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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
What tests should I request before TRT?
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<blockquote data-quote="illinoisguy" data-source="post: 195307" data-attributes="member: 39752"><p>I have my annual physical coming up and am trying to come up with a list of tests I should request. My General Practitioner has always done the tests I've requested and my insurance usually covers the majority of tests. Here our my stats:</p><p></p><p>46 year old male</p><p>6'2"</p><p>215 lbs</p><p>Decent shape. I have been lifting 3 times a weeks (squats, bench, deadlifts). Finding it harder and harder to make strength gains. Fat around the waist and some around chest (possible slight gynecomastia?)</p><p>Energy levels might be a bit lower than normal.</p><p>Sometimes have feelings of minor depression</p><p>Libido is slightly down</p><p></p><p>Here is my past test history:</p><p></p><p><strong><u>August 2015</u></strong></p><p>Vitamin B12 - 384 pg/mL - Range 193-986 pg/mL</p><p></p><p><strong><em>Vitamin D 25-HYDROXY - 24.3 ng/mL Range - 30.0-100.0 ng/mL - Started taking D3 (5,000 IU everyday)</em></strong></p><p></p><p><u>LIPID PANEL</u></p><p>Cholesterol, Total - 171 mg/dL - Range <200 mg/dL</p><p>Triglycerides - 91 mg/dL - Range <150 mg/dL</p><p>LDL Cholesterol - 80 mg/dL - Range <130 mg/dL</p><p>VLDL -18 mg/dL - Range 5-40 mg/dL</p><p>Chol/HDL Ratio - 2.34 Range - <4.97</p><p>Non HDL Chol -98 mg/dL - Range <130 mg/dL</p><p></p><p>TSH W REFLEX TO FREE T4 - 1.240 mIU/mL - Range - 0.350-5.500 mIU/mL</p><p></p><p><u>CBC, PLATELET</u></p><p>WBC - 5.8 x10(3) uL - Range 4.0-13.0 x10(3) uL</p><p>RBC -5.00 x10(6)uL - Range 4.30-5.70 x10(6)uL</p><p>HGB -15.5 g/dL - Range 13.0 - 17.0 g/dL</p><p>HCT - 44.8 % - Range 37.0-54.0 %</p><p>PLT - 359.0 10(3)uL - Range 150.0-450.0 10(3)uL</p><p>MCV - 89.6 fL - Range 80.0-99.0 fL</p><p>MCH 31.0 pg - Range 27.0 - 33.2 pg</p><p>MCHC - 34.6 g/dL - Range 31.0-37.0 g/dL</p><p>RDW - 13.8 % - Range 11.5-16.0 %</p><p></p><p><u>COMP METABOLIC PANEL (14)</u></p><p>Glucose - 96 mg/dL - Range 70-99 mg/dL</p><p>BUN - 10 mg/dL - Range8-20 mg/dL</p><p>Creatinine - 0.96 mg/dL - Range 0.70-1.20 mg/dL</p><p>GFR - 98 - Range >=60</p><p>Calcium, Total - 9.6 mg/dL - Range 8.3-10.3 mg/dL</p><p>Alkaline Phosphatase - 63 U/L - Range 45-117 U/L</p><p>AST - 26 U/L - Range 15-41 U/L</p><p>ALT - 29 U/L - Range 17-63 U/L</p><p>Bilirubin, Total -1.8 mg/dL - Range 0.1 - 2.0 mg/dL</p><p>Total Protein - 7.5 g/dL - Range 6.1-8.3 g/dL</p><p>Albumin - 4.3 g/dL - Range 3.5-4.8 g/dL</p><p>Sodium -140 mmol/L - Range 136-144 mmol/L</p><p>Potassium - 4.2 mmol/L - Range 3.6-5.1 mmol/L</p><p>Chloride -106 mmol/L - Range 101-111 mmol/L</p><p>CO2 - 28.0 mmol/L - Range 22.0 - 32.0 mmol/L</p><p></p><p>Free Testosterone, LC-MS/MS - 119.0 pg/mL - Range 47.0-244.0 pg/mL</p><p></p><p>Total Testosterone - 781.0 ng/dL - Range 300.0-890.0 ng/dL</p><p></p><p><em><strong>Estradiol - 42.1 pg/mL - Range 0.0-39.8 pg/mL - Saw a urologist but nothing really was done.</strong></em></p><p></p><p></p><p><strong><u>October 2019</u></strong></p><p><u>CBC, PLATELET</u></p><p>WBC - 5.9 x10(3) uL - Range 4.0-11.0 x10(3) uL</p><p>RBC - 5.20 x10(6)uL - Range 4.30-5.70 x10(6)uL</p><p>HGB - 16.0 g/dL - Range 13.0-17.5 g/dL</p><p>HCT - 47.3 % - Range 39.0-53.0 %</p><p>PLT - 379.0 10(3)uL - Range 150.0 - 450.0 10(3)uL</p><p>MCV - 91.0 fL - Range 80.0-100.0 fL</p><p>MCH - 30.8 pg - Range 26.0-34.0 pg</p><p>MCHC - 33.8 g/dL - Range - 31.0-37.0 g/dL</p><p>RDW - 13.5 % - Range 11.0-15.0 %</p><p>RDW-SD - 45.8 fL - Range 35.1-46.3 fL</p><p></p><p><u>COMP METABOLIC PANEL (14)</u></p><p>Glucose - 97 mg/dL - Range 70-99 mg/dL</p><p>Sodium - 136 mmol/L - Range 136-145 mmol/L</p><p>Potassium - 4.3 mmol/L - Range 3.5-5.1 mmol/L</p><p>Chloride - 105 mmol/L - Range 98-112 mmol/L</p><p>CO2 - 25.0 mmol/L - Range 21.0-32.0 mmol/L</p><p>Anion Gap - 6 mmol/L - Range 0-18 mmol/L</p><p>BUN - 17 mg/dL - Range 7-18 mg/dL</p><p>Creatinine - 1.14 mg/dL - Range 0.70-1.30 mg/dL</p><p>BUN/CREA Ratio - 14.9 - Range 10.0-20.0</p><p>Calcium, Total - 9.9 mg/dL - Range 8.5-10.1 mg/dL</p><p>Calculated Osmolality - 283 mOsm/kg - Range 275-295 mOsm/kg</p><p>GFR, Non-African American - 78 - Range >=60</p><p>GFR, African-American - 90 - Range >=60</p><p>AST - 15 U/L - Range 15-37 U/L</p><p>ALT - 25 U/L - Range 16-61 U/L</p><p>Alkaline Phosphatase - 59 U/L - Range 45-117 U/L</p><p>Bilirubin, Total - 1.3 mg/dL - Range 0.1-2.0 mg/dL</p><p>Total Protein - 7.6 g/dL - Range 6.4-8.2 g/dL</p><p>Albumin - 4.0 g/dL - Range 3.4-5.0 g/dL</p><p>Globulin - 3.6 g/dL - Range 2.8-4.4 g/dL</p><p>A/G Ratio - 1.1 - Range 1.0-2.0</p><p></p><p><strong><em>Ferritin - 19.8 ng/mL - Range 30.0-490.0 ng/mL -Started taking 25mg of iron bisglycinate 3x a week after test</em></strong></p><p></p><p><u>Lipid Panel</u></p><p>Cholesterol, Total - 179 mg/dL - Range <200 mg/dL</p><p>HDL Cholesterol - 73 mg/dL - Range 40-59 mg/dL</p><p>Triglycerides - 86 mg/dL - Range 30 - 149 mg/dL</p><p>LDL Cholesterol - 89 mg/dL - Range <100 mg/dL</p><p>VLDL - 17 mg/dL - Range 0-30 mg/dL</p><p>Non HDL Chol - 106 mg/dL - Range <130 mg/dL</p><p></p><p>Iron, Serum - 84 ug/dL - Range 65-175 ug/dL</p><p></p><p>Free Testosterone, LC-MS/MS - 162.9 pg/mL - Range 47.0-244.0 pg/mL</p><p>Total Testosterone - 825.7 ng/dL - Range 300.0-890.0 ng/dL</p><p></p><p>T3 Free - 2.81 pg/mL - Range 2.40-4.20 pg/mL</p><p></p><p>Free T4 - 0.9 ng/dL - Range 0.8-1.7 ng/dL</p><p>TSH - 1.410 mIU/mL - Range 0.358 - 3.740 mIU/mL</p><p></p><p>Vitamin D, 25OH, Total - 39.4 ng/mL - Range 30.0-100.0 ng/mL</p><p></p><p>Estradiol - 41.0 pg/mL - Range 11.0-52.5 pg/mL</p><p></p><p>DHEA Sulfate, Serum - 110 ug/dL - Range 95 - 530 ug/dL</p><p></p><p>Prostate Specific Antigen Screen - 0.49 ng/mL - Range <=4.00 ng/mL</p><p></p><p>LH - 4.4 mIU/mL - Range 1.2-10.6 mIU/mL</p><p></p><p>FSH - 3.3 mIU/mL - Range 0.7-10.8 mIU/mL</p><p></p><p>Testosterone, Free, Calc - 140 pg/mL Range 47-244 pg/mL</p><p>Percent Free Testosterone - 1.4 % - Range 1.6-2.9 %</p><p>Testosterone, Adult, Male - 983 ng/dL - Range 300-890 ng/dL</p><p>Testosterone, Bioavailable - 407 ng/dL - Range 131-682 ng/dL</p><p>Sex Hormone Binding Globulin - 61 nmol/L - Range 11-80 nmol/L</p><p></p><p>IGF-1 (Insulin-Like Growth I) - 184 ng/mL - Range 76-230 ng/mL</p><p>IGF 1 Z Score Calculation - 1.0</p><p></p><p>Prolactin - 6.0 ng/mL - Range 2.5-17.4 ng/mL</p><p></p><p>Cortisol - 15.0 ug/dL - Range 5.27-22.45 µg/dL</p><p></p><p>Pregnenolone By MS/MS, Serum - 87 ng/dL - Range 23-173 ng/dL</p><p></p><p><strong><u>January 2020</u></strong></p><p>Ferritin - 69.1 ng/mL - Range 30.0-490.0 ng/mL</p><p>Vitamin D, 25OH, Total - 62.3 ng/mL - Range 30.0-100.0 ng/mL</p><p></p><p>What tests should I request and my upcoming annual exam? Thoughts/concerns on my past testing history?</p><p></p><p>Thanks in advance!</p></blockquote><p></p>
[QUOTE="illinoisguy, post: 195307, member: 39752"] I have my annual physical coming up and am trying to come up with a list of tests I should request. My General Practitioner has always done the tests I've requested and my insurance usually covers the majority of tests. Here our my stats: 46 year old male 6'2" 215 lbs Decent shape. I have been lifting 3 times a weeks (squats, bench, deadlifts). Finding it harder and harder to make strength gains. Fat around the waist and some around chest (possible slight gynecomastia?) Energy levels might be a bit lower than normal. Sometimes have feelings of minor depression Libido is slightly down Here is my past test history: [B][U]August 2015[/U][/B] Vitamin B12 - 384 pg/mL - Range 193-986 pg/mL [B][I]Vitamin D 25-HYDROXY - 24.3 ng/mL Range - 30.0-100.0 ng/mL - Started taking D3 (5,000 IU everyday)[/I][/B] [U]LIPID PANEL[/U] Cholesterol, Total - 171 mg/dL - Range <200 mg/dL Triglycerides - 91 mg/dL - Range <150 mg/dL LDL Cholesterol - 80 mg/dL - Range <130 mg/dL VLDL -18 mg/dL - Range 5-40 mg/dL Chol/HDL Ratio - 2.34 Range - <4.97 Non HDL Chol -98 mg/dL - Range <130 mg/dL TSH W REFLEX TO FREE T4 - 1.240 mIU/mL - Range - 0.350-5.500 mIU/mL [U]CBC, PLATELET[/U] WBC - 5.8 x10(3) uL - Range 4.0-13.0 x10(3) uL RBC -5.00 x10(6)uL - Range 4.30-5.70 x10(6)uL HGB -15.5 g/dL - Range 13.0 - 17.0 g/dL HCT - 44.8 % - Range 37.0-54.0 % PLT - 359.0 10(3)uL - Range 150.0-450.0 10(3)uL MCV - 89.6 fL - Range 80.0-99.0 fL MCH 31.0 pg - Range 27.0 - 33.2 pg MCHC - 34.6 g/dL - Range 31.0-37.0 g/dL RDW - 13.8 % - Range 11.5-16.0 % [U]COMP METABOLIC PANEL (14)[/U] Glucose - 96 mg/dL - Range 70-99 mg/dL BUN - 10 mg/dL - Range8-20 mg/dL Creatinine - 0.96 mg/dL - Range 0.70-1.20 mg/dL GFR - 98 - Range >=60 Calcium, Total - 9.6 mg/dL - Range 8.3-10.3 mg/dL Alkaline Phosphatase - 63 U/L - Range 45-117 U/L AST - 26 U/L - Range 15-41 U/L ALT - 29 U/L - Range 17-63 U/L Bilirubin, Total -1.8 mg/dL - Range 0.1 - 2.0 mg/dL Total Protein - 7.5 g/dL - Range 6.1-8.3 g/dL Albumin - 4.3 g/dL - Range 3.5-4.8 g/dL Sodium -140 mmol/L - Range 136-144 mmol/L Potassium - 4.2 mmol/L - Range 3.6-5.1 mmol/L Chloride -106 mmol/L - Range 101-111 mmol/L CO2 - 28.0 mmol/L - Range 22.0 - 32.0 mmol/L Free Testosterone, LC-MS/MS - 119.0 pg/mL - Range 47.0-244.0 pg/mL Total Testosterone - 781.0 ng/dL - Range 300.0-890.0 ng/dL [I][B]Estradiol - 42.1 pg/mL - Range 0.0-39.8 pg/mL - Saw a urologist but nothing really was done.[/B][/I] [B][U]October 2019[/U][/B] [U]CBC, PLATELET[/U] WBC - 5.9 x10(3) uL - Range 4.0-11.0 x10(3) uL RBC - 5.20 x10(6)uL - Range 4.30-5.70 x10(6)uL HGB - 16.0 g/dL - Range 13.0-17.5 g/dL HCT - 47.3 % - Range 39.0-53.0 % PLT - 379.0 10(3)uL - Range 150.0 - 450.0 10(3)uL MCV - 91.0 fL - Range 80.0-100.0 fL MCH - 30.8 pg - Range 26.0-34.0 pg MCHC - 33.8 g/dL - Range - 31.0-37.0 g/dL RDW - 13.5 % - Range 11.0-15.0 % RDW-SD - 45.8 fL - Range 35.1-46.3 fL [U]COMP METABOLIC PANEL (14)[/U] Glucose - 97 mg/dL - Range 70-99 mg/dL Sodium - 136 mmol/L - Range 136-145 mmol/L Potassium - 4.3 mmol/L - Range 3.5-5.1 mmol/L Chloride - 105 mmol/L - Range 98-112 mmol/L CO2 - 25.0 mmol/L - Range 21.0-32.0 mmol/L Anion Gap - 6 mmol/L - Range 0-18 mmol/L BUN - 17 mg/dL - Range 7-18 mg/dL Creatinine - 1.14 mg/dL - Range 0.70-1.30 mg/dL BUN/CREA Ratio - 14.9 - Range 10.0-20.0 Calcium, Total - 9.9 mg/dL - Range 8.5-10.1 mg/dL Calculated Osmolality - 283 mOsm/kg - Range 275-295 mOsm/kg GFR, Non-African American - 78 - Range >=60 GFR, African-American - 90 - Range >=60 AST - 15 U/L - Range 15-37 U/L ALT - 25 U/L - Range 16-61 U/L Alkaline Phosphatase - 59 U/L - Range 45-117 U/L Bilirubin, Total - 1.3 mg/dL - Range 0.1-2.0 mg/dL Total Protein - 7.6 g/dL - Range 6.4-8.2 g/dL Albumin - 4.0 g/dL - Range 3.4-5.0 g/dL Globulin - 3.6 g/dL - Range 2.8-4.4 g/dL A/G Ratio - 1.1 - Range 1.0-2.0 [B][I]Ferritin - 19.8 ng/mL - Range 30.0-490.0 ng/mL -Started taking 25mg of iron bisglycinate 3x a week after test[/I][/B] [U]Lipid Panel[/U] Cholesterol, Total - 179 mg/dL - Range <200 mg/dL HDL Cholesterol - 73 mg/dL - Range 40-59 mg/dL Triglycerides - 86 mg/dL - Range 30 - 149 mg/dL LDL Cholesterol - 89 mg/dL - Range <100 mg/dL VLDL - 17 mg/dL - Range 0-30 mg/dL Non HDL Chol - 106 mg/dL - Range <130 mg/dL Iron, Serum - 84 ug/dL - Range 65-175 ug/dL Free Testosterone, LC-MS/MS - 162.9 pg/mL - Range 47.0-244.0 pg/mL Total Testosterone - 825.7 ng/dL - Range 300.0-890.0 ng/dL T3 Free - 2.81 pg/mL - Range 2.40-4.20 pg/mL Free T4 - 0.9 ng/dL - Range 0.8-1.7 ng/dL TSH - 1.410 mIU/mL - Range 0.358 - 3.740 mIU/mL Vitamin D, 25OH, Total - 39.4 ng/mL - Range 30.0-100.0 ng/mL Estradiol - 41.0 pg/mL - Range 11.0-52.5 pg/mL DHEA Sulfate, Serum - 110 ug/dL - Range 95 - 530 ug/dL Prostate Specific Antigen Screen - 0.49 ng/mL - Range <=4.00 ng/mL LH - 4.4 mIU/mL - Range 1.2-10.6 mIU/mL FSH - 3.3 mIU/mL - Range 0.7-10.8 mIU/mL Testosterone, Free, Calc - 140 pg/mL Range 47-244 pg/mL Percent Free Testosterone - 1.4 % - Range 1.6-2.9 % Testosterone, Adult, Male - 983 ng/dL - Range 300-890 ng/dL Testosterone, Bioavailable - 407 ng/dL - Range 131-682 ng/dL Sex Hormone Binding Globulin - 61 nmol/L - Range 11-80 nmol/L IGF-1 (Insulin-Like Growth I) - 184 ng/mL - Range 76-230 ng/mL IGF 1 Z Score Calculation - 1.0 Prolactin - 6.0 ng/mL - Range 2.5-17.4 ng/mL Cortisol - 15.0 ug/dL - Range 5.27-22.45 µg/dL Pregnenolone By MS/MS, Serum - 87 ng/dL - Range 23-173 ng/dL [B][U]January 2020[/U][/B] Ferritin - 69.1 ng/mL - Range 30.0-490.0 ng/mL Vitamin D, 25OH, Total - 62.3 ng/mL - Range 30.0-100.0 ng/mL What tests should I request and my upcoming annual exam? Thoughts/concerns on my past testing history? Thanks in advance! [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
What tests should I request before TRT?
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