Either FT4 and FT3 are going down in spite of 50 mcg ed of T4 ingested.
TSH instead, almost doubled.
Insulin and glycemia are fine.

Any comments appreciated.



BLOOD, URINE, FAECES & SPERM ANALYSES:
__________________________________________________ _________________Day 38_______________Day 89 p12__________Day 93 p16__________Day 101 p24

BLOOD
ERYTHROCYTES: 5,08 mil/mmc [4 - 5,5]______________________________________4,65_________________5,33____________________________________5,08
LEUCOCYTES: 7,6 mila/mmc [4 - 9]__________________________________________14,4_________________7,5_____________________________________9,3
- NE: 4,2 / 55,9 % [2 - 6 / 37 - 80]
- LY: 2,5 / 35 % [0,6 - 36 / 10 - 50]
- MO: 0,7 / 8,7 % [0 - 0,9 / 0 - 12]
- EO: 0,3 / 2,5 % [0 - 7 / 0 - 7]
- BA: 0 / 0,6 % [0 - 0,2 / 0 - 2,5]
HEMOGLOBIN: 15,1 gr/dl [14 - 18]___________________________________________13,2_________________13,7____________________________________13,1
HEMATOCRIT: 44,2 % [42 - 52]_____________________________________________39,8_________________41,5____________________________________39,8
MCV: 87 femtol [82 - 98]__________________________________________________85,6_________________77,9____________________________________78,3
MCH: 29,7 picogr. [27 - 31]________________________________________________28,4_________________25,7____________________________________25,8
MCHC: 34,2 gr/dl [32 - 36]_________________________________________________33,2_________________33_____________________________________32,9
RDW: 13,7 % [11,6 - 16]__________________________________________________ _____________________16,2
GRAN-NEUTROPHILS: 65,7 % [37 -80]________________________________________76,4_________________43,2____________________________________51,7
GRAN-EOSINOPHILS: 2,8 % [0,0 - 7]_________________________________________0,5__________________1,6_____________________________________1,3
GRAN-BASOPHILS: 0,9 % [0,0 - 2,5]_________________________________________0,8__________________0,3_____________________________________1
LYMPHOCYTES: 23,4 % [10 - 50]____________________________________________16__________________48______________________________________36,5
MONOCYTES: 7,2 % [0,0 - 12]______________________________________________6,3__________________6,9_____________________________________9,5
PLATELETS: 150000 /mmc [150000 - 400000]_________________________________362000______________270000__________________________________148000
PCT: 0,13 % [0,1 - 1]
MPV: 7,5 fl [5 - 10]
PDW: 17,5 % [12 - 18]

HEART, KIDNEYS, LIVER, PANCREAS & PROSTATE
GLYCEMIA (basal): 91 mg/dl [70 - 110]__________________________________________________ _________92______________________________________83

QUICK PROTHROMBIN TIME: 13,7 s
PROTHROMBIN ACTIVITY: 71 % [70-130]
INR: 1,2
APTT: 28 s
FIBRINOGEN: 190 mg/dl [180 - 350]
HOMOCYSTEINE: 11 mcmoli/l [6 - 15]
MYOGLOBIN: 27 ng/ml [10 - 46]

AZOTEMIA: 62 mg/dl [15-40]______________________________________________46____________________73
CREATININE: 1,1 mg/dl [0,8 - 1,3]__________________________________________1,2___________________1,1
HYPERURICEMIA: 6 mg/dl [3,5 - 7,2]

CHOLESTEROL TTL: 156 mg/dl [140 - 220]___________________________________142___________________173
CHOLESTEROL VLDL: 35 mg/dl [20 - 40]
CHOLESTEROL LDL: 103 mg/dl [< 150]_______________________________________130
CHOLESTEROL HDL: 35 mg/dl [> 40]_________________________________________12___________________22
INDEX RISK HDL: 4,5 [till 5]________________________________________________11,8__________________7,9
APO A1: 190 mg/dl [115 - 220]
APO B: 79 mg/dl [55 - 125]
RATIO B/A1 APO: 0,41 [0,35 - 1]
TRIGLYCERIDES: 90 mg/dl [< 150]

GAMMA (YGT): 32 u/ltr [15 - 85]___________________________________________27___________________39
ALKALINE PHOSPHATASE: 96 u/ltr [50 - 136]_________________________________57___________________79
BILIRUBIN TTL: 1 mg/dl [0,2-1]__________________________________________________ ____________________________________1,16
BILIRUBIN DIRECT: 0,25 mg/dl [0,05 - 0,3]__________________________________________________ __________________________0,33
BILIRUBIN INDIRECT: 0,67 mg/dl [till 0,7]__________________________________________________ ____________________________0,83
TRANSAMINASE GOT/AST: 26 u/ltr [15 - 37]__________________________________63
TRANSAMINASE GPT/ALT: 62 u/ltr [30 - 65]__________________________________104
FERRITIN: 125 ng/ml [24 - 336]

LIPASE: 324 u/ltr [114 - 284]______________________________________________234__________________218
AMYLASE: 69 u/ltr [25 - 115]______________________________________________66___________________75

LDH: 170 u/ltr [100 - 190]
CPK MB: 230 u/ltr [35 - 232]
CK NAK: 160 u/l [till 167]
PROTIDES TTL: 7,5 gr/dl [6,4 - 8,2]
ALBUMIN: 60 % [51 - 63,3]
ALFA 1: 3 % [2,2 - 4,3]
ALFA 2: 10 % [9,5 - 14]
BETA: 11 % [10-14,5]
GAMMA: 19 % [12 - 20]
A/G RATIO: 1,45 [1,0 - 1,7]

PSA: 0,6 ng/ml [till 4]__________________________________________________ ___1,23________________0,61
PSA FREE: 0,23
PSA FREE/TTL: 0,38 [>0,15]
PAP: 1,3 ng/ml [till 3,5]__________________________________________________ _1,5

IGG: 1455 mg/dl [681 - 1648]
IGA: 309 mg/dl [87 - 474]
IGD: 55 u/ml [till 100]
IGM: 101 mg/dl [48 - 312]
IGE (prist): 39,07 iu/ml [1,31 - 165,3]

INFECTIVITY & ALLERGOLOGY
HIV-Ab (1+2): 0,15 non-react u/cutoff [<0,9]
HCV-Ab: 0,12 non-react u/cutoff [<0,9]
HBS-Ag: 0,35 non-react u/cutoff [<0,9]
HAV-Ab (IgT): >85 react miu/ml [<35]
HAV-Ab (IgM): 0,07 non-react u/cutoff [<0,9]
TAS: 111 ui/ml [0 - 166]
VDRL: negative [negative]
CRP: 2 mg/dl [till 5]
REUMA TEST: <20 iu/ml [<20]
ESR: 6 mm/h [till 15]
LYSOZYME: 9 picog/ml [4 - 13]
ACE: 10 mcg/l [6 - 12]

RAST Egg: 0,1 [<0,3]
RAST Yolk: 0,1 [<0,3]
RAST Crayfish: 0,1 [<0,3]
RAST Yeast: 0,1 [<0,3]
RAST Pork: 0,1 [<0,3]
RAST Fish Mix: 0,1 [<0,3]
RAST Olea Europaea Pollen: 0,1 [<0,3]

VITAMINS & ELECTROLYTES
VITAMIN A: 630 mcg/l [300-650]
VITAMIN E: 15,6 mg/ltr [5 - 20]
VITAMIN C: 1,1 mg/ml [0,5-1,5]
VITAMIN B12: 697 pg/ml [179 - 1162]
VITAMIN D3: 42 ng/ml [10-45]
VITAMIN H: 85 ng/ml [70-100]
VITAMIN K: 25 mcg/ml [15-30]
VITAMIN PP: 0,7 mg/ml [0,5-0,8]

SODIUM: 143 meq/l [136 - 145]
POTASSIUM: 4,5 meq/l [3,5 - 5,1]
CALCIUM: 9,4 mg/dl [8,5 - 10,1]
MAGNESIUM: 2,1 mg/dl [1,8 - 2,4]
PHOSPHORUS: 3,8 mg/dl [2,7 - 4,5]
IRON: 147 mcg/dl [35 - 150]
ZINC: 101 mcg/dl [80 - 125]
CHLORINE: 105 meq/l [98 - 107]
COPPER: 111 ku/l [76 - 153]

HORMONAL
GASTRIN: 32 pg/ml [28-125]
MELATONIN: 55 pg/ml [20 - 85]
C-PEPTIDE: 1,3 ng/ml [0,78 – 1,89]
INSULIN: 3,37 micru/ml [1,9 - 23]__________________________________________________ _____________3,55____________________________________2,08
GLUCAGON: 56 pg/ml [40-130]
ACTH: 21 pg/dl [till 50]
CORTISOL: 16,64 mcg/dl [8,7 - 22,4]_________________________________________12,45______________19,89___________________________________17,4
FT3: 3,47 pg/ml [2,2 - 4,7]_________________________________________________3,95________________4,03____________________________________2,83
FT4: 1,27 ng/dl [0,8 - 2]__________________________________________________ _1,62_______________1,4_____________________________________1,33
MSH: 10,5 pmol/l [7,9 - 14,4]
HTG: 9,65 ng/ml [0,0 - 35]
TBG: 21 mcg/ml [15 - 32]
TSH: 4,79 micru/ml [0,34 - 5,6]_____________________________________________2,48________________2,66____________________________________4,37
FSH: 4,19 miu/ml [1,27 - 19,26]_____________________________________________0,55_____________________________________0,72
LH: 3,88 miu/ml [1,24 - 8,62]_______________________________________________0,15_____________________________________2,58
PREGNENOLONE: 161 ng/ml [10 - 230]
ANDROSTENEDIONE: 1,89 ng/ml [0,3 - 3,1]
ALDOSTERONE: 155 pg/ml [10 - 160]
DHEA: 7,9 ng/ml [2,5 - 9,5]
DHEAS: 233 mcg/dl [106 - 464]
DHT: 625 pg/ml [250 - 990]________________________________________________1250_____________________________________300
TESTOSTERONE TTL: 3,1 ng/ml [1,75 - 7,81]_________________________________44,7_________________0,48_________________1,61________________4,84
TESTOSTERONE FREE: 15 pg/ml [8 - 47]_____________________________________219,68____________________________________5,9
SHBG: 37 nmoli/l [13 - 71]_________________________________________________6_________________________________________24,8
ESTRONE: 48 pg/ml [40 - 60]
ESTRADIOL 17-BETA: 34 pg/ml [<20 - 47]____________________________________150_________________27
ESTRIOL: 6 pg/ml [4,7 - 7,1]
PROGESTERONE: 0,98 ng/ml [0,14 - 2,06]____________________________________1,41
PRL: 3,4 ng/ml [2,64 - 13,13]______________________________________________15,12________________0,62_________________1
IGF-1: 135 ng/ml [96 - 424]_______________________________________________159__________________238
HGH: 0,3 ng/ml [0,0 - 10]__________________________________________________ ____________________11,1____________________________________10,5

URINE
COLOUR: straw-coloured__________________________________________________ ____________________straw-coloured
APPEARANCE: limpid [limpid]__________________________________________________ __________________lightly opalescent
PH REACTION: 5,7 [5 - 6,5]__________________________________________________ ___________________5
SPECIFIC WEIGHT: 1021 [1015 - 1028]__________________________________________________ _________1017
PROTEINS: none mg/dl [0,0 - 10]__________________________________________________ ______________none
HEMOGLOBIN: none [none]__________________________________________________ ___________________traces
GLUCOSE: none gr/litre [0,0 - 0,2]__________________________________________________ _____________none
KETONE BODIES: none [none]__________________________________________________ _________________none
UROBILINOGEN: none mg/dl [0,0 - 0,2]__________________________________________________ _________none
BILIARY PIGMENTS: none [none]__________________________________________________ ______________none
NITRITE: none [none]__________________________________________________ _______________________none

FAECES
SHAPE: homogeneous [homogeneous]
CONSISTENCY: poltacea[/COLOR] [poltacea]
COLOUR: brown [brown]
ODOUR: sui generis [sui generis]
MUCUS: absent [absent]
BLOOD: absent [absent]
PH REACTION: 7
PARASITOLOGICAL: negative [negative]
SALMONELLA: negative [negative]
HELICOBACTER PYLORI: negative [negative]
GIARDIASIS: negative [negative]

SPERM
VOLUME: 2,9 ml [>= 2]__________________________________________________ __1,8_________________3,1
PH: 7,9 [7,2-8]__________________________________________________ ________8,6_________________8,2
APPEARANCE: own__________________________________________________ _____own_________________own
VISCOSITY: within limits [within limits]______________________________________increased +++_______increased +
FLUIDIFICATION 45': physiologic [physiologic]________________________________irregular_____________physiologic
SPERMATOZOON CONCENTRATION: 90.000.000 /ml [>= 20.000.000]______________58.000.000__________3.400.000
EJACULATE SPERMATOZOON COUNT: 249.900.000 [>= 40.000.000]______________104.400.000_________10.540.000
2ND HOUR MOTILITY: 59 % [>= 50 %]_______________________________________40__________________30
TYPICAL MORPHOLOGIC SPERMATOZOON: 36 % [>= 35 %]______________________24__________________26
ATYPICAL MORPHOLOGIC SPERMATOZOON: 70 %______________________________76__________________74
IMMATURE MORPHOLOGIC: 200.000_________________________________________220.000_____________200.000
LEUCOCYTE: 300.000 /ml [<= 1.000.000]____________________________________absent______________absent
ERYTHROCYTE: absent [absent/rare]________________________________________absent______________absent
GERMINAL CELLS: rare [absent/rare]________________________________________rare_________________rare
EPITHELIAL CELLS: rare [absent/rare]_______________________________________rare_________________absent
SPERMAGGLUTINATION ZONES: rare [absent/rare]_____________________________rare________________absent