28 Year Old Dialed In - Had Low Sex Drive, Fatigue, Trouble Sleeping

CHEMICAL NAME CHEMICAL LEVEL LAB REFERENCE RANGE DATE & TIME COLLECTED
TOTAL TESTOSTERONE 210 ng/dL 220 - 800 ng/dL 07/13/2018 8:24 AM
TOTAL TESTOSTERONE 361 ng/dL 250 - 1,100 ng/dL 07/24/2018 8:46 AM
TOTAL TESTOSTERONE 346 ng/dL 300 - 1,080 ng/dL 08/06/2018 7:57 AM
FREE TESTOSTERONE 80.9 pg/mL 35.0 - 155.0 pg/mL 07/24/2018 8:46 AM
FREE TESTOSTERONE 67 pg/mL 47 - 244 pg/mL 08/06/2018 7:57 AM
FREE TESTOSTERONE 82.4 pg/mL 35.0 - 155.0 pg/mL 08/06/2018 7:57 AM
BIO TESTOSTERONE 210 ng/dL 131 - 682 ng/dL 08/06/2018 7:57 AM
% FREE TESTOSTERONE 1.9 % 1.6 - 2.9 % 08/06/2018 7:57 AM
DIHYDROTESTOSTERONE 24 ng/dL 16 - 79 ng/dL 07/31/2018 8:26 AM
ESTRADIOL (ULTRASENSITIVE/PED) 7 pg/mL < OR = 29 pg/mL 07/31/2018 8:26 AM
SEX HORMONE BIND PROTEIN-SHBG 22 nmol/L 10 - 50 nmol/L 07/31/2018 8:26 AM
SEX HORMONE BIND PROTEIN-SHBG 25 nmol/L 11 - 80 nmol/L 08/06/2018 7:57 AM
LH 3.0 mIU/mL 1.7 - 8.6 mIU/mL 07/24/2018 8:46 AM
FSH 10.1 mIU/mL 1.5 - 12.4 mIU/mL 07/24/2018 8:46 AM
DHEA-SULFATE 318 mcg/dL 160 - 449 mcg/dL 08/07/2018 8:53 AM
TSH 1.36 uIU/mL 0.3 - 5.5 uIU/mL 07/12/2018 6:57 PM
TSH 2.28 uIU/mL 0.3 - 5.5 uIU/mL 07/31/2018 8:26 AM
TSH 1.25 uIU/mL 0.3 - 5.5 uIU/mL 08/07/2018 8:53 AM
FREE THYROXINE (FT4) 0.89 ng/dL 0.6 - 1.4 ng/dL 07/24/2018 8:46 AM
FREE THYROXINE (FT4) 0.88 ng/dL 0.6 - 1.4 ng/dL 08/07/2018 8:53 AM
FREE T3 2.7 pg/mL 2.4 - 4.4 pg/mL 08/07/2018 8:53 AM
REVERSE T3 13 ng/dL 8 - 25 ng/dL 08/07/2018 8:53 AM
SOMATOMEDIN C (IGF-1) 369 ng/mL 63 - 373 ng/mL 08/07/2018 8:53 AM
IGFBP-3 4.7 mg/L 3.4 - 7.8 mg/L 08/07/2018 8:53 AM
PREGNENOLONE LCMS 31 ng/dL 22 - 237 ng/dL 08/07/2018 8:53 AM
PROGESTERONE 0.5 ng/mL 0.2 - 1.4 ng/mL 08/07/2018 8:53 AM
PSA (BECKMAN) 0.290 ng/mL 0.0 - 4.0 ng/mL 07/31/2018 8:26 AM
CORTISOL 9.7 mcg/dL 6 - 19 mcg/dL 07/24/2018 8:46 AM
PROLACTIN 7.1 ng/mL 2.5 - 14 ng/mL 07/24/2018 8:46 AM
CHOLESTEROL 135 mg/dL 100 - 199 mg/dL 07/31/2018 8:26 AM
HDL CHOLESTEROL 43 mg/dL 40 - 120 mg/dL 07/31/2018 8:26 AM
TRIGLYCERIDES 114 mg/dL 40 - 249 mg/dL 07/31/2018 8:26 AM
LDL CHOLESTEROL 69 mg/dL ? mg/dL 07/31/2018 8:26 AM
SODIUM 141 MEQ/L 135 - 145 MEQ/L 07/13/2018 8:24 AM
SODIUM 141 MEQ/L 135 - 145 MEQ/L 07/24/2018 8:46 AM
POTASSIUM 4.2 MEQ/L 3.5 - 5.2 MEQ/L 07/13/2018 8:24 AM
POTASSIUM 5.0 MEQ/L 3.5 - 5.2 MEQ/L 07/24/2018 8:46 AM
CHLORIDE 104 MEQ/L 99 - 108 MEQ/L 07/13/2018 8:24 AM
CHLORIDE 103 MEQ/L 99 - 108 MEQ/L 07/24/2018 8:46 AM
CARBON DIOXIDE 28 MEQ/L 22 - 32 MEQ/L 07/13/2018 8:24 AM
CARBON DIOXIDE 31 MEQ/L 22 - 32 MEQ/L 07/24/2018 8:46 AM
GLUCOSE 106 mg/dL 65 - 140 mg/dL 07/13/2018 8:24 AM
GLUCOSE 99 mg/dL 65 - 140 mg/dL 07/24/2018 8:46 AM
BUN 19 mg/dL 6 - 24 mg/dL 07/13/2018 8:24 AM
BUN 19 mg/dL 6 - 24 mg/dL 07/24/2018 8:46 AM
CREATININE 1.10 mg/dL 0.50 - 1.40 mg/dL 07/13/2018 8:24 AM
CREATININE 0.90 mg/dL 0.50 - 1.40 mg/dL 07/24/2018 8:46 AM
CALCIUM 9.8 mg/dL 8.6 - 10.3 mg/dL 07/13/2018 8:24 AM
CALCIUM 10.2 mg/dL 8.6 - 10.3 mg/dL 07/24/2018 8:46 AM
TOTAL PROTEIN 7.8 G/DL 5.8 - 8.0 G/DL 07/24/2018 8:46 AM
ALBUMIN 4.8 G/DL 3.4 - 5.2 G/DL 07/13/2018 8:24 AM
ALBUMIN 5.2 G/DL 3.4 - 5.2 G/DL 07/24/2018 8:46 AM
BILIRUBIN, TOTAL 0.4 mg/dL 0.2 - 1.1 mg/dL 07/24/2018 8:46 AM
AST 19 U/L 6 - 35 U/L 07/24/2018 8:46 AM
ALK PHOS 108 U/L 30 - 125 U/L 07/24/2018 8:46 AM
ALT 33 U/L 5 - 50 U/L 07/24/2018 8:46 AM
GFR – NON-AFRICAN AMERICAN above 60 ML/MIN 60 - 100 ML/MIN 07/13/2018 8:24 AM
GFR – NON-AFRICAN AMERICAN above 60 ML/MIN 60 - 100 ML/MIN 07/24/2018 8:46 AM
HEMOGLOBIN A1C 5.2 % 4.5 - 5.6 % 07/13/2018 8:24 AM
ESTIMATED AVERAGE GLUCOSE 103 mg/dL ? mg/dL 07/13/2018 8:24 AM
WBC 8.1 K/uL 4.0 - 10.7 K/uL 07/24/2018 8:46 AM
RBC 5.21 10*6 4.20 - 5.60 10*6 07/24/2018 8:46 AM
HEMOGLOBIN 15.3 GM/DL 13.2 - 17.4 GM/DL 07/24/2018 8:46 AM
HEMATOCRIT 44 % 38 - 50 % 07/24/2018 8:46 AM
MCV 85 80 - 98 07/24/2018 8:46 AM
MCH 29 27 - 34 07/24/2018 8:46 AM
MCHC 35 % 33 - 37 % 07/24/2018 8:46 AM
RDW 13.4 8.0 - 18.5 07/24/2018 8:46 AM
PLATELET COUNT 195 10*3 140 - 450 10*3 07/24/2018 8:46 AM
Neutrophils, Absolute 5.30 K/uL 2.00 - 7.30 K/uL 07/24/2018 8:46 AM
Lymphocytes, Absolute 2.00 K/uL 1.00 - 3.40 K/uL 07/24/2018 8:46 AM
MONOCYTES, ABSOLUTE 0.60 K/uL 0.00 - 0.80 K/uL 07/24/2018 8:46 AM
Eosinophils, Absolute 0.10 K/ul 0.0 - 0.5 K/ul 07/24/2018 8:46 AM
Basophils, Absolute 0.00 K/uL 0.0 - 0.2 K/uL 07/24/2018 8:46 AM

Pituitary MRI Study Result (08/12/2018)

Impression:

1. Normal MR Sella w/wo contrast exam.

Collected:

08/12/2018 5:01 PM

Narrative

[HST]: HYPOGONADOTROPIC HYPOGONADISM

HYPOGONADOTROPIC HYPOGONADISM

Exam: MRI Sella without and with gadolinium.

History: HYPOGONADOTROPIC HYPOGONADISM:: HYPOGONADOTROPIC HYPOGONADISM

Comparison: none

Technique: Precontrast sagittal T1 whole brain, sagittal and coronal

T1 thin section, Coronal T2 FSE thin section. Coronal T1 dynamic

post-gadolinium through the pituitary. Post gadolinium sagittal and

coronal T1 FS thin section.

15 cc’s of Multihance was administered IV.

Findings:

Pituitary gland is normal. No evidence of microadenoma on dynamic

post-contrast images. No evidence of macroadenoma on standard

post-contrast imaging. Pituitary infundibulum is midline.

No evidence of midline shift. Ventricles, sulci, and cisterns are

normal.

No abnormal signal or abnormal enhancement within the visualized

brain parenchyma.

No extraaxial lesions. Normal vascular flow voids.