New member, a bit of my story, and some questions moving forward

[nwolfe88]

Hey everyone, new member here. Long story short, I've been dealing with low/low normal T for about 7-8 years (that was my first blood test at least) now. I am 27 now. I tested at 134 on my first test (I was in shape, lifting, perfect diet, 170lbs), and have never tested higher than 490 at any point. My most recent bloodwork is below (December 23rd). Note that I did a stint of TRT (no HCG) for about 4 months this summer and my last shot was November 3rd. I am looking for direction on where to go next. My problem has always been low LH and FSH, causing Low T and Low free T. Everything else I've ever tested comes back normal (although thyroid function in the labs below seems a little low). For some reason my pituitary just doesn't want to send out the LH and FSH signals (I've had an MRI and nothing was found).

So, any suggestions? In addition to the tests below, I will be testing DHEAs, Progesterone, and DHT. I'm not sure what else to test. SHGB is not listed below but it's always come back on the low side. I am in search of a root cause of my Low T, and trying to find out WHY my LH and FSH is low. Please help!

Testosterone, Free & Total LC/MS/MS:
FREE TESTOSTERONE 42.5 Range: 35.0-155.0 pg/mL (Collection Date: 12/23/2015)
TESTOSTERONE, TOTAL, LC/MS/MS 274 Range: 250-1100 ng/dL (Collection Date: 12/23/2015)

FSH:
Follicle Stimulating Hormone 1.8 (no range given)

LH:
Luteinizing Hormone 1.7 (no range given)

Cortisol 10.80 (no range given)

Free T4 1.0 Range: 0.7-1.8 ng/dL (Collection Date: 12/23/2015)

Free T3 276 Range: 200-490

TSI (Thyroid Stimulating Immunoglobulin):
TSI <89 Range: <140 % baseline (Collection Date: 12/23/2015)

THYROID PEROXIDASE ANTIBODIES 1 Range: <9 IU/mL (Collection Date: 12/23/2015)

ESTRADIOL 26 Range: < OR = 39 pg/mL (Collection Date: 12/23/2015)

Prolactin 1.7 Range: 3.3-20.8 ng/mL (Collection Date: 12/23/2015)

TSH 1.81 Range: 0.50-6.00 MIU/mL (Collection Date: 12/23/2015)

FOLATE, SERUM 17.6 Range: ng/mL (Collection Date: 12/23/2015)
VITAMIN B12 668 Range: 200-1100 pg/mL (Collection Date: 12/23/2015)

Vit D 25 OH (Total) 61.5 Range: 31.0-100.0 ng/ml (Collection Date: 12/23/2015)

CBC:
WBC 6.3 Range: 3.8-10.6 K CUMM (Collection Date: 12/23/2015)
RBC 5.71 Range: 4.20-5.80 M CUMM (Collection Date: 12/23/2015)
HGB 16.3 Range: 13.5-18.0 g/dL (Collection Date: 12/23/2015)
HCT 49.3 Range: 42.0-52.0 % (Collection Date: 12/23/2015)
PLT 113 Range: 130-400 K CUMM (Collection Date: 12/23/2015)
BASO # 0.1 Range: 0.0-0.2 K CUMM (Collection Date: 12/23/2015)
BASO % 1.0 Range: 0.0-3.0 % (Collection Date: 12/23/2015)
EOS # 0.2 Range: 0.0-0.4 K CUMM (Collection Date: 12/23/2015)
EOS % 2.5 Range: 0.0-7.0 % (Collection Date: 12/23/2015)
LYMPH # 1.7 Range: 0.7-4.5 K CUMM (Collection Date: 12/23/2015)
LYMPH % 27.4 Range: 14.0-46.0 % (Collection Date: 12/23/2015)
MCH 28.6 Range: 27.0-31.0 pg (Collection Date: 12/23/2015)
MCHC 33.1 Range: 32.0-36.0 g/dL (Collection Date: 12/23/2015)
MCV 86.3 Range: 78.0-100.0 fL (Collection Date: 12/23/2015)
MONO # 0.5 Range: 0.1-1.0 K CUMM (Collection Date: 12/23/2015)
MONO % 7.6 Range: 4.0-13.0 % (Collection Date: 12/23/2015)
MPV 10.1 Range: 7.4-10.4 fL (Collection Date: 12/23/2015)
NEU # 3.9 Range: 1.8-7.8 K CUMM (Collection Date: 12/23/2015)
NEU % 61.5 Range: 40.0-74.0 % (Collection Date: 12/23/2015)
RDW 13.1 Range: 11.5-15.5 % (Collection Date: 12/23/2015)

CMP:
Albumin 4.8 Range: 3.5-5.0 g/dL (Collection Date: 12/23/2015)
Alk Phos 81 Range: 23-159 U/L (Collection Date: 12/23/2015)
ALT 19 Range: 21-72 U/L (Collection Date: 12/23/2015)
AST 24 Range: 17-59 U/L (Collection Date: 12/23/2015)
BUN 17 Range: 8-24 mg/dL (Collection Date: 12/23/2015)
Calcium 9.9 Range: 8.5-10.5 mg/dL (Collection Date: 12/23/2015)
Chloride 101 Range: 98-107 mmol/L (Collection Date: 12/23/2015)
CO2 27.0 Range: 22.0-30.0 mmol/L (Collection Date: 12/23/2015)
Creatinine 0.9 Range: 0.3-1.4 mg/dL (Collection Date: 12/23/2015)
GFR 101 Range: >60 mL/min per 1.73 (Collection Date: 12/23/2015)
Glucose 92 Range: 74-100 mg/dL (Collection Date: 12/23/2015)
Potassium 4.7 Range: 3.5-5.3 mmol/L (Collection Date: 12/23/2015)
Sodium 142 Range: 134-144 mmol/L (Collection Date: 12/23/2015)
T. Protein 7.8 Range: 6.3-8.4 g/dL (Collection Date: 12/23/2015)
Total Bili 0.8 Range: 0.2-1.3 mg/dL (Collection Date: 12/23/2015)

Urinalysis:
Bilirubin negative Range: negative (Collection Date: 12/23/2015)
Blood negative Range: negative (Collection Date: 12/23/2015)
Clarity Clear Range: clear (Collection Date: 12/23/2015)
Color straw Range: yellow (Collection Date: 12/23/2015)
Glucose negative Range: negative (Collection Date: 12/23/2015)
Ketones negative Range: negative (Collection Date: 12/23/2015)
Leukocytes Negative Range: negative (Collection Date: 12/23/2015)
Nitrite negative Range: negative (Collection Date: 12/23/2015)
pH 7.0 Range: 5.0-9.0 (Collection Date: 12/23/2015)
Protein negative Range: negative (Collection Date: 12/23/2015)
S.G. 1.016 Range: 1.001-1.035 (Collection Date: 12/23/2015)
Urobilinogen Negative Range: negative (Collection Date: 12/23/2015)

[Justin]

Your LH and FSH levels are more than likely still low due to the past stint of TRT. It can take months, up to a year to recover prior LH and FSH levels, and even then it's no guarantee.