Help me analyze my blood test results. Complicated story w/sleep apnea to blame?

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Hey guys,

New to the board. Great forum!

I wanted to know what you thought about my test results and what I

should do. Here's my story below:

At age 30, I had my bloodwork tested. It was fine, all normal. Total

testosterone was 701 NG/DL from a scale of 241-827 and TSH was 2.54

MIU/L on a 0.4-5.5 scale. No other detailed stuff, doctor wouldn't

authorize it. Also had a sleep study done showing mild sleep apnea.

Fast forward to 34 years of age and I've got no energy and falling

asleep at work during the day at random times. Snoring to beat the

band, wife elbows me constantly. During this time (4 years) I've been

using a stint, aka oral appliance from my dentist for mild sleep

apnea. It only kept me from snoring if I laid on my side and that was

about 70% successful.

My body composition took a turn. Went from 5'10 " 200lb at 12% bf to

195lb at 23% with a 37 inch waist. Tried to get back into the gym but

had zero energy and no results. Diet is still healthy at 1800 calories

but nowhere what I used to eat, super-clean wise.

Got my bloodwork tested by an endo.

Results: All normal except Total test was 335 ng/dl on same scale as

above and free test was 12.5 pg/ml (8.7-25.1 scale). My LH level was

3.5 mIU/ml (1.5-9.3 scale). The TSH came back at 2.176.

Other numbers worth mentioning:

Estradiol 39 pg/ml (0-53)

IGF-1 145 ng/ml (115-307)

DHEA 188 ug/dl (120-520)

Insulin, fasting 9.1 uIU/ml (0-29.1)

Rest of panel was good. It's obvious to me my test/LH levels are in

the toilet. The endo didn't seem to think they were that bad because

they were " in the normal range " . What about the other levels? They are

all on the " low " end.

I asked for a 3 week session of HCG and Clomid to try and kick start

things naturally before we have to resort to HRT. He wasn't familiar

with this idea. He said maybe HMG but insurance would baulk. At 34

years old, I shouldn't be shut down like this. He felt sleep apnea

could still be a problem. So I got tested again, diagnosed with a

mild-moderate case, doctor there recommended a CPAP. Been trying that

for a few nights now, it's tough getting used to.

The new study showed: RDI 5 w/5 apnea arousals, obstruct hypopnea 5

for 29 secs w/lowest oxygen at 89%. Total arousal index 19.

Stage 1) 8

2) 48

3/4) 29

Rem) 14

My hope is that the CPAP therapy brings up the test levels. However,

documentation I found online seems to question that outcome. 3 months

of CPAP treatment increased testosterone in general but not free test

nor LH. I need energy to get back into the gym so we have a catch 22 here.

1) Do I request a short cycle of testosterone to get my test levels

artificially up just to get back into the gym giving the CPAP time to

do it's work, but risk further suppression?

2) Do nothing, and hope the CPAP does some magic?

3) Get on HRT at 34, risk never having kids, and make my apnea worse,

which the CPAP will continue to band-aid?

Someone on this board has bound to have been in my position at some

time or another. Any ideas?