Complete blood test. Anything to add?

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    Complete blood test. Anything to add?


    Hi guys,

    I'm seeing one of the top andro docs in the country.

    He ordered me to get an MRI and another set of more complete blood testing.

    There is also a section with options for cortisol testing. I can have it done if I want. I just have to check the little boxes. Which one is better?

    Here's what it says.

    Cortisol (8h or 16h)

    ACTH

    Which boxes do I tick? Can I do cortisol and ACTH the same morning?

    So I have a box for 8h cortisol, one for 16h cortisol and another box for ACTH.

    Alongside with that, he has me testing the following:

    -CBC
    -Glucose AC
    -Urea
    -NA/k
    -Chloride
    -Total proteins
    -Calcium
    -Phosphate
    -Serum iron
    -SGOT
    -GPT
    -SGGT
    -CPK
    -Cholesterol
    -Triglycerides
    -Bioavailable test
    -Total test
    -SHBG
    -TSH
    -T4
    -FSH
    -LH
    -PSA
    -Prolactin (x1) (Theres also a x3 option but he didnt tick the box)

    I can basically have anything else I want tested if I write it down, but here are some more options that aren't ticked. Let me know if there's anything crucial that shouldn't be missed. I want it to be as complete as possible.

    (under biochemistry)
    -Diabetic
    -Glucose 2h PC
    -Insulin
    -HGP
    -Uric acid
    -TIBC
    -Amylase
    -Lipase
    -
    Under special hematology)
    -Blood group
    -Blood Rh
    -Coomb's direct or indirect

    (under electrophoresis)
    -protein
    -immuno GAM
    -Complements: C3 or C4

    -Syntroid
    -B12
    Folate
    -Ferritin
    -CEA

    -B-HCG
    -Co2
    -Ionised Calcium

    SEROLOGY:
    -ASO
    -"C" reactive protein (CHRP)
    -Rheumatoid factor (RA)
    -Antinuclear (ANA)

    Thanks guys.

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    Quote Originally Posted by Bungloid48 View Post
    Hi guys,

    I'm seeing one of the top andro docs in the country.

    He ordered me to get an MRI and another set of more complete blood testing.

    There is also a section with options for cortisol testing. I can have it done if I want. I just have to check the little boxes. Which one is better?

    Here's what it says.

    Cortisol (8h or 16h)

    ACTH

    Which boxes do I tick? Can I do cortisol and ACTH the same morning?

    So I have a box for 8h cortisol, one for 16h cortisol and another box for ACTH.

    Alongside with that, he has me testing the following:

    -CBC
    -Glucose AC
    -Urea
    -NA/k
    -Chloride
    -Total proteins
    -Calcium
    -Phosphate
    -Serum iron
    -SGOT
    -GPT
    -SGGT
    -CPK
    -Cholesterol
    -Triglycerides
    -Bioavailable test
    -Total test
    -SHBG
    -TSH
    -T4
    -FSH
    -LH
    -PSA
    -Prolactin (x1) (Theres also a x3 option but he didnt tick the box)

    I can basically have anything else I want tested if I write it down, but here are some more options that aren't ticked. Let me know if there's anything crucial that shouldn't be missed. I want it to be as complete as possible.

    (under biochemistry)
    -Diabetic
    -Glucose 2h PC
    -Insulin
    -HGP
    -Uric acid
    -TIBC
    -Amylase
    -Lipase
    -
    Under special hematology)
    -Blood group
    -Blood Rh
    -Coomb's direct or indirect

    (under electrophoresis)
    -protein
    -immuno GAM
    -Complements: C3 or C4

    -Syntroid
    -B12
    Folate
    -Ferritin
    -CEA

    -B-HCG
    -Co2
    -Ionised Calcium

    SEROLOGY:
    -ASO
    -"C" reactive protein (CHRP)
    -Rheumatoid factor (RA)
    -Antinuclear (ANA)

    Thanks guys.
    Post#1
    Jan's BloodTest April13/2007

    my blood test.

    Here is my list.
    To be done at Quest Diagnostics, blood drawn at Quest.
    If you are on Testosterone (possibly other medications) ask for schedule adjustments.
    There is some contrary opinion on some of the tests, I do them all as listed, (test first, assign value latter).
    This list costs about $3500, if supported by ICD-9 codes, as mine is, fully covered by insurance.
    But, I would rather spend 3.5k on tests and $300 on a doctor than 10k on Anti-aging clinic and get $300 worth of tests and lots of hand waving.
    Mine ICD-9 codes are available when asked for.
    To this list one could add some more atems, specially when thyroid and adrenals need special attention.


    1 iodine
    2 CBC w/ diff
    3 Calcium
    4 Carbon dioxide
    5 Chloride
    6 Copper, serum
    7 Ferritin
    8 Magnesium
    9 Potasium
    10 Selenium
    11 Sodium
    12 Zinc
    13 Alkaline phosphase
    14 ALT
    15 AST
    16 BUN/creatinine ratio
    17 Creatinine
    18 Globulin, calculated
    19 Protein Total
    20 Urea nitrogen
    21 Bilirubin, Total
    22 Bilirubin, Direct
    23 EGFR non afr american
    24 RPR W/Titer & Conf RFX RPR screen
    25 C-reactive protein CRP
    26 Fibrinogen
    27 Hematocrit
    28 Hemoglobin A1C
    29 Homocysteine, cardio
    30 Lipoprotein (A) Lp(A)
    31 Folate, Serum
    32 Cholesterol, Total
    33 HDL cholesterol
    34 cholesterol/HDL ratio
    35 LDL chol, calculated
    36 Triglycirides
    37 VLDL
    38 Vitamin A
    39 Vitamin B12, serum
    40 Vitamin D, 25-Hydroxy LC/MS/MS
    41 T3 Free
    42 T3 uptake
    43 T3,Total
    44 T4,Free
    45 T4,Total
    46 TSH
    47 Glucose, fasting
    48 Insuline, serum
    49 PSA, Total
    50 PSA, %, free
    51 IGF Binding protein-3
    52 IGF-1
    53 Aldosterone
    54 Cortisol AM/PM
    55 DHEA sulfate
    56 Prolactin
    57 FSH
    58 LH
    59 Progesterone
    60 Pregnenolone
    61 Estradiol, Bioavailable
    62 Estradiol, Free
    63 Estradiol, Fractionated, serum
    64 Estradiol, Ultra-sensitive (is part of fractionated)
    65 Estrone,serum (is part of fractionated)
    66 Estrogens, Total, Serum
    67 Testosterone, Free, Bio/Total (LC/MS/MS)
    68 Testosterone Total (included in T panel)
    69 Testosterone Free(included in T panel)
    70 Testosterone Bioavailable(included in T panel)
    71 SHBG(included in T panel)
    72 Albumin, serum(included in T panel)
    73 Dihydrotestosterone DHT
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    Interesting. Thanks.

    No Aldosterone/Renin/Cortisol???
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    T3 man
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    BY the way I'm currently on 20mg of hydrocortisone and half a grain of Armour (with great results). how do I factor that in when doing the blood tests???
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    Quote Originally Posted by Bungloid48 View Post
    BY the way I'm currently on 20mg of hydrocortisone and half a grain of Armour (with great results). how do I factor that in when doing the blood tests???
    Like I said, expand adrenal and thyroid testing.
    Phil should give list that you may want to add to mine list.

    For starters, my list contains

    Iodine
    Aldosterone
    Dhea
    cortisol AM/PM
    T3 Free
    T3 uptake
    T3,Total
    T4,Free
    T4,Total
    TSH


    You may have to dig deeper.

    You may want to get some education here:

    Adrenal Disease
    Adrenal Disease: Online Reference For Health Concerns

    Thyroid Regulation
    Thyroid Regulation: Online References For Health Concerns


    Recommended Labwork
    Stop The Thyroid Madness Recommended Labwork
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    Quote Originally Posted by JanSz View Post
    Cool. But I find that link a bit lousy. Most resources on STTM is second-hand and purely anecdotal.

    I'm mostly interested in what the 8h vs 16h cortisol test is AND if I can do the ACTH test the same morning.

    Thanks.
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    Quote Originally Posted by Bungloid48 View Post
    Cool. But I find that link a bit lousy. Most resources on STTM is second-hand and purely anecdotal.

    I'm mostly interested in what the 8h vs 16h cortisol test is AND if I can do the ACTH test the same morning.

    Thanks.
    Let me know when you find place that deals with thyroid and adrenals and is better than STTM.

    We share info here, please add your experience.
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    Quote Originally Posted by JanSz View Post
    Let me know when you find place that deals with thyroid and adrenals and is better than STTM.

    We share info here, please add your experience.
    Sorry, I didn't mean to sound condescending in my last post.

    It's just that STTM is mostly comprised of people who are sharing their anecdotal experience which may or may not be based on any sound science. It's a dangerous game to play considering a lot of the people who come for help a component of psychosomatic illness.

    Anyway, the link didn't address my question at all. So that's why I said that...
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    Quote Originally Posted by Bungloid48 View Post
    Sorry, I didn't mean to sound condescending in my last post.

    It's just that STTM is mostly comprised of people who are sharing their anecdotal experience which may or may not be based on any sound science. It's a dangerous game to play considering a lot of the people who come for help a component of psychosomatic illness.

    Anyway, the link didn't address my question at all. So that's why I said that...
    It is just words, nobody was/is ofended, definitely not me.

    Any how, when you find out about place that fits your comfort level please share it with us here.

    .
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    It's not about comfort level. It's about taking the necessary precautions not to mess up your body. I'm all for STTM but to be perfectly honest, it's a very wishy-washy protocol that's long-term outcome has yet to be determined, unlike TRT.

    Albeit, I'm on the HC and Armour so they did their job convincing me! I just want the information. No political flame BS. no one needs that.
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    Quote Originally Posted by Bungloid48 View Post
    It's not about comfort level. It's about taking the necessary precautions not to mess up your body. I'm all for STTM but to be perfectly honest, it's a very wishy-washy protocol that's long-term outcome has yet to be determined, unlike TRT.

    Albeit, I'm on the HC and Armour so they did their job convincing me! I just want the information. No political flame BS. no one needs that.
    Forget that you have ever heard about STTM.

    Look for something better.
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    Here's a scan.
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    Quote Originally Posted by Bungloid48 View Post


    Here's a scan.
    This form is rather (mostly) useless, I know lab insists on using it.
    I had a similar situation when I was using LabCorp.
    And somewhat with Quest Diagnostics.
    Must say that your list looks hopeless, indicates good reason to change laboratory.

    Those lists results from insurance companies trying to reduce costs.

    I was using two approaches:

    do not use the form, write everything on a doctor's prescription form,
    or
    use the form, as many of those forms as need (probably 10)
    and write your request in lower left corner area.

    You may try third one,
    use doctors script, write there "tests per attached list".

    Good luck.
    It is individual's patient/doctor situation that makes it tough or easy.

    The list:

    1 iodine
    2 CBC w/ diff
    3 Calcium
    4 Carbon dioxide
    5 Chloride
    6 Copper, serum
    7 Ferritin
    8 Magnesium
    9 Potasium
    10 Selenium
    11 Sodium
    12 Zinc
    13 Alkaline phosphase
    14 ALT
    15 AST
    16 BUN/creatinine ratio
    17 Creatinine
    18 Globulin, calculated
    19 Protein Total
    20 Urea nitrogen
    21 Bilirubin, Total
    22 Bilirubin, Direct
    23 EGFR non afr american
    24 RPR W/Titer & Conf RFX RPR screen
    25 C-reactive protein CRP
    26 Fibrinogen
    27 Hematocrit
    28 Hemoglobin A1C
    29 Homocysteine, cardio
    30 Lipoprotein (A) Lp(A)
    31 Folate, Serum
    32 Cholesterol, Total
    33 HDL cholesterol
    34 cholesterol/HDL ratio
    35 LDL chol, calculated
    36 Triglycirides
    37 VLDL
    38 Vitamin A
    39 Vitamin B12, serum
    40 Vitamin D, 25-Hydroxy LC/MS/MS
    41 T3 Free
    42 T3 uptake
    43 T3,Total
    44 T4,Free
    45 T4,Total
    46 TSH
    47 Glucose, fasting
    48 Insuline, serum
    49 PSA, Total
    50 PSA, %, free
    51 IGF Binding protein-3
    52 IGF-1
    53 Aldosterone
    54 Cortisol AM/PM
    55 DHEA sulfate
    56 Prolactin
    57 FSH
    58 LH
    59 Progesterone
    60 Pregnenolone
    61 Estradiol, Bioavailable
    62 Estradiol, Free
    63 Estradiol, Fractionated, serum
    64 Estradiol, Ultra-sensitive (is part of fractionated)
    65 Estrone,serum (is part of fractionated)
    66 Estrogens, Total, Serum
    67 Testosterone, Free, Bio/Total (LC/MS/MS)
    68 Testosterone Total (included in T panel)
    69 Testosterone Free(included in T panel)
    70 Testosterone Bioavailable(included in T panel)
    71 SHBG(included in T panel)
    72 Albumin, serum(included in T panel)
    73 Dihydrotestosterone DHT
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    what were your levels?
  

  
 

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