Can you help me understand my blood work?

[Netsyphen]

http://imgur.com/a/uNNtD

The link above is my blood work. From what I can tell I have pretty low T, free and total. I don't understand any of the rest of it though.

 

[Vince Carter]

check your link

 

[James]

imgur .com/a/uNNtD

The link above is my blood work. From what I can tell I have pretty low T, free and total. I don't understand any of the rest of it though.

The guys here at excelmale will help you make sense of things, but didn't your doctor explain the results to you?

 

[Netsyphen]

check your link

Remove the space between imgur and .com

The guys here at excelmale will help you make sense of things, but didn't your doctor explain the results to you?

I don't get my consult for 3 weeks. Defy is pretty booked up. Trying to understand it in the mean time.

 

[James]

Defy has nobody available to explain blood work for 3 weeks?

 

[Netsyphen]

I didn't ask, I called to get my initial consult, i've not met with any of the docs there yet. The appt. is the 2nd week of June.

 

[Nelson Vergel]

I can't open that link.

 

[Netsyphen]

I can't open that link.

I needed four posts to make an actual link. This is the 4th. Original post has been updated, this is the link, http://imgur.com/a/uNNtD

 

[CoastWatcher]

Can you tell us how old you are? Are you taking any medications/supplements? Anabolic steroid or opiate use?

 

[Netsyphen]

Can you tell us how old you are? Are you taking any medications/supplements? Anabolic steroid or opiate use?

30 yr. old. No supplements, 20mg/day Prozac. Had most of the Low T symptoms since puberty, just never figured out why or that is wasn't normal until recently.

No steroid or opiate use.

 

[Smokin Joe]

Netsyphen have you been evaluated for obstructive sleep apnea.
Our youngest son is 28 and was just diagnosed with severe apnea.
He is medium build and not over weight so we were surprised when his diagnoses came back in he severe catagory.
He is experiencing the same symptoms.
Will wait to see if cpap treatment helps before going forward with other treatments.

 

[Netsyphen]

Netsyphen have you been evaluated for obstructive sleep apnea.
Our youngest son is 28 and was just diagnosed with severe apnea.
He is medium build and not over weight so we were surprised when his diagnoses came back in he severe catagory.
He is experiencing the same symptoms.
Will wait to see if cpap treatment helps before going forward with other treatments.

I had a sleep study done a couple of years ago that came back completely normal. No adenoids or tonsils as well.

 

[Dr Justin Saya MD]

Netsyphen - you're anemic and it may be iron deficiency based on a borderline low MCV of 81. I suggest you contact my office in the morning and get an RX for some iron studies. If you get them drawn within the next week or so, the results should be available to discuss during your initial consult. Have my staff order: serum iron, TIBC, % saturation, ferritin.

More can be discussed during consult!

 

[Netsyphen]

Netsyphen - you're anemic and it may be iron deficiency based on a borderline low MCV of 81. I suggest you contact my office in the morning and get an RX for some iron studies. If you get them drawn within the next week or so, the results should be available to discuss during your initial consult. Have my staff order: serum iron, TIBC, % saturation, ferritin.

More can be discussed during consult!

I e-mailed Chelsea, she got me my last rx for lab work. Thanks for pointing this out, i'll definitely get the tests done. Should I start taking an iron/B12/Folic supplement?

 

[Dr Justin Saya MD]

I e-mailed Chelsea, she got me my last rx for lab work. Thanks for pointing this out, i'll definitely get the tests done. Should I start taking an iron/B12/Folic supplement?

No, I wouldn't start taking anything until we have the lab results and consult to discuss. If you ARE iron deficient, even more important than treating it is determining the CAUSE of the iron deficiency (sometimes occult blood loss from the GI tract...sometimes just low iron consumption/absorption...sometimes other reasons). We'll get the labs and go from there.

 

[Nelson Vergel]

I agree with Dr Saya on the low hematocrit.

Your diet also has to improve since your lipids are not great.

You obviously have low T but your estradiol is very low even accounting for your low T. Are you taking anything that decreases estradiol?

Your thyroid seems Ok superficially (TSH) and so does your kidney function.

 

[Netsyphen]

I agree with the diet, no excuse, just haven't been doing it. I've had 0 motivation recently and just kind of tired -ALL- the time.

Nothing to lower my Estradiol, I noticed that too. What would be some of the issues associated with Low T + Super Low E2? Anything more than just low T?

 

[CoastWatcher]

I agree with the diet, no excuse, just haven't been doing it. I've had 0 motivation recently and just kind of tired -ALL- the time.

Nothing to lower my Estradiol, I noticed that too. What would be some of the issues associated with Low T + Super Low E2? Anything more than just low T?

Estradiol follows testosterone - E follows T. When I was diagnosed I had very low values, and very mild osteopenia. As TRT began my E2 rose as my testosterone level climbed. It may be that simple in your case.

 

[Netsyphen]

Estradiol follows testosterone - E follows T. When I was diagnosed I had very low values, and very mild osteopenia. As TRT began my E2 rose as my testosterone level climbed. It may be that simple in your case.

I hope it is all a 'simple' fix with just the right dose of T, it would be nice to finally feel what normal is like.