Please My Test Results & Doctor referral

[griffinannie]

I need help interpreting the recent results and am looking for the name of neuro endocrine expert. I'll get on a plane and go anywhere.

43 years old 6 feet 200 lbs 17.0% body fat. Feel crappy, ED, cant shed last few pounds around waist, "depresed", easily fatigued

My GP readily admits this is out of his expertise but he is extremely open minded He feels and I agree I need someone who does Neuro Endocrine works cause I have more than regular T/E issues happening. He is concerned about adrenal fatigue and is self described as inexperienced on neurotransmitters

Testosterone 332 241-827
Estradiol 14 3-70
Dheas AM 27 95-530
Dheas PM 29 95-530
Cortisol AM 11.1 4.3-22.4
Cortisol PM 6.3 3.1-16.7
Progesterone 0.2 0.3-1.2
IGF 1 229 101-267
TSH 3.28 0.35-5.5
DHT 34 30-85
T4 7.9 4.5-12
T3 191 85-205
PSA 0.5 0.0-4.0
Vitamin D 25 Hydroxy 18.1 32-100
Prolactin 3.7 2.1-17.7
SHBG 11 13-71
Neurotransmitter test - all tested (dopamine,serotonin,epinepherine, norepinepherine) came back low- except GABA which was normal

Thanks in advance

[pmgamer18]

The best advice I can give you is to go to www.allthingsmale.com and read TRT: A Recipe for Success and the HCG Update. Print this and have your Dr. do the tests in this. If he feels he can't handle this tell him you want him to work with Dr. John over the phone Dr. John will have him up to date on testing you and teating you in no time. IF he will not do this for you then fly out and see Dr. John. Don't go on any T meds until you find out why your low or all the tests were done and they can't find out why your low. I have been on TRT for 22 yrs. never felt 100% until I showed my Dr. the TRT by Dr. John started on this one yr ago and now I feel 100 %.
Keep us posted on what your doing and how your doing.

[marianco]

Originally Posted by griffinannie

Testosterone 332 241-827
Estradiol 14 3-70
Dheas AM 27 95-530
Dheas PM 29 95-530
Cortisol AM 11.1 4.3-22.4
Cortisol PM 6.3 3.1-16.7
Progesterone 0.2 0.3-1.2
IGF 1 229 101-267
TSH 3.28 0.35-5.5
DHT 34 30-85
T4 7.9 4.5-12
T3 191 85-205
PSA 0.5 0.0-4.0
Vitamin D 25 Hydroxy 18.1 32-100
Prolactin 3.7 2.1-17.7
SHBG 11 13-71
Neurotransmitter test - all tested (dopamine,serotonin,epinepherine, norepinepherine) came back low- except GABA which was normal

1. MISSING DATA: Comprehensive metabolic panel - with a fasting glucose, Hemoglobin A1c, Free T4, Free T3, CBC, sitting and standing blood pressure and pulse, body temperature, pupillary light reflex, past and present stresses in life, etc.

2. SEXUAL DYSFUNCTION: Contributing factors include: low to low normal testosterone for age, low to low normal dihydrotestosterone, low estrogen, low progesterone, low to low normal cortisol, diabetes or insulin resistance (which impairs nerve signal transmission), hypothyroidism, low dopamine, low norepinephrine, etc.

3. ADRENAL FATIGUE: lab test findings giving clues to its presence include: low normal cortisol, low DHEA-s, low progesterone, low dopamine, low epinephrine, low norepinephrine, low to low normal glucose, high albumin, etc.

4. HYPOTHYROIDISM: lab test findings giving clues to its presence include: TSH > 2.0, low Free T3, low Free T4, low serotonin, etc.

5. INSULIN RESISTANCE OR DIABETES: lab test findings giving clues to its presence include: fasting glucose > 102, high hemoglobin A1c, calculated mean blood glucose > 110, low to low normal testosterone for age, low sex hormone binding globulin, etc.

6. DEPRESSION: depression can have multiple factors including: environmental and psychological stresses, one's ability to adapt to stress, functioning of the behavioral neuroendocrine and immune system (including brain functioning, reproductive system function, thyroid function, adrenal function, insulin resistance, etc.).

For further information, look up the adrenal thread in this forum. Adrenal Thread

For best results, there is a sequence for treating each area of dysfunction, that has to be customized for the patient (depending on factors including the person's level of stress, ability to adapt to stress, severity of illness, etc.), particularly when treating a multisystemic problem. If the sequence is not followed, then the person may feel worse instead of better. For example, treating low testosterone prior to treating adrenal fatigue may make may people feel worse rather than better - e.g. blood pressure may worsen, anxiety or depression worsening, etc. Treating thyroid problems prior to treating adrenal fatigue may cause a person to get worse - fatigue worsening, depression and anxiety worsening, etc.

(reposted to adrenal thread)