annual physical exam

[v4lu3s]

I just had my annual physical for my 38th birthday.
I have my endo appointment in about ten days as well. Generally good health, been on trt at 100mg a week for just about a year now. Generally feel normal and well.
I also have planned on doing the 23andme sequencing in the immediate future...

but i am wanting to get some feedback from others who probably know a lot more than me about my blood labs. I know what I got is probably not enough but it is what I get on my wonderful municipal insurance...


VITAMIN D, 25-HYDROXY 40.6 30.0 - 100.0 ng/mL I SUSPECT THIS IS TOO LOW




CHOLESTEROL, TOTAL 169 100 - 199 mg/dL


TRIGLYCERIDES 67 0 - 149 mg/dL HAS INCREASED FROM 60 LAST YEAR


HDL CHOLESTEROL 47 >39 mg/dL IS THIS HIGH ENOUGH?


VLDL CHOLESTEROL CAL 13 5 - 40 mg/dL IS THIS GOOD?


LDL CHOLESTEROL CALC 109 0 - 99 mg/dL SHOULD THIS BE OF CONCERN?




GLUCOSE, SERUM 83 65 - 99 mg/dL


BUN 19 6 - 20 mg/dL


CREATININE, SERUM 1.07 0.76 - 1.27 mg/dL


EGFR IF NONAFRICN AM 88 >59 mL/min/1.73


EGFR IF AFRICN AM 101 >59 mL/min/1.73


BUN/CREATININE RATIO 18 8 - 19


SODIUM, SERUM 141 134 - 144 mmol/L


POTASSIUM, SERUM 4.5 3.5 - 5.2 mmol/L


CHLORIDE, SERUM 104 97 - 108 mmol/L


CARBON DIOXIDE, TOTAL 23 20 - 32 mmol/L


CALCIUM, SERUM 9.4 8.7 - 10.2 mg/dL


PROTEIN, TOTAL, SERUM 6.9 6.0 - 8.5 g/dL


ALBUMIN, SERUM 4.5 3.5 - 5.5 g/dL


GLOBULIN, TOTAL 2.4 1.5 - 4.5 g/dL


A/G RATIO 1.9 1.1 - 2.5

BILIRUBIN, TOTAL 0.7 0.0 - 1.2 mg/dL


ALKALINE PHOSPHATASE, SERUM 91 25 - 150 IU/L


AST (SGOT) 20 0 - 40 IU/L


ALT (SGPT) 35 0 - 44 IU/L


TSH 1.360 0.450 - 4.500 uIU/mL THIS ALONE I KNOW MEANS LITTLE...SHOULD I SEEK MORE THYROID TESTING TO BE SURE?


WHITE BLOOD CELL (WBC) COUNT 5.4 4.0 - 10.5 x10E3/uL


RED BLOOD CELL (RBC) COUNT 5.38 4.14 - 5.80 x10E6/uL


HEMOGLOBIN 17.0 12.6 - 17.7 g/dL SEEMS TO BE GOOD SINCE I AM ON TRT


HEMATOCRIT 47.8 37.5 - 51.0 % SEEMS TO BE GOOD SINCE I AM ON TRT


MCV 89 79 - 97 fL


MCH 31.6 26.6 - 33.0 pg


MCHC 35.6 31.5 - 35.7 g/dL


RDW 12.8 12.3 - 15.4 %


PLATELETS 201 140 - 415 x10E3/uL


NEUTROPHILS 62 40 - 74 %


LYMPHS 24 14 - 46 %


MONOCYTES 7 4 - 13 %


EOS 7 0 - 7 % I THINK THIS IS PROBABLY ASSOCIATED WITH MY SINUS ALLERGY TYPE CONDITIONS, IT WAS THE SAME LAST YEAR AND I HAD SINUS ISSUES THEN AS WELL, THE YEAR BEFORE I WAS CLEAR AND IT WAS MUCH LOWER


BASOS 0 0 - 3 %


NEUTROPHILS (ABSOLUTE) 3.4 1.8 - 7.8 x10E3/uL


LYMPHS (ABSOLUTE) 1.3 0.7 - 4.5 x10E3/uL


MONOCYTES(ABSOLUTE) 0.4 0.1 - 1.0 x10E3/uL


EOS (ABSOLUTE) 0.4 0.0 - 0.4 x10E3/uL


BASO (ABSOLUTE) 0.0 0.0 - 0.2 x10E3/uL


IMMATURE GRANULOCYTES 0 0 - 2 %


IMMATURE GRANS (ABS) 0.0 0.0 - 0.1 x10E3/uL






Based on this limited information does anything jump out that needs attention? Such as bad count, or combination that indicates I need to change something? I know I need to bring the sinus issues under better control, and i am concerned about the ramifications of the vit D count...

 

[The Matrix]

I just had my annual physical for my 38th birthday.
I have my endo appointment in about ten days as well. Generally good health, been on trt at 100mg a week for just about a year now. Generally feel normal and well.
I also have planned on doing the 23andme sequencing in the immediate future...

but i am wanting to get some feedback from others who probably know a lot more than me about my blood labs. I know what I got is probably not enough but it is what I get on my wonderful municipal insurance...


VITAMIN D, 25-HYDROXY 40.6 30.0 - 100.0 ng/mL I SUSPECT THIS IS TOO LOW




CHOLESTEROL, TOTAL 169 100 - 199 mg/dL


TRIGLYCERIDES 67 0 - 149 mg/dL HAS INCREASED FROM 60 LAST YEAR


HDL CHOLESTEROL 47 >39 mg/dL IS THIS HIGH ENOUGH?


VLDL CHOLESTEROL CAL 13 5 - 40 mg/dL IS THIS GOOD?


LDL CHOLESTEROL CALC 109 0 - 99 mg/dL SHOULD THIS BE OF CONCERN?




GLUCOSE, SERUM 83 65 - 99 mg/dL


BUN 19 6 - 20 mg/dL


CREATININE, SERUM 1.07 0.76 - 1.27 mg/dL


EGFR IF NONAFRICN AM 88 >59 mL/min/1.73


EGFR IF AFRICN AM 101 >59 mL/min/1.73


BUN/CREATININE RATIO 18 8 - 19


SODIUM, SERUM 141 134 - 144 mmol/L


POTASSIUM, SERUM 4.5 3.5 - 5.2 mmol/L


CHLORIDE, SERUM 104 97 - 108 mmol/L


CARBON DIOXIDE, TOTAL 23 20 - 32 mmol/L


CALCIUM, SERUM 9.4 8.7 - 10.2 mg/dL


PROTEIN, TOTAL, SERUM 6.9 6.0 - 8.5 g/dL


ALBUMIN, SERUM 4.5 3.5 - 5.5 g/dL


GLOBULIN, TOTAL 2.4 1.5 - 4.5 g/dL


A/G RATIO 1.9 1.1 - 2.5

BILIRUBIN, TOTAL 0.7 0.0 - 1.2 mg/dL


ALKALINE PHOSPHATASE, SERUM 91 25 - 150 IU/L


AST (SGOT) 20 0 - 40 IU/L


ALT (SGPT) 35 0 - 44 IU/L


TSH 1.360 0.450 - 4.500 uIU/mL THIS ALONE I KNOW MEANS LITTLE...SHOULD I SEEK MORE THYROID TESTING TO BE SURE?


WHITE BLOOD CELL (WBC) COUNT 5.4 4.0 - 10.5 x10E3/uL


RED BLOOD CELL (RBC) COUNT 5.38 4.14 - 5.80 x10E6/uL


HEMOGLOBIN 17.0 12.6 - 17.7 g/dL SEEMS TO BE GOOD SINCE I AM ON TRT


HEMATOCRIT 47.8 37.5 - 51.0 % SEEMS TO BE GOOD SINCE I AM ON TRT


MCV 89 79 - 97 fL


MCH 31.6 26.6 - 33.0 pg


MCHC 35.6 31.5 - 35.7 g/dL


RDW 12.8 12.3 - 15.4 %


PLATELETS 201 140 - 415 x10E3/uL


NEUTROPHILS 62 40 - 74 %


LYMPHS 24 14 - 46 %


MONOCYTES 7 4 - 13 %


EOS 7 0 - 7 % I THINK THIS IS PROBABLY ASSOCIATED WITH MY SINUS ALLERGY TYPE CONDITIONS, IT WAS THE SAME LAST YEAR AND I HAD SINUS ISSUES THEN AS WELL, THE YEAR BEFORE I WAS CLEAR AND IT WAS MUCH LOWER


BASOS 0 0 - 3 %


NEUTROPHILS (ABSOLUTE) 3.4 1.8 - 7.8 x10E3/uL


LYMPHS (ABSOLUTE) 1.3 0.7 - 4.5 x10E3/uL


MONOCYTES(ABSOLUTE) 0.4 0.1 - 1.0 x10E3/uL


EOS (ABSOLUTE) 0.4 0.0 - 0.4 x10E3/uL


BASO (ABSOLUTE) 0.0 0.0 - 0.2 x10E3/uL


IMMATURE GRANULOCYTES 0 0 - 2 %


IMMATURE GRANS (ABS) 0.0 0.0 - 0.1 x10E3/uL






Based on this limited information does anything jump out that needs attention? Such as bad count, or combination that indicates I need to change something? I know I need to bring the sinus issues under better control, and i am concerned about the ramifications of the vit D count...

Optimal vitamin D around 60-65 till one knows the vitamin D 1,25/ vitamin D 25 OH
Possible b-12/folate deficeincy or functional deficiency - elevate MCHC
Platelets a little bit low <210-220 possible adrenal related issues.
LDL is not a major indicator of heart disease
Triglycerides and HDL sub class are the main ones I look at.

 

[v4lu3s]

Appreciate the input. Will see if diet/supplementation can improve some of that.
I an wondering if just coming off of a 24 fire/ems shift would impact adrenals?

Will read more into mchc as well

 

[kisaj]

I'd get those numbers back and go woohoo!! and not give it anymore thought.

 

[v4lu3s]

i am concerned with most things that are near the limits. the vit D is of concern to me since it is has so many roles in the body.I also have a history of anemia so anything about red blood is of concern. I have family history of fatal cancer on both side of the family too, so i want to optimize myself and my life for maximum health.