Got my results, WTF?

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So as I was afraid of, they only tested free test and total test. No FSH, LH, etc.

Total test: 284 ng/dl Range: 175-781 (are you ****ing kidding me on this range?)
Free test: 0.26 nmol/L Range: 0.11-0.66. That works out to 7.49 ng/dl with a range of 3.17 - 19.02.

They said it's "on the low end of normal but still normal" so no follow-up visit needed. So a waste of a co-pay and a week waiting on results. So I guess my next step should be a full panel from a private testing place?
 

PillarofBalance

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So as I was afraid of, they only tested free test and total test. No FSH, LH, etc.

Total test: 284 ng/dl Range: 175-781 (are you ****ing kidding me on this range?)
Free test: 0.26 nmol/L Range: 0.11-0.66. That works out to 7.49 ng/dl with a range of 3.17 - 19.02.

They said it's "on the low end of normal but still normal" so no follow-up visit needed. So a waste of a co-pay and a week waiting on results. So I guess my next step should be a full panel from a private testing place?

Ask them for a reference for that range. That isn't correct. It starts in the 300's I believe. Is there a reference provided on the blood work?
 

Tren4Life

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My Dr gave me the same shit. Mine was 255. He said I needed to be below 250
 
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Ask them for a reference for that range. That isn't correct. It starts in the 300's I believe. Is there a reference provided on the blood work?

This was from a call with the nurse who sounded perturbed that she was having to read it to me. She even read it "en em oh ell slash ell" for nmol/L. I'm trying to get a paper copy.
 

j2048b

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Yup show up and ask for paper copy!
 
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Ok so I got the printout. It looks like this:

LabResultUnitsReference RangeNormalityNotes
FreeTestos0.26nmol/L0.11-0.66
ALB4.5g/dL3.5-5.0
SHBG16.70nmol/L13.30-89.50Males 20-50 Years
TESTOS TOT284.00ng/dl175.00-781.00
 

j2048b

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Ok so I got the printout. It looks like this:

LabResultUnitsReference RangeNormalityNotes
FreeTestos0.26nmol/L0.11-0.66
ALB4.5g/dL3.5-5.0
SHBG16.70nmol/L13.30-89.50Males 20-50 Years
TESTOS TOT284.00ng/dl175.00-781.00

Who was this thru? Labcorp, quest? Almost ever blood place has their own low and highs, try to find out who has a minimum pf 250 and a high of 1000 or 1150, then go to ur doc with that lab report... It will sho u as low where as this company still does not show u as on the low end... Ive been tested thru 3-4 different labs and because no one lab shares the same low and or high test level read outs they were all different...

I say this from our last convo over on ironmag!
 
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The result doesn't say where it is from. I can try and take a pic and sanitize the personal info out of it.
 

RustyShackelford

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The range on the bloods from my doc are like 290-1150
I was 292 and he said that was too low.
Keep in mind it took going through 3 other idiot dr's before I found this one.
My advise is to get another dr.
Good luck bro
 

creekrat

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Any way you look at it your levels are low. E2, fsh, lh and tsh would be nice to see. At 284 our dr wouldn't have a problem starting trt with you.
 
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Ok so I talked to a clinic to see what they had to say. My new blood tests were interesting:

Total Test 399 ng/dL 348-1197

Free Test (Direct) 11.2 pg/mL 8.7-25.1

TSH 2.270 uIU/mL 0.450-4.500

LH 4.7 mIU/mL 1.7-8.6

E2 23.5 pg/mL 7.6-42.6

PSA 0.6 ng/mL 0.0-4.0

Total Cholesterol 270 mg/dL 100-199

HDL 51 mg/dL >39

LDL 191 mg/dL 0-99

Trig 139 mg/dL 0-149

VLDL Cholesterol 28 mg/dL 5-40

So a couple of things jump out at me. First is the 110 point jump in total test, although I guess that could be caused by the testers since the ranges are different? Second is the cholesterol numbers. Holy crap they look bad to me. I'm not overweight, I weight train and do BJJ, all my fats come from fish oil, nuts/seeds, and lean meat. My parents both have/had high cholesterol and took medication for it, so it may be genetic. I'm talking with the new doc tomorrow but I am really concerned about the cholesterol numbers. Any thoughts on lowering that naturally without statins?
 

j2048b

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Ok so I talked to a clinic to see what they had to say. My new blood tests were interesting:

Total Test 399 ng/dL 348-1197

Free Test (Direct) 11.2 pg/mL 8.7-25.1

TSH 2.270 uIU/mL 0.450-4.500

LH 4.7 mIU/mL 1.7-8.6

E2 23.5 pg/mL 7.6-42.6

PSA 0.6 ng/mL 0.0-4.0

Total Cholesterol 270 mg/dL 100-199

HDL 51 mg/dL >39

LDL 191 mg/dL 0-99

Trig 139 mg/dL 0-149

VLDL Cholesterol 28 mg/dL 5-40

So a couple of things jump out at me. First is the 110 point jump in total test, although I guess that could be caused by the testers since the ranges are different? Second is the cholesterol numbers. Holy crap they look bad to me. I'm not overweight, I weight train and do BJJ, all my fats come from fish oil, nuts/seeds, and lean meat. My parents both have/had high cholesterol and took medication for it, so it may be genetic. I'm talking with the new doc tomorrow but I am really concerned about the cholesterol numbers. Any thoughts on lowering that naturally without statins?

Idropped my total cholesterol from a 309 to a 239 in about 2 months with just DIET! No fish oil, or anything else... Dropped all almonds and fats because they for some reason even tho they r good fats cause my chol to go higher!

Diet, hydration, fish oil, coq10, cardio...

There is a big list here somewhere if someone can link it as i cant find it...
 
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creekrat

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Also, do not forget that cholesterol is the precursor of all hormones and that if you have a deficiency somewhwere down the line, your body will produce more cholesterol in an attempt to have it converted to the deficient hormone.
 

DocDePanda187123

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Also, do not forget that cholesterol is the precursor of all hormones and that if you have a deficiency somewhwere down the line, your body will produce more cholesterol in an attempt to have it converted to the deficient hormone.

This is part of the cholesterol side-chain cleavage of steroidogenesis correct? The P450 enzyme responsible for steroid production from DHEA, pregnenolone, DHEA, and vitamin D?
 

creekrat

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Not sure exactly Doc but when we are low on any hormone, your body produces cholesterol for it to convert into the deficient hormone. This process has many steps and if the body is incapable of converting the additional cholesterol it builds up and provides us with elevated cholesterol levels
 

grizzldsealpoacher

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Heh. thats a pretty big jump. I would do a third test. I am pretty sure rest has some to do with your levels varying from one day to the next. Not sure about them shifting that much. I would do it again.

Now at least for me my doc said anything under 300 and my insurance would cover it . I took three tests ranging from 330 to 291 . My doc had no problems giving it to me at the high end of those tests how ever it would be out of pocket . Insurance wont cover trt above 300 according to him
 

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