Going in for bloodwork Thursday the 7th and looking to confirm what to request.
28yr old Male
6’0 205lbs 33" waist
Body/Facial Hair: Beard and body hair. Do not have sparse outer eyebrows
Fat: mostly just in the gut.
Symptoms: Fatigue, apathy, low libido (no problem with wood, morning wood still intermittent),loss of strength, loss of muscle, brain fog, difficulty waking.
OTC Drugs: None
Diet: mostly healthy high protein balance of carbs and fats, alcohol has been in the 20+ drinks per week recently (cutting back now). Have not been using iodized salt, will likely start with IR after full tests are performed.
Training: Weight lift 3 times a week depending on work
Testes Ache: never
Basal body temp: ranges from 95.8 to 96.3 gets up to 98 range in afternoon/evening
UPDATE: 4 days into IR 12/18/17 @12.5mg w/ 200mcg selenium
Morning Temp up to 97.6, feeling noticeably more energetic in morning but crashing later in the afternoon.
11/16/17
TT. (Blood spot test)
286 400-1200ng/dL
FT. (This was a saliva test so not putting too much trust in it)
163 44-148 pg/mL
12/08/17
TESTOSTERONE 362 ng/dL 241 - 827 ng/dL
SEX HORMONE BINDING GLOBULIN 26.9 nmol/L 17.3 - 65.8 nmol/L
TESTOSTERONE, FREE 8.2 ng/dL 2.0 - 13.5 ng/dL
TESTOSTERONE, % FREE 2.3 % 1.5 - 3.2 %
TESTOSTERONE, BIOAVAILABLE 191.0 ng/dL 48.0 - 317.0 ng/dL
TESTOSTERONE, % BIOAVAILABLE 52.8 % 34.5 - 75.3 %
FSH 2.9 mIU/mL mIU/mL
TSH HIGH SENSITIVITY 1.510 uIU/mL 0.350 - 5.500 uIU/mL
FREE T4 1.3 ng/dL 0.8 - 1.7 ng/dL
LH 2.7 mIU/mL 2.0 - 12.0 mIU/mL
CBC
WBC 4.9 103/uL 4.0 - 10.0 103/uL
RBC 5.20 106/uL 4.10 - 5.70 106/uL
HEMOGLOBIN 15.1 g/dL 13.0 - 17.0 g/dL
HEMATOCRIT 44.9 % 39.0 - 51.0 %
MCV 86.3 fL 80.0 - 100.0 fL
MCH 29.1 pg 26.0 - 34.0 pg
MCHC 33.7 g/dL 30.0 - 36.0 g/dL
PLATELETS 170 103/uL 150 - 450 103/uL
MPV 8.9 fL 7.0 - 11.0 fL
RDW 13.0 % 12.0 - 16.0 %
NEUTROPHILS RELATIVE 52 % %
LYMPHOCYTES RELATIVE 37 % %
MONOCYTES RELATIVE 9 % %
EOSINOPHILS RELATIVE 2 % %
BASOPHILS RELATIVE 0 % %
NEUTROPHILS ABSOLUTE 2.6 103/uL 1.7 - 6.4 103/uL
LYMPHOCYTES ABSOLUTE 1.8 103/uL 1.0 - 3.5 103/uL
MONOCYTE ABSOLUTE 0.4 103/uL 0.1 - 0.8 103/uL
EOSINOPHILS ABSOLUTE 0.1 103/uL 0.0 - 0.4 103/uL
BASOPHILS ABSOLUTE 0.0 103/uL 0.0 - 0.2 103/uL
NRBC 0.1 /100 WBCs <1.0 /100 WBCs
Metabolic panel
SODIUM 142 mmol/L 134 - 146 mmol/L
POTASSIUM 4.5 mmol/L 3.5 - 5.2 mmol/L
CHLORIDE 106 mmol/L 98 - 110 mmol/L
CO2 27 mmol/L 21 - 32 mmol/L
ANION GAP 9 mmol/L 3 - 11 mmol/L
BUN 14 mg/dL 8 - 26 mg/dL
CREATININE 1.15 mg/dL 0.60 - 1.40 mg/dL
EGFR >60 mL/min/1.73m2 >60 mL/min/1.73m2
BUN / CREAT RATIO 12.2 7.0 - 28.0
CALCIUM 9.0 mg/dL 8.4 - 10.3 mg/dL
PROTEIN TOTAL, SERUM 7.0 g/dL 6.3 - 8.5 g/dL
ALBUMIN 4.4 g/dL 3.7 - 5.0 g/dL
GLOBULIN 2.6 g/dL 2.0 - 4.1 g/dL
A/G RATIO 1.7 1.1 - 2.1
TOTAL BILIRUBIN 0.5 mg/dL <1.4 mg/dL
AST 19 U/L <50 U/L
ALT 16 U/L <50 U/L
ALK PHOS 47 U/L <135 U/L
GLUCOSE 92 mg/dL 75 - 99 mg/dL
12/26/17
|TESTOSTERONE|380 ng/dL|241 - 827 ng/dL|
|SEX HORMONE BINDING GLOBULIN|17.8 nmol/L|17.3 - 65.8 nmol/L|
|TESTOSTERONE, FREE|10.4 ng/dL|2.0 - 13.5 ng/dL|
|TESTOSTERONE, % FREE|2.7 %|1.5 - 3.2 %|
|TESTOSTERONE, BIOAVAILABLE|243.9 ng/dL|48.0 - 317.0 ng/dL|
|TESTOSTERONE, % BIOAVAILABLE|64.2 %|34.5 - 75.3 %|
ESTRADIOL <19 pg/mL 12 - 41 pg/mL
PROLACTIN 11.8 ng/mL 2.1 - 18.0 ng/mL
T3FREE 3.3 pg/mL 2.3 - 4.2 pg/mL
I’ve noticed a definite fluctuation in how I feel over month long time frames for the last several years. I’ll go for a couple months feeling great, gaining muscle/strength and then wind down to feeling classic low T symptoms. It seems to have gotten more extreme recently. 9 months ago I performed hydrostatic testing multiple times over 4 months, gained 28lbs of muscle and lost 2 lbs of fat during it (don’t see how that is possible without high test…) after that I lost most of the progress I had made and took the tests listed above.
I’ve read Hashimotos is a possible cause of this fluctuation.
Plan to request the following tests, please list any additional recommended. Will post once provided
TT
Ft
E2
TSH
FSH
fT4/3
rT3