31 Y/O Ngiapmac's Journey to Solving Low T

After waiting for almost six months, I finally met with an endocrinologist who was able to refer me for a more thorough panel of bloodwork. Here are the results (will update the ones that are still pending as soon as I get them). Although my testosterone levels are within range, they still seem very low for my age. However, what I’m really concerned about is the jump in TSH to 3.86. It was 2.0 during my bloodwork back in May. I’m hoping that @KSman can jump in here and help interpret these numbers. I should note that my endocrinologist had me stop taking all natural supplements for this bloodwork. The only thing that I continued taking was fish oil. I have another bloodwork appointment in two weeks to retest Testosterone, LH, FSH, prolactin and PSA.

Hematology

WBC – 4.8 [4.0-11.0] xE9/L
RBC – 4.69 [4.50-6.00] xE12/L
Hemoglobin – 146 [135-175] g/L
Hematocrit – 0.435 [0.400-0.500] L/L
MCV – 93 [80-100] fL
MCH – 31.1 [27.5-33.0] pg
MCHC – 336 [305-360] g/L
Platelets – 242 [150-400] xE9/L
RDW – 13.1 [11.5-14.5] %

Differential

Neutrophils – 2.0 [2.0-7.5] xE9/L
Lymphocytes – 2.0 [1.0-3.5] xE9/L
Monocytes - 0.3 [0.2-1.0] xE9/L
Eosinophils – 0.5 [0.0-0.5] xE9/L
Basophils – 0.0 [0.0-0.2] xE9/L

Biochemical Investigation of Anemias

Vitamin B12 – HI 767 [138-652] pmol/L
Ferritin – 258 [22-275] ug/L

General Chemistry

Glucose Fasting – 4.6 [3.6-6.0] mmol/L
Hemoglobin A1C/Total Hemoglobin – 5.2 [<6.0] %
Sodium – 141 [135-145] mmol/L
Potassium – 4.2 [3.5-5.2] mmol/L
Creatinine 104 [67-117] umol/L
Glomerular Filtration Rate (eGFR) – 82 [An eGFR from 60-89 ml/min/1.73 m2 is consistent with mildly decreased kidney function. However, in the absence of other evidence of kidney disease, eGFR values in this range do not fulfill the KDIGO criteria for chronic kidney disease. Interpret results in concert with ACR measurement.]
Calcium – 2.28 [2.15-2.60] mmol/L
Albumin – 46 [35-52] g/L
Bilirubin Total – 12 [<20] umol/L
Alkaline Phosphatase – LO 39 [40-129] U/L
Alanine Aminotransferase – 24 [<50] U/L

Muscle Enzymes

Creatine Kinase – 164 [44-275] U/L

Lipids
Hours After Meal - 12

Triglyceride – 0.71 mmol/L
Cholesterol – 6.32 mmol/L
HDL Cholesterol – 1.34 mmol/L
Non HDL Cholesterol – 4.98 mmol/L
LDL Cholesterol – 4.66 mmol/L
Cholesterol/HDL Cholesterol – 4.7

Random Urine Chemistry
Albumin Creatinine Ratio Urine

Albumin (Urine) - <5 mg/L
Creatinine (Urine) - 20.6 [3.5-24.5] mmol/L
Albumin/Creatinine - Unable to calculate Albumin/Creatinine Ratio as the concentration of the Albumin is less than the lower limit of the analytical range of the method.

Thyroid Function

Thyroid Stimulating Hormone (TSH) – 3.86 [0.32-4.00] mIU/L
Thyroxine Free (Free T4) – 13 [9-19] pmol/L
Thyroglobulin Antibody - HI 279 [<40] kIU/L
Thyroid Peroxidase Antibody - HI 141 [<35] kIU/L

Pituitary Function

Follicle Stimulating Hormone (FSH) - 2.7 [1.0-8.0] IU/L
Luteinizing Hormone (LH) - 2.2 [1.0-7.0] IU/L

Adrenocorticotropic Hormone (ACTH)
Collection Time - 08:33
Prolactin - 15.1 [4.0-19.0] ug/L
Growth Hormone - 0.3 [<3.0] ug/L

Reproductive and Gonadal

Choriogonadotropin {HCG) Tumor - <1 [<3] IU/L
Estradiol - <40 [<162] pmol/L
DHEA-S - 6.5 [<15.0] umol/L
Testosterone - 15.4 [8.4-28.8] nmol/L
Testosterone Bioavailable - 5.6 [3.6-11.2] nmol/L

Bone Markers

25-Hydroxyvitamin D – 128 [75-250] nmol/L
Parathyroid Hormone (PTH) Intact - 3.0 [1.6-6.9] pmol/L