Just got test results from LabCorp - Someone break it down please

Here it is... Primary concern is with my Lipid Panel. I started a keto lifestyle about 2 months ago due to my LDL levels and it doesn't look like it's improved... The report is telling me to start on statins... I do not want to do this. Also looks as if my estrogen is elevated...

CBC With Differential/Platelet

WBC 5.5 x10E3/uL 3.4 - 10.8 01
RBC 5.23 x10E6/uL 4.14 - 5.80 01
Hemoglobin 16.5 g/dL 12.6 - 17.7 01
Hematocrit 48.7 % 37.5 - 51.0 01
MCV 93 fL 79 - 97 01
MCH 31.5 pg 26.6 - 33.0 01
MCHC 33.9 g/dL 31.5 - 35.7 01
RDW 14.0 % 12.3 - 15.4 01
Platelets 195 x10E3/uL 150 - 379 01
Neutrophils 53 % 01
Lymphs 35 % 01
Monocytes 9 % 01
Eos 2 % 01
Basos 1 % 01
Neutrophils (Absolute) 3.0 x10E3/uL 1.4 - 7.0 01
Lymphs (Absolute) 1.9 x10E3/uL 0.7 - 3.1 01
Monocytes(Absolute) 0.5 x10E3/uL 0.1 - 0.9 01
Eos (Absolute) 0.1 x10E3/uL 0.0 - 0.4 01
Baso (Absolute) 0.0 x10E3/uL 0.0 - 0.2 01
Immature Granulocytes 0 % 01
Immature Grans (Abs) 0.0 x10E3/uL 0.0 - 0.1 01

Comp. Metabolic Panel (14)

Glucose, Serum 72 mg/dL 65 - 99 01
BUN 19 mg/dL 6 - 24 01
Creatinine, Serum 1.22 mg/dL 0.76 - 1.27 01
eGFR If NonAfricn Am 74 mL/min/1.73 >59
eGFR If Africn Am 85 mL/min/1.73 >59
BUN/Creatinine Ratio 16 9 - 20
Sodium, Serum 138 mmol/L 134 - 144 01
Potassium, Serum 4.4 mmol/L 3.5 - 5.2 01
Chloride, Serum 98 mmol/L 97 - 108 01
Carbon Dioxide, Total 23 mmol/L 18 - 29 01
Calcium, Serum 9.2 mg/dL 8.7 - 10.2 01
Protein, Total, Serum 6.7 g/dL 6.0 - 8.5 01
Albumin, Serum 4.5 g/dL 3.5 - 5.5 01
Globulin, Total 2.2 g/dL 1.5 - 4.5
A/G Ratio 2.0 1.1 - 2.5
Bilirubin, Total 0.6 mg/dL 0.0 - 1.2 01
Alkaline Phosphatase, S 42 IU/L 39 - 117 01
AST (SGOT) 29 IU/L 0 - 40 01
ALT (SGPT) 35 IU/L 0 - 44 01

Lipid Panel w/ Chol/HDL Ratio

Cholesterol, Total 292 High mg/dL 100 - 199 01
Triglycerides 68 mg/dL 0 - 149 01
HDL Cholesterol 56 mg/dL >39 01
Comment 01
According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a
negative risk factor for CHD.
VLDL Cholesterol Cal 14 mg/dL 5 - 40
LDL Cholesterol Calc 222 High mg/dL 0 - 99
Comment:
Possible Familial Hypercholesterolemia. FH should be suspected when
fasting LDL cholesterol is above 189 mg/dL or non-HDL cholesterol
is above 219 mg/dL. A family history of high cholesterol and heart
disease in 1st degree relatives should be collected. J Clin Lipidol
2011;5:133-140
T. Chol/HDL Ratio 5.2 High ratio units 0.0 - 5.0
Please Note: 01
T. Chol/HDL Ratio
Men Women
1/2 Avg.Risk 3.4 3.3
Avg.Risk 5.0 4.4
2X Avg.Risk 9.6 7.1
3X Avg.Risk 23.4 11.0

Testosterone,Free and Total

Testosterone, Serum 851 ng/dL 348 - 1197 01
Comment:
Adult male reference interval is based on a population of lean males
up to 40 years old.
Free Testosterone(Direct) 22.2 High pg/mL 6.8 - 21.5 02

DHEA-Sulfate 421.0 High ug/dL 102.6 - 416.3 01

TSH 1.040 uIU/mL 0.450 - 4.500 01

Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum 0.7 ng/mL 0.0 - 4.0 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.

Estradiol, Sensitive 56.2 High pg/mL 8.0 - 35.0 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)

Triiodothyronine,Free,Serum 2.9 pg/mL 2.0 - 4.4 01

sometimes poor lipids are genetic, I agree and would stay away from statins if you drink alcohol or pop I would cut that out or once in a great while kinda thing.
your DHEA is a little high which can convert into estrogen do you take DHEA?

No I don't take any DHEA supps... Haven't had pop or soda for well over a year and rarely drink.

We did just get back from Florida trip where I did have vodka a few times as that seems to be the go to for drinks when doing Keto and may have indulged in some forbidden food here and there but nothing major. My labs were done about 2 weeks after getting back and my normal eating continued...

Also I am in the process of dropping weight. I've lost probably 25lbs and still losing.. I've read this can play a part in elevated LDL, not sure how true that is...

Because of your high LDL, you should consider getting a complete lipid panel. With all your particle size and amounts.

Vince said:

Because of your high LDL, you should consider getting a complete lipid panel. With all your particle size and amounts.

Click to expand...

I had this once before and it was my small particle size that was bad.. I know, not good... How much does that test cost from Labcorp?

I don't know, I use Cleveland Heart Clinic for lipid panel and inflammatory markers.

http://www.knowyourrisk.com/
Know Your Risk Program™ Cleveland HeartLab offers the Know Your Risk Program™ which provides individuals access to testing that, in addition to standard cholesterol testing, provides additional insight into your risk for heart attack or stroke.

Whether you are referred from your doctor, your Corporate Wellness Program or initiating testing on your own to get started or for additional information please call Customer Support at 1-866-358-9828. (Please note: some states require a referral from a doctor).
[h=5]The 4 easy steps in Getting Tested.[/b]Call Cleveland HeartLab Customer Support at 866-358-9828 and let them know you'd like to participate in the Know Your Risk Program™
Choose the test profile, sample collection, and draw option that best suits your needs.
Choose a test reporting method.
Provide payment via credit card.

When initiating testing on your own or through a Corporate Wellness Program we recommend working with your doctor to develop a personalized treatment plan based on your results.

Vince said:

I don't know, I use Cleveland Heart Clinic for lipid panel and inflammatory markers.

Click to expand...

Ok, I've got a follow up with Dr. Crisler on the 28th.. Should I just discuss with him.. I told him my concerns 6 weeks ago when I started with Defy and he said my markers would improve with losing weight, which I have so far, 25lbs...

shan1784

Your blood values and organ functions are great. Even your lipids are good (do not worry about the LDL, your HDL compensates )

Some will tell you to bring your estradiol down but I would not do so unless you have tender nipples.

Congrats.

I would not be concerned with your E2 level unless you have high E2 symptoms as Nelson just stated above.

shan1784 said:

Ok, I've got a follow up with Dr. Crisler on the 28th.. Should I just discuss with him.. I told him my concerns 6 weeks ago when I started with Defy and he said my markers would improve with losing weight, which I have so far, 25lbs...

Click to expand...

Discuss this with your doctors at Defy - I see no reason to panic.

Thank you everyone for the replys.. Feeling a little better... I started doing keto trying to help my LDL issue and seeing the numbers only increase is a bit frustrating... Like I told my wife, it makes no sense that with the TRT going so well and keto melting bodyfat off me as well as being as active as I am and feeling as good as I am at 40 years of age I'm in the best shape life yet it's just these numbers that say otherwise. I'll talk with Dr. Crisler and maybe start shopping around for a different primary care doc to maybe look further into my blood gunk... No statins though, I will make that clear going in.

I've always had higher LDL, ever since I can remember. So I guess it's just typical for me... I am going to look at changing my fat consumption to see if I can make a difference there... We will see...

As for as my E goes, no nipple sensitivity that I've noticed, but water retention has in the past and continues to be a big issue.. My weight can swing wildly due to water retention. Not sure if this is related to high E, thought I read somewhere that it can be. Acne has been on ongoing issue as well.. Been using L-carnitine and B5 along with with a Benzo body wash... It's helped with the little pimples but the bigger ones still popup...