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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Well, My Libido/sexual Drive Has Been Decreasing Slowly For The

Well, my libido/sexual drive has been decreasing slowly for the last 7-8 years (I'm 34yo now) to a point where it's not there anymore - whatsoever!!! Also seen less ejaculation volume, no morning erections, less penis skin sensitivity and few/none sexual fantasies. Reduced effect of Cialis-Levitra-Viagra has been observed.

Other symptoms: "void/empty" feeling, mood changes, less sociability, less interest for new things, lack of motivation, passive attitude.

All tests done around 8:30am after 12hs fasting. NO SUPPLEMENTS/NO MEDS AT ALL!!!

BIOCHEMISTRY (only borderline results):
Potassium: 3.4 nmol/L (3.5 - 5.1)
Chloride: 95 nmol/L (98 - 107)
Uric Acid: 541 umol/L (266 - 474)
Ferritin: 407 ug/L (30 - 400)
Homocysteine: 14 umol/L ( < 15) /// OPTIMUM: <7?
Vitamin B6: 32.5 ug/L (8.7 - 27.2)
Vitamin D25 Oh: 46 nmol/L (50 - 200)
Copper: 21.3 umol/L (11 - 22)
Microalbumin/Creatinine ratio (URINE): 6.21 mg/nmol (0.0 - 2.80)

ENDOCRINOLOGY (all results):
DHEA-SULPHATE (SERUM): 10.3 umol/L (5.8 - 25) /// OPTIMUM: 19-24?
DHEA (SALIVARY AM): 1.60 nmol/L (0.25 - 2.22)
DHEA (SALIVARY PM): 0.40 nmol/L (0.25 - 2.22)
FSH: 1.6 IU/L (1.5 - 12.4)
LH: 3.0 IU/L (1.7 - 8.6)
TESTO TOTAL: 14.1 nmol/L (7.6 - 31.0) /// 30-34yo: 19-22?
SHBG: 26 nmol/L (16 - 55) /// 30-34yo: 35-40?
FREE ANDROGEN INDEX (T/SHBG): 50.4% (24 - 104)
TESTO BIOAVAILABLE (LAB MEASURED): 3.7 nmol/L (2.7 - 12)
TESTO FREE (CALCULATED): 2.05% (1.1 - 2.5)
DHT: 0.74 nmol/L (0.34 - 2.06) /// 20-40yo: 2.77 - 3.80?
CORTISOL (SERUM 8:30AM): 167 nmol/L (172 - 497) /// 30-35yo: 340-350?
CORTISOL (SALIVARY 8AM): 31 nmol/L (7.45 - 33)
CORTISOL (SALIVARY 1PM): 18 nmol/L (2.76 - 11)
CORTISOL (SALIVARY 5PM): 3.3 nmol/L (1.4 - 7.5)
CORTISOL (SALIVARY 10PM): 1.9 nmol/L (0.8 - 3.9)
MELATONIN (SALIVARY 8AM): <0.50 pg/mL (< 10.50)
MELATONIN (SALIVARY 5PM): <0.50 pg/mL (< 0.88)
MELATONIN (SALIVARY 2AM): 4.40 pg/mL (2.5 - 31)
PROGESTERONE: 2.1 nmol/L (0.70 - 4.30) /// MALES: 0.38 - 0.85?
OESTRADIOL/E2: 100 nmol/L (100 - 192)
PROGESTERONE/E2 RATIO: 21:1
TESTO/E2 RATIO: 140:1
PROLACTIN: 266 mIU/L (86 - 324)
IGF-1: 17.6 nmol/L (16.3 - 39.3) /// 25-40yo: 15-65?
ACTH: 12.2 ng/L (< 46)
ACTH/CORTISOL RATIO: 0.23
TSH: 2.8 mIU/L (0.27 - 4.20) /// OPTIMUM: 0.3-2.5?
FREE T4: 15.7 pmol/L (12 - 22)
TOTAL T4: 73 nmol/L (60 - 154)
FREE T3: 4.4 pmol/L (3.1 - 6.8)
THYROGLOBULIN ANTIBODY: <10.0 IU/mL (0 - 115)
THYROID PEROXIDASE ANTOBODY: 9.1 IU/ml (0 - 34)

IDEAS:
-Secondary Hypogonadism
-Adrenal Insufficiency
-Low Testo for age
-Mild Hypothyroidism
-Aromatase Disorders
-Apnea? (I have episodes, not diagnosed)

Hope you can help me with some thoughts!

Thanks!
Thu, 17 Mar 2016
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