Conversation: The conversation between human and AI assistant.
[|Human|] Hello,I am interested mainly about my Testosterone level. I consider it wrong for my problems. I am 28 years old ( 180 cm - 74 kg ).Symptoms: I am changing my mood very often without special reason,anxiety,also i dont have muscles ( and almost impossible to gain),my strength is also pretty low,i have too many fat around my stomach,also sexual wish is low. In general i look as teenager..not as men about 28 y.old.. .sensitive...Down in Medical Background i will write you results of blood testing.I want to say that tests are made in 8 am... My endocrinologist said that results are fine, but i dont agree with her...especially about my testosterone which i consider as pretty low for my age,also SHBG ..... I would like to ask you for your advice...TSH (mIU/L) - 2.536(0.470-4.640)SE - 2 (2-13)LKC (G/L) - 6.1 ( 3.4-9.7)Hgb (g/L) - 164 (138-175)TRC (G/L) - 268 (158-424)Glucose (mmol/L) - 3.9 (4.2 - 6.0)Kreatinin (umol/L) - 89 ( 79 - 125)Urat (umol/L) - 577 (182 - 403)Kolesterol (mmol/L) - 3.6 ( recommendation Trigleiceridi (mmol/L) - 0.6 ( recommendation ACTH (pg/ml) - 41.3 (7.2 - 63.3)FSH (miU/mL) - 2.27 (1.5 - 12.4)LH (miU/ml) - 4.27 (1.7 - 8.6)Prolaktin (ng/mL) - 7.67 (4.04 - 15.2) Kortizol u serumu u 8 am (nmol/L) - 490.4 (115.9 - 1059.8)Kortizol u serumu u 16h (nmol/L) - 296.3 ( 46.9 - 458.2)Kortizol u 24h urinu (nmol/dU) - 506 (59 - 413)E2-Estradiol (pg/ml) - 26.6 ( Testosteron total (nmol/L) - 12.5 ( 10 - 28)Testosteron free (pmol/L) - 466 (174 - 729)Part of free testosterona - 3.7 % (1.0 - 2.7)SHBG (nmol/L) - 16 (15 - 100)Best Regards
[|AI|]  Hello, There are a varied list of causes of the symptoms u mentioned. But what is more annoying to you?You’re non muscle gain as u said can be due to nutritional or organic causes. But your weight for height is OK, so cant be nutritional but can be absorption defects due to varied causes or any organic causes which requires thorough examination. Regd. Anxiety it can be hyperthyroidism, but we require other symptoms which is not given here. But TSH being normal can be unlikely.others causes leading to it must be ruled out. Regd. Low sexual desire, are u on any other Chat Doctor. But looking from far away, I opine that the case is non-organic. Instead of brooding over getting diagnosed, kindly do yoga for 3-4 hour daily or running 4-6 km daily, endorphins and corticosteroid s will be released which causes reversal of all your symptoms and increases your sexual appetite, I am sure that u will reply positively after 1 month by following the precious advice.