+ 1 Seeking help with my labs
Was hoping someone might have time to review my lab work and give me there opinion? I am a 47 yr old male 6ft 2 and 195 lbs..been injecting 100-250mg per week of cypinate for approx 3 years. The last year I have been noticing a decline in strength and very very low sex drive. (Results below)Thanks for your time...
Test Name Result Flag Reference Range Lab
CBC With Differential/Platelet
WBC 7.1 7.1 3.4-10.8 x10E3/uL 01
RBC 5.37 5.37 4.14-5.80 x10E6/uL 01
Hemoglobin 17.1 17.1 12.6-17.7 g/dL 01
Hematocrit 47.2 47.2 37.5-51.0 % 01
MCV 88 88 79-97 fL 01
MCH 31.8 31.8 26.6-33.0 pg 01
MCHC 36.2 36.2 HIGH 31.5-35.7 g/dL 01
RDW 13.8 13.8 12.3-15.4 % 01
Platelets 208 208 150-379 x10E3/uL 01
Neutrophils 60 60 % 01
Lymphs 28 28 % 01
Monocytes 5 5 % 01
Eos 6 6 % 01
Basos 1 1 % 01
Neutrophils (Absolute) 4.2 4.2 1.4-7.0 x10E3/uL 01
Lymphs (Absolute) 2.0 2.0 0.7-3.1 x10E3/uL 01
Monocytes(Absolute) 0.4 0.4 0.1-0.9 x10E3/uL 01
Eos (Absolute) 0.4 0.4 0.0-0.4 x10E3/uL 01
Baso (Absolute) 0.1 0.1 0.0-0.2 x10E3/uL 01
Immature Granulocytes 0 0 % 01
Immature Grans (Abs) 0.0 0.0 0.0-0.1 x10E3/uL 01
Comp. Metabolic Panel (14)
Glucose, Serum 97 97 65-99 mg/dL 01
BUN 10 10 6-24 mg/dL 01
Creatinine, Serum 1.37 1.37 HIGH 0.76-1.27 mg/dL 01
eGFR If NonAfricn Am 61 61 >59 mL/min/1.73 01
eGFR If Africn Am 70 70 >59 mL/min/1.73 01
BUN/Creatinine Ratio 7 7 LOW 9-20 01
Sodium, Serum 140 140 134-144 mmol/L 01
Potassium, Serum 4.4 4.4 3.5-5.2 mmol/L 01
Chloride, Serum 101 101 96-106 mmol/L 01
Carbon Dioxide, Total 23 23 18-29 mmol/L 01
Calcium, Serum 9.4 9.4 8.7-10.2 mg/dL 01
Protein, Total, Serum 6.2 6.2 6.0-8.5 g/dL 01
Albumin, Serum 4.3 4.3 3.5-5.5 g/dL 01
Globulin, Total 1.9 1.9 1.5-4.5 g/dL 01
A/G Ratio 2.3 2.3 HIGH 1.2-2.2 01
Bilirubin, Total 0.3 0.3 0.0-1.2 mg/dL 01
Alkaline Phosphatase, S 58 58 39-117 IU/L 01
AST (SGOT) 13 13 0-40 IU/L 01
ALT (SGPT) 16 16 0-44 IU/L 01
Lipid Panel
Cholesterol, Total 229 229 HIGH 100-199 mg/dL 01
Triglycerides 224 224 HIGH 0-149 mg/dL 01
HDL Cholesterol 39 39 LOW >39 mg/dL 01
VLDL Cholesterol Cal 45 45 HIGH 5-40 mg/dL 01
LDL Cholesterol Calc 145 145 HIGH 0-99 mg/dL 01
Thyroid Panel With TSH
TSH 3.580 3.580 0.450-4.500 uIU/mL 01
Thyroxine (T4) 5.9 5.9 4.5-12.0 ug/dL 01
1 of 2
T3 Uptake 23 23 LOW 24-39 % 01
Free Thyroxine Index 1.4 1.4 1.2-4.9 01
Testosterone, Free/Tot Equilib
Testosterone, Serum 1089 1089 HIGH 264-916 ng/dL 01
Please note reference interval change
.
Adult male reference interval is based on a population of
healthy nonobese males (BMI <30) between 19 and 39 years old.
Travison, et.al. JCEM 2017,102;1161-1173. PMID: 28324103.
Testosterone,Free 31.91 31.91 HIGH 5.00-21.00 ng/dL 02
% Free Testosterone 2.93 2.93 1.50-4.20 % 02
Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum 1.1 1.1 0.0-4.0 ng/mL 01
Roche ECLIA methodology.
.
According to the American Urological Association, Serum PSA should
decrease and remain at undetectable levels after radical
prostatectomy. The AUA defines biochemical recurrence as an initial
PSA value 0.2 ng/mL or greater followed by a subsequent confirmatory
PSA value 0.2 ng/mL or greater.
Values obtained with different assay methods or kits cannot be used
interchangeably. Results cannot be interpreted as absolute evidence
of the presence or absence of malignant disease.
IGF-1
Insulin-Like Growth Factor I 134 134 67-205 ng/mL 02
Estradiol, Sensitive
Estradiol, Sensitive 26.1 26.1 8.0-35.0 pg/mL 02
This test was developed and its performance characteristics
determined by LabCorp. It has not been cleared by the Food and
Drug Administration.
Methodology: Liquid chromatography tandem mass spectrometry(LC/MS/MS)
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Elevated blood glucose. ... what time did you take test at? We're you properly fasted?
Then the ldl is high and hdl is low... what you doing to cause that?
Are you prescribed TRT? For the full 3 years?
If yes what is your actual prescribed dose versus what you are taking (I doubt a doctor would run you at these lipid test and free test levels?)
What is your current dose and how long you running it?
What, if any ancillaries you taking to keep that estrogen in check?
Why is your chol upside down? (Meds/Diet?)
I'm wondering about SHBG level. If it's too low it could allow that estrogen to be a factor
What about prolactin?
Do you have previous bloods you can scan?
There is something you're not telling us, I think... be it diet or (self/)prescription
I would definitely work on cleaning up your diet and adding in more healthy fats. I also see that that creatinine is high...crush that water bro! Keep us updated.
Hemocrit is alittle high. Do you donate blood often? If on trt your dr can give you a script for blood donation where ypu can donate every 2 weeks. I donate o ce a month and since starting that I feel alot beter-lower bp also
Curious if your 37 or 47. You wrote 47. Your handle has 1979 which would make you 37. Just wondering.
Haha I am 47. Funny when I made the name I was trying to put 1970 but after it was approved I noticed the error.
Contact a mod if you wanna change it. I changed my name a while ago because I realized putting my full first name in there wasn't the smartest move I've ever made.
Or come to think of it, might be better as is for security reasons
Most things look good. Like Philly said consult with doctor, not enough info here and it could be things other than hormones, stress, medications or possible other life events.
Weird. hormone wise it all looks good. Maybe check prolactin, dht, progesterone? I'll be very interested as to what it is if you figure this out. What did your doc say?
Work on those lipids too