MY LABS- Need Interpretation-

[tiporp]

Hi all,
I finally got my labs. I've been trying to correct this hormonal imbalance for the past year now. My Total- T is low, DHEA is low and IGF-1 is low. Can anyone see any thing else that needs to be worked on? Any suggestions would help. Doc has me on 1gm day of Compound Bio T-gel, 250 HCG 2X week and .50 of Arimidex 3x week. Estrodial shot up to 50 when I stopped the Arimidex but I have it back in range now. Frankly I'm scarred of taking the T-gel. I'm ok with HCG and Arimidex but I'm not sure if that's just treating the symptoms and not the cause. Any advice?



Creatinine, Serum 1.10 mg/dL 0.76-1.27 01
BUN 17 mg/dL 5-26 01
Uric Acid, Serum 4.2 mg/dL 2.4-8.2 01
Glucose, Serum 71 mg/dL 65-99 01
Globulin, Total 2.6 g/dL 1.5-4.5 01
Albumin, Serum 4.3 g/dL 3.5-5.5 01
Protein, Total, Serum 6.9 g/dL 6.0-8.5 01
Phosphorus, Serum 3.4 mg/dL 2.5-4.5 01
Calcium, Serum 9.2 mg/dL 8.7-10.2 01
Carbon Dioxide, Total 30 mmol/L 20-32 01
Chloride, Serum 101 mmol/L 97-108 01
Potassium, Serum 5.2 mmol/L 3.5-5.2 01
Sodium, Serum 141 mmol/L 135-145 01
BUN/Creatinine Ratio 15
T. Chol/HDL Ratio 2.6 ratio units 0.0-5.0 01
LDL Cholesterol Calc 88 mg/dL 0-99 01
VLDL Cholesterol Cal 10 mg/dL 5-40 01
HDL Cholesterol 62 mg/dL >39 01
Triglycerides 50 mg/dL 0-149 01
Cholesterol, Total 160 mg/dL 100-199 01
Iron, Serum 129 ug/dL 40-155 01
ALT (SGPT) 30 IU/L 0-55 01
AST (SGOT) 29 IU/L 0-40 01
LDH 181 IU/L 100-250 01
Alkaline Phosphatase, S 62 IU/L 25-150 01
Bilirubin, Total 0.9 mg/dL 0.1-1.2 01
Baso (Absolute) 0.0 x10E3/uL 0.0-0.2 01
Eos (Absolute) 0.2 x10E3/uL 0.0-0.4 01
Monocytes(Absolute) 0.4 x10E3/uL 0.1-1.0 01
Lymphs (Absolute) 2.1 x10E3/uL 0.7-4.5 01
Neutrophils (Absolute) 3.8 x10E3/uL 1.8-7.8 01
Immature Cells 01
Basos 0 % 0-3 01
Eos 4 % 0-7 01
Monocytes 6 % 4-13 01
Lymphs 32 % 14-46 01
Neutrophils 58 % 40-74 01
Platelets 254 x10E3/uL 140-415 01

T4,Free(Direct) 1.55 ng/dL 0.82-1.77 01
Thyroxine (T4) Free, Direct, S 103-253-8411-0
Estradiol 21.5 pg/mL 7.6-42.6 01
Free Testosterone(Direct) 8.8 pg/mL 8.7-25.1 02
Testosterone, Serum 678 ng/dL 280-800 01
Triiodothyronine,Free,Serum 3.0 pg/mL 2.0-4.4 01
Thyroxine (T4) 9.0 ug/dL 4.5-12.0 01
TSH 0.957 uIU/mL 0.450-4.500 01
Sex Horm Binding Glob, Serum 35.1 nmol/L 14.5-48.4
Ferritin, Serum 174 ng/mL 30-400 02
DHEA-Sulfate 138.6 ug/dL 88.9-427.0 02
Dihydrotestosterone 34 ng/dL 01
TSH III (ULTRA SENSITIVE) 1.9 UIU/ml .350-5.500
PSA 0.54 ng/ml 0.00-4.00
CRP,WIDE RANGE 0.60 mg/L 0.0-5.0
Homocysteine,Serum/Plasma 8.4 umol/L 3.7 - 13.9
FSH 3.90 mIU/mL
LH 4.8 mIU/L 2.0-12.0
Cortisol -AM 18.2 mcg/dL 4.3-22.4
IGF-1 134 ng/mL 109-284

 

[need4speed]

IGF1 looks low
DHEAS a bit low
DHT low

everything else looks decent.

 

[tiporp]

Any suggestions to improve that? Doc has also has me taking 100mg of DHEA, T-3 Thyronin 30mg 2x a day and Iodoral/Iodine once a day.

 

[need4speed]

hows cortisol?

Do you notice any benefit from DHEA?

igf1 could be improved by fixing up adrenals/thyroid.

 

[tiporp]

My Cortisol-Am only is at 18.2 mcg. My thyroid is a little low 3.1. Optimal range 3.5. I feel a little better with the Dhea but I've only been taking it for 3 weeks. I probably need to retest to see if the dosing is proper. Any other test you think I should look in to? Thanks.

 

[Philec48]

Your hormone issues may be due in part to your total cholesterol being on the low end. A range of 180-199 may help to improve things. Most hormones are made from cholesterol.

If you increase intake of eggs, don't always eat all the whites, otherwise albumin goes up, and that's a binding protein for hormones.

Your free testosterone is in the dumper, due in part to SHBG being 35. 20 would be a better number, but you can't adjust SHBG directly. Adding exogenous testosterone will help bring it down.

Ferritin is a little lowish. Eat more beef!

For dhea, I would not supplement direct dhea. Get pregnenolone (grandmother of hormones), and take 30-60mgs per day. You'll get dhea from that, and it will also help support adrenals.

Your LH is low. That may be due to taking testosterone. When were your labs drawn in relation to going on testosterone. Before, after? If after, how long?

If your LH was initially this low, along with low T, then you may be hypopituitary.

Was your prolactin ever tested? If it was high, get a pituitary mri to rule out a tumor.

The T-gel will raise your DHT, but keep a watch on it. Too much is not good for the prostate. You can always go on shots later if DHT goes out of control.

IGF-1: if testosterone and pregnenolone doesn't help this, then by all means get other blood tests done to access growth hormone. If it is too low, then ask for treatment. The heart can be damaged if growth hormone stays chronically low for too long.

Phil

 

[The Matrix]

Hi all,
I finally got my labs. I've been trying to correct this hormonal imbalance for the past year now. My Total- T is low, DHEA is low and IGF-1 is low. Can anyone see any thing else that needs to be worked on? Any suggestions would help. Doc has me on 1gm day of Compound Bio T-gel, 250 HCG 2X week and .50 of Arimidex 3x week. Estrodial shot up to 50 when I stopped the Arimidex but I have it back in range now. Frankly I'm scarred of taking the T-gel. I'm ok with HCG and Arimidex but I'm not sure if that's just treating the symptoms and not the cause. Any advice?



Creatinine, Serum 1.10 mg/dL 0.76-1.27 01
BUN 17 mg/dL 5-26 01
Uric Acid, Serum 4.2 mg/dL 2.4-8.2 01
Glucose, Serum 71 mg/dL 65-99 01
Globulin, Total 2.6 g/dL 1.5-4.5 01
Albumin, Serum 4.3 g/dL 3.5-5.5 01
Protein, Total, Serum 6.9 g/dL 6.0-8.5 01
Phosphorus, Serum 3.4 mg/dL 2.5-4.5 01
Calcium, Serum 9.2 mg/dL 8.7-10.2 01
Carbon Dioxide, Total 30 mmol/L 20-32 01
Chloride, Serum 101 mmol/L 97-108 01
Potassium, Serum 5.2 mmol/L 3.5-5.2 01
Sodium, Serum 141 mmol/L 135-145 01
BUN/Creatinine Ratio 15
T. Chol/HDL Ratio 2.6 ratio units 0.0-5.0 01
LDL Cholesterol Calc 88 mg/dL 0-99 01
VLDL Cholesterol Cal 10 mg/dL 5-40 01
HDL Cholesterol 62 mg/dL >39 01
Triglycerides 50 mg/dL 0-149 01
Cholesterol, Total 160 mg/dL 100-199 01
Iron, Serum 129 ug/dL 40-155 01
ALT (SGPT) 30 IU/L 0-55 01
AST (SGOT) 29 IU/L 0-40 01
LDH 181 IU/L 100-250 01
Alkaline Phosphatase, S 62 IU/L 25-150 01
Bilirubin, Total 0.9 mg/dL 0.1-1.2 01
Baso (Absolute) 0.0 x10E3/uL 0.0-0.2 01
Eos (Absolute) 0.2 x10E3/uL 0.0-0.4 01
Monocytes(Absolute) 0.4 x10E3/uL 0.1-1.0 01
Lymphs (Absolute) 2.1 x10E3/uL 0.7-4.5 01
Neutrophils (Absolute) 3.8 x10E3/uL 1.8-7.8 01
Immature Cells 01
Basos 0 % 0-3 01
Eos 4 % 0-7 01
Monocytes 6 % 4-13 01
Lymphs 32 % 14-46 01
Neutrophils 58 % 40-74 01
Platelets 254 x10E3/uL 140-415 01

T4,Free(Direct) 1.55 ng/dL 0.82-1.77 01
Thyroxine (T4) Free, Direct, S 103-253-8411-0
Estradiol 21.5 pg/mL 7.6-42.6 01
Free Testosterone(Direct) 8.8 pg/mL 8.7-25.1 02
Testosterone, Serum 678 ng/dL 280-800 01
Triiodothyronine,Free,Serum 3.0 pg/mL 2.0-4.4 01
Thyroxine (T4) 9.0 ug/dL 4.5-12.0 01
TSH 0.957 uIU/mL 0.450-4.500 01
Sex Horm Binding Glob, Serum 35.1 nmol/L 14.5-48.4
Ferritin, Serum 174 ng/mL 30-400 02
DHEA-Sulfate 138.6 ug/dL 88.9-427.0 02
Dihydrotestosterone 34 ng/dL 01
TSH III (ULTRA SENSITIVE) 1.9 UIU/ml .350-5.500
PSA 0.54 ng/ml 0.00-4.00
CRP,WIDE RANGE 0.60 mg/L 0.0-5.0
Homocysteine,Serum/Plasma 8.4 umol/L 3.7 - 13.9
FSH 3.90 mIU/mL
LH 4.8 mIU/L 2.0-12.0
Cortisol -AM 18.2 mcg/dL 4.3-22.4
IGF-1 134 ng/mL 109-284

Overall looks pretty good
I be looking at b-12 folate levels with homocysein levels above 7 there is usually an imbalance.
Dhea is low may want look into TD dhea 25 mgs to help bring up dhea and may be lower SHBG a bit.
Thyroid may be low check reverse t-3 normally when dhea is low thyroid is low most likely at the tissue level.
igf-1 can be raised as dhea comes up
Estrodial is the wrong one 3-70. i have seen this run at the same time as senisitive and have to different answer and the one 3-70 tends to reflect a person symptoms alot better then one you had done.
I would also get a cortisol saliva just to rule out adrenal imbalances.

Think may source of problem may be low functioning thyroid 3.3 is mid range, but at it depends on your symptoms you are having.

 

[tiporp]

I have not taken the T-Gel yet. My labs were drawn to diagnos me. The only thing I was taking was Arimidex. When I first started a year ago, my Total -T was 375 and Estrodial was 40. Taking the Arimidex brought the Total-T to 678. I still felt no libido and went to a new Doc. These are the new Labs. I have not Checked Prolactin, Reverse T-3 and Cortisal Saliva. Will do it now. I take 1000 mcg of B12 but no Folic acid. Should I increase the does on B12 to bring down Homocysteine? I'll purchase the Folic acid and Pregnenolone. If I'm Hypopituatary, can this be cured or do I always have to be treating it? It's seems that I Aromatize quickly is this due to the Imbalance?

 

[Philec48]

Depends on the cause. If hypopituitary due to either head injury or for no obvious cause, "cure" would not be the operative word, but rather treatment.

I'd suggest taking a good B-complex, not just B-12. B vitamins can get out of balance by taking a lot of one but not the others.

With your SHBG being up there, it's odd that you would aromatize quickly. Could be some endocrine condition there that further testing needs in order to bring it to light. Could be that's just the way your body reacts to testosterone.

 

[The Matrix]

Depends on the cause. If hypopituitary due to either head injury or for no obvious cause, "cure" would not be the operative word, but rather treatment.

I'd suggest taking a good B-complex, not just B-12. B vitamins can get out of balance by taking a lot of one but not the others.

With your SHBG being up there, it's odd that you would aromatize quickly. Could be some endocrine condition there that further testing needs in order to bring it to light. Could be that's just the way your body reacts to testosterone.

I order to get a full understanding one would need full medical history as well as further investigation and indept interviewing to get an over all picture to even where to begin to start. I start at adrenals thyroid then goto sex hormones and age is the factor on what protocol would be tried first. Less drugs the better is my mottom less variables to content with. Shbg should not be gone after directly but rather is a sign some thing else is going out of balance in the endocrine system or digestion, liver.

 

[tiporp]

I'm 38 with no brain injuries. Took some Deca about 4 years ago 2 cycles but never touched it since and never will. I'm not over weight and I weight train and cardio 4 days a week. Body fat is at 19%. Need to bring it down. I'll check for my adrenals and Thyroid. It's a slow and expensive process, since I have no insurance, but I need to get to the bottom of this. If there is any thing else you guys can think of please let me know. I'll post my results I soon as I get them.

 

[Philec48]

Could be that the high body fat is causing rapid aromatization, as fat does contain the aromatase enzyme.

Matrix's suggestion hits the nail on the head; a complete thyroid workup and adrenal assessment would go a long way towards shedding light on this.

Privatemdlabs.com can get you cheap testing through Labcorp.

 

[tiporp]

I just recieved my Test Results from my 24 hour Saliva test and Lab work from my Reverse T3 and Prolactin as was suggested. Here it is. What do you think?

Cortisol Morning 3.7 ng/ml 3.7-9.5
Cortisol Noon 2.7 ng/ml 1.2-3.0 This was 1/2 hour after working out
Cortisol Evening 0.6 ng/ml 0.6-1.9
Cortisol Night 0.2 ng/ml 0.4-1.0 This is low. This was half hour after Sex
Progesterone (Saliva) 13 pg/ml
Estordiol (Saliva) 1.0 pg/ml Remember I'm on Arimidex

Blood Test:
Reverse T3 193 pg/ml 90-350
Prolactin 8.8 ng/ml 4.0-15.2

Remember that about 3 weeks ago my Free T3 was at 3.1 from my blood work. Do you think I have Adrenal Fatigue? What do you recommend?

 

[bomb402]

What are your symptoms man? Try the gel for 3 days and get a blood test to see your free T. Eat more saturated fat and have sex just once per week.

 

[tiporp]

I feel a little fatigued during the day. I'll take you advice, however having sex once a week will be difficult since I'm dating a couple of women with high sex drives. That's one of the reasons why I need to get to the bottom of this and for my own health.

 

[JanSz]

Hi all,
I finally got my labs. I've been trying to correct this hormonal imbalance for the past year now. My Total- T is low, DHEA is low and IGF-1 is low. Can anyone see any thing else that needs to be worked on? Any suggestions would help. Doc has me on 1gm day of Compound Bio T-gel, 250 HCG 2X week and .50 of Arimidex 3x week. Estrodial shot up to 50 when I stopped the Arimidex but I have it back in range now. Frankly I'm scarred of taking the T-gel. I'm ok with HCG and Arimidex but I'm not sure if that's just treating the symptoms and not the cause. Any advice?



Creatinine, Serum 1.10 mg/dL 0.76-1.27 01
BUN 17 mg/dL 5-26 01
Uric Acid, Serum 4.2 mg/dL 2.4-8.2 01
Glucose, Serum 71 mg/dL 65-99 01
Globulin, Total 2.6 g/dL 1.5-4.5 01
Albumin, Serum 4.3 g/dL 3.5-5.5 01
Protein, Total, Serum 6.9 g/dL 6.0-8.5 01
Phosphorus, Serum 3.4 mg/dL 2.5-4.5 01
Calcium, Serum 9.2 mg/dL 8.7-10.2 01
Carbon Dioxide, Total 30 mmol/L 20-32 01
Chloride, Serum 101 mmol/L 97-108 01
Potassium, Serum 5.2 mmol/L 3.5-5.2 01
Sodium, Serum 141 mmol/L 135-145 01
BUN/Creatinine Ratio 15
T. Chol/HDL Ratio 2.6 ratio units 0.0-5.0 01
LDL Cholesterol Calc 88 mg/dL 0-99 01
VLDL Cholesterol Cal 10 mg/dL 5-40 01
HDL Cholesterol 62 mg/dL >39 01
Triglycerides 50 mg/dL 0-149 01
Cholesterol, Total 160 mg/dL 100-199 01
Iron, Serum 129 ug/dL 40-155 01
ALT (SGPT) 30 IU/L 0-55 01
AST (SGOT) 29 IU/L 0-40 01
LDH 181 IU/L 100-250 01
Alkaline Phosphatase, S 62 IU/L 25-150 01
Bilirubin, Total 0.9 mg/dL 0.1-1.2 01
Baso (Absolute) 0.0 x10E3/uL 0.0-0.2 01
Eos (Absolute) 0.2 x10E3/uL 0.0-0.4 01
Monocytes(Absolute) 0.4 x10E3/uL 0.1-1.0 01
Lymphs (Absolute) 2.1 x10E3/uL 0.7-4.5 01
Neutrophils (Absolute) 3.8 x10E3/uL 1.8-7.8 01
Immature Cells 01
Basos 0 % 0-3 01
Eos 4 % 0-7 01
Monocytes 6 % 4-13 01
Lymphs 32 % 14-46 01
Neutrophils 58 % 40-74 01
Platelets 254 x10E3/uL 140-415 01

T4,Free(Direct) 1.55 ng/dL 0.82-1.77 01
Thyroxine (T4) Free, Direct, S 103-253-8411-0
Estradiol 21.5 pg/mL 7.6-42.6 01
Free Testosterone(Direct) 8.8 pg/mL 8.7-25.1 02
Testosterone, Serum 678 ng/dL 280-800 01
Triiodothyronine,Free,Serum 3.0 pg/mL 2.0-4.4 01
Thyroxine (T4) 9.0 ug/dL 4.5-12.0 01
TSH 0.957 uIU/mL 0.450-4.500 01
Sex Horm Binding Glob, Serum 35.1 nmol/L 14.5-48.4
Ferritin, Serum 174 ng/mL 30-400 02
DHEA-Sulfate 138.6 ug/dL 88.9-427.0 02
Dihydrotestosterone 34 ng/dL 01
TSH III (ULTRA SENSITIVE) 1.9 UIU/ml .350-5.500
PSA 0.54 ng/ml 0.00-4.00
CRP,WIDE RANGE 0.60 mg/L 0.0-5.0
Homocysteine,Serum/Plasma 8.4 umol/L 3.7 - 13.9
FSH 3.90 mIU/mL
LH 4.8 mIU/L 2.0-12.0
Cortisol -AM 18.2 mcg/dL 4.3-22.4
IGF-1 134 ng/mL 109-284

I have not taken the T-Gel yet. My labs were drawn to diagnos me. The only thing I was taking was Arimidex. When I first started a year ago, my Total -T was 375 and Estrodial was 40. Taking the Arimidex brought the Total-T to 678. I still felt no libido and went to a new Doc. These are the new Labs. I have not Checked Prolactin, Reverse T-3 and Cortisal Saliva. Will do it now. I take 1000 mcg of B12 but no Folic acid. Should I increase the does on B12 to bring down Homocysteine? I'll purchase the Folic acid and Pregnenolone. If I'm Hypopituatary, can this be cured or do I always have to be treating it? It's seems that I Aromatize quickly is this due to the Imbalance?

I just recieved my Test Results from my 24 hour Saliva test and Lab work from my Reverse T3 and Prolactin as was suggested. Here it is. What do you think?

Cortisol Morning 3.7 ng/ml 3.7-9.5
Cortisol Noon 2.7 ng/ml 1.2-3.0 This was 1/2 hour after working out
Cortisol Evening 0.6 ng/ml 0.6-1.9
Cortisol Night 0.2 ng/ml 0.4-1.0 This is low. This was half hour after Sex
Progesterone (Saliva) 13 pg/ml
Estordiol (Saliva) 1.0 pg/ml Remember I'm on Arimidex

Blood Test:
Reverse T3 193 pg/ml 90-350
Prolactin 8.8 ng/ml 4.0-15.2

Remember that about 3 weeks ago my Free T3 was at 3.1 from my blood work. Do you think I have Adrenal Fatigue? What do you recommend?

Before you do more investigations, consider,
keeping Arimidex at such a dose that have given you the labs you posted
Estradiol 21.5 pg/mL
Testosterone, Serum 678 ng/d
Sex Horm Binding Glob, Serum 35.1
Cortisol Morning 3.7 ng/ml 3.7-9.5

Add to that either one or two pills of 150mg pregnenolone.
With dose, go by how you feel mostly in the morning.

NUTRICOLOGY/ALLERGY RESEARCH GROUP Pregnenolone 150mg
http://vitanetonline.com/viewcart.cfm
http://vitanetonline.com/description/NR0321/vitamins/Pregnenolone-150mg
http://vitanetonline.com/search.cfm

///

 

[tiporp]

Thanks JanSz. Should I also continue the use of DHEA at 100mg with the Pregnenolone at 150 mg? Also, what do you think of the RESET-AD by Polo Alto Labs? Will the licorice as part of there ingredients make me aromitize estrodial?