54yo male with weight gain and irritability
54yo male presents to clinic with referral from endocrinology.
Initially presented two years ago to primary care doctor with sexual dysfunction, found to have low testosterone level. Prescribed monthly injections.
Over a 6 month period he developed 20lbs unintentional weight gain, noticeably between the shoulder blades.
BP 143/79 Pulse 82 Resp 18
Extra-ocular movements intact
Visual fields normal bilaterally
5/5 strength in all extremities
Decreased muscle mass in proximal arms/legs
Testosterone 107 (300-890ng/dl)
Prolactin 6.7 (1-18ng/dl)
LH 4.7 (1.6-8mIU/ml)
FSH 7.5 (1.5-12.4mIU/ml)
T4 1.06 (0.6-1.15ng/dl)
Am Cortisol 17.2 (6-22ug/ml)
ACTH 81 (0-46pg/ml)
Your answers will be added to those already obtained and tabulated at the end of the month.