Hi guys, hope this is the right kind of thing to be posting here. Still finding my feet on the forum so let me know if not.

I got blood work done not long ago by my doc due to some issues. getting him to do the tests my coach suggested was like pulling teeth, but got there in the end. I got injured and couldn't train after that, and the doc wasn't too helpful with results. He said the things that needed fixing, I couldn't afford??!! WTF? Can anyone tell me if there is anything here i should be worried about? Should I just take the results to another doc?

My main concerns are not being able to gain strength and muscle. Reasons for the blood work in the first place was fatigue and rapid unaccountable weight gain.

I am 35 yo F 5'5" 220lbs (153lbs LBM on last dexa - working successfully but slowly on BF% with nutrition coach). I have not run any cycles yet, just trying to do some groundwork first. Cheers!


Results as below:

Sodium 138 mmol/L ( 135 - 145 )
Potassium 4.2 mmol/L ( 3.5 - 5.5 )
Chloride 110 mmol/L ( 95 - 110 )
Bicarb. 21 mmol/L ( 20 - 32 )
Anion Gap 7 mmol/L ( 5 - 15 )

Ca (corr) 2.29 mmol/L ( 2.10 - 2.55 )
Phosphate 1.1 mmol/L ( 0.8 - 1.5 )

Urea 6.4 mmol/L ( 2.5 - 7.0 )
Uric Acid 0.33 mmol/L ( 0.15 - 0.40 )
Creatinine 84 umol/L ( 45 - 85 )
eGFR 79 ( >59 )

Fasting Glucose 5.0 mmol/L ( 3.6 - 6.0 )

Total Protein 68 g/L ( 64 - 81 )
Albumin 42 g/L ( 37 - 48 )
Globulin 26 g/L ( 20 - 39 )
Bilirubin 6 umol/L ( 3 - 15 )
Alk Phos 57 U/L ( 20 - 105 )
AST 18 U/L ( 10 - 35 )
ALT 13 U/L ( 5 - 30 )
Gamma GT 6 U/L ( 5 - 35 )
LDH 191 U/L ( 120 - 250 )

Chol. 4.5 mmol/L ( 3.9 - 5.5 )
Trigs. 0.9 mmol/L ( 0.6 - 2.0 )

Iron Studies 8 umol/L ( 5 - 30 )
Magnesium 0.8 mmol/L ( 0.7 - 1.1 )
Haemolysis Index 6 ( 0 - 40 )

Comments on Lab Id: 596291603


CA

Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964
Lipase
Lipase 17 U/L ( 0 - 70 )

Comments on Lab Id: 596291603


RN

Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

C Reactive Protein

CRP 5 mg/L ( 0 - 10 )

Comments on Lab Id: 596291603


Interpretation: Elevation in CRP indicates disease activity of an
inflammatory, infective or neoplastic nature. CRP is a more
sensitive early indicator of an acute phase response than is the
ESR. It also returns towards normal more rapidly with improvement
or resolution of the disease process.

Artefactually decreased CRP values occur when patients are treated with
antibiotics containing carboxypenicillins including Ticarcillin.

CA

Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

Thyroid Function Tests

Free T4 13.3 pmol/L ( 9.0 - 19.0 )
TSH 1.0 mIU/L ( 0.3 - 3.5 )


Comments on Collection 596291603

Euthyroid

EA

Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

Gonadal Hormones

FSH 5 IU/L
LH 3 IU/L
Oestradiol 228 pmol/L
Progesterone <0.5 nmol/L

Normal FSH LH OestradiolProgesterone
Ranges IU/L IU/L pmol/L nmol/L
Follicular 2 - 10 2 - 7 110 - 180 <0.5 - 2.5
Mid-Cycle 7 - 24 9 - 74 550 - 1650 2.5 - 12.0
Luteal 1 - 10 1 - 9 180 - 840 12.0 - 90.0
Menopausal 20 - 140 10 - 65 <200 <2.2
O/C <5 <9 <80 <1.5
Comments on Collection 596291603


EA

Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

Prolactin

Prolactin 131 mIU/L ( <500 )

EA

Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

Dehydro Epiandrosterone Sulphate (DHEAS)

DHEAS 6.2 umol/L ( 2.7 - 9.2 )

EA

Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

25 Hydroxy Vitamin D

25-OH Vitamin D 55 nmol/L ( 50 - 150 )

Comments on Collection 596291603

According to the Position Statement "Vitamin D and adult bone health in
Australia and New Zealand" MJA, 182(6):281-285, 2005, Vitamin D status is
defined as:
Mild Deficiency 25 - 50 nmol/L
Moderate Deficiency 12.5 - 25 nmol/L
Severe Deficiency <12.5 nmol/L

EA

Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

Carcinoembryonic Ag (CEA)

CEA <1.0 ug/L ( <5.0 )

Comments on Collection 596291603

This tumour marker is within normal limits.

EA

Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

Cancer Antigen 19.9 (CA19.9)
CA 19.9 (Cobas) <5 U/mL ( <34 )

Comments on Collection 596291603

CA19.9 levels are elevated in about 70% of patients with carcinoma of
pancreas and bile ducts, stomach (60%), large bowel (40%) and ovary
(30%). Levels may also be elevated in some other malignancies and
some non-malignant disorders.
Since the CA19.9 antigen is related to the Lewis blood antigen,
individuals who are Lewis a-b- (about 5% of Caucasians) cannot
produce the CA 19.9 antigen.
As of the 1st of January, 2011, the CA19.9 was performed using Roche Cobas
reagent.

SS

Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

Androgens

Testosterone 1.2 nmol/L ( <3.2 )
SHBG 86 nmol/L ( 20.0 - 110.0)
Calculated Free Testosterone 11 pmol/L ( 3 - 37 )

Comments on Collection 596291603




The Vermuelen calculation is the preferred measurement of free
testosterone, and overcomes some of the inaccuracies of the
FAI ratio.
Calculated free testosterone range for females is provisional and
will be reviewed when we have sufficient data.

AC

Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

IGF-1 (Liaison) L 13 nmol/L ( 15 - 40 )
IGF Binding Protein 3 L 109 nmol/L ( 115 - 240 )

Comments on Collection 596291603

IGF-1 testing performed on Diasorin Liaison XL.
Decreased IGF-1 levels are found in nutritional deficiency,
hypopituitarism, growth hormone deficiency, hypothyroidism,
renal failure and old age.

MN

Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

Cortisol

Cortisol am 351 nmol/L ( 160 - 650 )

KG

Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

Reverse T3

Reverse T3 515 pmol/L ( 140 - 540 )

PN

Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

Ovarian Tumour Markers

Cancer Antigen 125 10 U/mL ( <35 )


Comments on Collection 596291603

Please Note: HE4 is now available as a tumour marker for ovarian cancer.
HE4, when combined with CA125 in the Risk of Ovarian Malignancy Algorithm
(ROMA) gives higher sensitivity and specificity than CA125 alone. It is
currently a non-rebatable test ($45). It can be requested by writing HE4.

CA125 is elevated in about 80% of patients with epithelial (serous,
endometrioid, clear cell and undifferentiated) ovarian cancer. Rising
levels are highly suggestive of recurrent disease, but in 30% of
those with recurrent disease, no rise in level is seen. Elevated
levels are also documented in pregnancy, at menstruation, in
endometriosis, liver disease, ascites and with some other malignant
tumours (including endometrium, fallopian tube, pancreas, lung).

SS

Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

Anaemia Profile

Iron 8 umol/L ( 5 - 30 )
TIBC 49 umol/L ( 45 - 72 )
Saturation L 16 % ( 20 - 55 )
Ferritin 57 ug/L ( 25 - 110 )

Comments on Lab Id: 596291603


The normal ferritin implies normal iron stores.
However in frankly iron deficient patients who have recently taken
oral iron, or who may have an intercurrent illness, a normal ferritin
may be seen.
Note that in uraemic patients a functional iron deficiency may be
present at ferritin levels up to 200 ug/L.

CA

Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

Haematology

Haemoglobin 128 g/L ( 115 - 165 )
Haematocrit 0.40 ( 0.35 - 0.47 )
Red cell count 4.2 10^12/L ( 3.9 - 5.6 )
MCV 95 fL ( 80 - 100 )
White cell count 7.2 10^9/L ( 3.5 - 12.0 )
Neutrophils 4.55 10^9/L ( 1.5 - 8.0 )
Lymphocytes 2.02 10^9/L ( 1.0 - 4.0 )
Monocytes 0.37 10^9/L ( 0 - 0.9 )
Eosinophils 0.20 10^9/L ( 0 - 0.6 )
Basophils 0.03 10^9/L ( 0 - 0.15 )
Platelets 283 10^9/L ( 150 - 400 )

ESR 4 mm/h ( 1 - 12 )

Comments on Lab Id: 596291603


HA

Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

Autoantibodies

Anti-Nuclear Abs (ANA) Negative (Titre <1:80)

Comments on Lab Id: 596291603

Occasionally patients with active SLE have a negative ANA.