Blood Analysis Comments

Gene, here are my levels with ref. ranges.
Glucose, 86, range 74-118
BUN, 11, range 8-20
Albumin, 4.2, range 3.5-4.8
Calcium, 9.3, range 8.9-10.3
Calcium Corr, 9.1, range 8.8-10.5
Phosphorus, 3.1, range 2.4-4.7
Sodium, 138, range 136-144
Potassium, 3.9, range 3.6-5.1
Chloride, 101, range 101-111
CO2, 28, range 22-32
AGAP, 9, range 3-15
Creatine, 0.9, range 0.7-1.4
BUN/Creatine Ration, 12
Osmolality, 285, range 275-295
Cholesterol, 177, range 0-200
Triglyceride, 120, range 0-150
HDL, 30, range 27-67
LDL, 123, range 0-100
LDL/HDL ration, 4.1, range 0-3
Cholesterol/HDL Ratio, 5.90
Cortisol, 12.2
FSH, 4.1
Luteinizing Hormone, 4.7
Prolactin, 10.84, range 2.60-13.10
T4 Free, 0.93, range 0.71-1.85
HgB A1c, 5.4, range 4.6-6.2
Glucose Est Avg, 108
Testosterone Total, 309, range 250-1100
Testosterone Free, 51.0, range 35-155

So there ya go!
 
Gene, here are my levels with ref. ranges.
Glucose, 86, range 74-118
BUN, 11, range 8-20
Albumin, 4.2, range 3.5-4.8
Calcium, 9.3, range 8.9-10.3
Calcium Corr, 9.1, range 8.8-10.5
Phosphorus, 3.1, range 2.4-4.7
Sodium, 138, range 136-144
Potassium, 3.9, range 3.6-5.1
Chloride, 101, range 101-111
CO2, 28, range 22-32
AGAP, 9, range 3-15
Creatine, 0.9, range 0.7-1.4
BUN/Creatine Ration, 12
Osmolality, 285, range 275-295
Cholesterol, 177, range 0-200
Triglyceride, 120, range 0-150
HDL, 30, range 27-67
LDL, 123, range 0-100
LDL/HDL ration, 4.1, range 0-3
Cholesterol/HDL Ratio, 5.90
Cortisol, 12.2
FSH, 4.1
Luteinizing Hormone, 4.7
Prolactin, 10.84, range 2.60-13.10
T4 Free, 0.93, range 0.71-1.85
HgB A1c, 5.4, range 4.6-6.2
Glucose Est Avg, 108
Testosterone Total, 309, range 250-1100
Testosterone Free, 51.0, range 35-155

So there ya go!

Let me start off by saying this thread has been somewhat hijacked BUT since Clint and tmckenzie have similar cases I will allow it for the sake of sharing information that can help you both.

In my personal opinion, the slightly elevated prolactin combined with low Testosterone serum levels could be one of the causes of your low libido...but why and what's causing it?

But you are missing some critical labs. Did they test estrogen on this pull? I would have also liked to have seen SHBG as well as DHT if your Doc knows that you libido is very low to nonexistent.

Free T4 is within range but not optimal. I would have liked to seen a full Thyroid panel run to rule out Hypothyroidism which has many of the same symptoms of Hypogonadism and yes, low libido in one of the key symptoms. You need TSH, FT3, RT3 and anitbodies at a minimum to get a better idea of thyroid health.

Can you add the range for your Cortisol assay; this will help in looking at adrenal health.

There's a lot missing here from a hormonal perspective to draw any decent assessment.

But clearly, low Testosterone serum level, slightly elevated Prolactin and missing labs like SHBG, the male estrongen and more thyroid labs would help draw a better more precise picture.
 
Gene, the report did not list a range for the Cortisol. I wished I knew more about the labs before he pulled them. The endo was supposed to be an expert and know what he was doing but it seems he missed some things based on your post.

And sorry this has become hijacked, just needing help and answers.
 
I'm on TRT now but my Dr isn't trained on it at all..... I need to do new labs to see where I'm at ....do we have a list of things to give them to check?
I paid for a one hour one on one with Vergel Nelson but haven't heard from him yet.
 
Clint

What are your symptoms?

Your HDL is really low. Your testosterone is also on the low side. I do not believe your prolactin is something to worry about.
 
I'm on TRT now but my Dr isn't trained on it at all..... I need to do new labs to see where I'm at ....do we have a list of things to give them to check?
I paid for a one hour, one on one with Nelson Vergel but haven't been able to talk to him yet.
 

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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