A Second Opinion

Heres my blood work, my total T is low but my doc said my Free T is normal so its fine. But the test says "FREE T4", isn't that different? Anyways I originally got blood work done bc Im always tired, always feel kind of shitty and I get a cold like every other month. Sexual function is normal though. and I'm 29.

VITAMIN D, 25-HYDROXY, TOTAL, SERUM
VITAMIN D, 25-HYDROXY 39.2 30.0-100.0 ng/mL Normal Final RN
Vitamin D deficiency has been defined by the Institute of Medicine and an Endocrine Society practice guideline as a level of serum 25-OH vitamin D less than 20 ng/mL (1,2). The Endocrine Society went on to further define vitamin D insufficiency as a level between 21 and 29 ng/mL (2). 1. IOM (Institute of Medicine). 2010. Dietary reference intakes for calcium and D. Washington DC: The National Academies Press. 2. Holick MF, Binkley NC, Bischoff-Ferrari HA, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. JCEM. 2011 Jul; 96(7):1911-30.
Report
LIPID PANEL, SERUM
Result Ref. Range Units Status Lab
CHOLESTEROL, TOTAL 198 100-199 mg/dL Normal Final RN
TRIGLYCERIDES 59 0-149 mg/dL Normal Final RN
HDL CHOLESTEROL 70 >39 mg/dL Normal Final RN
According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a negative risk factor for CHD.
VLDL CHOLESTEROL CAL 12 5-40 mg/dL Normal Final RN
LDL CHOLESTEROL CALC 116 0-99 mg/dL High Final RN
LDL/HDL RATIO 1.7 0.0-3.6 ratio units Normal Final RN
LDL/HDL Ratio Men Women 1/2 Avg.Risk 1.0 1.5 Avg.Risk 3.6 3.2 2X Avg.Risk 6.2 5.0 3X Avg.Risk 8.0 6.1

Report Result Ref. Range Units Status Lab
CMP, SERUM OR PLASMA

GLUCOSE, SERUM 95 65-99 mg/dL Normal Final RN
BUN 20 6-20 mg/dL Normal Final RN
CREATININE, SERUM 1.00 0.76-1.27 mg/dL Normal Final RN
EGFR IF NONAFRICN AM 103 >59 mL/min/1.73 Normal Final RN
EGFR IF AFRICN AM 119 >59 mL/min/1.73 Normal Final RN
BUN/CREATININE RATIO 20 8-19 High Final RN
SODIUM, SERUM 142 134-144 mmol/L Normal Final RN
POTASSIUM, SERUM 4.8 3.5-5.2 mmol/L Normal Final RN
CHLORIDE, SERUM 100 97-108 mmol/L Normal Final RN
CARBON DIOXIDE, TOTAL 25 18-29 mmol/L Normal Final RN
CALCIUM, SERUM 9.7 8.7-10.2 mg/dL Normal Final RN
PROTEIN, TOTAL, SERUM 7.0 6.0-8.5 g/dL Normal Final RN
ALBUMIN, SERUM 4.8 3.5-5.5 g/dL Normal Final RN
GLOBULIN, TOTAL 2.2 1.5-4.5 g/dL Normal Final RN
A/G RATIO 2.2 1.1-2.5 Normal Final RN
BILIRUBIN, TOTAL 0.4 0.0-1.2 mg/dL Normal Final RN
ALKALINE PHOSPHATASE, S 89 39-117 IU/L Normal Final RN
AST (SGOT) 25 0-40 IU/L Normal Final RN
ALT (SGPT) 28 0-44 IU/L Normal Final RN

URINALYSIS WITH MICROSCOPIC

Report Result Ref. Range Units Status Lab
SPECIFIC GRAVITY 1.024 1.005-1.030 Normal Final RN
PH 7.5 5.0-7.5 Normal Final RN
URINE-COLOR Yellow YELLOW Normal Final RN
APPEARANCE Clear CLEAR Normal Final RN
WBC ESTERASE Negative NEGATIVE Normal Final RN
PROTEIN Trace NEGATIVE/TRACE Normal Final RN
GLUCOSE Negative NEGATIVE Normal Final RN
KETONES Negative NEGATIVE Normal Final RN
OCCULT BLOOD Negative NEGATIVE Normal Final RN
BILIRUBIN Negative NEGATIVE Normal Final RN
UROBILINOGEN,SEMI-QN 0.2 0.2-1.0 EU/dL Normal Final RN
NITRITE, URINE Negative NEGATIVE Normal Final RN
MICROSCOPIC EXAMINATION Normal Final RN
Comment Microscopic follows if indicated. See below:
WBC 0-5 0 - 5 /hpf Normal Final RN
RBC 0-2 0 - 2 /hpf Normal Final RN
EPITHELIAL CELLS (NON RENAL) None seen 0 - 10 /hpf Normal Final RN
BACTERIA Few NONE SEEN/FEW Normal Final RN
CBC W/ AUTO DIFF
Report Result Ref. Range Units Status Lab
WBC 5.1 3.4-10.8 x10E3/uL Normal Final RN
RBC 5.04 4.14-5.80 x10E6/uL Normal Final RN
HEMOGLOBIN 15.3 12.6-17.7 g/dL Normal Final RN
HEMATOCRIT 46.2 37.5-51.0 % Normal Final RN
MCV 92 79-97 fL Normal Final RN
MCH 30.4 26.6-33.0 pg Normal Final RN
MCHC 33.1 31.5-35.7 g/dL Normal Final RN
RDW 13.0 12.3-15.4 % Normal Final RN
PLATELETS 187 150-379 x10E3/uL Normal Final RN
NEUTROPHILS 58 % Normal Final RN
LYMPHS 29 % Normal Final RN
MONOCYTES 12 % Normal Final RN
EOS 1 % Normal Final RN
BASOS 0 % Normal Final RN
NEUTROPHILS (ABSOLUTE) 2.9 1.4-7.0 x10E3/uL Normal Final RN
LYMPHS (ABSOLUTE) 1.5 0.7-3.1 x10E3/uL Normal Final RN
MONOCYTES(ABSOLUTE) 0.6 0.1-0.9 x10E3/uL Normal Final RN
EOS (ABSOLUTE) 0.1 0.0-0.4 x10E3/uL Normal Final RN
BASO (ABSOLUTE) 0.0 0.0-0.2 x10E3/uL Normal Final RN
IMMATURE GRANULOCYTES 0 % Normal Final RN
IMMATURE GRANS (ABS) 0.0 0.0-0.1 x10E3/uL

T4, FREE, SERUM
T4,FREE(DIRECT) 1.43 0.82-1.77 ng/dL Normal Final RN

TSH, SERUM OR PLASMA
Report Result Ref. Range Units Status Lab
TSH 1.540 0.450-4.500 uIU/mL Normal Final RN
LH (LUTEINIZING HORMONE), SERUM
Report Result Ref. Range Units Status Lab
LH 3.4 1.7-8.6 mIU/mL Normal Final RN
SHBG (SEX HORMONE-BINDING GLOBULIN), SERUM
Report Result Ref. Range Units Status Lab
SEX HORM BINDING GLOB, SERUM 29.4 16.5-55.9 nmol/L Normal Final RN

FSH (FOLLICLE-STIMULATING HORMONE), SERUM
FSH 4.5 1.5-12.4 mIU/mL Normal Final RN
CORTISOL, SERUM OR PLASMA
Report Result Ref. Range Units Status Lab
CORTISOL 11.9 2.3-19.4 ug/dL Normal Final RN
Cortisol AM 6.2 - 19.4 Cortisol PM 2.3 - 11.9
PROLACTIN, SERUM
PROLACTIN 11.3 4.0-15.2 ng/mL Normal Final RN
TESTOSTERONE, TOTAL, SERUM
TESTOSTERONE, SERUM 318 348-1197 ng/dL Low Final RN