Guidence needed

**DSS** · 11-30-2015, 01:55 PM

So was at the doctors the other day getting a checkup and bloods. Been suffering from lower back pain, and a few other things from a few years back. Still following me around till this day. decided to request a copy of bloods this time all fine except for hormone panel. Should I be following this up? Or not worry about it.

Estradiol: 1.5-5 ng/dL 3.5 Free T3: 0.2-0.5 ng/dL 0.22 Free T4: 10-20 pmol/L 12 Follicle-stimulating hormone (FSH): 1-10 IU/L 4 Testosterone Free: 10-25 nmol/L 8.1 Thyroxine-binding globulin: 12-30 mg/L 18.5 Thyroid-stimulating hormone (TSH): 0.5-5 mIU/L 2.3 Prostate-specific antigen(PSA):0-10ug/L 0.55

**DSS** · 12-29-2015, 03:30 PM

Ok I was required to take more tests I hope someone can give me some input to these. Taken at 9am fasted.

Testosterone serum nmol/L range 11.4 to 27.9

11.2 (OOR low)

Cortisol serum nmol/L range 171 to 536

655 (OOR high)

Blood glucose 4-6 mmol/L

6.4 (OOR high)

C reactive protein 0-5 mg/L

0.81

Serum T3 range 0.2-0.5

Inconclusive

Serum t4 range 12-22pmol/L

15.7

Serum TSH range 0.3 - 4.5 mU/ L

1.72

Total protein range 60-80g/L

77g/L

Albumin range 35-50 g/L

55 (OOR high)

Bilirubin range 0-21umol/L

3.3

AST serum range 0-40 U/L

32

ALT serum range 0-40 U/L

39

Gama range 8-61 U/L

19

Ferritin 30-400 ug/L

69.2

Sodium range 133-150 nmol/L

142

Potassium 3.5-5.3 nmol/L

4.6

Choride 95-108 mmol/L

99

Urea 2.5 - 7.8nmol/L

5.3

Creatine 59 - 104 umol/L

75

GFR MDRd 60 - 150ml/min

>60

Haemacrit 0.4 - 0.52

0.412

RBC 4-5.5 e12/L

4.62

Mcv 80-99 fl

89.2

Hemaglobin 27 - 32pg

30.3

Any guidance is greatly appreciated.
Thanks in advance

**kelkel** · 01-01-2016, 03:32 PM

Really would have been great to have an LH level (Luteinizing Hormone) which will help to show why your T is low. Basically a low LH level indicates a pituitary issue (or suppression thereof) and and high LH level and low T can indicate testicular issues. The only thing I'm seeing here is elevated cortisol, which can suppress LH and testicular production of testosterone . Whether the level you're at will cause that much suppression is a guess at best.

Main things to look for are the LH & FSH levels, then what can suppress them such as thyroid, aforementioned cortisol and prolactin. Head trauma, pathologies and testicular issues (Varicoceles) can also impact production.

How old are you DSS? Height, weight, app BF%?

Take some time and watch this entire video. It explains the process T production takes and how little things can dramatically effect it:

https://www.youtube.com/watch?v=_xrU7HREfcU

**DSS** · 01-01-2016, 04:09 PM

Thanks for the link I'll give it a watch. I'm back for more bloods on Monday will get a LH test done.

27year old 6ft 180lb 15% BF

In the UK and NHS aren't really a great unit to work with. I've had to get my own bloods done to show there is something wrong.

I've been offered pain killers, inflammatory, anxiety meds this list goes on. I've refused all because I'd rather fix the problem than mask it.

Hormones don't seem to be a specialty couple of doctors I went to didn't even realise there was a testosterone panel. Unless I go private.

**kelkel** · 01-01-2016, 10:07 PM

Sorry to hear it's that way over there. Try to get the following:

LH/FSH
Prolactin
Cortisol (prefer 24 hr saliva)

All the above can suppress testosterone . Thyroid can as well but what your showing above doesn't look bad, but it can be deceptive. If this is free for you request the following:

TSH
FT3
FT4
RT3
Antibodies

Your goal is to rule things out, find the issue and correct it.

**Mr.BB** · 01-02-2016, 07:07 AM

Why is your blood sugar high?

Are you pre-diabetic?

**DSS** · 01-02-2016, 07:24 AM

Originally Posted by kelkel

Sorry to hear it's that way over there. Try to get the following: LH/FSH Prolactin Cortisol (prefer 24 hr saliva) All the above can suppress testosterone. Thyroid can as well but what your showing above doesn't look bad, but it can be deceptive. If this is free for you request the following: TSH FT3 FT4 RT3 Antibodies Your goal is to rule things out, find the issue and correct it.

I could probably get LH/FSH and prolactin thru NHS. If they come back with nothing wrong I'll pay and get TSH,FT3,FT4 and RT3 anti-bodies done myself.

I'd prefer to not be on any lifelong treatment and maybe fix it with natural supps etc. But if all else fails I'll have to look into it.

Video was very informative kelkel thanks. I'll have to watch it a couple of times. A lot of info there.

**DSS** · 01-02-2016, 07:27 AM

Originally Posted by Mr.BB

Why is your blood sugar high? Are you pre-diabetic?

That's one of the tests I have to get re done. I don't eat hardly any sugar tho. Sweetener in coffee is about the height of it.

Hope I'm not. That would suck.

**jimmyinkedup** · 01-02-2016, 07:34 AM

Originally Posted by kelkel

Take some time and watch this entire video. It explains the process T production takes and how little things can dramatically effect it:

https://www.youtube.com/watch?v=_xrU7HREfcU

Wanted to bump this vid. Excellent post kel ,thanks for putting this one out there man.

**DSS** · 01-02-2016, 07:50 AM

Originally Posted by jimmyinkedup

Wanted to bump this vid. Excellent post kel ,thanks for putting this one out there man.

It is a good video Jimmy. I like that you don't need to have a PHD to understand it. Lol

Just goes to show how much is actually going on in there.

**kelkel** · 01-02-2016, 10:30 AM

Originally Posted by jimmyinkedup

Wanted to bump this vid. Excellent post kel ,thanks for putting this one out there man.

It is isn't it! Simon posted it a year or more ago and I've kept it in my memory bank. I'd like to see some guys pre-TRT obtain BW via Diagnostechs and post the related pathways chart. Seems like such a great way to go. Like a flowchart for hormones!

Search up Dr. Krupka on Youtube as he's got a bunch of good videos.

**Mr.BB** · 01-02-2016, 11:32 AM

Originally Posted by DSS

That's one of the tests I have to get re done. I don't eat hardly any sugar tho. Sweetener in coffee is about the height of it.

Hope I'm not. That would suck.

Diabetes has nothing to do with eating sugar.

Sorry, but in my opinion you should really see this as its 10x more important than the hormones.

**DSS** · 01-02-2016, 12:07 PM

Originally Posted by Mr.BB

Diabetes has nothing to do with eating sugar. Sorry, but in my opinion you should really see this as its 10x more important than the hormones.

I'll definitely look into this BB. Was told they wanted a retest due to the range used and result. So I'll post back the next glucose test.

**kelkel** · 01-02-2016, 03:12 PM

Originally Posted by Mr.BB

Diabetes has nothing to do with eating sugar.

Sorry, but in my opinion you should really see this as its 10x more important than the hormones.

BB's correct!

**DSS** · 01-02-2016, 04:23 PM

How would I go about lower my blood glucose??

Had my diet looked at on here. Been sticking to my macros constantly. I do struggle at keeping my BF low even with my diet in check.

Is there something I can do to fix aspect of my test. Salt/sugar/fat???

**Mr.BB** · 01-02-2016, 04:39 PM

You can be predisposed genetically, or if you eat a lot of saturated fat and trans fat you can develop type 2 diabetes.

But im not really an expert in diabetes.

There are a few members here with wonderfull knowledge about it maybe they drop by.

**DSS** · 01-08-2016, 11:00 AM

Blood glucose came back still awaiting on cortisol test to come back.

Blood glucose 3-7 mmol/L

4.2mmol/L

As regards to LH/FSH/Prolactin I'm either going to have to wait for a appointment as the doctor has to "approve" testing or pay thru medichecks. I'll probably pay for it because I can't wait on the slow mos at doctors.

**DSS** · 01-22-2016, 05:00 PM

Taken quite some time but after many a physical, groped, poked and things that will leave any man speechless I got my lastest results.

Follicle-stimulating hormone (FSH): Range 1.55 - 12mIU/ml

4.73

LH : Range 1.25 -8mIU/ml

3.1

Cortisol serum nmol/L
range 171 to 536
490

Blood glucose 3-7 mmol/L

3.9mmol/L