Blood work help

Im 29 years old never used anabolics and I'm suffering from low T and I have to wait 3 months to see an endocrinologist my weight is 150 kg I was 120kg before my height 1.83

T-Testosterone Results are 7.6 Reference is 9.90 - 27.8 nmol/L

Free Testosterone Results are 164.5 Reference is 174 - 729 pmol/L

Sex Hormone Bind . Globulin Results are 26.5 Reference is 14.5 - 48.4

Fsh Results are 6.0 Reference is 1.0 - 19.0 Iu/L

LH Results are 7.4 Reference is 1.0 - 9.0 IU/L

Prolactin Results are 13.3 Reference is 2.6 - 13.1 Ug/L

17B Oestradiol (E2) Results are 166 Reference is 75 - 175 Pmol /L

Progesterone Results are 1.9 Reference is 0.4 - 6.5 Nmol/l

What do you guys think the problem is?

Clearly you need to see an endo but generally speaking with normal to low FSH and LH with raised prolactin it is indicative of secondary hypogonadism pointing to a pituitary issue. The upper end of the range e2 could be a factor but then generally your LH and FSH would be much lower (your HPTA axis attempting to lower e2 by lowering T). In your case more likely the higher e2 is being caused by the additional aromatization resulting from high body fat. I have a friend with very similar numbers, although he has remained lean as he is an OCD endurance athlete and watches his diet - however he had the other low t symptoms (no libido etc). His endo has tried to kick start is natural production by prescribing AI’s to reduce e2. This hasn’t worked since his LH and FSH are normal (now high normal). The end result has been TRT. He is 46 so it’s not an issue, at 29 you want to ideally try to solve without TRT but it may be unavoidable. Long and the short of it, you need an endo do really assess options. Jumping onto self prescribed TRT is not a great idea - which I presume you are considering given the forum you asking for advice on.

One last thing, run the tests again, at your age natural T can vary by as much as 30% which would still put you at the low end but not as bad. Also, if you get your diet in check and start getting into shape (while harder with low t) this could in itself make a huge difference.

Those bloods need to be seen by an endo. Why do you need to wait 3 months to see an endo. Put your name on the cancelation list and you should be seeing someone within 2 weeks. He will also order a much larger set of bloods and wont just be helping you with low T and there is normally much more to the puzzle.

fatjoe! wrote: Im 29 years old never used anabolics and I'm suffering from low T and I have to wait 3 months to see an endocrinologist my weight is 150 kg I was 120kg before my height 1.83

T-Testosterone Results are 7.6 Reference is 9.90 - 27.8 nmol/L

Free Testosterone Results are 164.5 Reference is 174 - 729 pmol/L

Sex Hormone Bind . Globulin Results are 26.5 Reference is 14.5 - 48.4

Fsh Results are 6.0 Reference is 1.0 - 19.0 Iu/L

LH Results are 7.4 Reference is 1.0 - 9.0 IU/L

Prolactin Results are 13.3 Reference is 2.6 - 13.1 Ug/L

17B Oestradiol (E2) Results are 166 Reference is 75 - 175 Pmol /L

Progesterone Results are 1.9 Reference is 0.4 - 6.5 Nmol/l

What do you guys think the problem is?

Find another Endo. 3 months is too long.

Your BMI is 45. Dangerously obese bud. Now you could well have a few conditions causing you to gain more weight, but the bigger you get the worse the symptoms that cause more weight gain can get. So it becomes a vicious cycle.

How is your Thyroid? High prolactin can be caused by an underactive thyroid. It's important to know if that's a factor. High prolactin causes fat gain along with a string of other issues.

Your hypogonadism does not look to be secondary (caused by a dysfunction in the pituitary or hyothalamus), as your LH and FSH levels are fine, especially considering how high your prolactin is. The high prolactin and estrogen are highly suppressive to your testosterone production. With LH that high you should be making a good amount of Test. But the prolactin, estrogen and many factors that go along with obesity are screwing up your hormones.

High prolactin is a serious issue in very overweight people as it goes hand in hand with hyperglycaemia and insulin resistance. It can lead to diabetes.

If you lose a considerable amount of weight, and get your blood sugar right that alone could double your Total T or more. TRT is not an option for you yet.