Recent NMR lipoprofile results!!!!should I be concerned

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magnus68

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Does TRT alter Lipoprofile? My Primary does NOT prescribe my TRT. But says I need to be on Atorvastatin. According to a recent Heart cath my arteries look good, what gives?



[h=4]Lab Test Results[/b]Nmr Lipoprofile
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"]
[/TD]
[TD="class: ccrCol2"][TABLE="class: c650 CCRLabResultSubtable, width: 517"]
[TR]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabTest"]Test[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabAbnormalFlag"]Low[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabAbnormalFlag"]Normal[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabAbnormalFlag"]High[/TH]
[TH="class: bodyBold th.LabCorpCCRItemHeader LabCorpCCRViewer_LabReferenceRange"]Reference Range[/TH]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabUnits"]Units[/TH]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Ldl-P[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]1169[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]<1000[/TD]
[TD="class: alternatingRow ccrItemText"]nmol/L[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Ldl-C[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]108[/TD]
[TD="class: LabCorpCCRItemText, align: center"]0-99[/TD]
[TD="class: ccrItemText"]mg/dL[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Hdl-C[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]33[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]>39[/TD]
[TD="class: alternatingRow ccrItemText"]mg/dL[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Triglycerides[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]102[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]0-149[/TD]
[TD="class: ccrItemText"]mg/dL[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Cholesterol, Total[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]161[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]100-199[/TD]
[TD="class: alternatingRow ccrItemText"]mg/dL[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Hdl-P (Total)[/TD]
[TD="class: LabCorpCCRItemText, align: center"]24.3[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]>=30.5[/TD]
[TD="class: ccrItemText"]umol/L[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Small Ldl-P[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]687[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]<=527[/TD]
[TD="class: alternatingRow ccrItemText"]nmol/L[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Ldl Size[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]20.7[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]>20.5[/TD]
[TD="class: ccrItemText"]nm[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Hdl Particle Percentile[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]12.0[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Small Ldl Particle Percentile[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]64.0[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Ldl Size Percentile[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]45.3[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Large Vldl Particle Percentile[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]34.9[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Large Hdl Particle Percentile[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]5.2[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Vldl Size Percentile[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]29.8[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Hdl Size Percentile[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]0.2[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Lp-Ir Score Percentile[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]66.0[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Protein[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]514[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Pffa[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]122[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Prot And Pffa Calc[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]636[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"][/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Idl Particle Number[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]7[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]nmol/L[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Large Ldl Particle Number[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]342[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]nmol/L[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Large/Med Hdl Particle Number[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]5.8[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]umol/L[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Large/Med Vldl Particle Number[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]28.1[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]nmol/L[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Medium Hdl Particle Number[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]3.7[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]umol/L[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Medium Vldl Particle Number[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]27.6[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]nmol/L[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Small Vldl Particle Number[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]38.4[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]nmol/L[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Vldl Particle Number[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]67.2[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]nmol/L[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Vldl Triglycerides[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]73.1[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]mg/dL[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Vldl/Ldl Particle Number[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]1252[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]nmol/L[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Small Hdl Particle Number[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]18[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]nmol/L[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
 
Defy Medical TRT clinic doctor
TRT can decrease HDL at doses higher than 150 mg per week. It does not have an effect on LDL and may have a lowering effect on triglycerides.

I would not freak out too much since your NMR profile is not horrible. It is actually a little off except for the low HDL.

I would try 500 mg niacin plus 600 mg NAC twice per day with food, exercise more and potentially decrease TRT dose if it is over 150 mg/week.
 

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TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

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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