Can I get you guys to have a look over my bloods please and let me know your thoughts
Hi guys, Long post here but i wanted to cover what i could. Been suffering from the symptoms of low T for a fair while and because of my age ( 30 ) i didnt really pursue any medical advice until i really started to feel crap and bit the bullet and went and asked for bloods to be done.
My stats, 30 yo, 178cm tall, 84kg, rarely drink, dont smoke, never done AAS of any kind, eat clean and a perfect 50/30/20 C/P/F macro breakdown nearly everyday strict, lift 4 times a week at a moderate pace, dont train to failure etc. in general i look after myself the best i can so i doubt its anything im doing to myself causing any issues.
My GP has no idea at all on this kinda stuff as you will see by the blood work that follows.
Labs taken on the 8 Nov 12 referred by my GP taken at 0750 am.
-Total testosterone 11.9 ( 10 – 35 nmol/L )
-FSH 3 U/L ( < 9 )
-LH 1 U/L ( < 8 )
-Electrolytes Na 140 ( 134 – 146 nmol/L )
K 4.4 ( 3.4 – 5.5 nmol/L )
Cl 105 ( 95 – 108 nmol/L )
HCO3 25 ( 22 – 32 nmol/L )
Urea 6.8 ( 3.0 – 8.0 nmol/L )
Creat 76 ( 40 – 120 umol/L )
-Liver function Bili 9 ( < 21 umol/L )
ALP 86 ( 35 – 110 U/L )
GGT 15 ( < 41 U/L )
ALT 38 ( < 56 U/L )
ALB 50 ( 38 – 50 g/L )
TP 68 ( 65 – 85 g/L )
-Glucose ( fasted ) 4.5 nmol/L ( < 5.5 )
-Lipids Chol 4.4 ( < 5.5 nmol/L )
Trig 0.7 ( <2.0 nmol/L )
HDL-C 1.8 ( > 0.9 nmol/L )
LDL-C 2.3 ( < 3.4 nmol/L )
-Haemoglobin 144 ( 135 – 170 g/L )
-MCV 91 ( 82 – 97 fL )
-RDW 14 ( < 16 % )
-MCHC 344 ( 320 – 360 g/L )
-White cells 6.1 ( 4.0 – 11.0 g/L )
-Neut 53% 3.2 ( 1.8 – 7.5 g/L )
-Lymph 39% 2.4 ( 1.0 – 4.0 g/L )
-Mono 6% 0.4 ( 0.1 – 1.2 g/L )
-Eosin 2% 0.1 ( < 0.7 g/L )
Next lot of labs taken on 15 Dec 12 reffered by my GP taken at 0740 am.
-Total testosterone 3.1 ( 10.0 – 35.0 nmol/L )
-SBHG 48 ( 10 – 50 nmol/L )
-Calculated free testosterone 44 ( 225 – 725 pmol/L )
-FAI 6.5 ( 20.0 – 160.0 )
-FSH 2 U/L ( < 9 )
-LH 1 U/L ( < 8 )
-Prolactin 91 mU/L ( < 330 )
Note added from pathology: Results suggestive of hypogonadotrophic hypogonadism. Suggest repeat testosterone and consider measuring prolactin, AM cortisol, Iron studies and thyroid function including FT4 if not on androgen therapy.
-PSA 0.3 ( Upper limit 2.5 ug/L )
-HAEMOGLOBIN 138 ( 135 – 170 g/L )
-MCV 92 ( 82 – 97 fL )
-RDW 12 ( < 16 % )
-MCHC 342 ( 320 – 360 g/L )
-WHITE CELLS 5.6 ( 4.0 – 11.0 g/L )
-Neut 58% 3.2 ( 1.8 – 7.5 g/L )
-Lymph 35% 2.0 ( 1.0 – 4.0 g/L )
-Mono 6% 0.3 ( 0.1 – 1.2 g/L )
-Eosin 1% 0.1 ( < 0.7 g/L )
C-REACTIVE PROTEIN <1 ( < 10 )
TSH 1.84 ( 0.40 – 4.00 mU/L )
Next labs were taken on the 25 Jan 13 reffered by my GP, taken at 0800 am
-Cortisol 421 ( AM RANGE 150 – 600 nmol/L )
-FSH 2 U/L ( < 9 )
-LH 1 U/L ( < 8 )
-Prolactin 110 mU/L ( < 330 )
-TSH 1.44 ( 0.40 – 4.00 mU/L )
-FT4 14 ( 10 – 20 pmol/L )
-Total testosterone 5.5 ( 10.0 – 35.0 nmol/L )
-SHBG 45 ( 10 – 50 nmol/L )
-Calculated free testosterone 85 ( 225 – 725 pmol/L )
-FAI 12.2 ( 20.0 – 160.0 )
Note from pathology, Low testosterone with inappropriately low LH and FSH is consistent with hypogonadtrophic hypogonadism. Normal prolactin and reasonable cortisol level noted. Suggest endocrine review with endocrinologist.
Cumulative iron studies;
-Iron 17 ( 12 – 31 umol/L )
-Transferrin 26 ( 20 – 45 umol/L )
-TFN Satn % 33 ( 15 – 55 )
-Ferritin 255 ( 30 – 400 ug/L )
Reffered to endo and he requested an MRI on the pituitary and a semen analysis which both came back fine. He also requested some more bloods but this is where im confused, he didn’t check for much as you will see as follows;
Labs done on the 9 APR 13 at 0900 am
-Total testosterone 13.8 ( 10.0 – 35.0 nmol/L )
-Fetoprotein 2 ( <10 kIU/L )
-FSH 3 U/L ( < 9 )
-LH 2 U/L ( < 8 )
-Prolactin 97 ( < 330 mU/L )
After these results came back the endo and my GP have both told me im perfectly fine and sent me on my way... i know im not fine and im not letting it rest with this.
I cant see anywhere where they have tested me for any estrogen counts? Im thinking my problem could be high estrogen levels.. I know that they havent tested me for EVERYTHING here but im working on getting another opinion from a more specialized doctor in the HRT field but it might not be till July until i can see him.
Any help you guys can offer would be much appreciated. Thanks.