My Discounted Labs Results.......Please chime in :) Thanks!

I'm a 45YO white male. 6'1" 200#



Ordered Items

CBC With Differential/Platelet; Comp. Metabolic Panel (14); Lipid Panel w/ Chol/HDL Ratio; FSH and LH; Testosterone, Free+Total

LC/MS; Dihydrotestosterone; Thyroxine (T4) Free, Direct, S; DHEA-Sulfate; TSH; Prostate-Specific Ag, Serum; Estradiol, Sensitive;

Triiodothyronine,Free,Serum; Venipuncture



TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB

CBC With Differential/Platelet

WBC 9.5 x10E3/uL 3.4 - 10.8 01

RBC 4.72 x10E6/uL 4.14 - 5.80 01

Hemoglobin 15.7 g/dL 12.6 - 17.7 01

Hematocrit 45.0 % 37.5 - 51.0 01

MCV 95 fL 79 - 97 01

MCH 33.3 High pg 26.6 - 33.0 01

MCHC 34.9 g/dL 31.5 - 35.7 01

RDW 13.3 % 12.3 - 15.4 01

Platelets 260 x10E3/uL 150 - 379 01

Neutrophils 66 % 01

Lymphs 23 % 01

Monocytes 7 % 01

Eos 4 % 01

Basos 0 % 01

Neutrophils (Absolute) 6.3 x10E3/uL 1.4 - 7.0 01

Lymphs (Absolute) 2.2 x10E3/uL 0.7 - 3.1 01

Monocytes(Absolute) 0.7 x10E3/uL 0.1 - 0.9 01

Eos (Absolute) 0.3 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 79 mg/dL 65 - 99 01

BUN 17 mg/dL 6 - 24 01

Creatinine, Serum 0.92 mg/dL 0.76 - 1.27 01

eGFR If NonAfricn Am 100 mL/min/1.73 >59

eGFR If Africn Am 116 mL/min/1.73 >59








Specimen ID: 013-363-0659-0

DOB: 12/18/1971 Date collected: 01/13/2017 0825 Local



TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB

BUN/Creatinine Ratio 18 9 - 20

Sodium, Serum 138 mmol/L 134 - 144 01

Potassium, Serum 4.5 mmol/L 3.5 - 5.2 01

Chloride, Serum 97 mmol/L 96 - 106 01

Carbon Dioxide, Total 21 mmol/L 18 - 29 01

Calcium, Serum 9.3 mg/dL 8.7 - 10.2 01

Protein, Total, Serum 6.9 g/dL 6.0 - 8.5 01

Albumin, Serum 4.4 g/dL 3.5 - 5.5 01

Globulin, Total 2.5 g/dL 1.5 - 4.5

A/G Ratio 1.8 1.1 - 2.5

Bilirubin, Total 0.6 mg/dL 0.0 - 1.2 01

Alkaline Phosphatase, S 63 IU/L 39 - 117 01

AST (SGOT) 27 IU/L 0 - 40 01

ALT (SGPT) 29 IU/L 0 - 44 01



Lipid Panel w/ Chol/HDL Ratio

Cholesterol, Total 248 High mg/dL 100 - 199 01

Triglycerides 98 mg/dL 0 - 149 01

HDL Cholesterol 38 Low mg/dL >39 01

VLDL Cholesterol Cal 20 mg/dL 5 - 40

LDL Cholesterol Calc 190 High mg/dL 0 - 99

T. Chol/HDL Ratio 6.5 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



FSH and LH

LH 6.6 mIU/mL 1.7 - 8.6 01

FSH 3.4 mIU/mL 1.5 - 12.4 01



Testosterone, Free+Total LC/MS

Testosterone, Total, LC/MS 318.7 Low ng/dL 348.0 - 1197.0 02

Adult male reference interval is based on a population of lean males

up to 40 years old.

Disclaimer: 02

This test was developed and its performance characteristics

determined by LabCorp. It has not been cleared or approved

by the Food and Drug Administration.

Free Testosterone(Direct) 11.1 pg/mL 6.8 - 21.5 02



Dihydrotestosterone 29 Low ng/dL 03

Reference Range:



All Rights Reserved - Enterprise Report Version:



qWERtyUi Patient Report



Specimen ID:

DOB: 12/18/1971 Date collected: 01/13/2017 0825 Local



TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB

Adult Male: 30 - 85



Thyroxine (T4) Free, Direct, S

T4,Free(Direct) 2.03 High ng/dL 0.82 - 1.77 01



DHEA-Sulfate 472.9 High ug/dL 71.6 - 375.4 01



TSH 1.030 uIU/mL 0.450 - 4.500 01



Prostate-Specific Ag, Serum

Prostate Specific Ag, Serum 0.4 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 12.3 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 3.5 pg/mL 2.0 - 4.4 01

You do have low testosterone and your lipid panel looks bad. Your 45 you try cleaning up your lifestyle with exercise and better diet. But you may also consider TRT. If you read a lot of treads you'll know TRT is not a cure for all and it's a lifetime commitment.

Thanks Vince. I am pretty active. Workout 3-5x a week. My only complaints are ZERO libido and a feeling of indifference in every aspect of my life. No motivation, etc. Do you notice anything else other than the low T and lipids? Thank you again.

I took out your ID #. Nothing really stands out, I'm sure other will chime. I do wonder why you have low testosterone.

What are your symptoms?

You seem to be primary hypogonadal. Total test is below range while LH is decently mid to upper range.

DHT is low end of the range, actually below, but by 1 point.

Your lipids aren't that bad IMO, LDL is largely genetic AFAIK, and your triglycerides are decent, HDL can be raised some IMO.

Overall, if you're symptomatic, I'd start TRT if I were you. Anyone who says your testosterone is fine, is out of their mind haha.

Also, E2 is rather low. <15pg/ml is associated with osteoporosis, higher mortality, and a lot of other things. Most scary of all, is low E2 symptoms, zero libido, joint pain, excessive urination, excessive thirst, anhedonia, hot flashes that itch and anxiety. Also, you just "feel" old, like you're 90.

Thanks Jon. I literally lost my libido/interest overnight....January 2015 to be exact. I used to be horny every day and could perform like I was a teenager. Then like a light switch it was gone. No desire, no drive, penis would work 70% of the time...even porn no longer interested me. Additionally I started feeling indifferent about everything. Lost my motivation at work. I became a "bare-minimum" performer which was NEVER me. I've busted my butt since high school and always gave 100%. I thought I was just depressed but I have no reasons to be....Been to my GP 4x and an endo once. They offered me TRT and/or wellbutrin. I declined both. As of now I am not on any meds, nor in the past.

I also feel like my reward system is dead.....I get little or no joy in anything. This also occurred in 2015-Jan. I truly believe I'm not depressed. Sure I have stress at work, etc but who doesn't? I have a great wife and wonderful (brats) children. I get 6-7 hours of sleep per night. Drink my bourbon 2x a week. I am a smoker (yeah I know..) Never nap during the day. And I'm guessing I'm average or slightly above "active". Fitbit tells me 8-9k steps a day at the office and my wife and I workout 4-5x a week in our home gym. We run, mountain bike and eat one crappy meal every Sunday. That's our cheat day. We typically eat clean Mon-Saturday. 2000cal or less a day.

Any input is greatly appreciated.

Lonestar71 said:

Thanks Jon. I literally lost my libido/interest overnight....January 2015 to be exact. I used to be horny every day and could perform like I was a teenager. Then like a light switch it was gone. No desire, no drive, penis would work 70% of the time...even porn no longer interested me. Additionally I started feeling indifferent about everything. Lost my motivation at work. I became a "bare-minimum" performer which was NEVER me. I've busted my butt since high school and always gave 100%. I thought I was just depressed but I have no reasons to be....Been to my GP 4x and an endo once. They offered me TRT and/or wellbutrin. I declined both. As of now I am not on any meds, nor in the past.

I also feel like my reward system is dead.....I get little or no joy in anything. This also occurred in 2015-Jan. I truly believe I'm not depressed. Sure I have stress at work, etc but who doesn't? I have a great wife and wonderful (brats) children. I get 6-7 hours of sleep per night. Drink my bourbon 2x a week. I am a smoker (yeah I know..) Never nap during the day. And I'm guessing I'm average or slightly above "active". Fitbit tells me 8-9k steps a day at the office and my wife and I workout 4-5x a week in our home gym. We run, mountain bike and eat one crappy meal every Sunday. That's our cheat day. We typically eat clean Mon-Saturday. 2000cal or less a day.

Any input is greatly appreciated.

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So essentially anhedonia. It's different than depression IMO. No appetite changes, or sleep changes, just overall feel like the volume was turned down on life.

"zero libido, joint pain, excessive urination, excessive thirst, anhedonia, hot flashes that itch and anxiety. Also, you just "feel" old, like you're 90."

You fit all of those pretty much it sounds.

The thing is, cigarettes are an AI, the strength of which I don't know, or even know if there's a way to quantify AI strength but it is there.

Whether or not it's causing your symptoms isn't known and the only way to know is to quit.

Contrary to popular belief, and to the best of my knowledge cigarettes do not decrease testosterone directly, they might even slightly raise it. I could be wrong because I haven't looked at the research in a while.

Thanks again Jon. What is AI? Also, are my "issues" a factor in/with Low-T?

Lonestar71

Your blood test values qualify you for TRT. Your estradiol will go up when you T goes up. Do you have a doctor?

Hey Nelson, I do however he is NOT an advocate of TRT despite offering it. IMO he's not experienced in this area. He also stated that simply getting more sunlight will raise my T.

Lonestar71 said:

Hey Nelson, I do however he is NOT an advocate of TRT despite offering it. IMO he's not experienced in this area. He also stated that simply getting more sunlight will raise my T.

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It could.

Probably wouldn't.

Do you know what protocol he was going to start with? Obviously you had to order your own labs for a reason, so he probably didn't order sufficient labs which certainly isn't a good sign.

I personally think a quick way to assess a doctor's knowledge or experience with TRT, is to ask them about E2. That will tell you a lot.

He offered no details on TRT aside from offering it. I won't be using him for when I make my decision on TRT. I'll use ya'lls referrals.

Lonestar71 said:

He offered no details on TRT aside from offering it. I won't be using him for when I make my decision on TRT. I'll use ya'lls referrals.

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Defy medical. I use them. Many on the site do.

It's cash only though.

What? No EBT or food stamps?!?!?!

Lonestar71 said:

What? No EBT or food stamps?!?!?!

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Huh? I don't understand lol.

Bad joke.....Defy doesn't take public assistance programs. Sorry

Lonestar71 said:

Bad joke.....Defy doesn't take public assistance programs. Sorry

Click to expand...

heh, yeah, I understand it but it was so outta left field I thought you were trying to make some political point due to what today is.

I meant no insurance basically.

Defy has great reviews and the cash policy isn't an issue. I'll reach out to them after my consult with Nelson.

John- do you think my lack of libido is Low-T driven? I'm honestly not expecting a cure-all miracle but I do want to find the root cause of it.

There are good reasons to believe your libido could be spurred by higher testosterone levels. In my own case, my pre-therapy levels were lower than yours, I had no libidinal sense, and TRT restored it. Each of us is different, good friends here at EM have found the restoration of libido to be a challenge, but you should certainly be hopeful.

Morning guys- I'm making my final decision this week on TRT. Meet with Nelson for my consult and was nothing less than impressed with his direction and knowledge.

I would like to know what ya'lls determining factors were when making the TRT commitment? I've lined out my symptoms in this thread however I'm reading several posts (and google searches) that state TRT had no positive effects and sometimes made their life worse? Any input is greatly appreciated.

Thanks