Help with blood tests (newbie guy)

Hi guys,

Just discovered the forum yesterday, sorry if I make any mistakes. The information this board provides has been very useful.

Early this year I decided to test my T levels and some other things, the results are as follow:

TSH 1.18 uIU/mL (0.45-4.5 uIU/mL)

Total Testosterone 316.38 ng/dL (241-827 ng/dL)

--Don't know if this is useful but will post just to make sure-- Basal Insulin 10.81 microUI/mL (2.60-24.90 microUI/mL)

I thought the testosterone was low, so I waited 2 months and tested again last week, which gave me the following results:

SHBG 13.3 nmol/L (18.3-54.1 nmol/L)

FSH: 1.88 UI/L (1.4-18.1 UI/L)

LH: 3.66 UI/L (1.5-9.3 UI/L)

Total Testosterone 229.41 ng/dL (241-827 ng/dL)

Calculated Free Testosterone --acording to the lab, based on SHBG and Total T levels using Vermeulen method-- 10.93 ng/dL (5.70-17.83 ng/dL)

Prolactin 15.14 ng/mL (2.1-17.7 ng/mL)

Estradiol (default test with quimioluminescente method) 38.95 pg/mL (=/< 39.8 pg/mL)

Now some info:

I'm 23, 189lbs, 5'9 with around 25% BF. I have a history of anxiety and OCD, I've been taking fluoxetine for the past 1.5 years (stoped cold turkey junuary this year without much side effects) which solved almost all the symptons. I also had a gynecomastia surgery when I was 16. My main reason to get tested was lack of motivation and feeling tired (but maybe this could be related to another problem), I don't think I have a problem with libido although I need to pay more attention to morning woods. I also had a bicycle accident when I was 18 where I fell head first to the asphalt at high speed, I got some stitches and was fine after 1 week but after reading the forum was thinking about getting a MRI.

My main concern is that maybe I don't need treatment at all. I lift heavy 3 times a week and progression is going well so far. All the tests were done in the morning and on rest days from lifting. Should I take a rest from lifting for a week and test again to see if the results are different? I'm also sleeping late, around 3/4 AM, could this alter the results?

Thanks for the time, any help is appreciated.


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