Blood test results/need help !

[boxer08]

HbA1c - 43mmol/mol

Plasma glucose - 5.3mmol/L
Serum TSH level - 3.0mu/L (0.27 - 4.2)
Serum Free T4 - 17.7pmolL (12 - 22)
Serum sodium 140mmol/L (133 - 146)
Serum potassium - 4.0mmol/L (3.5 - 5.3)
Serum creatinine - 87umol/L (62 - 106)
GFR - 90ml/min

Liver function test
Serum total protein - 67g/L (60 -80)
Serum albumin - 43g/L (35 - 50)
Serum bilirubin - 6umol/L (0 - 21)
Serum alkaline phosphatase - 55u/L (40 - 129)
Serum ALT level 27u/L (<41)

Bone profile
Serum calcium - 2.27mmol/L (2.15 - 2.60)
Corrected serum calcium - 2.21mmol/L (2.15 - 2.60)
Serum inorganic phosphate - 0.83mmol/L (0.8 - 1.5)

Serum lipide
Serum cholesterol 3.1mmol/L
Serum LDL cholesterol level - 1.3mmol/L
Serum HDL cholesterol level - 1.2mmol/L (0.8 - 1.6)
Serum triglycerides - 1.4mmol/L (0.5 - 2.1)
HDL total cholesterol ratio 39%
Serum cholesterol /HDL ratio 2.58

Gonadotrophin levels
Serum FSH - 15u/L (1.5 - 12.4) HIGH
Serum LH level 22u.L (1.7 - 8.6) HIGH

Serum oestradiol level 134pmol/L (28 - 156)

Serum testosterone 17.0nmol/L (7.6 - 31.4)
Serum sex binding hormone - 48nmol/L (11 -78)
Serum LH level 22u/L (1.7 - 8.6) HIGH

Serum prolactin level 282mu/L (86 -324)

Full blood count
Haemoglobin estimation - 141g/L (130 - 180)
Total white cell count 5.1 10*9/L (4 - 11)
Platelet count - 230 10*9/L (150 - 400)
Mean corpuscular volume (mcv) 84.8F/L 980 - 100)
Mean corpusc. haemoglobin (mch) - 27.8pg (27 - 32)
Haematocrit - 0.431 1/1 (0.40 - 0.52)

Reb blood cell count (RBC) 5.08 10*12/L (4.5 - 6.0)
Mean corpusc. hb. conc. (MCHC) 327g/L (320 - 360
Red blood cell distribut width 15.0 % (11 - 14.8) HIGH
Mean platelet volume - 10.8fl (6.5 - 10.5) HIGH
Neutrophil count 2.5 10*9/L (1.7 - 7.5)
Lymphocyte count 1.7 10*9/L (1.5 - 4.50)
Monocyte count 0.5 10*9/L 90.2 - 0.80
Eosinophil count 0.4 10*9/L (0 - 0.4)
Basophil count 0.0 10*9/L (0 - 0.1)
Nucleated red blood count 0.0 10*9/L (0 - 0)

They told mw the only ones that are high are the ones i marked as high and the rest are fine....im worried about a few others myself.

[bass]

looks like you shut your ball off with your cycles. have you noticed any testicular atrophy? can you get Free T tested? looks like your E2 and SHBG are on the high side, supplementing with vitamin D can help raise your T, also supplement with Zinc and Copper to reduce your E2. I don't have much experience on the other ones you noted.

[boxer08]

My testicles haven't grown since i was 13 years old and are below average. I think its been a problem as far back as then, i done my first cycle when i was 21. My total T was suppose to of been done but they haven't give me the results for some reason ill have to book another app with my doctor

[boxer08]

Iv'e been referred to a endo, should i start using the vitamin D, copper and zinc before ? What doses should i use ?

[bass]

it won't hurt to take the supplements. start with 20,000 iu D3, 100mg zinc with 4mg copper each day.

[kelkel]

Are you taking any serms now as your pituitary function seems hyper-stimulated?
If not, consider an MRI.
Have you ever been checked for varicoceles or other testical issues?
Serum estrogen isn't helping us at all. Sensitive assay.
Can't go wrong with D and supps like Bass suggested but always good to know your level first (25-OHD)

[boxer08]

Are you taking any serms now as your pituitary function seems hyper-stimulated?
If not, consider an MRI.
Have you ever been checked for varicoceles or other testical issues?
Serum estrogen isn't helping us at all. Sensitive assay.
Can't go wrong with D and supps like Bass suggested but always good to know your level first (25-OHD)

The bloods were run just over a month of stopping using tamoxifen and clomid. I do have a varicocel, epidydimal cyst and have had epydidmytitis on more than one occasion. What tests next need to be run ? Im waiting on a endo.

[boxer08]

What will i need a MRI done on? What could be the cause of it being stimulated

[bass]

What will i need a MRI done on? What could be the cause of it being stimulated

for pituitary gland.

Pituitary gland - Wikipedia, the free encyclopedia

[boxer08]

So are my looking at the possible cause being a pituitary tumour ? What would the outcome be, my GP mentioned HRT

[kelkel]

MRI is doubtful now, IMHO since you mentioned coming off serms. It's possible your still hyper-stimulated from them. I'd give it more time and re-test to see where they settle at. Then assess your T levels. If LH/FSH remain higher than normal and T remains low then it indicates possible primary failure, as your Pituitary is pumping out LH/FSH at a high rate trying to get your testicals producing, to no avail.

[boxer08]

MRI is doubtful now, IMHO since you mentioned coming off serms. It's possible your still hyper-stimulated from them. I'd give it more time and re-test to see where they settle at. Then assess your T levels. If LH/FSH remain higher than normal and T remains low then it indicates possible primary failure, as your Pituitary is pumping out LH/FSH at a high rate trying to get your testicals producing, to no avail.

I won't get the app to the the endo for around 2 months and im guessing he will retest then so ill wait for the results of them and post up as soon as i get them. What about the estrogen is there any reason for that being high ? Is it possible for the LH/FSH to be that high over a month after stopping the usage of the clomid/nolva ?

[The Deadlifting Dog]

What was your Clomid protocol?
How much per day? How many times per week? And how long did you follow that protocol?

It is very feasible that enough Clomid was still in your system to stimulate your LH/FSH.

[boxer08]

What was your Clomid protocol?
How much per day? How many times per week? And how long did you follow that protocol?

It is very feasible that enough Clomid was still in your system to stimulate your LH/FSH.

Clomid 100mg 5 days 50mg 25 days
Nolva 40/40/20/20/20

[kelkel]

I won't get the app to the the endo for around 2 months and im guessing he will retest then so ill wait for the results of them and post up as soon as i get them. What about the estrogen is there any reason for that being high ? Is it possible for the LH/FSH to be that high over a month after stopping the usage of the clomid/nolva ?

Yes to it being that high, that long after, IMHO.
Estrogen is the wrong test so we don't really know for sure.

[boxer08]

Yes to it being that high, that long after, IMHO.
Estrogen is the wrong test so we don't really know for sure.

How long till levels will go down if the cause is from the nolva/clomid ? Where do i get Vit D sups that high dose (20,000) ?

[jomamma007]

After my last pct my LH was elevated for 10 weeks.