26 Y/O Low T. Need Help Interpreting Lab Results

Hello everyone.

I posted about my Low T struggles a few months back.

Long story short I have decided to utilize Defy Medical’s telemedicine services after a failed experiment with Clomid for a couple months.

I just received the results of my first round of labs and have my appointment scheduled next Tuesday.

Forgive me for potentially not following the rules of the thread here, but I have posted the results below and want to be as prepared as possible for my appointment.

6,2 220lbs

Symptoms include low libido, ED, bouts of mild depression, and anxiety.

My hangdown is basically useless outside of the occasional morning wood and brief interaction with women.

Strangely enough I have zero problem building muscle and am a very avid lifter.

Here are the results:

CBC With Differential/Platelet
WBC 4.8 x10E3/uL 3.4 - 10.8 01
RBC 5.46 x10E6/uL 4.14 - 5.80 01
Hemoglobin 16.4 g/dL 13.0 - 17.7 01
Hematocrit 50.3 % 37.5 - 51.0 01
MCV 92 fL 79 - 97 01
MCH 30.0 pg 26.6 - 33.0 01
MCHC 32.6 g/dL 31.5 - 35.7 01
RDW 12.6 % 12.3 - 15.4 01
Platelets 242 x10E3/uL 150 - 379 01
Neutrophils 57 % Not Estab. 01
Lymphs 30 % Not Estab. 01
Monocytes 9 % Not Estab. 01
Eos 3 % Not Estab. 01
Basos 1 % Not Estab. 01
Neutrophils (Absolute) 2.7 x10E3/uL 1.4 - 7.0 01
Lymphs (Absolute) 1.4 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) 0.1 x10E3/uL 0.0 - 0.2 01
Comp. Metabolic Panel (14)
Glucose 54 Low mg/dL 65 - 99 01
BUN 19 mg/dL 6 - 20 01
Creatinine 1.13 mg/dL 0.76 - 1.27 01
eGFR If NonAfricn Am 89 mL/min/1.73 >59
eGFR If Africn Am 103 mL/min/1.73 >59
BUN/Creatinine Ratio 17 9 - 20
Sodium 140 mmol/L 134 - 144 01

Potassium 4.2 mmol/L 3.5 - 5.2 01
Chloride 100 mmol/L 96 - 106 01
Carbon Dioxide, Total 24 mmol/L 20 - 29 01
Calcium 9.8 mg/dL 8.7 - 10.2 01
Protein, Total 7.1 g/dL 6.0 - 8.5 01
Albumin 5.0 g/dL 3.5 - 5.5 01
Globulin, Total 2.1 g/dL 1.5 - 4.5
A/G Ratio 2.4 High 1.2 - 2.2
Bilirubin, Total 1.0 mg/dL 0.0 - 1.2 01
Alkaline Phosphatase 78 IU/L 39 - 117 01
AST (SGOT) 38 IU/L 0 - 40 01
ALT (SGPT) 33 IU/L 0 - 44 01
Lipid Panel w/ Chol/HDL Ratio
Cholesterol, Total 131 mg/dL 100 - 199 01
Triglycerides 83 mg/dL 0 - 149 01
HDL Cholesterol 45 mg/dL >39 01
VLDL Cholesterol Cal 17 mg/dL 5 - 40
LDL Cholesterol Calc 69 mg/dL 0 - 99
T. Chol/HDL Ratio 2.9 ratio 0.0 - 5.0

Testosterone,Free and Total
Testosterone, Serum 323 ng/dL 264 - 916 01
Free Testosterone(Direct) 9.6 pg/mL 9.3 - 26.5 02
Dihydrotestosterone 20 Low ng/dL 03
Reference Range:
Adult Male: 30 - 85
Thyroxine (T4) Free, Direct, S
T4,Free(Direct) 1.29 ng/dL 0.82 - 1.77 01
DHEA-Sulfate 299.7 ug/dL 138.5 - 475.2 01
TSH 1.640 uIU/mL 0.450 - 4.500 01

Luteinizing Hormone(LH), S
LH 5.2 mIU/mL 1.7 - 8.6 01
Prolactin 19.2 High ng/mL 4.0 - 15.2 01
Prostate Specific Ag, Serum 0.4 ng/mL 0.0 - 4.0 01
IGF-1 Insulin-Like Growth Factor I 251 ng/mL 98 - 282 02
Estradiol, Sensitive 14.2 pg/mL 8.0 - 35.0 02
Triiodothyronine (T3), Free 3.3 pg/mL 2.0 - 4.4 01
Sex Horm Binding Glob, Serum 18.3 nmol/L 16.5 - 55.9 04

Any insight as to what I should expect as far as treatment goes?

Any questions from the that stand out? Ill relay them to the doc

I made sure to add a full Thyroid panel as well. Anything stand out with TSH T4 T3?

Any insight would be greatly appreciated.

The thing that stands out the most is LH is midrange and testosterone isn’t at least midrange, high prolactin usually lowers LH and then testosterone. Do not allow this doctor to tell you you’re normal, it’s not alright for a 26 year old to have the same testosterone levels as a 90 year old man.

Estrogen is low and has health consequences. CBC results are strange, hematocrit and hemoglobin are towards the high normal while testosterone is low. There’s a hint of primary hypogonadism.

Any TRT protocol needs to focus on frequent injections, preferably every other day or every day, otherwise estrogen could be difficult to control. Reverse T3 is not tested which can block Free T3 at the receptor negating good Free T3 levels.

1 Like

What are your PEAK Testosterone levels Daily SystemLord? are you at 900 Daily just wondering? and are you shooting 50mg twice weekly of Cypionate for total 100mg? just wondering what your Protocol and Daily Testosterone levels are at Brother. @systemlord