20y/o Low Testosterone, High Prolactin

Hello guys,

I have had numerous blood tests and still have the same symptoms and at some times I am really struggling to maintain a normal life so in some cases I feel like it is getting worse. I was recently referred to an endo, below shows the blood results that allowed me to be referred.

Age: 20 (2nd April)

Height: 6ft 1

Weight: 160lb (Seems to be fluctuating a lot, goes up a lot then returns to normal)

Body and facial hair - I get facial hair but not a lot. This is only recent in my life, I’d say about a year but very little amounts.Have a small amount of chest hair.

Fat - I carry most of my fat around my waist, its always been around this area.

Medical history / Symptoms - In my family we have a history of thyroid problems. My dad has Hypothyroidism and Hashimoto disease. His parents also have hypothyroidism. I have been a tired reasonably low libido person for easily 2 years but never really thought much of it as I thought it was just me growing up. I have had blood tests over the years and they always came back as ‘fine’

Recently over the past 3-4 months, my symptoms have got progressively worse to the stage where at times I have thought I have been going insane, but then at other times, I don’t feel as bad just lethargic. Symptoms include:

- Concentration lacking massively / brain fog. (almost feel like I am not here a lot of the  time, kind of like I’m in a dream/imagination)

- Low libido - No interest at all - Get erections but seems to be getting less.

- Legs ache a lot and fingers seems to ache?

- Very tired most of the time, falling asleep in places I shouldn’t be

-  Anxiety and depression has increased a lot

-  Feel like I am just passing time at the moment with not much point and direction in -  life

- Weight goes up a lot then back down

- Headaches

- Vision feels like it has got worse over the last 6 months

- Mood swings

- Forgetful

- Disengage from social activity

- Brauxism - night teeth clenching and grinding

 - Seem to get very hot at times but only for a short period of time maybe 10 minutes

The list goes on…

Drugs - Have smoked weed in the past but not frequently, no more than 2 times in one month. Also finished some medication of terbinafine for 6 weeks about 1.5 - 2 months ago. The last time I drank alcohol was about 4 months ago due to not wanting to go out anymore

Diet + Fitness - I was going the gym regularly from the new year for about 2 months (with a good diet counting macros etc around 3000cals) I have been to the gym on and off for 2 years made very small improvements, even though I eat well and train well. My diet when going to the gym is always high cals. The reason I cannot maintain going to the gym consistently without having to stop is because after a couple of months I am completely drained and I just have all of these symptoms. My training is a Push,Pull,Legs 2x a week and I used to run a bro split beforehand (5-6 days for both)

Supplements - Been taking vitamin D as my levels were low now well within the range. Dont take any others. Dont use iodized salt.

Damage - Never had any head damage

Dehydration - I have had issues in the past with dehydration from a young age which I have been to the hospital with (was a lot younger) I seem to get dehydrated easily - feel like I have to worry about drinking enough fluids more than others. - have to drink more recently

Results

I tried to get as many values as possible but these were the only ones that i was able to get.

!! Serum prolactin: 571mU/L (86-324)

Serum testosterone :12.2 (9-29) - On my other post I had the test done at 12:30, this was done at 8:15, which is why it is slightly higher

Serum FSH: 1.6iu/L (1.0-12) - Low?

Serum LH: 4.6iu/L (1 - 10 )

Serum alkaline phostphate: 77IU/L (30-300)

!! Serum albumin: 50g/L (35-48)

Serum calcium: 2.36nmol/L (2.2 - 2.6)

Serum C reactive protein level <1mg/L (0-9)

Serum folate: 7.7 (2.1 - 26.8)

!! Serum B12: 738NG/l (190 - 660)

Erythrocyte sedimentation rate: 2mm (0-7)

Vitamin D: 108.9 (>50) - Was 35 1 month ago, before supp

Haemoglobin: 145g/L (130-170)

White cell count: 4 109/L (4-11)

Platlet count: 275 109/L (150-400)

RBC count: 4.87 1012/L (4.5-6.5)

Haematocrit: 0.448 (0.400-0.540)

MCV: 92.1 fL (78-99)

MCH: 29.9 (27-32)

MCHC: 324 g/L (310-360)

!! Neutrophil count: 1.8 109/L (2-7.5)

Lymphocyte count: 1.6 109/L (1.5-3.5)

Monocyte count: 0.4 109/L (0.2-1.4)

Eosinphil count: 0.1 109/L (0-0.4)

Basophil count: 0.1 109/L (0-0.1)

Nucleated RBC 0

Before i saw the endo, he wanted some more new results:

Total test :12.2nmol/L (9-29)

SHBG: 26nmol/L (17-56)

Free androgen Index: 62.7

FSH: 1.7 iu/L (1-12)

LH: 7 iu/L (1-10)

Prolactin: 442 mU/L (86-324)

He said that my testosterone was not low as the FAI, was a healthy amount meaning that i had a good amount of free test.

Also prolactin was lower.

FSH/LH/SHBG was said to be good levels

He stated that my urea level was 6.8 (2.5-6.7), meaning that i was dehydrated and he thinks this could play a part??

Do people agree that these levels are ok, and put my symptoms down to other illnesses like depression, or do you think that i should continue with the endo route?

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