Wanted to update you on what's going on with me. If you remember from my earlier post, I have had a few anxiety attacks and general anxiety and fatigue. Always been on the lower side of T but when I'm in the 400's I do OK. Went to my primary care and the results were as shown:
Total Testosterone: 337 ng/dL (range: 300-1080)
Estradiol: 30 pg/ml (range: 12-41)
Testosterone free: 79 pg/mL (range: 47-244)
Testosterone free %: 2.3% (range: 1.6-2.9)
SHBG: 19 nmol/L
Pretty much confirming my low T suspicion. My primary care then referred me to an endocrinologist. I went and saw him and he gave me the normal spiel, that my numbers are fine, that I was going to be infertile if I start now and likely dependent on TRT. I asked him about HCG and clomid retaining fertility and he said "I have not seen a randomized controlled trial that proves either of those will keep fertility" lol. He also said that I should see a naturopath or an anti-aging doctor if I wanted to go against the conventional ways.
He at least agreed to give me new blood tests and agreed to rerun total T because he said he suspected I took the test too late in the day and it "would be perfectly fine in the morning".
These were the numbers I got back:
Total Testosterone: 356 ng/dL (range: 241-827)
LH: 2.8 mcIntl_unit (range: 1.5-9.3)
TSH: 1.07 mcIntl_unit (range: 0.35-5.50)
Free T4: 1.12 ng/dL (range: 0.70-1.70)
TPO Ab: 34/unit/mL (range: 0-60)
So all of the thyroid stuff looks good, but that T and LH are both dismally small. The endo's nurse called me and said "everything looks normal". My symptoms are still there and I am worried about what I can do next.
Question - should I push for a full micronutrient blood panel? That might shed some light on what I am missing if it's a micronutrient problem. Tim Ferriss wrote extensively about this in The 4-Hour Body but shelling out a ton of money for these tests will be hard for me.
Any other tips guys?