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Thread: Help Reading Recent Blood Work

  1. #1
    Berryman1981 is offline New Member
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    Cool Help Reading Recent Blood Work

    Hey Guys, Can one of you experienced members give me some advise if able on my results? I'm trying to fix the reason my shbg is so high before I commit to life long trt etc. Anybody reply and I'll reply with results here. -Thanks

  2. #2
    Berryman1981 is offline New Member
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    PDF Report1
    MARTIN MILNER | 10/16/2019

    Patient: Rollin R PRN: BERRO001
    Quest Diagnostics (QDRT)
    Address not provided
    Test component
    Result
    Standard Range
    See Attachment
    SEX HORMONE BINDING GLOBULIN
    MARTIN MILNER | 10/16/2019

    Patient: Rollin R PRN: BERRO001
    Quest Diagnostics (QDRT)
    Address not provided
    Test component
    Result
    Standard Range
    SEX HORMONE BINDING GLOBULIN (nmol/L)
    67
    10-50
    Comments: Above high normal
    TESTOSTERONE , FREE
    MARTIN MILNER | 10/16/2019

    Patient: Rollin R PRN: BERRO001
    Quest Diagnostics (QDRT)
    Address not provided
    Test component
    Result
    Standard Range
    TESTOSTERONE, FREE (pg/mL)
    63.7
    46.0-224.0
    TESTOSTERONE, TOTAL, MS
    MARTIN MILNER | 10/16/2019

    Patient: Rollin R PRN: BERRO001
    Quest Diagnostics (QDRT)
    Address not provided
    Test component
    Result
    Standard Range
    TESTOSTERONE, TOTAL, MS (ng/dL)
    850
    250-1100
    HEMOGLOBIN A1c
    MARTIN MILNER | 10/16/2019

    Patient: Rollin R PRN: BERRO001
    Quest Diagnostics (QDRT)
    Address not provided
    Test component
    Result
    Standard Range
    HEMOGLOBIN A1c (% of total Hgb)
    5.2
    <5.7
    Comments: Normal (applies to non-numeric results)
    VITAMIN D,25-OH,TOTAL,IA
    MARTIN MILNER | 10/16/2019

    Patient: Rollin R PRN: BERRO001
    Quest Diagnostics (QDRT)
    Address not provided
    Test component
    Result
    Standard Range
    VITAMIN D,25-OH,TOTAL,IA (ng/mL)
    43
    30-100
    Comments: Normal (applies to non-numeric results)
    DHEA SULFATE
    MARTIN MILNER | 10/16/2019

    Patient: Rollin R PRN: BERRO001
    Quest Diagnostics (QDRT)
    Address not provided
    Test component
    Result
    Standard Range
    DHEA SULFATE (mcg/dL)
    327
    106-464
    Comments: Normal (applies to non-numeric results)
    TSH W/REFLEX TO FT4
    MARTIN MILNER | 10/16/2019

    Patient: Rollin R PRN: BERRO001
    Quest Diagnostics (QDRT)
    Address not provided
    Test component
    Result
    Standard Range
    TSH W/REFLEX TO FT4 (mIU/L)
    1.02
    0.40-4.50
    Comments: Normal (applies to non-numeric results)
    PSA, TOTAL
    MARTIN MILNER | 10/16/2019

    Patient: Rollin R PRN: BERRO001
    Quest Diagnostics (QDRT)
    Address not provided
    Test component
    Result
    Standard Range
    PSA, TOTAL (ng/mL)
    0.9
    < OR = 4.0
    Comments: Normal (applies to non-numeric results)
    CBC (INCLUDES DIFF/PLT)
    MARTIN MILNER | 10/16/2019

    Patient: Rollin R Berryman PRN: BERRO001
    Quest Diagnostics (QDRT)
    Address not provided
    Test component
    Result
    Standard Range
    WHITE BLOOD CELL COUNT (Thousand/uL)
    6.7
    3.8-10.8
    Comments: Normal (applies to non-numeric results)
    RED BLOOD CELL COUNT (Million/uL)
    6.28
    4.20-5.80
    Comments: Above high normal
    HEMOGLOBIN (g/dL)
    17.7
    13.2-17.1
    Comments: Above high normal
    HEMATOCRIT (%)
    52.5
    38.5-50.0
    Comments: Above high normal
    MCV (fL)
    83.6
    80.0-100.0
    Comments: Normal (applies to non-numeric results)
    MCH (pg)
    28.2
    27.0-33.0
    Comments: Normal (applies to non-numeric results)
    MCHC (g/dL)
    33.7
    32.0-36.0
    Comments: Normal (applies to non-numeric results)
    RDW (%)
    13.1
    11.0-15.0
    Comments: Normal (applies to non-numeric results)
    PLATELET COUNT (Thousand/uL)
    273
    140-400
    Comments: Normal (applies to non-numeric results)
    MPV (fL)
    10.7
    7.5-12.5
    Comments: Normal (applies to non-numeric results)
    ABSOLUTE NEUTROPHILS (cells/uL)
    3779
    1500-7800
    Comments: Normal (applies to non-numeric results)
    ABSOLUTE LYMPHOCYTES (cells/uL)
    2238
    850-3900
    Comments: Normal (applies to non-numeric results)
    ABSOLUTE MONOCYTES (cells/uL)
    549
    200-950
    Comments: Normal (applies to non-numeric results)
    ABSOLUTE EOSINOPHILS (cells/uL)
    67
    15-500
    Comments: Normal (applies to non-numeric results)
    ABSOLUTE BASOPHILS (cells/uL)
    67
    0-200
    Comments: Normal (applies to non-numeric results)
    NEUTROPHILS (%)
    56.4
    Comments: Normal (applies to non-numeric results)
    LYMPHOCYTES (%)
    33.4
    Comments: Normal (applies to non-numeric results)
    MONOCYTES (%)
    8.2
    Comments: Normal (applies to non-numeric results)
    EOSINOPHILS (%)
    1.0
    Comments: Normal (applies to non-numeric results)
    BASOPHILS (%)
    1.0
    Comments: Normal (applies to non-numeric results)
    DIHYDROTESTOSTERONE
    MARTIN MILNER | 10/16/2019

    Patient: Rollin R PRN: BERRO001
    Quest Diagnostics (QDRT)
    Address not provided
    Test component
    Result
    Standard Range
    DIHYDROTESTOSTERONE, LC/MS/MS (ng/dL)
    49
    16-79
    IGF 1, LC/MS
    MARTIN MILNER | 10/16/2019

    Patient: Rollin R PRN: BERRO001
    Quest Diagnostics (QDRT)
    Address not provided
    Test component
    Result
    Standard Range
    IGF 1, LC/MS (ng/mL)
    158
    53-331
    Z SCORE (MALE) (SD)
    0.2
    -2.0 - +2.0
    ESTROGEN, TOTAL, SERUM
    MARTIN MILNER | 10/16/2019

    Patient: Rollin R PRN: BERRO001
    Quest Diagnostics (QDRT)
    Address not provided
    Test component
    Result
    Standard Range
    ESTROGEN, TOTAL, SERUM (pg/mL)
    157.8
    60-190
    COMPREHENSIVE METABOLIC PANEL
    MARTIN MILNER | 10/16/2019

    Patient: Rollin R PRN: BERRO001
    Quest Diagnostics (QDRT)
    Address not provided
    Test component
    Result
    Standard Range
    GLUCOSE (mg/dL)
    102
    65-99
    Comments: Above high normal
    UREA NITROGEN (BUN) (mg/dL)
    14
    7-25
    Comments: Normal (applies to non-numeric results)
    CREATININE (mg/dL)
    1.08
    0.60-1.35
    Comments: Normal (applies to non-numeric results)
    eGFR NON-AFR. AMERICAN (mL/min/1.73m2)
    87
    > OR = 60
    Comments: Normal (applies to non-numeric results)
    eGFR AFRICAN AMERICAN (mL/min/1.73m2)
    100
    > OR = 60
    Comments: Normal (applies to non-numeric results)
    BUN/CREATININE RATIO ((calc))
    NOT APPLICABLE
    6-22
    SODIUM (mmol/L)
    142
    135-146
    Comments: Normal (applies to non-numeric results)
    POTASSIUM (mmol/L)
    3.8
    3.5-5.3
    Comments: Normal (applies to non-numeric results)
    CHLORIDE (mmol/L)
    102
    98-110
    Comments: Normal (applies to non-numeric results)
    CARBON DIOXIDE (mmol/L)
    22
    20-32
    Comments: Normal (applies to non-numeric results)
    CALCIUM (mg/dL)
    10.2
    8.6-10.3
    Comments: Normal (applies to non-numeric results)
    PROTEIN, TOTAL (g/dL)
    7.7
    6.1-8.1
    Comments: Normal (applies to non-numeric results)
    ALBUMIN (g/dL)
    5.4
    3.6-5.1
    Comments: Above high normal
    GLOBULIN (g/dL (calc))
    2.3
    1.9-3.7
    Comments: Normal (applies to non-numeric results)
    ALBUMIN/GLOBULIN RATIO ((calc))
    2.3
    1.0-2.5
    Comments: Normal (applies to non-numeric results)
    BILIRUBIN, TOTAL (mg/dL)
    2.0
    0.2-1.2
    Comments: Above high normal
    ALKALINE PHOSPHATASE (U/L)
    78
    40-115
    Comments: Normal (applies to non-numeric results)
    AST (U/L)
    43
    10-40
    Comments: Above high normal
    ALT (U/L)
    154
    9-46
    Comments: Above high normal
    LIPID PANEL, STANDARD
    MARTIN MILNER | 10/16/2019

    Patient: Rollin R PRN: BERRO001
    Quest Diagnostics (QDRT)
    Address not provided
    Test component
    Result
    Standard Range
    CHOLESTEROL, TOTAL (mg/dL)
    223
    <200
    Comments: Above high normal
    HDL CHOLESTEROL (mg/dL)
    42
    >40
    Comments: Normal (applies to non-numeric results)
    TRIGLYCERIDES (mg/dL)
    118
    <150
    Comments: Normal (applies to non-numeric results)
    LDL-CHOLESTEROL (mg/dL (calc))
    157
    Comments: Above high normal
    CHOL/HDLC RATIO ((calc))
    5.3
    <5.0
    Comments: Above high normal
    NON HDL CHOLESTEROL (mg/dL (calc))
    181
    <130
    Comments: Above high normal

  3. #3
    cylon357's Avatar
    cylon357 is online now Member
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    A few thoughts....

    1 - You are right, these results ARE difficult to read. You may want to screen shot the results, that seems to work for most of us. Oh, and you probably ought to blank out your name and doctor's name.

    2 - You will get much better responses if you move this to the HRT section.

    3 - Clomid as HRT is typically used for those with Secondary Hypogonadism. Looking at your numbers (at least if I'm reading them right), your Total T is GREAT and Free T isn't bad either. Based on those numbers alone, Clomid is not a good choice, IMHO. If you insist on pursuing this as an option, pull your LH and FSH on next blood work before thinking about Clomid.

    4 - Get your fasting blood sugar and cholesterol in order. Those numbers make me think your diet is less than stellar.

    5 - You didn't say what your exercise is like, but I'm going to guess it's a little out of whack. Diet and exercise should be the first thing you address.

    In short, yeah, it would be nice to bring down the SHBG some and increase Free T, but diet and exercise should be the first step for you, imho. I'm not sure that there are many non-suppressive ways to bring down SHBG, but maybe someone else will chime in on this.

  4. #4
    GearHeaded's Avatar
    GearHeaded is offline Anabolic Member
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    cyclon is on point in regards to looking into your diet as well as needing to exercise .. this imo is the problem.
    I'm guessing that you consume alcohol, you eat a high carb diet, and you don't workout. this is why your SHBG is elevated.

    you have high liver values (crappy diet)
    you have high hematocrit (your dehydrated)
    you have high SHBG (your fasted blood sugar was in pre diabetec range which tells me your insulin resistant, your pancreas is thus pumping out a lot of insulin, your high carb diet does not help, and all this insulin load is going to cause your SHBG to elevate)

    easy fix. get on a clean and healthy diet thats low carb. workout 4 days per week with some weights as well as cardio


    your "natural path" should have easily been able to of spot the issue with just a quick glance of your blood work like I did . if he/she doesn't know that insulin causes elevated SHBG, and your running high blood sugars (and thus insulin resistant) then they need to go back to school

  5. #5
    almostgone's Avatar
    almostgone is online now AR-Platinum Elite- Hall of Famer
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    I'll move this to the TRT forum, but you may not get many replies. The way your panels are listed make it difficult to read.

    Type out the panel, the value, and the reference range. Cut out all of the patient name information, and ordering physician stuff. It is very distracting.

    For example:

    SHBG 67 10-50 nmol/L
    There are 3 loves in my life: my wife, my English mastiffs, and my weightlifting....Man, my wife gets really pissed when I get the 3 confused...
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  6. #6
    almostgone's Avatar
    almostgone is online now AR-Platinum Elite- Hall of Famer
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    Just at a glance, you could increase your Vitamin D intake, your lipids need some attention, your liver enzymes are elevated, your glucose is high,and your HCT and HGB are a little high. I didn't see a sensitive E2, only a serum esyrogen

    Have you been on a cycle or self managing your TRT? If on a cycle, how long have you been off cycle?
    Berryman1981 likes this.
    There are 3 loves in my life: my wife, my English mastiffs, and my weightlifting....Man, my wife gets really pissed when I get the 3 confused...
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  7. #7
    GearHeaded's Avatar
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    you may also want to supplement for the time being with some TUDCA, NAC, Chromium picolinate , and berberine (or a GDA that has that in it). possibly injectible glutathione if you have access to it.

    you need to "detox" your liver and increase your insulin sensitivity and lower your blood sugars. again thats going to come mainly down to drastically improving your diet and exercise. but a few sups can help aide along the way

  8. #8
    Youthful55guy is offline Knowledgeable Member
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    I reduced the labs down to what we need to know. All that other garbage just gets in the way.

    [QUOTE
    SEX HORMONE BINDING GLOBULIN (nmol/L)
    67
    10-50
    Comments: Above high normal
    Yes, it's a bit high. It tends to increase as we age. I don't see that you've provided your age. No matter, some guys are genetically programmed to produce higher amounts of SHBG. We add an extra sugar molecule to the protein and it about doubles the half life. This condition affects about 10% of men. I am one of them and have much higher SHBG than you do. You are just borderline high, but it may increase with age. There are ways to lower it with certain synthetic steroids but they also suppress natural T production, so they don't do much good without additional supplemental T. The best method I found to deal with high SEBG is TRT using reasonable doses to saturate the SHBG protein so that enough T spills over to keep Free T in range. If you go down the TRT route, you need to monitor Free T and base dosing decisions on it. For me a simple protocol of 40mg T-cyp every 3 days (E3D) is enough to do this.

    TESTOSTERONE , FREE (pg/mL)
    63.7
    46.0-224.0
    You are on the low end of normal. You may find it difficult to get a doc to treat you with these values. I suspect that Free T will decline as you age due to increasing SHBG. Eventually, you may end up below normal.

    TESTOSTERONE, TOTAL, MS (ng/dL)
    850
    250-1100
    The ironic thing about high SHBG is that it tends to artificially inflate Total T values. This is because SHBG binds and protects T from liver metabolism, so it pushes up the Total T value. At the same time, it only very slowly releases the T, so Free T is low. The bound SHBG-T cannot pass through the blood-brain barrier where you need the 9Free) T to feel normal. So, you may be swimming in high T levels, but feel like crap because little of it is getting into the brain.

    HEMOGLOBIN A1c (% of total Hgb)
    5.2
    <5.7
    Nothing to see here. It's just a measure of pre-diabetes. You are not pre-diabetic according to these results.

    VITAMIN D,25-OH,TOTAL,IA (ng/mL)
    43
    30-100
    You could beef this up a bit. I'd start with 5,000 IU of Vit D3 daily and retest in about 6 months.


    DHEA SULFATE (mcg/dL)
    327
    106-464
    Nothing to see here. Your levels are good.

    TSH W/REFLEX TO FT4 (mIU/L)
    1.02
    0.40-4.50
    This is only a screening test for thyroid function, but it does not indicate an overt problem. You need a full thyroid panel including Free T3 and Free T4 to get more a better picture of thyroid function.

    PSA, TOTAL (ng/mL)
    0.9
    < OR = 4.0
    Nothing to see here. Level is great. Prostate cancer is probably not in your near future.

    HEMOGLOBIN (g/dL)
    17.7
    13.2-17.1
    A bit on the high side. Not sure why if you are not on TRT. Your DHT level below is also normal, and DHT is the hormone that drives hemoglobin production while on TRT. Not sure why your hemoglobin is so high. Perhaps you were dehydrated when they drew the blood.

    HEMATOCRIT (%)
    52.5
    38.5-50.0
    Same response are hemoglobin. Perhaps this is a case of dehydration at the time of the blood draw.

    DIHYDROTESTOSTERONE, LC/MS/MS (ng/dL)
    49
    16-79
    Mid-range. Nothing to see here. Need to monitor and control it if you begin TRT.

    IGF 1, LC/MS (ng/mL)
    158
    53-331
    OK levels. Only you can decide if you want to muck around with GH or peptides.


    ESTROGEN, TOTAL, SERUM (pg/mL)
    157.8
    60-190
    Judging by the normal range they provide, this is the standard female test which is worthless for men. It will always tell you that you have high E. You need to throw out these tests and only conduct the sensitive assay designed for men.



    ALKALINE PHOSPHATASE (U/L)
    78
    40-115
    Liver function looks good by this test.

    ALT (U/L)
    154
    9-46
    Comments: Above high normal
    Liver looks a bit stressed by this test. Could be a medication you are taking. Many common drugs put stress on the liver.

    CHOLESTEROL, TOTAL (mg/dL)
    223
    <200
    A bit high. Might want to consider a low dose statin, particularly if you start TRT.
    Last edited by Youthful55guy; 11-03-2019 at 10:40 AM.
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  9. #9
    Berryman1981 is offline New Member
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    Quote Originally Posted by cylon357 View Post
    A few thoughts....

    1 - You are right, these results ARE difficult to read. You may want to screen shot the results, that seems to work for most of us. Oh, and you probably ought to blank out your name and doctor's name.

    2 - You will get much better responses if you move this to the HRT section.

    3 - Clomid as HRT is typically used for those with Secondary Hypogonadism. Looking at your numbers (at least if I'm reading them right), your Total T is GREAT and Free T isn't bad either. Based on those numbers alone, Clomid is not a good choice, IMHO. If you insist on pursuing this as an option, pull your LH and FSH on next blood work before thinking about Clomid.

    4 - Get your fasting blood sugar and cholesterol in order. Those numbers make me think your diet is less than stellar.

    5 - You didn't say what your exercise is like, but I'm going to guess it's a little out of whack. Diet and exercise should be the first thing you address.

    In short, yeah, it would be nice to bring down the SHBG some and increase Free T, but diet and exercise should be the first step for you, imho. I'm not sure that there are many non-suppressive ways to bring down SHBG, but maybe someone else will chime in on this.


    ----------------------Thanks Man! Yea, Im 38, have not exercised constantly ever. Been able to get by until now off of good genetics. To be honest, I probably have anorexia or some sort of eating disorder as the past 10 years I've rairly eaten my weight in protein/grams of protein. Problem is the knee joints are not feeling too good and I'm afraid the body is starting to break down due to not enough water, food/protein, exercise etc.. i guess the high range total t means that I don't have hyperthyroidism which is great. based on my numbers can i assume i dont have hyperthyroidism also? I obviously need to eat more, eat more protein and fat, weight train, drink more water, and take some boron/zinc or DIM etc to try and lower shbg and free up more testosterone as apposed to taking clomid i guess. --------------------------------

  10. #10
    Berryman1981 is offline New Member
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    yes my doctor is worthless but you guys are not. Just needed him to order the tests so i could get some answers here. Appreciate you guys confirming some things for me. I will follow these recommendations and re test in a couple months. They ordered another round of tests couple days ago so I can post the results here when they come in. you say I'm dehydrated. Any recommendation on how to absorb more water? You guys add electrolytes to water? in regards to cutting down on the carbs, im assuming you guys are not full keto or carnivore but if i cut out most carbs, wont that further dehydrate me once I loose all the water weight from cutting out the carbs making it harder to stay hydrated? (depleting electrolytes)

  11. #11
    almostgone's Avatar
    almostgone is online now AR-Platinum Elite- Hall of Famer
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    In regards day to carbs, I'd start with ditching simple carbs and focus on fibrous veggies.
    I would definitely be supplementing vitamin D. It's cheap and absorbs better with a fattier meal ( think avacado, steelhead trout, etc).
    Your electrolytes look good, just drink water whenever you are thirsty.
    Last edited by almostgone; 11-03-2019 at 12:12 PM.
    There are 3 loves in my life: my wife, my English mastiffs, and my weightlifting....Man, my wife gets really pissed when I get the 3 confused...
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  12. #12
    Berryman1981 is offline New Member
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    i will look into detoxing my liver as well as the other healthy changes in order to get the shbg down. Thanks for the advise

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