Blood work back, came in low.. Other questions? KEL!

[hawk14dl]

In bold, AST and ALT.. Appears I'm extremely over on those tests. A quick google search showed they represent liver enzymes.

One of the 'causes' of elevated liver enzymes (according to the mayo clinic website) is hypothyroidism. Which I assume could also be the cause of my low testosterone levels at just 28 years old?

Kel, any input??

CBC With Differential/Platelet
WBC 6.8 x10E3/uL 3.4 - 10.8 01
RBC 4.91 x10E6/uL 4.14 - 5.80 01
Hemoglobin 15.5 g/dL 12.6 - 17.7 01
Hematocrit 45.2 % 37.5 - 51.0 01
MCV 92 fL 79 - 97 01
MCH 31.6 pg 26.6 - 33.0 01
MCHC 34.3 g/dL 31.5 - 35.7 01
RDW 13.2 % 12.3 - 15.4 01
Platelets 232 x10E3/uL 155 - 379 01
Neutrophils 63 % 40 - 74 01
Lymphs 28 % 14 - 46 01
Monocytes 6 % 4 - 12 01
Eos 2 % 0 - 5 01
Basos 1 % 0 - 3 01
Neutrophils (Absolute) 4.3 x10E3/uL 1.4 - 7.0 01
Lymphs (Absolute) 1.9 x10E3/uL 0.7 - 3.1 01
Monocytes(Absolute) 0.4 x10E3/uL 0.1 - 0.9 01
Eos (Absolute) 0.1 x10E3/uL 0.0 - 0.4 01
Baso (Absolute) 0.0 x10E3/uL 0.0 - 0.2 01
Immature Granulocytes 0 % 0 - 2 01
Immature Grans (Abs) 0.0 x10E3/uL 0.0 - 0.1 01
Comp. Metabolic Panel (14)
Glucose, Serum 79 mg/dL 65 - 99 01
BUN 14 mg/dL 6 - 20 01
Creatinine, Serum 0.96 mg/dL 0.76 - 1.27 01
eGFR If NonAfricn Am 107 mL/min/1.73 >59
eGFR If Africn Am 124 mL/min/1.73 >59
BUN/Creatinine Ratio 15 8 - 19
Sodium, Serum 140 mmol/L 134 - 144 01
Potassium, Serum 4.0 mmol/L 3.5 - 5.2 01
Chloride, Serum 102 mmol/L 97 - 108 01
Carbon Dioxide, Total 24 mmol/L 19 - 28 01
Calcium, Serum 9.3 mg/dL 8.7 - 10.2 01
1.00

TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB
Protein, Total, Serum 7.4 g/dL 6.0 - 8.5 01
Albumin, Serum 4.7 g/dL 3.5 - 5.5 01
Globulin, Total 2.7 g/dL 1.5 - 4.5
A/G Ratio 1.7 1.1 - 2.5
Bilirubin, Total 0.7 mg/dL 0.0 - 1.2 01
Alkaline Phosphatase, S 70 IU/L 39 - 117 01
AST (SGOT) 300 High IU/L 0 - 40 01
ALT (SGPT) 129 High IU/L 0 - 44 01

Lipid Panel
Cholesterol, Total 131 mg/dL 100 - 199 01
Triglycerides 77 mg/dL 0 - 149 01
HDL Cholesterol 47 mg/dL >39 01
Comment 01
According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a
negative risk factor for CHD.
VLDL Cholesterol Cal 15 mg/dL 5 - 40
LDL Cholesterol Calc 69 mg/dL 0 - 99

Testosterone ,Free and Total
Testosterone, Serum 396 ng/dL 348 - 1197 01
Free Testosterone(Direct) 12.6 pg/mL 9.3 - 26.5 02

FSH and LH
LH 3.4 mIU/mL 1.7 - 8.6 01
FSH 2.7 mIU/mL 1.5 - 12.4 01

Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum 0.4 ng/mL 0.0 - 4.0 01

[hawk14dl]

On another note, I did another search. I've been taking Dayquil/Nyquil daily for about a week prior to the test (head cold).

They contain acetimetiphen which apparently can elevate liver enzymes?

Could that be an explanation?

[kelkel]

Many things can cause elevated liver enzymes. Simply working out will. Mine are always elevated.

Muscular exercise can cause highly patho... [Br J Clin Pharmacol. 2008] - PubMed - NCBI

Take NAC daily. Austin did a write up on it. Check his educational sticky.

Would be good to see a full thyroid panel including TSH, FT3, FT4, RT3 and antibodies. Prolactin, Cortisol, SHBG. Need to find what's keeping you low and rectify it. LH/FSH a bit low as well.

Give us a quick readers digest so more can chime in and help:

1. Height, Weight, app BF%
2. Past AAS or Pro-Hormone use
3. Pain meds or other continual prescription usage
4. Past trauma. Testicular or otherwise, head injury

[hawk14dl]

These were simply the tests LowT prescribes.

6', used to measure at 6'1" but shrunk in the past few years.
185 lbs. Somewhere between 18-20%
No AAS or PH use.
No continual prescription usage. Most recent usage was about a year ago, cyclobenzaprine for back pain. Didn't even finish the prescription, did nothing for me.
I did go through a period where I had migraines nearly every day. Took Tylenol migrane relief on those occasions. Had wisdom teeth removed, completely mitigated the migraines. This was 3+ years ago.
No serious trauma or injuries.

[kelkel]

Ok, so what's your plan?
Are you going with Low T or another course of action?

[hawk14dl]

Ok, so what's your plan?
Are you going with Low T or another course of action?

Probably stick with Low T. I suppose that will all depend on what the Dr says.

Are the liver values anything I should worry about? or just supplement with NAC and go on about getting treated?

[hawk14dl]

Dr appt today went awesome. Dr is extremely knowledgeable, spent about 45 minutes just talking about causes and effects, he was fairly impressed with the research I hag done. He prescribed 50mg twice a week, sub q. he also prescribed hcg twice a week. He's going to go ahead and prescribe ai but doesn't want me to take it before the 6 week bw. he prescribed it just in case I start showing symptoms of aromatization.

He also suggested a few otc supplements that I'm going to ask austinite about over in the supplement section