Help Needed To Interpret Bloodwork Results (Gyno, Oily Skin, Insomnia, Hair Loss, ..)

[Adchan Junior Member Find all posts View Profile Close Adchan]

Hi,

I'm a 34 years old male and I recently did a hormone test in the hope to find the cause of my 4 principal health problems, namely : Oily skin and scalp / seborrhea, sleeping issues, prostate problems (need to urinate frequently, waking at night to urinate, voiding symptoms), hair loss (under control, with minor regrowth).

I might also have some form of gynecomastia D: may you please check attached photos to give me your opinion about it?

Blood tests were taken at 10.30AM, the results are as follow :

Elevated :
F.S.H : 13.35 UI/l (0.9-11.9)
TESTOSTERONE : 13.49 ng/ml (2.27-10.30)
SHBG : 84.02 nmol/L (18.3-54.1)
TOTAL CHOLESTEROL : 9.27 nmol/L (<5.70)
LDL : 6.16 nmol/L (<4.00)

Normal/Elevated :
CORTISOL : 287 ng/ml (55-288 ng/ml 8-10 AM)
T4L : 13.30 ng/l (7.00-14.80)
FREE TESTOSTERONE : 32.0 pg/ml (8.3-40.1) - 110.9 pmol/L (28.8-139.0)

Normal :
T.S.H. U-S 1,900 mUI/l (0,350-4,940)
L.H. : 5.64 UI/l (0.6-12.1)
ESTRADIOL : 32.9 pg/ml (<62)
PROLACTINE : 8.8 ug/l (3.5-19.4)
HDL : 2.78 nmol/L (>0.90)
TRIGLYCERIDES / 0.73 nmol/l (<2.30)
DHEA-S : 2119 ng/ml (<34yrs : 1600-4490) (>34yrs : 889-4270) - 5768 pmol/L (<34yrs : 4340-12200) (>34yrs : 2410-11600)

Can you please let me know what correlations could be made between these results and my health issues? Thank you

Kind regards,
Ad

[Adchan Junior Member Find all posts View Profile Close Adchan]

After doing a little bit of research I came to the conclusion that my sky high cholesterol levels must be the cause of my ill health, from what I read cholesterol has a causative effect on every issues I have. It serves as a precursor for the biosynthesis of steroid hormones so there must be a correlation here as all the values from my test are pretty high/elevated.

I elaborated the following plan :

Lifestyle :
- Exercise more (currently only do 25-30 minutes weightlifting every 2 days), and maybe add some cardio too?
- Take a sleep study (here in France if available), as it seems that bad sleep negatively impact cholesterol levels.
- No more fat, only the fat from lean cuts of chicken/turkey.

Supplements :
- Cholesterol lowering : Red Yeast Rice, Beta Sitosterol, Lingzhi/Reishi (good for liver too apparently), Fish Oil (Tryglicerides), soluble Fibers (Acacia), Pantethine
- Testosterone lowering : Pygeum, Beta Sitosterol, Lingzhi/Reishi, Vitex (very high doses)
- FSH lowering : Vitex
- SHGB lowering : Boron

Medication :
- Testosterone lowering : Sprironolactone (last resort)

I will also try to find a good Endocrinologist and I will take these tests this coming Wednesday :
A1C
DHT
PROGESTERONE
17-hydroxyprogesterone
PSA
PTH

Thank you for any input you may have [: