Please help with my blood results - 26 yo male

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    Please help with my blood results - 26 yo male


    Hi all,

    I could use a little assistance determining what my blood results may or may not mean. I have included all of the results so those more experienced in viewing them may have more to interpret off of. Primarily, my concern is drawn to the testosterone, LH, FSH(?) and A/G ratio results...so any directed assistance here would be greatly appreciated.

    If you have any questions, please let me know. Thanks.

    Background: 26 yo male, ran a bottle of Jungle Warfare ~6 or 7 yrs ago when I thought it was a test booster. Ran a cycle of 11-oxo ~3 yrs ago with 6-oxo as PCT. Nothing else in the hormonal department.

    Test - Result - Reference Interval

    CBC With Differential/Platelet
    WBC - 6.0 - 4.0-10.5
    RBC - 5.32 - 4.10-5.6
    Hemoglobin - 15.4 - 12.5-17.0
    Hematocrit - 45.0 - 36.0-50.0
    MCV - 85 - 80-98
    MCH - 29.0 - 27.0-34.0
    MCHC 34.3 - 32.0-36.0
    RDW - 13.7 - 11.7-15.0
    Platelets - 211 - 140-415
    Neutrophils - 53 - 40-74
    Lymphs - 40 - 14-46
    Monocytes - 6 - 4-13
    Eos - 1 - 0-7
    Basos - 0 - 0-3
    Neutrophils (Absolute) - 3.2 - 1.8-7.8
    Lymphs (Absolute) - 2.4 - 0.7-4.5
    Monocytes (Absolute) - 0.4 - 0.1-1.0
    Eos (Absolute) - 0.1 - 0.0-0.4
    Baso (Absolute) - 0.0 - 0.0-0.2

    Comp. Metabolic Panel (14)
    Glucose, Serum - 92 - 65-99
    BUN - 20 - 5-26
    Creatinine, Serum - 1.19 - 0.76-1.27
    eGFR - >59 - >59
    eGFR AfricanAmerican - >59 - >59
    BUN/Creationine Ratio - 17 - 8-27
    Sodium, Serum - 138 - 135-145
    Potassium, Serum - 4.4 - 3.5-5.2
    Chloride, Serum - 101 - 97-108
    Carbon Dioxide, Total - 30 - 20-32
    Calcium, Serum - 9.6 - 8.7-10.2
    Protein, Total, Serum - 6.8 - 6.0-8.5
    Albumin, Serum - 4.9 - 3.5-5.5
    Globulin, Total - 1.9 - 1.5-4.5
    A/G Ratio - 2.6 - 1.1-2.5
    Bilirubin, Total - 0.5 - 0.0-1.2
    Alkaline Phosphatase, S - 59 - 25-150
    AST (SGOT) - 29 - 0-40
    ALT (SGPT) - 42 - 0-55
    Luteinizing Hormone (LH), S - 1.6 - 1.7-8.6
    Testosterone, Serum - 363 - 280-800
    Estradiol - 20.1 - 7.6-42.6
    FSH - 2.2 - 1.5-12.4

    I appreciate your time and any assistance you are able/willing to offer.

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    Quote Originally Posted by xlb57 View Post
    Hi all,

    I could use a little assistance determining what my blood results may or may not mean. I have included all of the results so those more experienced in viewing them may have more to interpret off of. Primarily, my concern is drawn to the testosterone, LH, FSH(?) and A/G ratio results...so any directed assistance here would be greatly appreciated.

    If you have any questions, please let me know. Thanks.

    Background: 26 yo male, ran a bottle of Jungle Warfare ~6 or 7 yrs ago when I thought it was a test booster. Ran a cycle of 11-oxo ~3 yrs ago with 6-oxo as PCT. Nothing else in the hormonal department.

    Test - Result - Reference Interval

    CBC With Differential/Platelet
    WBC - 6.0 - 4.0-10.5
    RBC - 5.32 - 4.10-5.6
    Hemoglobin - 15.4 - 12.5-17.0
    Hematocrit - 45.0 - 36.0-50.0
    MCV - 85 - 80-98
    MCH - 29.0 - 27.0-34.0
    MCHC 34.3 - 32.0-36.0
    RDW - 13.7 - 11.7-15.0
    Platelets - 211 - 140-415
    Neutrophils - 53 - 40-74
    Lymphs - 40 - 14-46
    Monocytes - 6 - 4-13
    Eos - 1 - 0-7
    Basos - 0 - 0-3
    Neutrophils (Absolute) - 3.2 - 1.8-7.8
    Lymphs (Absolute) - 2.4 - 0.7-4.5
    Monocytes (Absolute) - 0.4 - 0.1-1.0
    Eos (Absolute) - 0.1 - 0.0-0.4
    Baso (Absolute) - 0.0 - 0.0-0.2

    Comp. Metabolic Panel (14)
    Glucose, Serum - 92 - 65-99
    BUN - 20 - 5-26
    Creatinine, Serum - 1.19 - 0.76-1.27
    eGFR - >59 - >59
    eGFR AfricanAmerican - >59 - >59
    BUN/Creationine Ratio - 17 - 8-27
    Sodium, Serum - 138 - 135-145
    Potassium, Serum - 4.4 - 3.5-5.2
    Chloride, Serum - 101 - 97-108
    Carbon Dioxide, Total - 30 - 20-32
    Calcium, Serum - 9.6 - 8.7-10.2
    Protein, Total, Serum - 6.8 - 6.0-8.5
    Albumin, Serum - 4.9 - 3.5-5.5
    Globulin, Total - 1.9 - 1.5-4.5
    A/G Ratio - 2.6 - 1.1-2.5
    Bilirubin, Total - 0.5 - 0.0-1.2
    Alkaline Phosphatase, S - 59 - 25-150
    AST (SGOT) - 29 - 0-40
    ALT (SGPT) - 42 - 0-55
    Luteinizing Hormone (LH), S - 1.6 - 1.7-8.6
    Testosterone, Serum - 363 - 280-800
    Estradiol - 20.1 - 7.6-42.6
    FSH - 2.2 - 1.5-12.4

    I appreciate your time and any assistance you are able/willing to offer.

    If you are having symptoms of low testosterone, then your numbers indicate that you probably have secondary hypogonadism (the LH test is highly variable though). However, good luck with finding a doctor willing to treat you. If you pursue trt, be prepared to see a handful of doctors (probably more) before you find one that will treat you.

    Search for "Guideline for Male Testosterone Therapy: A Clinician’s Perspective" on google. Print it out and good luck.

    As far as your high A/G ratio, were you well hydrated before the test? If not, that could be the causative factor. If I were you, I would get it retested sometime soon. If it comes back high again, then I would definitely make an appointment with a hematologist (or possibly an immunologist) and pursue it further.

    Also, get your thyroid checked.
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    Thank you for the response - It is much appreciated.

    I don't know whether or not I should be (or want to be) pursuing TRT at this time. I am VERY new to all of this and extremely early in my researching phase. I will say that my wife and I are trying to start family, so I am definitely hesitant about experimenting with anything that could interfere with that. My semen analysis came back very positively on all accounts, so I imagine that is a good thing. I would say though that I am experiencing some signs of low T.

    I don't know that I was very well hydrated prior to the test. My guess would be that is the culprit. I do agree the getting retested would be a good idea. How soon would you suggest doing so?

    I do plan to get a more inclusive blood test my next time around. I will be sure to have thyroid levels checked. What additional suggestions would you have?

    Edit: Also - What would be suggested as my "next steps"? Do I begin by seeing my PCP? Do I go straight to a specialist (i.e. urologist, endo, etc.)?
    Last edited by xlb57; 06-16-2010 at 02:09 PM. Reason: Additional question
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    Quote Originally Posted by xlb57 View Post
    Thank you for the response - It is much appreciated.

    I don't know whether or not I should be (or want to be) pursuing TRT at this time. I am VERY new to all of this and extremely early in my researching phase. I will say that my wife and I are trying to start family, so I am definitely hesitant about experimenting with anything that could interfere with that. My semen analysis came back very positively on all accounts, so I imagine that is a good thing. I would say though that I am experiencing some signs of low T.

    I don't know that I was very well hydrated prior to the test. My guess would be that is the culprit. I do agree the getting retested would be a good idea. How soon would you suggest doing so?

    I do plan to get a more inclusive blood test my next time around. I will be sure to have thyroid levels checked. What additional suggestions would you have?

    Edit: Also - What would be suggested as my "next steps"? Do I begin by seeing my PCP? Do I go straight to a specialist (i.e. urologist, endo, etc.)?
    Before beginning anything I would look into an MRI scan to rule out pituitary issues due to low LH levls. I would also look at thyroid and adrenals with a good physician that is familar with them. I have found alot of people that we encounter when traced back there could be a huge head trama from a car accident or a fall that may have caused damage to testosteroen part of the pituitary. The last thing I be looking at is TRT because you are secondary. I would also look at a complete list of lab tests that I have posted numberous times on here focusing on the endocrine system, thyroid, ferritin, and general panels. Where are located out because endorcrinologist are majority of the time are not worth ones time because they look at low levels and just replace the hormones that are low instead of looking at the cause of the problem. There are good specialist in your area if not some times you have to travel in order to get proper help. Depending on your location I can give you some reference on who I would go to that is the best in the business.
    I am not a medical Dr, please keep in mind that this answer is for information purposes only, and is not intended to diagnose, treat or replace sound medical advice from your physician or health care provider.
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    Quote Originally Posted by The Matrix View Post
    Before beginning anything I would look into an MRI scan to rule out pituitary issues due to low LH levls. I would also look at thyroid and adrenals with a good physician that is familar with them. I have found alot of people that we encounter when traced back there could be a huge head trama from a car accident or a fall that may have caused damage to testosteroen part of the pituitary. The last thing I be looking at is TRT because you are secondary. I would also look at a complete list of lab tests that I have posted numberous times on here focusing on the endocrine system, thyroid, ferritin, and general panels. Where are located out because endorcrinologist are majority of the time are not worth ones time because they look at low levels and just replace the hormones that are low instead of looking at the cause of the problem. There are good specialist in your area if not some times you have to travel in order to get proper help. Depending on your location I can give you some reference on who I would go to that is the best in the business.
    Thank you for the response. Would you suggest I first reach out to my primary care physician from whom I may be referenced somewhere else or no? Also, might you be able to point me toard the list of lab tests that you have referenced previously? If not, I will do some searching for them. Also, if not an endocrinologist, would you then suggest a urologist?

    I am in the St. Paul / Minneapolis area of Minnesota and would definitely appreciate any suggestions of doctors.
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    Quote Originally Posted by xlb57 View Post
    Thank you for the response - It is much appreciated.

    I don't know whether or not I should be (or want to be) pursuing TRT at this time. I am VERY new to all of this and extremely early in my researching phase. I will say that my wife and I are trying to start family, so I am definitely hesitant about experimenting with anything that could interfere with that. My semen analysis came back very positively on all accounts, so I imagine that is a good thing. I would say though that I am experiencing some signs of low T.

    I don't know that I was very well hydrated prior to the test. My guess would be that is the culprit. I do agree the getting retested would be a good idea. How soon would you suggest doing so?

    I do plan to get a more inclusive blood test my next time around. I will be sure to have thyroid levels checked. What additional suggestions would you have?

    Edit: Also - What would be suggested as my "next steps"? Do I begin by seeing my PCP? Do I go straight to a specialist (i.e. urologist, endo, etc.)?
    You might as well get the A/G tested as soon as possible. It is probably nothing, but there is a small chance it is indicating a lack of immunoglobulins, which would need attention. If the test comes back high a second time, schedule an appointment with a hematologist or an immunologist and figure out the cause. If the test comes back within range the second time (it most likely will), then it needs no further attention.

    If you can get your PCP to run tests for you, just stick with him for now. An endo or urologist will be less inclined to listen to your suggestions. Once you get some bloodwork from the PCP, then make an appointment with an endocrinologist that also specializes in reproductive endocrinology (or has some sort of fertility clinic along with his regular practice).

    Some basic tests to ask your PCP for:

    Thyroid Panel (TSH, T4, T3, free T4, free T3)
    Iron Panel (ferritin, transferrin saturation)--very important
    Cortisol (saliva or urine are superior but a serum cortisol test is better than nothing)
    Bioavailable or Free Testosterone (if using free testosterone, make sure it's equilibrium dialysis or calculated--no analog method)
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    I plan on making an appointment this morning. I will definitely request that these things be looked in to. I have had a very good relationship with my PCP thus far, so I am hoping that he is receptive to running some tests to figures this out.

    I am making a list of items to ask my PCP to cover and have added the ones that you listed to that list. If you think of any others, let me know.

    Thanks a lot for your help and any other ideas that come to mind are appreciated.

    Quote Originally Posted by weierstrass View Post
    You might as well get the A/G tested as soon as possible. It is probably nothing, but there is a small chance it is indicating a lack of immunoglobulins, which would need attention. If the test comes back high a second time, schedule an appointment with a hematologist or an immunologist and figure out the cause. If the test comes back within range the second time (it most likely will), then it needs no further attention.

    If you can get your PCP to run tests for you, just stick with him for now. An endo or urologist will be less inclined to listen to your suggestions. Once you get some bloodwork from the PCP, then make an appointment with an endocrinologist that also specializes in reproductive endocrinology (or has some sort of fertility clinic along with his regular practice).

    Some basic tests to ask your PCP for:

    Thyroid Panel (TSH, T4, T3, free T4, free T3)
    Iron Panel (ferritin, transferrin saturation)--very important
    Cortisol (saliva or urine are superior but a serum cortisol test is better than nothing)
    Bioavailable or Free Testosterone (if using free testosterone, make sure it's equilibrium dialysis or calculated--no analog method)
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    Update: I have scheduled an appointment with my PCP for this coming Monday. I am going to bring the bloodwork results into the office with me, as well as a list of possible tests to run.

    Does anybody have any suggestions regarding how to approach this with him? I certainly don't want to come off as I know more than him or want to tell him what needs to be done. My guess is that he is going to want to run some more bloodwork? If that is the case, I suppose I can make some suggestions of the items mentioned earlier in this thread.

    I am actually seeing somebody different from my usual doctor (as he is quite popular and doesn't have an opening until mid-July), but was told the other doctor is a guy that many of my original doctor's patients see if he is too busy.

    Thanks again for all your help and feel free to provide any additional thoughts about what I should bring up, ask, tell, etc. for my appointment.
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    Quote Originally Posted by xlb57 View Post
    Update: I have scheduled an appointment with my PCP for this coming Monday. I am going to bring the bloodwork results into the office with me, as well as a list of possible tests to run.

    Does anybody have any suggestions regarding how to approach this with him? I certainly don't want to come off as I know more than him or want to tell him what needs to be done. My guess is that he is going to want to run some more bloodwork? If that is the case, I suppose I can make some suggestions of the items mentioned earlier in this thread.

    I am actually seeing somebody different from my usual doctor (as he is quite popular and doesn't have an opening until mid-July), but was told the other doctor is a guy that many of my original doctor's patients see if he is too busy.

    Thanks again for all your help and feel free to provide any additional thoughts about what I should bring up, ask, tell, etc. for my appointment.

    Tell you doctor that want to have some of your hormones checked because your personal research has led you to believe that you might have endocrine problem. Explain to him your symptoms in detail. Tell him that you are mainly concerned with your testosterone, cortisol, and thyroid function. He will probably share your concern. Suggest to him in a submissive manner (you have to have to act inferior to your doctor) the tests I have suggested. He most likely not run the whole thyroid panel, but at least get free T4 and TSH tested. Getting the cortisol and free testosterone tests should be no problem.

    About the iron panel: tell him that you have a family history of hemochromatosis and that you want to rule out iron overload in yourself. Lying to your health care provider is generally not a good idea, but in some cases it is absolutely necessary. Iron overload can cause serious endocrine problems and widespread organ damage. Someone with suspected secondary hypogonadism should be screened for it.

    Generally, the "I have a family history of _____" statement is an effective way to get desired tests run.

    If your appointment is going well, you might as well ask to get your IGF-1 tested. Having a baseline IGF-1 number might come in handy later on down the road if you ever consider doing HRT.

    Good luck and let us know how things go.
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    Quote Originally Posted by weierstrass View Post
    Tell you doctor that want to have some of your hormones checked because your personal research has led you to believe that you might have endocrine problem. Explain to him your symptoms in detail. Tell him that you are mainly concerned with your testosterone, cortisol, and thyroid function. He will probably share your concern. Suggest to him in a submissive manner (you have to have to act inferior to your doctor) the tests I have suggested. He most likely not run the whole thyroid panel, but at least get free T4 and TSH tested. Getting the cortisol and free testosterone tests should be no problem.

    About the iron panel: tell him that you have a family history of hemochromatosis and that you want to rule out iron overload in yourself. Lying to your health care provider is generally not a good idea, but in some cases it is absolutely necessary. Iron overload can cause serious endocrine problems and widespread organ damage. Someone with suspected secondary hypogonadism should be screened for it.

    Generally, the "I have a family history of _____" statement is an effective way to get desired tests run.

    If your appointment is going well, you might as well ask to get your IGF-1 tested. Having a baseline IGF-1 number might come in handy later on down the road if you ever consider doing HRT.

    Good luck and let us know how things go.
    Thanks a ton for your continued suggestions - I appreciate it.

    I will be sure to leave an update after my appointment.

    Edit: I was just thinking - I have donated blood a couple times over the course of the last year and they check your iron levels when doing so. I have never come back high or anything (that I know of). If this were an issue, wouldn't it have been detected at these times? Sorry if this is a dumb question. Thanks
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    Update: I saw my PCP today and had a good conversation with him regarding symptoms, history, etc. I am going back in Wednesday morning for some more bloodwork. This time around it will be a bit more comprehensive and will include Serum T, Thyroid panel, PSA, Prolactin, and some others that I can't recall. He wanted to hold off on Iron and Cortisol until these come back. If needed though, he said that he is not opposed to them and with regard to Cortisol we would do a 24-hr urine test. He (for whatever reason) wanted to hold off on Free T, as he felt the Serum T should lead us in the right direction and the Free T would be reserved for an endo (which he said there are a couple great endocrinologists he refers to).

    He said that, through our conversation and my results, my symptoms and the initial results do resemble a secondary hypogonadism case. He was great to work with and I look forward to what the next round of tests might show.
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    Update: I just got off the phone with my PCP and got the 2nd round of bloodwork results back.

    LH: 1.3 (down from last time)
    Total Test: 558 (??? up from last time)
    PSA: .4 (normal)
    Thyroid: normal
    Prolactin: normal
    FSH: normal

    He is referring me to an endocrinologist in the area. I am a bit surprised / confused by these results.

    Does anybody have any idea / thoughts?
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    Quote Originally Posted by xlb57 View Post
    Update: I just got off the phone with my PCP and got the 2nd round of bloodwork results back.

    LH: 1.3 (down from last time)
    Total Test: 558 (??? up from last time)
    PSA: .4 (normal)
    Thyroid: normal
    Prolactin: normal
    FSH: normal

    He is referring me to an endocrinologist in the area. I am a bit surprised / confused by these results.

    Does anybody have any idea / thoughts?
    A single LH measurement is usually not reliable and should be ignored if it is not very high or very low, but your LH has come back low for the second time now. A pooled LH measurement (multiple measurements of LH in a short time frame) should be done. It would give an accurate picture of your LH levels.

    As for the testosterone, there could be a number of things going on. One possibility is that one of the testosterone tests was a fluke. Quite possible. The other possibility is that your SHBG increased thereby increasing your SHBG bound T. SHBG increases under a number of conditions including increasing estrogen levels, decreasing testosterone levels, liver problems etc... Without your free testosterone and SHBG levels, we can't know for sure. The endo will probably run those for you.

    Try to make the appointment as soon as possible and make sure he runs free testosterone, SHBG, and estradiol for you. Also, try to get a copy of the lab tests your pcp ran. "normal" is relative.
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    Quote Originally Posted by weierstrass View Post
    A single LH measurement is usually not reliable and should be ignored if it is not very high or very low, but your LH has come back low for the second time now. A pooled LH measurement (multiple measurements of LH in a short time frame) should be done. It would give an accurate picture of your LH levels.

    As for the testosterone, there could be a number of things going on. One possibility is that one of the testosterone tests was a fluke. Quite possible. The other possibility is that your SHBG increased thereby increasing your SHBG bound T. SHBG increases under a number of conditions including increasing estrogen levels, decreasing testosterone levels, liver problems etc... Without your free testosterone and SHBG levels, we can't know for sure. The endo will probably run those for you.

    Try to make the appointment as soon as possible and make sure he runs free testosterone, SHBG, and estradiol for you. Also, try to get a copy of the lab tests your pcp ran. "normal" is relative.
    Thanks for the response. You bring up a couple of things that I hadn't considered through my research. Also, I will definitely follow up with my PCP to get a copy of the lab results.

    I have scheduled an appointment with the endo for next Thursday and will see how the conversation goes. I will try to suggest those items be tested. Any additional suggestions for questions, etc. now that I am meeting with an endo?

    Thanks again
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    For what it's worth, I got back the results of each test from the doctor and they are as follows:

    -LH: 1.3 (Ref. range: 2.0-12.0) LOW
    -FSH: <3.0 (Ref. range: <12.1)
    -Prolactin: 8.3 (Ref. range: <15.1)
    -TSH: 1.2 (Ref. range: 0.3-5.0)
    -PSA: 0.4 (Ref. range: <2.6)
    -Test, Total: 558 (Ref. range: 195-1200)

    Does this help at all?

    Thanks
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    Quote Originally Posted by xlb57 View Post
    For what it's worth, I got back the results of each test from the doctor and they are as follows:

    -LH: 1.3 (Ref. range: 2.0-12.0) LOW
    -FSH: <3.0 (Ref. range: <12.1)
    -Prolactin: 8.3 (Ref. range: <15.1)
    -TSH: 1.2 (Ref. range: 0.3-5.0)
    -PSA: 0.4 (Ref. range: <2.6)
    -Test, Total: 448 (Ref. range: 195-1200)

    Does this help at all?

    Thanks
    Well, then your total T did not change much from before. It makes much more sense than the 585. Being less than 450ng/dl, your total T is in a range such that if you have symptoms of hypogonadism, a competent doctor would give you a trial run of trt. Since you are worried about fertility, a trial of clomid or hcg would be a good option. Actually, clomid and hcg would help with fertility.

    Unfortunately, the endo you're going to see will most likely not be familiar with treating hypogonadism. You will probably have to end up seeing a urologist/andrologist for help, especially if you want to try something like clomid or hcg.
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    Quote Originally Posted by weierstrass View Post
    Well, then your total T did not change much from before. It makes much more sense than the 585. Being less than 450ng/dl, your total T is in a range such that if you have symptoms of hypogonadism, a competent doctor would give you a trial run of trt. Since you are worried about fertility, a trial of clomid or hcg would be a good option. Actually, clomid and hcg would help with fertility.

    Unfortunately, the endo you're going to see will most likely not be familiar with treating hypogonadism. You will probably have to end up seeing a urologist/andrologist for help, especially if you want to try something like clomid or hcg.
    Ugh! Keying error on my part. The Total Test. was 558 this time around (not 448). I will see what this endo has to say and go from there I suppose. Thank you for the suggestions.
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    Quote Originally Posted by xlb57 View Post
    Ugh! Keying error on my part. The Total Test. was 558 this time around (not 448). I will see what this endo has to say and go from there I suppose. Thank you for the suggestions.
    Yeah, then there is something strange going on still. SHBG and free testosterone tests will clear this confusion up. Pressure him to run both of these tests. Absolutely essential.

    One last thought. Were the two labs done at the same place? Judging from the difference normal ranges, I'm thinking not. What lab companies did what test?
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    Quote Originally Posted by weierstrass View Post
    Yeah, then there is something strange going on still. SHBG and free testosterone tests will clear this confusion up. Pressure him to run both of these tests. Absolutely essential.

    One last thought. Were the two labs done at the same place? Judging from the difference normal ranges, I'm thinking not. What lab companies did what test?
    They were not done at the same place. The first was done by LabCorp and I am not sure about the second (it was done at my doctor's office - a HealthEast facility).

    Thanks for the suggestions on SHBG and Free T - I will note both as something to try to have run.
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    Quote Originally Posted by xlb57 View Post
    They were not done at the same place. The first was done by LabCorp and I am not sure about the second (it was done at my doctor's office - a HealthEast facility).

    Thanks for the suggestions on SHBG and Free T - I will note both as something to try to have run.

    The difference in testosterone is 75%-different lab companies and 25%-normal variation in levels. I checked out HealthEast and on the website for their lab, it says that they are in a partnership with the Mayo Clinic Labs. The testosterone tests from the Mayo always come back significantly higher than from Labcorp or Quest. For example, I had a 480ng/dl T levels at Quest and a few weeks later, I had a 565ng/dl using the Mayo Labs. A few months later, I had my levels checked at Quest; they were 450ng/dl. Another few months, I had my T checked using Mayo Labs a second time. It came back at 540ng/dl. The Mayo Labs are significantly higher than Labcorp and Quest.

    Don't bother trying to tell this to the endo though. Just hope they use Labcorp or Quest.
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    Quote Originally Posted by weierstrass View Post
    The difference in testosterone is 75%-different lab companies and 25%-normal variation in levels. I checked out HealthEast and on the website for their lab, it says that they are in a partnership with the Mayo Clinic Labs. The testosterone tests from the Mayo always come back significantly higher than from Labcorp or Quest. For example, I had a 480ng/dl T levels at Quest and a few weeks later, I had a 565ng/dl using the Mayo Labs. A few months later, I had my levels checked at Quest; they were 450ng/dl. Another few months, I had my T checked using Mayo Labs a second time. It came back at 540ng/dl. The Mayo Labs are significantly higher than Labcorp and Quest.

    Don't bother trying to tell this to the endo though. Just hope they use Labcorp or Quest.
    Very interesting to know. I guess that may explain some / all of the increase then.
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    Update:

    Just got some bloods back from endo appointment and they are as follows:

    Vitamin D,25-Hydroxy: 68.0 ng/ml (Ref. Range: 30.0-80.0)
    Vitamin B12: 1065 pg/ml (Ref. Range: 223-1132)
    Cortisol: 9.9 ug/dL
    Ferritin: 129 ng/ml (Ref. Range: 27-300)
    T3, Total: 93 ng/dl (Ref. Range: 45-175)
    Free T4: 0.61 ng/dl (Ref. Range: 0.59-1.17)

    She had said she was going to get Bioavailable T as well, but they were not included on the report. My first impression is that she is trying to brush me off as the letter basically says "things look good!".

    So...Do things look fine and should I not have anything to worry about at this point? I would appreciate your continued ideas.

    Thanks
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    Quote Originally Posted by xlb57 View Post
    Update:

    Just got some bloods back from endo appointment and they are as follows:

    Vitamin D,25-Hydroxy: 68.0 ng/ml (Ref. Range: 30.0-80.0)
    Vitamin B12: 1065 pg/ml (Ref. Range: 223-1132)
    Cortisol: 9.9 ug/dL
    Ferritin: 129 ng/ml (Ref. Range: 27-300)
    T3, Total: 93 ng/dl (Ref. Range: 45-175)
    Free T4: 0.61 ng/dl (Ref. Range: 0.59-1.17)

    She had said she was going to get Bioavailable T as well, but they were not included on the report. My first impression is that she is trying to brush me off as the letter basically says "things look good!".

    So...Do things look fine and should I not have anything to worry about at this point? I would appreciate your continued ideas.

    Thanks
    She didn't get bioavailable testosterone checked, the most important measure of androgen levels in the blood? Run from this idiot. Again, you need your free or bioavailable T levels checked since your total T is in a grey area.

    Your free T4 is on the lower side. Too bad she didn't test free T3, then we could have really known what was going on. I'm sorry, but this endo is an idiot. I wouldn't even bother with her anymore. You need to find another doctor to help you. Try the doctor I recommended. It may take a month or two to see him though. You could also try asking a local compounding pharmacy for some referrals.
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    Quote Originally Posted by weierstrass View Post
    She didn't get bioavailable testosterone checked, the most important measure of androgen levels in the blood? Run from this idiot. Again, you need your free or bioavailable T levels checked since your total T is in a grey area.

    Your free T4 is on the lower side. Too bad she didn't test free T3, then we could have really known what was going on. I'm sorry, but this endo is an idiot. I wouldn't even bother with her anymore. You need to find another doctor to help you. Try the doctor I recommended. It may take a month or two to see him though. You could also try asking a local compounding pharmacy for some referrals.
    Update: I let this doc know I still wanted bioavailable done. She had me come back in for more bloodwork and the results are as follows (blood given at 8:43AM):

    Testosterone, Bioavailable, S 142 ng/dL (Ref. Range 83-257)

    Any thoughts on these results?

    Thanks
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    Quote Originally Posted by xlb57 View Post
    Update: I let this doc know I still wanted bioavailable done. She had me come back in for more bloodwork and the results are as follows (blood given at 8:43AM):

    Testosterone, Bioavailable, S 142 ng/dL (Ref. Range 83-257)

    Any thoughts on these results?

    Thanks
    Check adenals through 24 hour saliva you have classic results of adrenal insufficiency. You need to see the levels through out the day time to know how to treat. you thyroid is trashed but first handle adrenals first.
    I am not a medical Dr, please keep in mind that this answer is for information purposes only, and is not intended to diagnose, treat or replace sound medical advice from your physician or health care provider.
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    Quote Originally Posted by The Matrix View Post
    Check adenals through 24 hour saliva you have classic results of adrenal insufficiency. You need to see the levels through out the day time to know how to treat. you thyroid is trashed but first handle adrenals first.
    Thanks for the suggestion. Is there anything (food, supps, etc.) that I should be sure to avoid in the meantime that could have any sort of impact arenal test results? Is there anything that I should avoid or begin eating/taking to try and improve things?

    Also, what are the things that indicate adrenal insufficiency and poor thyroid (T4?) to you?

    Thanks
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    Stop drinking flouridated tap water bro. Also limit your sex to once per week. I guessed that without even seeing your thyroid is low - which is the love signature of flouride. Get natural non flouridated toothpaste and check your level in another 2 months.
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    Quote Originally Posted by bomb402 View Post
    Stop drinking flouridated tap water bro. Also limit your sex to once per week. I guessed that without even seeing your thyroid is low - which is the love signature of flouride. Get natural non flouridated toothpaste and check your level in another 2 months.
    Really? So can I avoid this by getting a filter or what? I drink entirely way too much water to be buying the stuff in the bottle...
  

  
 

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