Total Protein 7.4 5.9-8.4
Albumin 4.9 3.2-5.2
globulin 2.5 1.7-3.7
A/G Ratio 2.0 1.1-2.9
Glucose 82 70-99
Sodium 143 133-145
Potassium 4.3 3.3-5.3
Chloride 104 96-108
CO2 29 21-29
BUN 11 7-25
Creatinine 1.0 0.6-1.3
e-GFR 93 >60mL/min1.73m2
BUN/Creat Ratio 11 10-28
Calcium 9.3 8.4-10.4
Uric Acid 4.9 2.4-7.0
Iron 123 30-160
Bilirubin, Total 0.6 0.1-1.0
LDH 132 94-250
Alk Phos 52 39-120
AST (SGOT) 16 <37
Phosphorous 2.9 2.6-4.5
ALT (SGPT) 17 <40
G-GTP 14 7-51
Cholesterol 139 <200
Triglycerides 49 <151
Culture, Urine SEE BELOW
TSH 0.989 0.27-4.2
Thyroxine 8.2 4.5-12.0
T3 Uptake 35.9 24.3-39.0
Thyroxine, Free (FT4) 1.24 0.93-1.7
Free T4 Index 2.9 1.1-4.5
T3 (Thyronine), Total 92 80-200
Testosterone, Total. 412 280-800
Testosterone, Free, SE 10.3 8.8-27.0
LH 6.3 1.7-8.6
FSH 3.6 1.5-12.4
Prolactin, Serum 24.0 4.04-15.20
He tells me according to the ultrasound of my penis when it was erect that the blood flow was fine. He did not give any numbers. He did not however do ultrasound of my penis for blood flow when it was not erect.
Your penis is in good shape. I know, double stream, cosmetics, latter.
Varicocele, either latter or as separate project.
But varicocele makes testis weak, unresponsive.
Your LH is high and testis produced very little testosterone.
You have very little (Thyronine), TotalT3. It should be much higher, 160 or more.
To correct thyroid, at he minimum involves
checking adrenals and eventually supporting them for the extra load they get when you will take thyroid hormones.
You need also better thyroid tests, but as of now I see that you will need Cytomel(T3) for your thyroid. Underline, T3 without T4.
All supported and checked by testing.
Sequence of actions:
Double check prolactin, if still high do pituitary MRI, proceed further per MRI results.
Assuming absence of pituitary tumor I suggest that you do my long list of tests.
Medications that you may need based on current state of knowledge about you
To lower prolactin
To support adrenals
To increase T3
To support testis
To increase testosterone
minerals, vitamins
All this can competently be taken of care by doctor in Fair Lawn that I mentioned earlier, he is located about 1/2 hr from you, door to door.
Tests
pituitary MRI
my long list of tests
SpectraCell-5000
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Do you eat enough fats, your cholesterol is rather low.
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