Alexanders
Member
Hello! I’m a 25 years old male, athletic and eating healthy. I’ve suffered from symptoms of endocrine imbalances and signs of testosterone deficiency since I was a teen. The symptoms are lack of energy and motivation, brainfog, mild depression and mild OCD. Last year I was diagnosed with idiopathic hyperprolactinemia, after being diagnosed with galactorrhea and gynecomastia. What’s weird is that my LH is high too, despite prolactin being high. I’ve been on dopamine agonists, that have lowered my prolactin, buy beside that they have made no difference at all.
This is what my bloodworks look like:
Testosterone: 27 (august 2021) 26 (october 2021) 24 (mars 2022)
Reference 12-31
SHBG: 54 (augusti 21) 48 (oktober 21) 53 (mars 22)
Reference: 15-55
Testosteron/SHBG index 0,50 (august 21) 0,54 (october 21) 0,45 (mars 22)
Reference 0,40-1.50
Prolactin: 920 (june 21) 2760 (august 21) 11 (mars 21)
Reference 65-405
LH: 16 (august 21) 7,6 (october 21) 13 (mars 22)
Reference 1,7-8,6
FSH: 12 (august 21) 12 (october 21) 13 (mars 22)
Reference 1,5-10
TSH: 3.1 (june 21) 4.6 (august 21) 6.6 (mars 22)
Reference 0,4-4,0
T4 free: 17 (june 21) 19 (august 21) 15,1 (mars 22)
Reference 12-22
T3 free: 4,8 (august 21) 4,6 (mars 22)
Reference 3,1-6,8
ACTH: 32 (august 21) 27 (mars 22)
Reference 1,5-14
Cortisol 558 (august 21) 487 (mars 22)
Reference >350
IGF-1: 270 (august 21) 268 (mars 22)
Reference 113-320
DHEAS: 12 (october 21)
Reference 3.3-13.9
Progesterone: <1.6 (october 21)
Reference <0,6
Albumin: 46 (october 21)
Reference 35-50
Estradiol (non-sensitive): 89 (october 21)
Reference <120
My approach to this is NDT for hypothyroidism and TRT for primary hypogonadism and/or androgen insensitivity, is this the right approach based on my bloodwork and symptoms?
This is what my bloodworks look like:
Testosterone: 27 (august 2021) 26 (october 2021) 24 (mars 2022)
Reference 12-31
SHBG: 54 (augusti 21) 48 (oktober 21) 53 (mars 22)
Reference: 15-55
Testosteron/SHBG index 0,50 (august 21) 0,54 (october 21) 0,45 (mars 22)
Reference 0,40-1.50
Prolactin: 920 (june 21) 2760 (august 21) 11 (mars 21)
Reference 65-405
LH: 16 (august 21) 7,6 (october 21) 13 (mars 22)
Reference 1,7-8,6
FSH: 12 (august 21) 12 (october 21) 13 (mars 22)
Reference 1,5-10
TSH: 3.1 (june 21) 4.6 (august 21) 6.6 (mars 22)
Reference 0,4-4,0
T4 free: 17 (june 21) 19 (august 21) 15,1 (mars 22)
Reference 12-22
T3 free: 4,8 (august 21) 4,6 (mars 22)
Reference 3,1-6,8
ACTH: 32 (august 21) 27 (mars 22)
Reference 1,5-14
Cortisol 558 (august 21) 487 (mars 22)
Reference >350
IGF-1: 270 (august 21) 268 (mars 22)
Reference 113-320
DHEAS: 12 (october 21)
Reference 3.3-13.9
Progesterone: <1.6 (october 21)
Reference <0,6
Albumin: 46 (october 21)
Reference 35-50
Estradiol (non-sensitive): 89 (october 21)
Reference <120
My approach to this is NDT for hypothyroidism and TRT for primary hypogonadism and/or androgen insensitivity, is this the right approach based on my bloodwork and symptoms?