TEST blood work

[calicp]

Hi I was curious about my levels, so I got a test thru privatemdlabs. My stats are 32 y/o Male 6'2" 215 lbs. How do my results look?

Result UNITS REFERENCE INTERVAL
Testosterone , Serum 394 ng/dL 348-1197
Testosterone, Free 15.88 ng/dL 5.00-21.00
% Free Testosterone 4.03 % 1.50-4.20

[kelkel]

Total stinks. Scale is Labcorps normal range. Free is fine. For your age I would expect your total to be higher. How do you feel?

Many things play into test levels. We/you really need to see more complete blood work to give a good analysis. Take a look at the Finding a Doc sticky at the top of the forum for more blood work.

Welcome to the forum calicp! More will chime in as well!

Kel

[calicp]

I don't feel as strong as I used to in the gym. I am not as motivated as I once was. Seems like most of my fat accumulates around my mid section while other parts of my body stay fairly lean. Some days I have some energy other days I feel beat. My sex drive feels decent. Early 2006 I had testicular torsion, but not sure that would have anything to do with low total test.

I had other blood work done by my doctor few weeks ago. I just got the Testosterone test done by myself because she didn't really want me to get it because she said I was too young. Here are the ones she did:CBC (INCLUDES DIFF/PLT), COMPREHENSIVE METABOLIC PANEL, LIPID PROFILE, TSH, URINALYSIS, COMPLETE. Would any of these help you out? If so let me know i can post them.

[kelkel]

Age really doesn't have much to do with a problem arising. Your doc should not have been so dismissive. Best thing would be to post everything with ranges so all can see and contribute. I'd be interested in TSH and any other thyroid panels that may have been pulled as hypothryoid can / will cause hypogonadism. LH/FSH, Cortisol, anything.

I still think you should be higher based on your age and if you exhibit symptoms, as stated, then the issue should be looked into more thoroughly by your doctor.

[calicp]

So do you think I should find a TRT doc? I read thru your document about finding a doc and went to the hormone. o r g site what drop down do i select on conditions to find someone who is HRT/TRT related?

On my blood results couple of my lipid results are high, but I think it might have to do with I started a Keto diet maybe 1 week before I tested to drop the excess mid section fat. Anyway, here are my test results:

CBC (INCLUDES DIFF/PLT) - Final
Result/Status Change: Nov 29, 2012 12:40 AM PST
Analyte Value Flag Reference Units Status Site
WHITE BLOOD CELL COUNT 6.2 3.8-10.8 Thousand/uL Final SC
RED BLOOD CELL COUNT 5.80 4.20-5.80 Million/uL Final SC
HEMOGLOBIN 17.2 H 13.2-17.1 g/dL Final SC
HEMATOCRIT 50.9 H 38.5-50.0 % Final SC
MCV 88 80.0-100.0 fL Final SC
MCH 29.6 27.0-33.0 pg Final SC
MCHC 33.7 32.0-36.0 g/dL Final SC
RDW 13.3 11.0-15.0 % Final SC
PLATELET COUNT 264 140-400 Thousand/uL Final SC
ABSOLUTE NEUTROPHILS 3658 1500-***0 Cells/uL Final SC
ABSOLUTE LYMPHOCYTES 1798 850-3900 Cells/uL Final SC
ABSOLUTE MONOCYTES 620 200-950 Cells/uL Final SC
ABSOLUTE EOSINOPHILS 124 15-500 Cells/uL Final SC
ABSOLUTE BASOPHILS 62 0-200 Cells/uL Final SC
NEUTROPHILS 59 % Final SC
LYMPHOCYTES 29 % Final SC
MONOCYTES 10 % Final SC
EOSINOPHILS 2 % Final SC
BASOPHILS 1 % Final SC


COMPREHENSIVE METABOLIC PANEL - Final
Result/Status Change: Nov 29, 2012 12:40 AM PST
Analyte Value Flag Reference Units Status Site
SODIUM, SERUM 138 135-146 mmol/L Final SC
POTASSIUM, SERUM 4.2 3.5-5.3 mmol/L Final SC
CHLORIDE, SERUM 102 98-110 mmol/L Final SC
CARBON DIOXIDE (CO2) 24 21-33 mmol/L Final SC
UREA NITROGEN,BLOOD (BUN) 13 7-25 mg/dL Final SC
CREATININE, SERUM 1.02 0.60-1.35 mg/dL Final SC

Comments:
For patients > or = 50 years of age: The upper reference limit for
Creatinine is approximately 13% higher for people identified as
African-American.

eGFR 97 >=60 mL/min/1.73m2 Final SC
eGFR AFRICAN AMERICAN 112 >=60 mL/min/1.73m2 Final SC
GLUCOSE 87 65-99 mg/dL Final SC

Comments:
FASTING REFERENCE INTERVAL

CALCIUM, SERUM 9.5 8.6-10.3 mg/dL Final SC
PROTEIN, TOTAL 7.5 6.2-8.3 g/dL Final SC
ALBUMIN 4.8 3.6-5.1 g/dL Final SC
GLOBULIN, TOTAL 2.7 2.1-3.7 g/dL Final SC
A/G RATIO 1.8 1.0-2.1 ratio Final SC
AST (SGOT) 35 10-40 U/L Final SC
BILIRUBIN, TOTAL 1.0 0.2-1.2 mg/dL Final SC
ALT (SGPT) 57 9-60 U/L Final SC
ALKALINE PHOSPHATASE 99 40-115 U/L Final SC


LIPID PROFILE - Final
Result/Status Change: Nov 29, 2012 12:40 AM PST
Analyte Value Flag Reference Units Status Site
CHOLESTEROL, TOTAL 225 H 125-200 mg/dL Final SC
TRIGLYCERIDES 137 <150 mg/dL Final SC
LDL CHOLESTEROL (CALCULATED) 158 H <130 mg/dL Final SC

Comments:

DESIRABLE RANGE <100 mg/dL FOR PATIENTS
WITH CHD OR DIABETES AND <70 mg/dL FOR
DIABETIC PATIENTS WITH KNOWN HEART
DISEASE.

CHOLESTEROL, HDL 40 > OR = 40 mg/dL Final SC
non-HDL CHOLESTEROL 185 H mg/dL Final SC

Comments:
Target for non-HDL cholesterol
is 30 mg/dL higher than LDL
cholesterol target.

CHOLESTEROL/HDL RATIO 5.6 H < OR = 5.0 Final SC
LDL/HDL RATIO 3.95 SEE NOTE Final SC

Comments:
Reference Range: AV.RISK 2.29-4.90
MALE: BELOW AVERAGE RISK: <2.28
AVERAGE RISK: 2.29-4.90
MODERATE RISK: 4.91-7.12
HIGH RISK: >7.13

FEMALE: BELOW AVERAGE RISK <2.34
AVERAGE RISK: 2.35-4.12
MODERATE RISK: 4.13-5.56
HIGH RISK: >5.57


TSH - Final
Result/Status Change: Nov 29, 2012 12:40 AM PST
Analyte Value Flag Reference Units Status Site
TSH 2.66 0.40-4.50 mIU/L Final SC

URINALYSIS, COMPLETE - Final
Result/Status Change: Nov 29, 2012 12:40 AM PST
Analyte Value Flag Reference Units Status Site
COLOR AMBER YELLOW Final SC
APPEARANCE CLEAR CLEAR Final SC
SPECIFIC GRAVITY 1.027 1.001-1.035 Final SC
PH 6.0 5.0-8.0 Final SC
GLUCOSE NEGATIVE NEGATIVE Final SC
BILIRUBIN NEGATIVE NEGATIVE Final SC

Comments:
VERIFIED BY REPEAT ANALYSIS

KETONES 3+ A NEGATIVE Final SC
OCCULT BLOOD NEGATIVE NEGATIVE Final SC
PROTEIN 1+ A NEGATIVE Final SC
NITRITE NEGATIVE NEGATIVE Final SC
LEUKOCYTE ESTERASE NEGATIVE NEGATIVE Final SC
WBC NONE SEEN 0 - 5 per hpf Final SC
RBC NONE SEEN 0 - 3 per hpf Final SC
SQUAMOUS EPITHELIAL CELLS NONE SEEN 0 - 5 per hpf Final SC
RENAL EPITHELIAL CELLS NONE SEEN < OR = 3 per hpf Final SC
BACTERIA NONE SEEN NONE SEEN per hpf Final SC
CRYSTALS NONE SEEN NONE SEEN per hpf Final SC
HYALINE CAST 0-5 A NONE SEEN lpf Final SC
GRANULAR CASTS NONE SEEN NONE SEEN lpf Final SC
YEAST NONE SEEN NONE SEEN Final SC

[calicp]

kel...wondering if you got a chance to look this other blood work I had done

[steroid.com 1]

This----> "Early 2006 I had testicular torsion, but not sure that would have anything to do with low total test".

With a history of Testicular Torsion I would suspect you'd want to rule this out.

Usually, Testicular Torsion only effects one testicle but it may/can cause a reduction in androgen production till it's corrected.

The blood work you posted doesn't help us.

See kel's sticky on finding a TRT Doc and you will see the BW that's required to make an assessment on your situation.

[calicp]

I just visited new endo today and she said my system might need a restart and she suggested me to try a restart with taking Clomid. She wants to see what this does because I am only 32 years old. What do you guys think? She also wrote up a lab corp bw sheet and she has only FSH, LH, and Testosterone , Free(w/ total) marked is this enough blood work if she just wants to try a restart, or should I call back and try to get other blood work done? I just had the CBC, Lipid Profile, and comprehensive metabolic panel done with my primary doc about 1 month ago.

[kelkel]

Then see if you can add what's missing from the Lab Work in the sticky. Fill in the blanks. I'm glad she's not jumping right into TRT. It's actually refreshing to hear. But, you still need the right BW. She works for you. Ask her for it. Tell her it would make you feel better.

Thanks for jumpin in GD!

[calicp]

Then see if you can add what's missing from the Lab Work in the sticky. Fill in the blanks. I'm glad she's not jumping right into TRT. It's actually refreshing to hear. But, you still need the right BW. She works for you. Ask her for it. Tell her it would make you feel better.

Thanks for jumpin in GD!

So if I had the other ones tested a month ago should I have them retested?

[calicp]

Here is what she selected for me, what else should I call her back to add or can I just check the ones I need? Remember I had the CBC, Lipid Profile, and comprehensive metabolic panel done about a month ago and wondering if I need to do that again?

[kelkel]

If you just check them yourself you may cause a problem with your doc. Don't know if I'd do that. Just copy and paste the list from the sticky over to an email and fire it off to her. Tell her that's what you want. Personally I would not redo what was done a month ago.

[steroid.com 1]

Agree with Kel.

Get the panels that kel recommends in the Finding a TRT Doc; that will tell you the truth.

I wouldn't start on anything till that blood work gets done and a complete assessment of you situation can be made.

Any more thoughts on your history of Testicular Torsion?