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Discussion Starter · #1 ·
Just a quickie... :rolleyes:

What are "normal" T levels??

My husband got his T count back... Says he's 670 and "normal" is between 250 and 1100... I don't understand the huge gap in "normal" range... Is this correct or am I misunderstanding something?

Only curious, thanks. :)
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Discussion Starter · #3 ·
He'll be 34 next February.

We've been trying to find out the cause of his *chronic* fatigue, (even after 10 hours of sleep)! depression, low sex drive, muscle tension, etc. If the doc says his T levels are normal then I guess it's just depression causing his symptoms?
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Discussion Starter · #6 ·
I remember he had a blood panel done not too long ago; I believe everything was normal and I'm pretty sure they checked thyroid and whatnot.

They've tested him for a multitude of things... Including giardia, parasites, adrenal function, liver, etc.

Actually leads me to another question... I've been doing some Google searches and I don't completely understand everything I've read, but is it true androgens can cause testosterone to become estrogen? If so, how does one know how accurate their T levels are?

I know he should talk to doc about this, but he always thinks the doc has the final word.

I'm just curious, really. :)
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It's a quantity given in nanograms per deciliter. The difference between 250 and 1100 is a factor 4. So the difference between say the lowest concentration A and the highest concentration is 850 ng/dL which doesn't sound too weird for me as were talking about the extremes of the normal distribution. It's probably a normal distribution with the most likely testerone levels somewhere around the average value and the extremes rather rare.
 

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I remember he had a blood panel done not too long ago; I believe everything was normal and I'm pretty sure they checked thyroid and whatnot.

They've tested him for a multitude of things... Including giardia, parasites, adrenal function, liver, etc.

Actually leads me to another question... I've been doing some Google searches and I don't completely understand everything I've read, but is it true androgens can cause testosterone to become estrogen? If so, how does one know how accurate their T levels are?

I know he should talk to doc about this, but he always thinks the doc has the final word.

I'm just curious, really. :)
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Hopefully he'll wise up. They always but always should be double checked. But you seem to know that so at least you have his back even if he doesn't.
 

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How is his sleeping? Does he snore? Sleep Apnea will certainly lead to chronic fatigue.
I was going to suggest this as well. Testosterone, thyroid, and sleep apnea would be the top three things I'd check.

A level of 670 is very close to average of a 34 year old. See the bottom chart in Normal Testosterone Levels in Men by Age - Free and Total Healthy Male Ranges. Average for the 30-34 year old is 621. In theory, high levels of estrogen could be a problem, but not likely at those levels of testosterone. It's possible, but unlikely, that the free testosterone levels could be low.

Again, I'd follow up with sleep quality issues. Can he fall asleep easily during the day? Does he snore at all?
 

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Discussion Starter · #13 ·
Wow! Sorry I did not see the rest of the replies until now...

Open Up - I think I understand what you wrote, and his results are listed in the format you gave (670ng/dl).

AFEH - I always worry about being too pushy... But I'm not sure his fatigue and symptoms are normal for a man his age. Luckily for me, he does take my suggestions to heart, even if they turn out to be dead-ends. :)

Deejo - Chronic fatigue is his number one symptom. I also (accidentally) neglected to mention his chronic low blood pressure in my initial post. At his last check-in it was 98/60. (64 BPM, 16 Resp.)

He will sleep for 10 hours and complain about being tired after he wakes up! He tosses and turns a bit (I think it's normal, and I see a lot of it since I sleep less than he does). Generally he is pretty listless, unenthusiastic, unmotivated, depressed, etc. He started Prozac about two months ago, but this has been going on for years. He has a history of abusing Tramadol and he thinks he may have done some permanent damage regarding his Serotonin levels. (He was an addict for approx. 3 - 5 years). He's a very thin/small person, (5'5.75" and 115 lbs.) but is athletic and exercises at least a few times a week. (Running 3 miles in 30 minutes, and he does almost 70 push-ups every morning before work... Which is also a physical job).

Even though he is generally very laid back in character, I know he is experiencing a lot of stress providing for his family. We are kind of stuck between a rock and a hard place, financially, but he's been more open to allowing my input on things like the budget. I think my energy can be draining for him as well. We are both "Type B" personalities, but sometimes I spend more energy trying to engage him.

Low sex drive. Always saying he could (and has) gone years without it. No big deal to him, it's "just another way to get off" so we average about once a week, and I'm sure that is to appease me. :/

YouKiddingMe - Funny you should mention his snore... I can't put my finger on it, but he definitely snores differently than anyone else I've heard. I don't think he stops breathing, but it has always been strange to me...

So, I don't think I've forgotten to mention anything that might be relevant. I know he would like to have more energy and these things have been a "dark cloud" for years. We just aren't sure if it was the SSRI use or... Something else?

ETA: Stomach issues. He is always complaining about tension and discomfort in the tummy area but he can't really articulate whether it feels like muscular tension or like actual organ discomfort...

Thanks for all of your responses. :)
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Discussion Starter · #14 ·
He can't sleep during the day. Even if he's dog-tired. And even when he is dog tired, it takes him forever to get up and get ready for bed so he can actually sleep! He likes to "rest" before sleeping! I always thought that was weird.

He's a light sleeper like I am, and since I have problems sleeping I'm sure I inadvertently wake him up some nights, or the baby will. Or the mouse in our room... :sigh: Al I know is he always wants to rest and he can sleep for ages but it isn't refreshing for him. I've often thought maybe he has Chronic Fatigue Syndrome... Minus the pain? I was diagnosed with this myself a few years ago in conjunction with Fibro, but if he has it, it's much worse than mine. :/
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Discussion Starter · #16 ·
IslandGirl, thank you for the link, however I'm just getting a black screen on the phone. :(

I will see if my husband can dig up his blood panel paperwork, but I'm not sure if I know how to read it, honestly... :/
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Yin, his number is ok. Do you know his Free Testosterone numbers? Those are important too.

I'm 52 and my total T was about 400. They put me on supplementation and it went to 888. I was thinking of nothing but sex 24/7. Now it is back down to about where your husband is, and my libido is still where it was when I was 20 yrs old. T is only one factor for libido. If his free T is good, I would venture his fatigue and low libido are not T related.

Thyroid is a possibility.

Low blood pressure could mean low blood O2. I think it would be worth exploring the cause and the implications of low blood pressure.

Possibly associated with low bp, does he have ED types of issues. It is very demoralizing and may cause him to be embarrassed to even try sex.

This one may be out there, but he may have a gluten intolerance. Gluten problems can cause all kinds of things, and especially his non-specific abdominal discomforts. Take him off of all gluten for 2 weeks. It is a bit difficult to find gluten free at first, but once you learn the landscape it is pretty easy, and you tend to eat healthier. No wheat products. No oats unless they are labelled GF. No breaded things like fried chicken. Avoid french fries because some places coat them with stuff that has gluten. After 2 weeks see if his gut feels better.

Does he maybe have sleep apnea? Has he been evaluated for sleep problems by a specialist?
 

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Just a quickie... :rolleyes:

What are "normal" T levels??

My husband got his T count back... Says he's 670 and "normal" is between 250 and 1100... I don't understand the huge gap in "normal" range... Is this correct or am I misunderstanding something?

Only curious, thanks. :)
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So some things fall within a larger parameter than others... say for instance blood pH is very narrow between 7.35 and 7.45 and yet certain growth hormones and prostaglandins have wider ranges. You are not misunderstanding anything. Also it must be noted that Testosterone like Cortisol fluctuates throughout a 24 hour diurnal cycle. Nothing unusual about these types of results. BTW, you should understand that hormones other than Testosterone affect a persons libido. If you are concerned about this, I would have had his cortisol levels checked, Thyroxine levels and blood sugar. So many factors involved. We are a complex organism.
 

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Discussion Starter · #19 ·
Never been sleep-evaluated before... Have no idea what his "Free T" numbers are, but I'm sure if they were not normal the doc would let him know... Or, maybe not, I'm not sure. :/

His diet is pretty good, we both eat fairly healthy. He doesn't eat fried foods, fast food, etc. He tells me what he eats at work every day - sounds alright. Usually he'll have a salad or a tuna melt or something. He eats a lot of fish and poultry... No red meats, breads or the like. We eat lots of veggies, beans and fruits... When we do buy tortillas or bread it's always wheat, though. So maybe I can get him to quit eating those things for awhile... But he really doesn't eat them all that often to begin with.

No ED that I'm aware of, he hasn't had any problems getting or maintaining an erection - he does take a very long time to orgasm, though, thanks to the Prozac. (We're talking an hour plus). :eek: But he can do that hour plus without any issues. :)

I just asked him if his thyroid and adrenal tests were normal and he says he thinks so, but he can't find his paperwork.

Thanks you guys, for all your suggestions. Hoping we can figure out something that will make my hubby feel better soon. :)
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Discussion Starter · #20 ·
Thanks, Drerio... I will ask him to have the doc test those things and see what comes up.

Is it possible that all of his issues are just the depression? I would think that the Prozac would be helping with some of these things by now... Which is making me think it's something else. I don't think I've ever met someone so low-energy before... It's bothersome for him and we BOTH get frustrated with it at times...
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