Pre TRT labs from Defy - anything stand out that I should dig into before Apt

crazyhaha · Oct 25, 2016

Hey everyone. I have more lab results (pre TRT) that were ordered by defy (I haven't had my appointment yet).

Does anything jump out as being more complicated than just low-T and needing TRT (I'm apprehensive)? My DHEA looks low.

My TSH high-ish (and has been higher). I also tested positive for Thyroid Peroidase (TPO = 265, 0-34 normal) in a prior lab test.

Dhea-Sulfate
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"]
[/TD]
[TD="class: ccrCol2"][TABLE="class: c650 CCRLabResultSubtable, width: 641"]
[TR]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabTest, align: left"]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, align: left"]Units[/TH]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Dhea-Sulfate[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]65.9[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]102.6-416.3[/TD]
[TD="class: alternatingRow ccrItemText"]ug/dL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

Tsh
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"]
[/TD]
[TD="class: ccrCol2"][TABLE="class: c650 CCRLabResultSubtable, width: 641"]
[TR]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabTest, align: left"]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, align: left"]Units[/TH]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Tsh[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]3.660[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]0.450-4.500[/TD]
[TD="class: alternatingRow ccrItemText"]uIU/mL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

Luteinizing Hormone(Lh), S
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"]
[/TD]
[TD="class: ccrCol2"][TABLE="class: c650 CCRLabResultSubtable, width: 641"]
[TR]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabTest, align: left"]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, align: left"]Units[/TH]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Lh[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]6.7[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]1.7-8.6[/TD]
[TD="class: alternatingRow ccrItemText"]mIU/mL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

Progesterone
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"]
[/TD]
[TD="class: ccrCol2"][TABLE="class: c650 CCRLabResultSubtable, width: 641"]
[TR]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabTest, align: left"]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, align: left"]Units[/TH]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Progesterone[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]<0.1[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]0.0-0.1[/TD]
[TD="class: alternatingRow ccrItemText"][/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

Prostate-Specific Ag, 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, align: left"]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, align: left"]Units[/TH]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Prostate Specific Ag, Serum[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]0.4[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]0.0-4.0[/TD]
[TD="class: alternatingRow ccrItemText"]ng/mL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

Testosterone,Free And Total
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"]
[/TD]
[TD="class: ccrCol2"][TABLE="class: c650 CCRLabResultSubtable, width: 642"]
[TR]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabTest, align: left"]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, align: left"]Units[/TH]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Testosterone, Serum[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]294[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]348-1197[/TD]
[TD="class: alternatingRow ccrItemText"]ng/dL[/TD]
[/TR]
[TR]
[TD="class: ccrItemText"]Comment:[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]Adult male reference interval is based on a population of lean males[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: ccrItemText"][/TD]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Free Testosterone(Direct)[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]8.8[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]6.8-21.5[/TD]
[TD="class: alternatingRow ccrItemText"]pg/mL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

Estradiol, Sensitive
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"]
[/TD]
[TD="class: ccrCol2"][TABLE="class: c650 CCRLabResultSubtable, width: 641"]
[TR]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabTest, align: left"]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, align: left"]Units[/TH]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Estradiol, Sensitive[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]8.2[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]8.0-35.0[/TD]
[TD="class: alternatingRow ccrItemText"]pg/mL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

Cbc/Diff Ambiguous Default
[TABLE="class: noBottomMargin"]
[TR]
[TD="class: ccrCol1"]
[/TD]
[TD="class: ccrCol2"][TABLE="class: c650 CCRLabResultSubtable, width: 642"]
[TR]
[TH="class: bodyBold ccrItemHeader LabCorpCCRViewer_LabTest, align: left"]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, align: left"]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"]0.1[/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"]1.2[/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"]3.6[/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"]0[/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"]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"]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"]22[/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"]67[/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"]201[/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"]13.6[/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"]33.3[/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"]29.3[/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"]88[/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"]43.6[/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"]14.5[/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"]4.95[/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"]5.4[/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]

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, align: left"]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, align: left"]Units[/TH]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Glucose, Serum[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]90[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/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"]12[/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"]1.04[/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"]89[/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"]103[/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"]12[/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"]4.3[/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"]103[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]97-108[/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"]27[/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"]9.4[/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"]6.8[/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"]4.0[/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"]2.8[/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"]1.4[/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"]0.5[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/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"]73[/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"]21[/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"]19[/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]

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, align: left"]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, align: left"]Units[/TH]
[/TR]
[TR]
[TD="class: alternatingRow ccrItemText"]Cholesterol, Total[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"][/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]151[/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"]85[/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"]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"]Vldl Cholesterol Cal[/TD]
[TD="class: LabCorpCCRItemText, align: center"][/TD]
[TD="class: LabCorpCCRItemText, align: center"]17[/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"]101[/TD]
[TD="class: alternatingRow LabCorpCCRItemText, align: center"]0-99[/TD]
[TD="class: alternatingRow ccrItemText"]mg/dL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

Vince · Oct 25, 2016

With Tsh at 3.66, I would consider a complete thyroid panel. For low HDL, NAC and niacin should help.

Vince Carter · Oct 25, 2016

Yeah you should have a more complete Thyroid panel, esp with having a past antibodies test that high. Dr Saya can treat you in this area.

crazyhaha · Oct 25, 2016

Here are some other Thyroid lab work I had.

Thyroxine (T4) Free, Direct, S T4,Free(Direct) 1.12 ng/dL 0.82 - 1.77 01
TSH 3.100 uIU/mL 0.450 - 4.500 01

I guess what I am asking, would you hold off TRT until this is addressed? You wouldn't think this would fix my low-T, would you?

Thanks!!

Vince Carter · Oct 25, 2016

I don't think one is dependent on the other, you could try Thyroid treatment alone but I doubt you suddenly find your self as not low T any longer. Thyroid can account for a number of negative symptoms. Many guys find that embarking on TRT that they have peripheral problems...Thyroid, Adrenals, any number of things which seem pretty common.

Vince · Oct 25, 2016

crazyhaha said:
Here are some other Thyroid lab work I had.

Thyroxine (T4) Free, Direct, S T4,Free(Direct) 1.12 ng/dL 0.82 - 1.77 01
TSH 3.100 uIU/mL 0.450 - 4.500 01

I guess what I am asking, would you hold off TRT until this is addressed? You wouldn't think this would fix my low-T, would you?

Thanks!!

Your t is pretty low, I don't think your thyroid is bad enough to raise your testosterone to good levels. I am wondering what's your age?

CoastWatcher · Oct 25, 2016

crazyhaha said:
Here are some other Thyroid lab work I had.

Thyroxine (T4) Free, Direct, S T4,Free(Direct) 1.12 ng/dL 0.82 - 1.77 01
TSH 3.100 uIU/mL 0.450 - 4.500 01

I guess what I am asking, would you hold off TRT until this is addressed? You wouldn't think this would fix my low-T, would you?

Thanks!!

Dr. Saya will explore all if this, and the possible impact it will make on a TRT protocol, with you. It's not as if he will treat your hypogonadism in a silo, independent of broader health issues.

Jackie Treehorn · Oct 25, 2016

crazyhaha said:
Hey everyone. I have more lab results (pre TRT) that were ordered by defy (I haven't had my appointment yet).

Does anything jump out as being more complicated than just low-T and needing TRT (I'm apprehensive)? My DHEA looks low.

My TSH high-ish (and has been higher). I also tested positive for Thyroid Peroidase (TPO = 265, 0-34 normal) in a prior lab test.

Crazy,

I agree with the other guys...you definitely need a full thyroid panel. With your TPO antibodies that high, it could be indicative of an autoimmune disorder (Hashimoto's or Graves disease). I would think that his would need to be addressed prior to TRT, but don't quote me on that. Dr. Saya will have all the answers for you during your consult. Good luck.

johndoesmith · Oct 25, 2016

Other than your thyroid results you look to be primary to me.

LH of 6.7 and total of 293 or something, yeah that's your testes struggling to produce sufficient testosterone.

Low free and low E2 as well. Ouch is all I can say.

I have been there with low E2 and low test, and am also primary myself, and a patient of defy I can tell you that things can be improved.

What are your symptoms? I imagine with that low E2 you must feel horrible man.

Vince · Oct 25, 2016

johndoesmith said:
Other than your thyroid results you look to be primary to me.

LH of 6.7 and total of 293 or something, yeah that's your testes struggling to produce sufficient testosterone.

Low free and low E2 as well. Ouch is all I can say.

I have been there with low E2 and low test, and am also primary myself, and a patient of defy I can tell you that things can be improved.

What are your symptoms? I imagine with that low E2 you must feel horrible man.

Before I started TRT my E2 was unreadable but I never felt anything and no symptoms of low E2. Even with my higher healthier levels of E2, I still feel nothing from it. But increasing my T levels has made me feel great. Just my 2 cents.

Nelson Vergel · Oct 25, 2016

I agree with Jackie Treehorn. I am sure Dr Saya will repeat thyroid antibodies if you had a high value in the past since your TSH is already over 3.5. He will decide if he will address the thyroid and low T issues simultaneously or not.

crazyhaha · Oct 26, 2016

Thanks everyone!! I'm 41 and yeah, I feel pretty horrible mentally/emotionally. Beyond the ED and relationship problems that has been causing (my wife is not very patient), I have trouble concentrating on my job. No one notices because I work from home, but it takes me longer to do the same work. It's hard to see a better future, so it's good to hear that some of you have been there. I bottomed out a couple months ago after getting into an argument with my wife and putting my head through some drywall. That's not happening again!

johndoesmith · Oct 26, 2016

crazyhaha said:
Thanks everyone!! I'm 41 and yeah, I feel pretty horrible mentally/emotionally. Beyond the ED and relationship problems that has been causing (my wife is not very patient), I have trouble concentrating on my job. No one notices because I work from home, but it takes me longer to do the same work. It's hard to see a better future, so it's good to hear that some of you have been there. I bottomed out a couple months ago after getting into an argument with my wife and putting my head through some drywall. That's not happening again!

You need to get your drywall total and free levels tested. Tell Dr. saya to add that on. It's really important to have a baseline.

Seriously though, why the head, I've put my first through dry wall years ago?

crazyhaha · Oct 26, 2016

Ha ha johndoesmith...my gypsum levels might be too high.

crazyhaha · Oct 26, 2016

And a follow-up based on what you guys said about the thyroid stuff, I emailed defy about more thyroid tests. They added a thyroid panel so now I'll get that done and I'll have more info when I talk to the doc. You guys rock!!