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<blockquote data-quote="tbone182" data-source="post: 12770" data-attributes="member: 2581">Hello, lets start off by saying I was on TRT for 1 year and 9 months. at 110mg weekly split into two injections. Never took anything for estrogen.&nbsp; My doctor is willing to prescribe me Phizer Test cyp but has no idea about it or how to monitor it.&nbsp;&nbsp; Before coming on TRT my test level was at 12 between the 8.5 - 38 nmol so was told it was at the low end of normal. I was having anxiety lack of energy weak erections and so on. So I pushed my doctor to prescribe it to me.&nbsp; After a year and 9 months I got my cholesterol checked and it was threw the roof. My creatinine level was 120 and my EGFR was low at 60. so my doctor told me to come off the test.&nbsp; So my PCT was HCG first dose was at 2500IU then EOD after that was at 500IU this went on for 3 weeks.&nbsp; after stopping HCG i waited 3 days then started Tamoxifen at 40mg EDfor 2 weeks followed by 20mgED for 2 weeks.&nbsp; I&#039;m now off everything and I have no sex drive, no erections, I&#039;m weak I feel like shit. I&#039;m having chest pains also having bad anxiety at night.&nbsp; Just had my blood work come back for testosterone, saw my doctor again today to say hey look at how low my test levels are now and he said well thats because u came off the test, you have to wait awhile for it to come back.. so I&#039;m suppose to get my levels checked again in a month to see if it has gone up..Is this doctor stupid or is he giving me the write advice? Should I be going back on TRT????&nbsp; PLEASE HELP !!!&nbsp; look at my blood work below.[TABLE=&quot;class: Tbl_Result, width: 732&quot;][TR=&quot;class: Tbl_Result_SubHeader_Row, bgcolor: #E9E9E9&quot;][TD=&quot;class: Tbl_Result_SubHeader_Column, colspan: 6&quot;]Hematology[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, colspan: 2&quot;]WBC[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]5.8[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]4.0 - 11.0[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]10*9/L[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]RBC[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]5.78[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]4.30 - 5.90[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]10*12/L[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]Hemoglobin[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]175[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]135 - 180[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]g/L[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]Hematocrit[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]0.52[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]0.41 - 0.52[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]L/L[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]MCV[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]89[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]80 - 100[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]fL[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]MCH[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]30.3[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]27.0 - 34.0[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]pg[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]MCHC[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]340[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]323 - 365[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]g/L[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]Platelet Count[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]217[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]150 - 400[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]10*9/L[/TD][/TR][TR][TD=&quot;class: Tbl_Result_Item_Column, colspan: 6&quot;]Differential[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]Neutrophils[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]2.4[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]2.0 - 8.0[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]10*9/L[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]Lymphocytes[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]2.8[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]1.0 - 4.0[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]10*9/L[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]Monocytes[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]0.5[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]&lt; 0.9[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]10*9/L[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]Eosinophils[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]0.2[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]&lt; 0.8[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]10*9/L[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]Basophils[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]0.0[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]&lt; 0.3[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]10*9/L[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]Granulocytes Immature[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]0.0[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]&lt; 0.2[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]10*9/L[/TD][/TR][TR=&quot;class: Tbl_Result_SubHeader_Row, bgcolor: #E9E9E9&quot;][TD=&quot;class: Tbl_Result_SubHeader_Column, colspan: 6&quot;]General Chemistry[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]Creatinine[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;]H[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]120[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]45 - 110[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]umol/L[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]Estimated GFR[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]61[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]&gt; 59[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]mL/min/1.73sq.m[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 300px, colspan: 3&quot;] [/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 300px, colspan: 3&quot;]Note: eGFR based on serum creatinine, age and gender. Thisresult within reference interval. Diet, drugs andclinical state may also affect: see<a href="http://www.healthservices.gov.bc.ca/msp/protoguides/gps/ckd.pdf" target="_blank">www.healthservices.gov.bc.ca/msp/protoguides/gps/ckd.pdf</a>[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]ALT[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]30[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]&lt; 50[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]U/L[/TD][/TR][TR=&quot;class: Tbl_Result_SubHeader_Row, bgcolor: #E9E9E9&quot;][TD=&quot;class: Tbl_Result_SubHeader_Column, colspan: 6&quot;]Lipids[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]Cholesterol[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]4.68[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]2.00 - 5.20[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]mmol/L[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 300px, colspan: 3&quot;] [/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 300px, colspan: 3&quot;]At risk:&gt;6.20 mmol/L[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]LDL Cholesterol[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]3.16[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]1.50 - 3.40[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]mmol/L[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 300px, colspan: 3&quot;] [/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 300px, colspan: 3&quot;]The optimal LDL cholesterol level for intermediateand high risk individuals is &lt;=2.00 mmol/L. Iftriglycerides are &gt;=1.50 mmol/L, considermonitoring of alternate lipid targets non-HDLcholesterol or apoB. For low risk individuals withLDL cholesterol &gt;=5.00 mmol/L, target a reductionof LDL cholesterol &gt;=50 percent. See Can J Cardiol2013 vol 29 pages 151 to 167.[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]HDL Cholesterol[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;]L[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]0.91[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]&gt; 0.99[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]mmol/L[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]Non HDL Cholesterol[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]3.77[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]mmol/L[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 300px, colspan: 3&quot;] [/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 300px, colspan: 3&quot;]Non-HDL cholesterol is calculated from totalcholesterol and HDL-C and is not affected by thefasting status of the patient. The optimal nonHDL-cholesterol level for intermediate and highrisk individuals is &lt;=2.60 mmol/L. See Can JCardiol 2013 vol 29 pages 151 to 167.[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]Triglycerides[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]1.35[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]&lt; 2.21[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]mmol/L[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]- Hours After Meal[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]12.5[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]h pc[TABLE=&quot;class: Tbl_Result, width: 732&quot;][TR=&quot;class: Tbl_Result_SubHeader_Row, bgcolor: #E9E9E9&quot;][TD=&quot;class: Tbl_Result_SubHeader_Column, colspan: 6&quot;]Reproductive and Gonadal[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, colspan: 2&quot;]Testosterone[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;]L[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]3.40The reference interval shown is specific to the patient&#039;s age category and this testosterone method (mass spectrometry). The Endocrine Society Practice Guideline advises that hypogonadal symptoms may be seen in men whose testosterone is less than 10.4 nmo/L. See Bhasin et al. JCEM 2010 95: 2536 to 2559.Performed by Liquid Chromatography and Tandem Mass Spectrometry at St. Paul&#039;s Hospital. Method is traceable to National Institute of Standards SRM 971 standardized reference material.[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]8.14-38.28[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]nmol/L[/TD][/TR][TR=&quot;class: Tbl_Result_Item_Row&quot;][TD=&quot;class: Tbl_Result_Item_Column, width: 200px, colspan: 2&quot;]Testosterone Bioavailable Calculated[/TD][TD=&quot;class: Tbl_Result_Item_Column_Right, width: 100px, align: right&quot;][/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]Calculated bioavailable testosterone cancelled as it is unlikely to provide new information. When total testosterone is above 10.00 nmol/L, calculated bioavailable testosterone will be normal or high more than 99% of the time. When total testosterone is below 4.00 nmol/L, calculated bioavailable testosterone will be low more than 99% of the time.[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]4.0-15.0[/TD][TD=&quot;class: Tbl_Result_Item_Column, width: 100px&quot;]nmol/L[/TD][/TR][/TABLE][/TD][/TR][/TABLE]</blockquote>

[QUOTE="tbone182, post: 12770, member: 2581"] Hello, lets start off by saying I was on TRT for 1 year and 9 months. at 110mg weekly split into two injections. Never took anything for estrogen. My doctor is willing to prescribe me Phizer Test cyp but has no idea about it or how to monitor it. Before coming on TRT my test level was at 12 between the 8.5 - 38 nmol so was told it was at the low end of normal. I was having anxiety lack of energy weak erections and so on. So I pushed my doctor to prescribe it to me. After a year and 9 months I got my cholesterol checked and it was threw the roof. My creatinine level was 120 and my EGFR was low at 60. so my doctor told me to come off the test. So my PCT was HCG first dose was at 2500IU then EOD after that was at 500IU this went on for 3 weeks. after stopping HCG i waited 3 days then started Tamoxifen at 40mg ED for 2 weeks followed by 20mgED for 2 weeks. I'm now off everything and I have no sex drive, no erections, I'm weak I feel like shit. I'm having chest pains also having bad anxiety at night. Just had my blood work come back for testosterone, saw my doctor again today to say hey look at how low my test levels are now and he said well thats because u came off the test, you have to wait awhile for it to come back.. so I'm suppose to get my levels checked again in a month to see if it has gone up.. Is this doctor stupid or is he giving me the write advice? Should I be going back on TRT???? PLEASE HELP !!! look at my blood work below. [TABLE="class: Tbl_Result, width: 732"] [TR="class: Tbl_Result_SubHeader_Row, bgcolor: #E9E9E9"] [TD="class: Tbl_Result_SubHeader_Column, colspan: 6"]Hematology[/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, colspan: 2"]WBC [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]5.8 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]4.0 - 11.0 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]10*9/L [/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]RBC [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]5.78 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]4.30 - 5.90 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]10*12/L [/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]Hemoglobin [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]175 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]135 - 180 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]g/L [/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]Hematocrit [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]0.52 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]0.41 - 0.52 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]L/L [/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]MCV [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]89 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]80 - 100 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]fL [/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]MCH [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]30.3 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]27.0 - 34.0 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]pg [/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]MCHC [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]340 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]323 - 365 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]g/L [/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]Platelet Count [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]217 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]150 - 400 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]10*9/L [/TD] [/TR] [TR] [TD="class: Tbl_Result_Item_Column, colspan: 6"]Differential[/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]Neutrophils [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]2.4 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]2.0 - 8.0 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]10*9/L [/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]Lymphocytes [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]2.8 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]1.0 - 4.0 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]10*9/L [/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]Monocytes [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]0.5 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]< 0.9 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]10*9/L [/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]Eosinophils [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]0.2 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]< 0.8 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]10*9/L [/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]Basophils [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]0.0 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]< 0.3 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]10*9/L [/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]Granulocytes Immature [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]0.0 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]< 0.2 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]10*9/L [/TD] [/TR] [TR="class: Tbl_Result_SubHeader_Row, bgcolor: #E9E9E9"] [TD="class: Tbl_Result_SubHeader_Column, colspan: 6"]General Chemistry[/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]Creatinine [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"]H [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]120 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]45 - 110 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]umol/L [/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]Estimated GFR [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]61 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]> 59 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]mL/min/1.73sq.m [/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 300px, colspan: 3"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 300px, colspan: 3"]Note: eGFR based on serum creatinine, age and gender. This result within reference interval. Diet, drugs and clinical state may also affect: see [url]www.healthservices.gov.bc.ca/msp/protoguides/gps/ckd.pdf[/url][/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]ALT [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]30 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]< 50 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]U/L [/TD] [/TR] [TR="class: Tbl_Result_SubHeader_Row, bgcolor: #E9E9E9"] [TD="class: Tbl_Result_SubHeader_Column, colspan: 6"]Lipids[/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]Cholesterol [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]4.68 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]2.00 - 5.20 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]mmol/L [/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 300px, colspan: 3"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 300px, colspan: 3"]At risk:>6.20 mmol/L[/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]LDL Cholesterol [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]3.16 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]1.50 - 3.40 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]mmol/L [/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 300px, colspan: 3"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 300px, colspan: 3"]The optimal LDL cholesterol level for intermediate and high risk individuals is <=2.00 mmol/L. If triglycerides are >=1.50 mmol/L, consider monitoring of alternate lipid targets non-HDL cholesterol or apoB. For low risk individuals with LDL cholesterol >=5.00 mmol/L, target a reduction of LDL cholesterol >=50 percent. See Can J Cardiol 2013 vol 29 pages 151 to 167.[/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]HDL Cholesterol [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"]L [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]0.91 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]> 0.99 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]mmol/L [/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]Non HDL Cholesterol [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]3.77 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]mmol/L [/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 300px, colspan: 3"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 300px, colspan: 3"]Non-HDL cholesterol is calculated from total cholesterol and HDL-C and is not affected by the fasting status of the patient. The optimal non HDL-cholesterol level for intermediate and high risk individuals is <=2.60 mmol/L. See Can J Cardiol 2013 vol 29 pages 151 to 167.[/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]Triglycerides [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]1.35 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]< 2.21 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]mmol/L [/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]- Hours After Meal [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]12.5 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]h pc [TABLE="class: Tbl_Result, width: 732"] [TR="class: Tbl_Result_SubHeader_Row, bgcolor: #E9E9E9"] [TD="class: Tbl_Result_SubHeader_Column, colspan: 6"]Reproductive and Gonadal[/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, colspan: 2"]Testosterone [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"]L [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]3.40 The reference interval shown is specific to the patient's age category and this testosterone method (mass spectrometry). The Endocrine Society Practice Guideline advises that hypogonadal symptoms may be seen in men whose testosterone is less than 10.4 nmo/L. See Bhasin et al. JCEM 2010 95: 2536 to 2559. Performed by Liquid Chromatography and Tandem Mass Spectrometry at St. Paul's Hospital. Method is traceable to National Institute of Standards SRM 971 standardized reference material. [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]8.14-38.28 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]nmol/L [/TD] [/TR] [TR="class: Tbl_Result_Item_Row"] [TD="class: Tbl_Result_Item_Column, width: 200px, colspan: 2"]Testosterone Bioavailable Calculated [/TD] [TD="class: Tbl_Result_Item_Column_Right, width: 100px, align: right"] [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]Calculated bioavailable testosterone cancelled as it is unlikely to provide new information. When total testosterone is above 10.00 nmol/L, calculated bioavailable testosterone will be normal or high more than 99% of the time. When total testosterone is below 4.00 nmol/L, calculated bioavailable testosterone will be low more than 99% of the time. [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]4.0-15.0 [/TD] [TD="class: Tbl_Result_Item_Column, width: 100px"]nmol/L [/TD] [/TR] [/TABLE] [/TD] [/TR] [/TABLE] [/QUOTE]

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