Blood Work Help

[kwis]

I apologize for posting this twice in the same group. I did it by accident and don't know how to delete a thread.

Hello, Im new here and need some advice. Ill post my blood work down below. I'm 29 and have a low Total Testosterone count. My doc said not to worry because my Total Free Test is normal but he only tested for Total Free T4, is that the same thing? I originally got the bloods done because I have been struggling with chronic fatigue, poor immune system, and depression/anxiety for years. But my sexual function seems to be normal. Any help would be greatly appreciated!!!

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

[Marcus G]

Have you used any steroids or pro hormones in the past?

[kwis]

Nope. Never.

[Marcus G]

You should also check estradiol and iron. Your LH and FSH are within range so I'm thinking that the issue is primary not secondary. Have you had recent trama to the testies, or suffered from any serious infections?

[kwis]

no serious infections or trauma to the testies, I'd know if I had trauma to them right? Ill look into the estradiol and iron. Thanks!

[Marcus G]

Yh in most cases you would know about the trauma.

[kelkel]

Start taking Vit D as your level stinks.
Where's the free T level and range that your doc said was ok? Am I missing it?
Could be testicular related like Marcus said. Talk to your doc about an ultrasound to check for abnormalities, varicocceles, etc and report back please on this thread.