Blood Test Questions - Estrone Levels High

drbenway · Feb 16, 2017

52 yo male
6'0" 246lbs
Started TRT in Early Nov (Total T of 182/Bio Av Test "normal at 109 ng/dL)
My Endo tests Estradiol and Estrone - the former is consistently (over 3 labs) <20 pg/ml and the latter has been persistently > 170 pg/ml)
SHBG is low (likely insulin resistance)
Take 40mg Pravastatin for lipids
Started with 40.5mg of Androgel in Nov/December labs showed no change in TT/BAT, doubled to 81mg at end of December
Latest labs are below

Questions/Comments:

I have worked very hard on my diet and exercise since the new year, cut drinking way down and weight is so stubborn to come off - anything here that people can see that provides a clue?
libido is better, not great
I feel much better than before TRT but not "great"
Endo feels my levels are fine, I'm concerned about Estrone levels and sub 20 Estradiol - should I be? He feels that Estrone is because of body weight previous tests showed DHEA Sulfate and Androstenedione normal

Thoughts?

Hemoglobin A1c
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"]
[/TD]
[TD="class: ccrCol2"][TABLE="class: c650 CCRLabResultSubtable, width: 641"]
[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"]Hemoglobin A1c[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]5.4[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]4.8-5.6[/TD]
[TD="class: alternatingRow ccrItemText"]%[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

Estradiol
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"]
[/TD]
[TD="class: ccrCol2"][TABLE="class: c650 CCRLabResultSubtable, width: 641"]
[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"]Estradiol[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]16.6[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]7.6-42.6[/TD]
[TD="class: alternatingRow ccrItemText"]pg/mL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

Estrone, Serum
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"]
[/TD]
[TD="class: ccrCol2"][TABLE="class: c650 CCRLabResultSubtable, width: 641"]
[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"]Estrone, Serum[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]173[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]12-72[/TD]
[TD="class: alternatingRow ccrItemText"]pg/mL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

Cbc With Differential/Platelet
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"]
[/TD]
[TD="class: ccrCol2"][TABLE="class: c650 CCRLabResultSubtable, width: 642"]
[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"]Immature Grans (Abs)[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]0.0[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]0.0-0.1[/TD]
[TD="class: alternatingRow ccrItemText"]x10E3/uL[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Immature Granulocytes[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]0[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Baso (Absolute)[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]0.0[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]0.0-0.2[/TD]
[TD="class: alternatingRow ccrItemText"]x10E3/uL[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Eos (Absolute)[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]0.2[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]0.0-0.4[/TD]
[TD="class: ccrItemText"]x10E3/uL[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Monocytes(Absolute)[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]0.5[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]0.1-0.9[/TD]
[TD="class: alternatingRow ccrItemText"]x10E3/uL[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Lymphs (Absolute)[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]2.1[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]0.7-3.1[/TD]
[TD="class: ccrItemText"]x10E3/uL[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Neutrophils (Absolute)[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]3.2[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]1.4-7.0[/TD]
[TD="class: alternatingRow ccrItemText"]x10E3/uL[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Basos[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]1[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Eos[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]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"]Monocytes[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]9[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Lymphs[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]35[/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"]Neutrophils[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]52[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Platelets[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]257[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]150-379[/TD]
[TD="class: alternatingRow ccrItemText"]x10E3/uL[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Rdw[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]13.9[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]12.3-15.4[/TD]
[TD="class: ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Mchc[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]33.7[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]31.5-35.7[/TD]
[TD="class: alternatingRow ccrItemText"]g/dL[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Mch[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]30.8[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]26.6-33.0[/TD]
[TD="class: ccrItemText"]pg[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Mcv[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]92[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]79-97[/TD]
[TD="class: alternatingRow ccrItemText"]fL[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Hematocrit[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]47.5[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]37.5-51.0[/TD]
[TD="class: ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Hemoglobin[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]16.0[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]12.6-17.7[/TD]
[TD="class: alternatingRow ccrItemText"]g/dL[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Rbc[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]5.19[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]4.14-5.80[/TD]
[TD="class: ccrItemText"]x10E6/uL[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Wbc[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]6.0[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]3.4-10.8[/TD]
[TD="class: alternatingRow ccrItemText"]x10E3/uL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

Lipid Panel
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"]
[/TD]
[TD="class: ccrCol2"][TABLE="class: c650 CCRLabResultSubtable, width: 641"]
[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"]Cholesterol, Total[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]197[/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"]Triglycerides[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]103[/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"]Hdl Cholesterol[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]50[/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"]Vldl Cholesterol Cal[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]21[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]5-40[/TD]
[TD="class: ccrItemText"]mg/dL[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Ldl Cholesterol Calc[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]126[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]0-99[/TD]
[TD="class: alternatingRow ccrItemText"]mg/dL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

Comp. Metabolic Panel (14)
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"]
[/TD]
[TD="class: ccrCol2"][TABLE="class: c650 CCRLabResultSubtable, width: 642"]
[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"]Glucose, Serum[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]100[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]65-99[/TD]
[TD="class: alternatingRow ccrItemText"]mg/dL[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Bun[/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"]6-24[/TD]
[TD="class: ccrItemText"]mg/dL[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Creatinine, Serum[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]1.11[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]0.76-1.27[/TD]
[TD="class: alternatingRow ccrItemText"]mg/dL[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Egfr If Nonafricn Am[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]76[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]>59[/TD]
[TD="class: ccrItemText"]mL/min/1.73[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Egfr If Africn Am[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]88[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]>59[/TD]
[TD="class: alternatingRow ccrItemText"]mL/min/1.73[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Bun/Creatinine Ratio[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]16[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]9-20[/TD]
[TD="class: ccrItemText"][/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Sodium, Serum[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]142[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]134-144[/TD]
[TD="class: alternatingRow ccrItemText"]mmol/L[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Potassium, Serum[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]4.5[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]3.5-5.2[/TD]
[TD="class: ccrItemText"]mmol/L[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Chloride, Serum[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]102[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]96-106[/TD]
[TD="class: alternatingRow ccrItemText"]mmol/L[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Carbon Dioxide, Total[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]24[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]18-29[/TD]
[TD="class: ccrItemText"]mmol/L[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Calcium, Serum[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]9.1[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]8.7-10.2[/TD]
[TD="class: alternatingRow ccrItemText"]mg/dL[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Protein, Total, Serum[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]6.3[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]6.0-8.5[/TD]
[TD="class: ccrItemText"]g/dL[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Albumin, Serum[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]4.1[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]3.5-5.5[/TD]
[TD="class: alternatingRow ccrItemText"]g/dL[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Globulin, Total[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]2.2[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]1.5-4.5[/TD]
[TD="class: ccrItemText"]g/dL[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]A/G Ratio[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]1.9[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]1.1-2.5[/TD]
[TD="class: alternatingRow ccrItemText"][/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Bilirubin, Total[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]1.4[/TD]
[TD="class: LabCorpCCRItemText, align: center"]0.0-1.2[/TD]
[TD="class: ccrItemText"]mg/dL[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Alkaline Phosphatase, S[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]52[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]39-117[/TD]
[TD="class: alternatingRow ccrItemText"]IU/L[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Ast (Sgot)[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]24[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]0-40[/TD]
[TD="class: ccrItemText"]IU/L[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Alt (Sgpt)[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]24[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]0-44[/TD]
[TD="class: alternatingRow ccrItemText"]IU/L[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

Testost., Bioavailable W/Shbg
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"]
[/TD]
[TD="class: ccrCol2"][TABLE="class: c650 CCRLabResultSubtable, width: 641"]
[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"]Testosterone, Serum (Total)[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]390[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]ng/dL[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Bioavailable Testosterone, S[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]241[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]ng/dL[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Bioavailable Testosterone, %[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]61.7[/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"]Sex Hormone Binding Globulin[/TD]
[TD="class: LabCorpCCRItemText, align: center"]18.6[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]nmol/L

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

CoastWatcher · Feb 16, 2017

Welcome to Excelmale. Your doctor ordered the incorrect estradiol test - all men should rely on the sensitive test, LC, MS/MS. By ordering the standard test, used for women, you don't really know where your estradiol level sits. Why did he order, and why did you pay for estrone? It provides no actionable information for you or your doctor.

Sean Mosher · Feb 16, 2017

Your Total T is 390 ng/DL, which frankly isn't really normal.
Very sub par for being on TRT.
And you definitely need the sensitive estradiol test.
What's your current protocol?
Definitely needs some adjustment IMO....

drbenway · Feb 16, 2017

CoastWatcher said:
Welcome to Excelmale. Your doctor ordered the incorrect estradiol test - all men should rely on the sensitive test, LC, MS/MS. By ordering the standard test, used for women, you don't really know where your estradiol level sits. Why did he order, and why did you pay for estrone? It provides no actionable information for you or your doctor.

Thanks for the reply.

I have no idea why he ordered the Estrone, nor do I understand whether I should be concerned with the level. Insurance paid for tests...

Weirdly he did order the sensitive test before starting TRT in November. The regular Estradiol test was 15.4 pg/mL

Estradiol, Free Serum
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"]
[/TD]
[TD="class: ccrCol2"][TABLE="class: c650 CCRLabResultSubtable, width: 641"]
[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"]Estradiol, Serum, Ms[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]15[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]pg/mL[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Free Estradiol, Percent[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]3.2[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"]%[/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Free Estradiol, Serum[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]0.48[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow ccrItemText"]pg/mL

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

drbenway · Feb 16, 2017

Sean Mosher said:
Your Total T is 390 ng/DL, which frankly isn't really normal.
Very sub par for being on TRT.
And you definitely need the sensitive estradiol test.
What's your current protocol?
Definitely needs some adjustment IMO....

2 packets of Androgel for a total of 81mg of T - all done per instructions. When I was on 40.5mg, my total T was 180.

Endo says "Total T doesn't matter, BAT is good and that's all that matters. Come back in 6 months"

CoastWatcher · Feb 16, 2017

drbenway said:
2 packets of Androgel for a total of 81mg of T - all done per instructions. When I was on 40.5mg, my total T was 180.

Endo says "Total T doesn't matter, BAT is good and that's all that matters. Come back in 6 months"

He orders a test of no value (estrone), he orders an incorrect test (the wrong estradiol measure), and he tells you that total testosterone doesn't matter. You are consulting a doctor who will not provide you with the direction you need to achieve TRT success.

Did he mention that a substantial number of men fail to achieve success with topical testosterone? It's an absorption issue, some guys - no matter how much topical is applied - do not boost their levels. That was true in my case and it happens many times. It an be fixed easily with a transition to injections.

I'd be astonished if anything changes between now and your next consultation. You deserve better care and that means probably finding another doctor. Don't wait six months.