Blood work and my issues.

[kwis]

I'm 29 years old. Male. 180 lbs and 5'11"
Me total testosterone count is low but my doc said my free test is normal but it looks like he didn't actually check for free test, he just tested for FREE T4 and SHBG, which are all in the normal range. I have issues with chronic fatigue and a poor immune system. I get sick every other month. Plus I struggle with depression and anxiety. Im also on zoloft and welbutrin. Lastly I have extreme difficulty recovering from strength workouts, for ex. 5x5 squats, deadlifts, military presses, bench. or a 5 day a week, chest, back, shoulders, legs, arms split. My nutrition is was split at 30% Carbs, 30% Protein, and 40% fat for awhile but Im holding more body fat than I'd like so I'm trying to doing a keto/low carb thing. Im a sort of leaner body type, I used to be a hard gainer but now I can eat like a horse and easily over do it and get "spilage". So im a little skinny fat at the moment. All my fat sits in my lower abdomen area (front sides and back) and my hips. I know I sound like a chick. I was wondering if you guys could check my bloods and see if theres anything I could do in terms of hormone replacement therapy. Or if its just a diet/rest issue. Thank you!

VITAMIN D, 25-HYDROXY, TOTAL, SERUM
VITAMIN D, 25-HYDROXY 39.2 30.0-100.0 ng/mL Normal Final RN
Vitamin D deficiency has been defined by the Institute of Medicine and an Endocrine Society practice guideline as a level of serum 25-OH vitamin D less than 20 ng/mL (1,2). The Endocrine Society went on to further define vitamin D insufficiency as a level between 21 and 29 ng/mL (2). 1. IOM (Institute of Medicine). 2010. Dietary reference intakes for calcium and D. Washington DC: The National Academies Press. 2. Holick MF, Binkley NC, Bischoff-Ferrari HA, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. JCEM. 2011 Jul; 96(7):1911-30.
Report
LIPID PANEL, SERUM
Result Ref. Range Units Status Lab
CHOLESTEROL, TOTAL 198 100-199 mg/dL Normal Final RN
TRIGLYCERIDES 59 0-149 mg/dL Normal Final RN
HDL CHOLESTEROL 70 >39 mg/dL Normal Final RN
According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a negative risk factor for CHD.
VLDL CHOLESTEROL CAL 12 5-40 mg/dL Normal Final RN
LDL CHOLESTEROL CALC 116 0-99 mg/dL High Final RN
LDL/HDL RATIO 1.7 0.0-3.6 ratio units Normal Final RN
LDL/HDL Ratio Men Women 1/2 Avg.Risk 1.0 1.5 Avg.Risk 3.6 3.2 2X Avg.Risk 6.2 5.0 3X Avg.Risk 8.0 6.1

Report Result Ref. Range Units Status Lab
CMP, SERUM OR PLASMA

GLUCOSE, SERUM 95 65-99 mg/dL Normal Final RN
BUN 20 6-20 mg/dL Normal Final RN
CREATININE, SERUM 1.00 0.76-1.27 mg/dL Normal Final RN
EGFR IF NONAFRICN AM 103 >59 mL/min/1.73 Normal Final RN
EGFR IF AFRICN AM 119 >59 mL/min/1.73 Normal Final RN
BUN/CREATININE RATIO 20 8-19 High Final RN
SODIUM, SERUM 142 134-144 mmol/L Normal Final RN
POTASSIUM, SERUM 4.8 3.5-5.2 mmol/L Normal Final RN
CHLORIDE, SERUM 100 97-108 mmol/L Normal Final RN
CARBON DIOXIDE, TOTAL 25 18-29 mmol/L Normal Final RN
CALCIUM, SERUM 9.7 8.7-10.2 mg/dL Normal Final RN
PROTEIN, TOTAL, SERUM 7.0 6.0-8.5 g/dL Normal Final RN
ALBUMIN, SERUM 4.8 3.5-5.5 g/dL Normal Final RN
GLOBULIN, TOTAL 2.2 1.5-4.5 g/dL Normal Final RN
A/G RATIO 2.2 1.1-2.5 Normal Final RN
BILIRUBIN, TOTAL 0.4 0.0-1.2 mg/dL Normal Final RN
ALKALINE PHOSPHATASE, S 89 39-117 IU/L Normal Final RN
AST (SGOT) 25 0-40 IU/L Normal Final RN
ALT (SGPT) 28 0-44 IU/L Normal Final RN

URINALYSIS WITH MICROSCOPIC

Report Result Ref. Range Units Status Lab
SPECIFIC GRAVITY 1.024 1.005-1.030 Normal Final RN
PH 7.5 5.0-7.5 Normal Final RN
URINE-COLOR Yellow YELLOW Normal Final RN
APPEARANCE Clear CLEAR Normal Final RN
WBC ESTERASE Negative NEGATIVE Normal Final RN
PROTEIN Trace NEGATIVE/TRACE Normal Final RN
GLUCOSE Negative NEGATIVE Normal Final RN
KETONES Negative NEGATIVE Normal Final RN
OCCULT BLOOD Negative NEGATIVE Normal Final RN
BILIRUBIN Negative NEGATIVE Normal Final RN
UROBILINOGEN,SEMI-QN 0.2 0.2-1.0 EU/dL Normal Final RN
NITRITE, URINE Negative NEGATIVE Normal Final RN
MICROSCOPIC EXAMINATION Normal Final RN
Comment Microscopic follows if indicated. See below:
WBC 0-5 0 - 5 /hpf Normal Final RN
RBC 0-2 0 - 2 /hpf Normal Final RN
EPITHELIAL CELLS (NON RENAL) None seen 0 - 10 /hpf Normal Final RN
BACTERIA Few NONE SEEN/FEW Normal Final RN
CBC W/ AUTO DIFF
Report Result Ref. Range Units Status Lab
WBC 5.1 3.4-10.8 x10E3/uL Normal Final RN
RBC 5.04 4.14-5.80 x10E6/uL Normal Final RN
HEMOGLOBIN 15.3 12.6-17.7 g/dL Normal Final RN
HEMATOCRIT 46.2 37.5-51.0 % Normal Final RN
MCV 92 79-97 fL Normal Final RN
MCH 30.4 26.6-33.0 pg Normal Final RN
MCHC 33.1 31.5-35.7 g/dL Normal Final RN
RDW 13.0 12.3-15.4 % Normal Final RN
PLATELETS 187 150-379 x10E3/uL Normal Final RN
NEUTROPHILS 58 % Normal Final RN
LYMPHS 29 % Normal Final RN
MONOCYTES 12 % Normal Final RN
EOS 1 % Normal Final RN
BASOS 0 % Normal Final RN
NEUTROPHILS (ABSOLUTE) 2.9 1.4-7.0 x10E3/uL Normal Final RN
LYMPHS (ABSOLUTE) 1.5 0.7-3.1 x10E3/uL Normal Final RN
MONOCYTES(ABSOLUTE) 0.6 0.1-0.9 x10E3/uL Normal Final RN
EOS (ABSOLUTE) 0.1 0.0-0.4 x10E3/uL Normal Final RN
BASO (ABSOLUTE) 0.0 0.0-0.2 x10E3/uL Normal Final RN
IMMATURE GRANULOCYTES 0 % Normal Final RN
IMMATURE GRANS (ABS) 0.0 0.0-0.1 x10E3/uL

T4, FREE, SERUM
T4,FREE(DIRECT) 1.43 0.82-1.77 ng/dL Normal Final RN

TSH, SERUM OR PLASMA
Report Result Ref. Range Units Status Lab
TSH 1.540 0.450-4.500 uIU/mL Normal Final RN
LH (LUTEINIZING HORMONE), SERUM
Report Result Ref. Range Units Status Lab
LH 3.4 1.7-8.6 mIU/mL Normal Final RN
SHBG (SEX HORMONE-BINDING GLOBULIN), SERUM
Report Result Ref. Range Units Status Lab
SEX HORM BINDING GLOB, SERUM 29.4 16.5-55.9 nmol/L Normal Final RN

FSH (FOLLICLE-STIMULATING HORMONE), SERUM
FSH 4.5 1.5-12.4 mIU/mL Normal Final RN
CORTISOL, SERUM OR PLASMA
Report Result Ref. Range Units Status Lab
CORTISOL 11.9 2.3-19.4 ug/dL Normal Final RN
Cortisol AM 6.2 - 19.4 Cortisol PM 2.3 - 11.9
PROLACTIN, SERUM
PROLACTIN 11.3 4.0-15.2 ng/mL Normal Final RN
TESTOSTERONE, TOTAL, SERUM
TESTOSTERONE, SERUM 318 348-1197 ng/dL Low Final RN

[The Deadlifting Dog]

My guess is that the Wellbutrin and Zoloft are fucking with your hormones

[kwis]

Thanks for the response! As per the doctor telling me my free testosterone is normal, is T4(FREE) the same as free test?

[kelkel]

I do not see free Test listed there. Your Total Test is low but your shbg is not elevated which means your free T could be numerically ok. It does not mean that you'll feel good at that level as you're not a number on a chart. How you feel is more important.

If we calculated it out with the assumption your albumin is normal then your FT would be a little of over 2%. Normally 2-3% FT is considered adequate. But again, it may not be enough for you to feel good. Google and take the "Adam Questionnaire" and see how you do.

DD is on point above.

[Youthful55guy]

Thanks for the response! As per the doctor telling me my free testosterone is normal, is T4(FREE) the same as free test?

No, that a thyroid hormone test.