Blood Labs - need help

[Riptorn]

http://forums.steroid.com/showthread...-months-of-HRT

Cross reference from blood work. Can anyone give some good advice?

Edit--brought over labs from b/w to here a few posts down.

[steroid.com 1]

Component Your Value Std Range Units
PSA Total 1.0 <4.0 ng/mL
Nice.

Test Free Male 12 47 - 244 pg/mL
Test Total Male 66 300 - 1080 ng/dL
I'd rank these scores as almost a medical emergency...kid you not.

S H B G 28 11 - 80 nmol/L
Fine.

Testosterone % Free Male 1.8 1.6 - 2.9 %
You're E2 is low that's why you'd see this compared to the Test assay above.

Estradiol <12.0 7.6 - 42.5 pg/mL
Low...too low in fact.

Follicle Stimul Horm 1.4 1.5 - 12.4 mU/ml
Luteinizing Hormone 0.5 1.7 - 8.6 mU/ml
And here's why, both of these panels are tanked. Need to see a complete Thyroid work up among other things.

Tell us everything about you and your case here in this thread not the other one where I had to cut and paste for you.

gd

[Riptorn]

Sorry about the cross post but I wasn't sure which forum to post in gdivine.

So initially went to doc in March 12 for anxiety, depression and general tiredness. This was concurrent to treatment for back trauma resulting in a pinched sciatic nerve. The muscle relaxers and physical therapy helped the back but the depression meds did nothing. Had blood work on thyroid and test done. Test came back on low side of normal 360-80ish and doc said that the patch could help. That I started in September'ish.

At that time I started going to a gym as well. I was never able to put on muscle or get definition of any kind so I figured the added test might help. Plus I had a few lbs I could lose. So far I've went from 215 to 195 lbs.

In November my doc ordered a new panel to see where I was at and here I am. Lethargic, seemingly muscle wasting and tired a lot still.

M-W-F 30 mins lifting 30 mins treadmill (600 cal burn)
Tu-Th-Sa 1 hr treadmill. (1300 cal burn)
Su rest

Recently adjusted macros from 60/20/20 to 50/30/20 hoping the extra carbs would give me more energy. I'll do a food work up if necessary.

Ht 6'0"
Wt 195 +-2lbs
Bf 15.6%
LBM 39.7%
Water 61.4%
TDEE 3340. http://www.fitnessfrog.com/calculato...alculator.html
Daily Caloric intake: 2500-2000 approx
Goal weight 185

What else can I provide?

And how do my levels drop now that I'm on the patch!

[Riptorn]

Blood Labs

Component Your Value Std Range Units
PSA Total 1.0 <4.0 ng/mL
Vitamin B12 799 211 - 946 pg/ml
Cholesterol 158 <200 mg/dL
Triglyceride 73 <200 mg/dL
HDL Cholesterol 69 >40 mg/dl
LDL Cholesterol 74 <100 mg/dL
VLDL Cholesterol 15 16 - 42 mg/dl
Non HDL Cholesterol 89 <130 mg/dL
Test Free Male 12 47 - 244 pg/mL
Test Total Male 66 300 - 1080 ng/dL
S H B G 28 11 - 80 nmol/L
Testosterone % Free Male 1.8 1.6 - 2.9 %
Estradiol <12.0 7.6 - 42.5 pg/mL
Follicle Stimul Horm 1.4 1.5 - 12.4 mU/ml
Luteinizing Hormone 0.5 1.7 - 8.6 mU/ml
VITD,25 HYDROXY 29 30 - 100 ng/mL
VITD,25-OH,D3 29 ng/mL
VITD,25-OH,D2 <4 SEE COMMENT ng/mL
White Blood Cell 10.6 4 - 10 K/ul
Red Blood Cell Count 5.30 4.6 - 6.1 M/ul
Hemoglobin 16.2 13.5 - 18 g/dl
Hematocrit 48.1 41 - 53 %
Mean Cell Volume 90.7 80 - 96 fl
Mean Cell Hemoglobin 30.5 27 - 33 pg
Mean Cell Hgb Conc 33.7 32 - 36 %
Red Cell Dist Width 12.6 11.5 - 14.5 %
Platelet Count 330 150 - 400 K/ul
Neutrophil 76 33 - 73 %
Lymphocyte 15 13 - 52 %
Monocyte 7 0 - 11 %
Eosinophil 1 0 - 5 %
Basophil 1 0 - 2 %
Abs Neutrophil 8.20 1.8 - 7.0 K/ul
Abs Lymphocyte 1.50 1.2 - 4.0 K/ul
Abs Monocyte 0.70 0 - 0.8 K/ul
Abs Eosinophil 0.10 0 - 0.5 K/ul
Abs Basophil 0.10 0 - 0.2 K/ul
Albumin 5.0 3.4 - 4.8 g/dL
Bilirubin, Total 0.4 0.1 - 1.0 mg/dL
Calcium 10.5 8.4 - 10.2 mg/dL
Chloride 103 96 - 108 mmol/L
Creatinine 1.2 0.5 - 1.2 mg/dL
Glucose 94 65 - 110 mg/dl
Alkaline Phosphatase 49 40 - 129 U/L
Potassium 4.6 3.3 - 5.1 mmol/L
Total Protein 7.5 6.4 - 8.3 g/dL
Sodium 141 133 - 145 mmol/L
AST/SGO 25 <38 U/L
Blood Urea Nitrogen 11 6 - 20 mg/dL
Osmolality, Cal 291 275 - 300 mOsm/kg
BUN/Cre Ratio 9
Bicarbonate 31 22 - 29 mmol/L
ALT/SGP 25 <41 U/L
Anion Gap 7 8 - 15 mmol/L
A/G Ratio 2.0
GFR Non-African Am 68 >59 mL/min/1.73

[bass]

i second GD regarding medical emergency! i didn't see thyroid, unfortunately that can tell us a little more of what's going on. is your e2 test sensitive assay? you really need to run the panels listed in Kel's thread Finding a Physician to see the whole picture. your cholesterol is good, so that's good news

[Riptorn]

Thyroid tested good before he did the most recent labs but I just checked it (upstate med has a site to check your med records) and its over a year old. I just reread kels post and ill have the doc do more labs when I see him. Thanks guys for the insight. I'm sure my doc will $hit when we go over my labs. Lol.

[Riptorn]

Any other suggestions before I see my doc?

[kelkel]

Rip how old are you?

Agree with the above guys. Everything points to secondary hypogonadal. You need to consider an MRI to rule in/out pituitary issues and otherwise find the root cause of this. An MRI would be a good starting point.

kel

[Riptorn]

I'm 38 (Nov of 74) that's 38 right? Lol. I got to say I'm a little freaked by the medical emergency comments. I'm not suicidal even though my motivation is nigh.

Can't for the life of me see why my test would drop so much after going on the patch.

Guess when I see the doc I'll ask for an MRI and the labs I missed in Nov. Hope this gets figured out soon. Can't stand this numb, not quite there feeling.

[kelkel]

Whoa. Testosterone patch? That must be on your other thread then as I saw nothing about it here. If your already on some form of therapy your LH/FSH will be non-existant as your in HPTA shutdown.

[Riptorn]

It is and my bad. I thought I transcribed it over here. But my test shouldn't be tanked as well should it?

[kelkel]

No, it should not. Time to evaluate protocols with your doc and change things up.

[Riptorn]

Thank you gentlemen for all the help. I just wish I had something worth while to give back to the boards.

[kelkel]

You do. Stick around Rip! It's amazing what you can learn just by lurking here....