So I have been paleo/primal for pretty much 1 year now. In the beginning I was very low in carbs, mostly just meat on alot of days and was never eating enough food because I lost weight (this was not purposeful). Last fall from september through december I went way crqzy with raw milk and was having at least 1/2 gallon a aday, sometimes 1 whole gallon (for skin issues and gut flora issues).
Skin is healed now and this past month I have been trying to get my hormone levels right and finally put on some damn muscle. I am 21, male, 5'7 and 135 and way too skinny. I deadlift 200 so I have a decent strength base just no size and I would say I am skinny fat (scale says 12.5% body fat)
In high school I was underweight for a while due to way too much cross country running (110 to 120lbs).. I know this could have messed up my hypothalamus/pituitary.
Anyway these are my labs. I lift heavy twice a week, my sleep is eh, I'd say I get 7 hours usually every night but I wake uo ALOT and almost always in REM sleep. I have some mild anxiety issues as well. Some low motivation, poor concentration. Sex drive is fine but it comes and goes. Some days its great, others not so much.
For whats its worth too, I began puberty at like 12 and was pretty much done by 16 with full on facial hair by 15 and chest hair by 16.
These are quest labs too.
Ferritin - 140 (20-345ng/ml ref range) b12 - 619 (200-1100pg/mL ref range) DHEA - 321 (110-510mcg/dl) FSH - 2.1 (ref range 1.6-8.0 miu/ml) LH - 3.5 (re frange is 1.5-9.3 miu/ml) Prolactin 8.7 (2.0-18.0 ng/ml ref range) TSH - 1.91 t4 - 1.1 (0.8-1.8ng/dl t3 - 3.3 (2.3-4.2pg/ml)
Estrogen - 69 (reference range is 130 or less)
Total Test 371 Free 103.1 (46.0-224.0 ref range) Bioavailable 234.0 (110.0- 575.0) SHBG 9 (7-49)
I have had thyroid tested 3 times now, everything always appears good and I don't have any hyposymtpoms that aren't synomous with low T. No antibodies either.
ANy thoughts? Can I recover this ish and get optimal levels again?
Quick edit: My D levels are 104 ng/Ml so I am a little over there...
Can you double check the SHBG number? On the surface, total testosterone of 371 with an FSH of only 2 is somewhat indicative of secondary hypogonadism. But, if in fact your SHBG is that low (9) you might be all right.
The best way to determine free testosterone is to calculate it from the SHBG value:
The laboratories use radiographic immunoassay, which is relatively inaccurate for free testosterone.] given how minute the amounts are.
Is that a pound of beef heart a day? How much liver are you eating in a week?
Have you ever had a full thyroid panel including the rT3?
How's your blood sugar and are you taking any supplements at all?
do you have any food intolerances or suspect any foods?
Here's a blog post you might find interesting http://celiaccentral.wordpress.com/2011/02/09/sex-and-the-celiac-meets-real-life/
Eating liver less than once a week and I can never finsh it. Beef heart is twice a week. Not sure about food intolerances but my acne went away when I cut out nuts and grains so I guess my body doesn't like those. I do think I have some blood sugar issues but perhaps that's because of the raw millk? I test great for blood sugar but i do fin myself crashing sometimes after a meal
So, the heart of your question is, "I have been trying to get my hormone levels right and finally put on some damn muscle." You are having trouble gaining weight (muscle) and you assume that this must be the result of your hormone levels?
Even though it is probably inappropriate for me to comment on your blood work, it looks like its within "normal" (whatever that means). But going from 135 to 155 at 5'7" does NOT require an endocrinologist. It just requires a plan that actually works.
We specialize in fat-loss at my place, but we get guys that want to bulk up and have always been skinny too. (these are guys in their 40's and 50's who work 60-80hrs/wk too, so at 21 this is much easier) We just got them on an intelligent program and had them eat better and they all get bigger. Putting on 20lbs of muscle does not require scrutinizing blood work. Deadlifting, pressing and benching are not a program that's just recreation at the gym.
The answer is really, really simple: go get a decent program written by somebody else that is actually an expert in what you want. Like Alwyn Cosgrove's New Rules of Lifting, or one of Jason Ferrugia's programs. (I don't get any money for that sentence.) Get it, but don't alter it. Just do it they way they told you to.
One caveat, I would not follow their nutrition advice when it comes to what to eat... to many nasty grains and processed crap. But, similar ideas apply - eat more, use recovery drink (if you want a "paleo" one - raw honey + eggs + cream).
"But going from 135 to 155 at 5'7" does NOT require an endocrinologist." This is true for person without any digestive issues. For anyone else with impacted digestion not only this will not work but extra heavy workouts will only make things worse. From my own experience, you have to fix your digestive problems, and get rid of any stress and anxiety, after that muscle gain will be easy with only moderate amounts of exercise.