Blood Work Interpretation Help

[Chipusa15]

Hi guys, please see below. Any help with the interpretation would be appreciated. Thanks.

ALT (SGPT) Value = 32 IU/L Ref Range = 0-44

AST (SGOT) Value = 22IU/L Ref Range = 0-40

Cortisol AM Value = 7.1ug/dl Ref Range = 6.2 -19.4

Hemoglobin Value = 12.8g/dl. Ref Range = 12.6 - 17.7

Hematocrit Value = 37.7%. Ref Range = 37.5 - 51

Insulin Growth Factor I Value = 122ng/ml. Ref Range = 67-205

TSH Value = 1.580uIU/mL Ref Range = 0.450 - 4.500

T4, Free (Direct) Value = 0.99ng/dL Ref Range = 0.82 - 1.77

 

[Nelson Vergel]

All looks pretty good. Are you on testosterone?
AM Cortisol could use a little boost. Good sleep can do that.

 

[CoastWatcher]

Welcome to Excelmale. Can you provide some context for these values? What caused you to ask for them? How old are you? What else are you taking (medications and supplements)? The more information you provide, the more engaged the Diacussion will be.

 

[Chipusa15]

All looks pretty good. Are you on testosterone?
AM Cortisol could use a little boost. Good sleep can do that.

Yes, I am on 2 pumps a day of Androgel, my endo says the testosterone is still low and the cortisol is fine?

 

[ERO]

What are your Total and Free T levels? Many guys never achieve decent T levels on topicals and end up switching to twice weekly injections.

 

[Vince Carter]

Hi guys, please see below. Any help with the interpretation would be appreciated. Thanks.

ALT (SGPT) Value = 32 IU/L Ref Range = 0-44

AST (SGOT) Value = 22IU/L Ref Range = 0-40

Cortisol AM Value = 7.1ug/dl Ref Range = 6.2 -19.4

Hemoglobin Value = 12.8g/dl. Ref Range = 12.6 - 17.7

Hematocrit Value = 37.7%. Ref Range = 37.5 - 51

Insulin Growth Factor I Value = 122ng/ml. Ref Range = 67-205

TSH Value = 1.580uIU/mL Ref Range = 0.450 - 4.500

T4, Free (Direct) Value = 0.99ng/dL Ref Range = 0.82 - 1.77

My interpretation...it's incomplete. Totally incomplete. That's all you have? TT? FT? Estradiol LC/MS/MS? SHBG? et al..,

 

[CoastWatcher]

Yes, I am on 2 pumps a day of Androgel, my endo says the testosterone is still low and the cortisol is fine?

What IS your testosterone? You didn't include it.

 

[Vettester Chris]

Like noted above, this lab presentation is totally incomplete! An AM Cortisol serum lab isn't going to give you a true picture .. Need 4x cortisol saliva kit w/ DHEA correlation, + ACTH. FT4 is the bottom 20% of it's reference range, and the TSH marker looks pretty good. This is WHY gauging the thyroid productivity based on TSH is a waste. You need Free T3, Free T3 (check), Reverse T3, TSH (Check) and Antibodies (TPO & TgAb).

I don't want to sound like a "basher", but when I see the labs you HAVE, and comments that the "Endo" thinks cortisol is "fine", I really don't have any faith that this guy has the ability to get you dialed in. FYI, morning cortisol should be at the very TOP of the reference range in the AM (85% - 95%), then more mid-range of the reference intervals throughout the 24 schedule.

 

[Sean Mosher]

I definitely agree with the post above that an Endo is probably not going to be your best solution.
Have you considered possibly transferring to a TRT specialist?

I personally am with PrimeBody and know they can help you get dialed in!

 

[Chipusa15]

I definitely agree with the post above that an Endo is probably not going to be your best solution.
Have you considered possibly transferring to a TRT specialist?

I personally am with PrimeBody and know they can help you get dialed in!

Guys, my wonderful endo just got back to me with my total testosteron and free testosteron results:

Total = 190, ref 348 to 1197
Free = 3.2, ref 6.8 to 21.5

All thoughts and opinions are appreciated.

Thanks.

 

[davidrn]

I have an issue with Hypothyroidism, (your TSH is a little high), and tried AndroGel, my TT went down from 300 to 200. In many cases we hear about those trying gel and it not working, (related to poor absorption,) and they end up going on injectables. If your MD isn't concerned about the drop in TT, time to find an appropriate TRT doc.

 

[CoastWatcher]

Guys, my wonderful endo just got back to me with my total testosteron and free testosteron results:

Total = 190, ref 348 to 1197
Free = 3.2, ref 6.8 to 21.5

All thoughts and opinions are appreciated.

Thanks.

Well, you wrote that you are on Androgel but you are still clearly hypogonadal. For many, many men, topical testosterone is an utter failure (it certainly was for me). You could increase your Androgel doseage, or you can move to injections. But before you do anything, there are still outstanding issues.

Your labwork is incomplete. What is your estradiol, measured via the sensitive (LC,MS/MS) test? Your SHBG? Thyroid - t3, rt3, and antibodies? Lots of data still to gather to plot the way ahead. Your hematocrit and hemoglobin are at the low end of the scale; how old are you? Is occult blood loss a possibility?

 

[davidrn]

Beyond age, other medications can also effect the H&H. I no longer have to do therapeutic phlebotomy myself, since I take Methotrexate and it decreases my blood levels. So, further info can be quite involved, besides labs, age, weight, fat%, general health (or diseases), diet, exercise, stress, where does it stop? A good MD can ask the right questions, and with specific answers go further and explore the real issues, which might not even be hormonal.