Lab work

[maran77]

Hey guys I'm going to be starting trt soon.. thought I would post my lab results from July 2021 to Oct 2022. Don't have alot of faith in my family physician.so anything u guys see as a red flag would greatly help me.

 

[Systemlord]

Thread titled "lab work", yet I see no labs.

 

[maran77]

It keeps saying server error please try again later when I go to atta h files

 

[Systemlord]

It keeps saying server error please try again later when I go to atta h files

You can always type it in.

 

[maran77]

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Date of Service:Aug 19 2022 09:55

Reported On:Aug 20 2022 06:26
Gender:Male
Patient ID:

Referring Site ID:

Reported By:LifeLabs
Ordered By:JENKINS DR. MARK

CC:GROUP HEALTH ADMG

	Flags	Results	Reference	Units

Reproductive and Gonadal
Thyroid Function
Lipids
General Chemistry
Hematology
WBC		7.7	4.0 - 11.0	x E9/L
RBC	HI	6.10	4.50 - 6.00	x E12/L
Hemoglobin		171	135 - 175	g/L
Hematocrit		0.492	0.400 - 0.500	L/L
MCV		81	80 - 100	fL
MCH		28.0	27.5 - 33.0	pg
MCHC		348	305 - 360	g/L
RDW		14.4	11.5 - 14.5	%
Platelet Count		225	150 - 400	x E9/L
Differential
Neutrophils		2.9	2.0 - 7.5	x E9/L
Lymphocytes	HI	3.8	1.0 - 3.5	x E9/L
Monocytes		0.7	0.2 - 1.0	x E9/L
Eosinophils		0.2	0.0 - 0.5	x E9/L
Basophils		0.1	0.0 - 0.2	x E9/L
Immature Granulocytes		0.1	0.0 - 0.1	x E9/L
Nucleated RBC		0		/100 WBC
Hemoglobin A1C/Total Hemoglobin		5.4	<6.0	%
	Diabetes Canada 2018 Guidelines: -------------------------------------------------- Screening and Diagnosis: < 5.5 % Normal 5.5% - 5.9 % At risk 6.0% - 6.4 % Prediabetes >OR= 6.5 % Diabetes Mellitus If HbA1c >OR= 6.5 % and asymptomatic, confirm using Fasting Glucose, HbA1c or 75g OGTT. -------------------------------------------------- Monitoring: Target in adults without comorbidities. Other targets may be more appropriate in children, elderly and patients with comorbidities. -------------------------------------------------- Results may not accurately reflect mean blood glucose in patients with hemoglobin variants, disorders associated with abnormal erythrocyte turnover, severe renal and liver disorders.
Sodium		138	135-145	mmol/L
Potassium		4.2	3.5-5.2	mmol/L
Creatinine		94	67-117	umol/L
Glomerular Filtration Rate (eGFR)		84
	An eGFR from 60-89 ml/min/1.73 m2 is consistent with mildly decreased kidney function. However, in the absence of other evidence of kidney disease, eGFR values in this range do not fulfill the KDIGO criteria for chronic kidney disease. Interpret results in concert with ACR measurement. For patients of African descent, the reported eGFR must be multiplied by 1.15. Effective May 4 2015, eGFR is calculated using the CKD-EPI 2009 equation. KDIGO 2012 guidelines highlight the importance of eGFR and urine albumin creatinine ratio (ACR) in screening, diagnosis and management of CKD. Results for eGFR should be interpreted in concert with ACR.
Alanine Aminotransferase	HI	55	<50	U/L
Hours After Meal		2		Hours
Triglyceride		3.91		mmol/L
Cholesterol		6.75		mmol/L
HDL Cholesterol		1.29		mmol/L
	New formulation (24/Sep/2018): In some patients with abnormal liver function, the HDL-c result may be different due to the presence of lipoproteins with abnormal lipid distribution.
Non HDL Cholesterol		5.46		mmol/L
	Non HDL-Cholesterol is not affected by the fasting status of the patient.
LDL Cholesterol (Calculated)		3.68		mmol/L
	LDL-C calculation is decreased if fasting < or = 10 hours. Consider the Non HDL-C value as an alternate lipid target if monitoring treatment in intermediate or high risk patients.
Cholesterol/HDL Cholesterol		5.2
Lipid Target Values		Lipid Target Values should be based on patient 10 year CVD risk assessment. ! High or Intermediate CVD risk -----------!----------------------------------- Primary ! LDL-C < or = 2.0 mmol/L OR Tx target ! > or = 50% decrease in LDL-C ! Alternate ! Non HDL-C < or = 2.6 mmol/L OR Tx target ! ApoB < or = 0.8 g/L -----------!----------------------------------- ! Low CVD risk -----------!----------------------------------- Primary !> or = 50% decrease in LDL-C Tx target ! -----------------------------------------------
Thyroid Stimulating Hormone [TSH]		1.49	0.32-4.00	mIU/L
Testosterone	LO	6.2	8.4 - 28.8	nmol/L
	Reference interval applies to AM collections. Total Testosterone levels may not reflect the biologically-active testosterone when SHBG levels are abnormal.

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[Systemlord]

TRT may be challenging for you considering your RBC is over the range, hemoglobin and hematocrit are high normal. This may force you into doing frequent phlebotomies which run the risk of depleting ferritin levels.

I wonder what your doctors plans to do about your high RBC or if he is aware at all about the fact TRT increases red blood cells.

You're also fighting an infection or have inflammation.

 

[maran77]

I don't know what mind of inflammation or infection though.and ya he's seen my bloodwork but now I'm scared because he obviously missed this

 

[sammmy]

Were you taking any supplements, anabolic steroids, SARMS, "pro hormones", "testosterone boosters" when you took the labs?

Your RBC, Hemoglobin, Hematocrit are all elevated, suggesting anabolic steroid or something like that in your body.

Also your LDL is elevated, HDL decreased, again suggesting anabolic steroid.

Alanine Aminotransferase is elevated, suggesting a slight liver harm, possibly from anabolic compound or SARM.

Lymphocites are slightly elevated, suggesting a possible infection going on.

 

[maran77]

No Haven't used them since my late 20s I'm 45 now.im kind of freaking out now

 

[sammmy]

Any supplement "for men's health" with extraordinary claims to improve sexuality, athletic performance or "boost testosterone" can be laced with steroids. Are you taking any supplements?

 

[maran77]

No all I'm taking is pea protein and an anti -depressants I reached out to nurse at my doctor's office and she said not to be worried about those numbers even if they are a few points up or down. and rhe doctor looked at all this before he prescribed you this

 

[Systemlord]

No all I'm taking is pea protein and an anti -depressants

Antidepressants lower testosterone, so maybe trying a different antidepressant might enable you to recover your natural testosterone.

Antidepressants can also increase prolactin, which can then cause ED.

Can prescription medications affect testosterone levels?

Yes, a decrease in testosterone levels can be a side effect of certain prescription medications, such as the following:

www.issm.info

Distribution of antidepressants between plasma and red blood cells - PubMed

The concentration ratio of antidepressant in RBCs and in plasma is sensitive not only to the binding properties of plasma proteins and cell membranes, but also to changes in drug molecule, both in aminopropyl chain and in aromatic rings. This ratio is to a large extent characteristic of a...

pubmed.ncbi.nlm.nih.gov

Significantly higher ratios of RBCs to plasma concentrations were found for demethylated metabolites of tricyclic antidepressants and in the case of citalopram. Citalopram showed the highest accumulation in intact RBCs

 

[maran77]

Antidepressants lower testosterone, so maybe trying a different antidepressant might enable you to recover your natural testosterone.

Antidepressants can also increase prolactin, which can then cause ED.

Can prescription medications affect testosterone levels?

Yes, a decrease in testosterone levels can be a side effect of certain prescription medications, such as the following:

www.issm.info

Distribution of antidepressants between plasma and red blood cells - PubMed

The concentration ratio of antidepressant in RBCs and in plasma is sensitive not only to the binding properties of plasma proteins and cell membranes, but also to changes in drug molecule, both in aminopropyl chain and in aromatic rings. This ratio is to a large extent characteristic of a...

pubmed.ncbi.nlm.nih.gov

The thing os I've tried many different ones over rhe years.tgis is thr only one seem to be helping.

 

[Systemlord]

There's a chance you may not need the antidepressant once on TRT. Depression is a symptom of low testosterone.

Patients with testosterone deficit syndrome and depression - PubMed

Prevalence of depression in men increases with age, so does the prevalence of hypogonadism. Depression and anxiety are the most common psychopathological symptoms associated with male hypogonadism.The question is whether the age-related gradual decline in testosterone levels contributes to the...

pubmed.ncbi.nlm.nih.gov

Men with depressive symptoms and testosterone deficiency syndrome should be given a trial of testosterone replacement therapy for at least 3 months as TRT alone may improve clinical symptoms of depression.

 

[maran77]

There's a chance you may not need the antidepressant once on TRT. Depression is a symptom of low testosterone.

Patients with testosterone deficit syndrome and depression - PubMed

Prevalence of depression in men increases with age, so does the prevalence of hypogonadism. Depression and anxiety are the most common psychopathological symptoms associated with male hypogonadism.The question is whether the age-related gradual decline in testosterone levels contributes to the...

pubmed.ncbi.nlm.nih.gov

So yes I heard this too I'm currently on desvenlafaxine (Pristiq) 100mg a day. When I start the trt should I reduce it 50mg to see how I feel...

 

[Systemlord]

When I start the trt should I reduce it 50mg to see how I feel...

This is a discussion you need to have with your doctor.