Calculated 6.2 nmol/L [4,6-18,8]
SHBG 24.8 nmol/L [13,3-89,5]

TSH <0.01 mUI/L [0,38-5,33]
T4 Free. 14.4 pmol/L [8,0-20,0]
T3 Free. 7.6 pmol/L [3,8-6,0]

I have been doing no starch/grain for the past 5 months (except occasionnal corn cracker with no PUFA). I always do an ounce of liver or a can of oyster a day, eggs, gelatin, fruits, brown sugar, fruit juice, milk, yogourt, cheese. My gut feel also good, no gas, 2 to 3 bowel a day. I do think I got too much fat on me. My body composition is not really good (low T I guess?).

Based on your low-ish ferritin and high transferrin saturation, that would indicate low iron, but your TIBC is high, which would indicate high iron. Your HCT and HBG are also not low, which would indicate that you're not low in iron.
Have you checked copper?

Your free T is actually quite high. Do you experience any hypothyroid-like symptoms?

Perhaps you can try an adaptogen to lower cortisol, and that should help to increase testosterone. Also, topical (scrotal) K2 will help your testes pump out more T.

 

[sun-maid]

Based on your low-ish ferritin and high transferrin saturation, that would indicate low iron, but your TIBC is high, which would indicate high iron. Your HCT and HBG are also not low, which would indicate that you're not low in iron.
Have you checked copper?

Your free T is actually quite high. Do you experience any hypothyroid-like symptoms?

Perhaps you can try an adaptogen to lower cortisol, and that should help to increase testosterone. Also, topical (scrotal) K2 will help your testes pump out more T.

My free T is at 300 which is at the lower end of the range. No I don't experience hypo symptoms, well except for the no libido and bad body composition but I guess that is from the low T. I don't have copper.

Ashwagandha maybe ? I remember trying Christopher Walker Thyrit supplement (with ashwagandha) one or two years ago, It kinda work but I feel like thyroid is just better. Maybe I can stack them, but I don't know because my thyroid function seems good. I was hesitant putting ethanol (Kuinone) on my balls but i'll try.

Thank you.

 

[Hans]

My free T is at 300 which is at the lower end of the range. No I don't experience hypo symptoms, well except for the no libido and bad body composition but I guess that is from the low T. I don't have copper.

Ashwagandha maybe ? I remember trying Christopher Walker Thyrit supplement (with ashwagandha) one or two years ago, It kinda work but I feel like thyroid is just better. Maybe I can stack them, but I don't know because my thyroid function seems good. I was hesitant putting ethanol (Kuinone) on my balls but i'll try.

Thank you.

Oops I meant fT3 not free T. I've seen labs where people were clearly hyperthyroid, but because their rT3 was so high, they were severely hypothyroid. Ashwagandha is a good one yes. Some supps combine Rhodiola, eleuthero and Schisandra, which is also great. Phosphatidylserine at 600mg daily is also very effective.

 

[sun-maid]

Oops I meant fT3 not free T. I've seen labs where people were clearly hyperthyroid, but because their rT3 was so high, they were severely hypothyroid. Ashwagandha is a good one yes. Some supps combine Rhodiola, eleuthero and Schisandra, which is also great. Phosphatidylserine at 600mg daily is also very effective.

Feels a lot more like low T then Hypo. I'll try ashwagandha with the K2 on balls and report here in a couple of weeks.

Thank you Hans.

 

[Hans]

Feels a lot more like low T then Hypo. I'll try ashwagandha with the K2 on balls and report here in a couple of weeks.

Thank you Hans.

Also, it's worth using an AI such as aspirin for example, with the K2 to prevent an excessive increase in E.

 

[sun-maid]

Also, it's worth using an AI such as aspirin for example, with the K2 to prevent an excessive increase in E.

Good idea. I'm getting my ACTH tested tomorrow also, so I will drop the aspirin for today. I don't know if it can mess with my ACTH level.