Lab Result Interpretation


Hello, I did some blood work in June, and my doctor agreed to start TRT based on the results. Trouble is, I can’t understand the results; the units are different than what I see on the forum here. (I am in Canada, so I guess they use a different system here.)

I suspected I had low T based on a big weight gain and strength drop in the past year. Although I worked out with weights 3x per week, I started losing strength, doing the same workouts with the same diet and sleep patters as usual. It was very frustrating. I have never taken steroids, and I am not trying to compete in the Mr.Olympia, but it is very frustrating to be benching over 200 pounds (which took me many years to get to – hard gainer here) to steadily getting weaker, week after week, for no apparent reason?

That combined with a huge weight gain in a short time (30 pounds in a year) made me think this had hormone implications. (Additionally I haven’t had morning wood for 10 years, but since I could still perform to some extent, I put it on the back burner.)

My info and symptoms are:

-age: 42
-height: 6’3" (75 iinches)
-waist: 46"(at fattest part)
-weight: 251 pounds

Symptoms are (answer to “Why Are You Here?”):

  • Weight gain (fat gain, muscle loss)
  • strength loss (used to bench press over 200 pounds a few months ago, now do 150 or so)
  • tired and cranky much of the time
  • no morning erections or spontaneous erections, and few nocturnal erections (been this way for 10 years)
  • soft erections
  • weak orgasms
  • lower sex drive in last year (before last year, had orgasms 5x week. Now it is 1-2x)
  • loss of “mojo” / manliness
    -Brain fog / lack of concentration and focus
    -Social withdrawal - “I would rather not go out”
    -wife says I am snoring more

-describe body and facial hair
I have a fairly fully beard and moustache, but it is not dense like a bear pelt. There are some spots where it is patchy. Body hair is pretty full. Getting longer than it used to be, more nose and longer eyebrow hair.
-describe where you carry fat and how changed
I carry fat like a man – on my stomach and then evenly distributed. Big weight gain in last year. (20 lbs)

-Rx and OTC drugs, any hair loss drugs or prostate drugs ever
Take doxycycline for rosacea – that is the only precription drug

  • OTC drugs / supplements
    Night time:
    L-Arginine (500mg)
    Zinc Picolinate (22mg)
    Melatonin (10mg)
    Pygeum (500mg)
    Velerian Root (400mg) - some nights
    [DHEA 35mg / Pregnenalone 25mg]

Day Time:
Centrum Multivitamin
Vitamin C (1000 mg)
Vitamin D (2000 IU)
1500 mg Fish Oil (3 pills – each pill is 300 EPA / 200 DHA)
Yohimbe Bark (300 mg)
Doxycycline (50-100mg, depending on need)

-describe diet [some create substantial damage with starvation diets]
about to change so hard to say - I want to do low carb
-describe training

  • weights 3x per week
  • no cardio in past 6 months
  • bike everywhere (no car)
    -testes ache, ever, with a fever?
    no, but I think I have a varicocele in left testicle
    -how have morning wood and nocturnal erections changed
    have not had morning wood for 10 years
    few nocturnal erections
    erection “response time” is much longer (a few minutes to get wood)
    softer erections

Your Free T actually looks decent…on the lower end of the range, but not to the point where I would be concerned about it as a health issue.

Looks like a potential issue with your thyroid. TSH is good, but Free T3 is low. This means your body is happy with its current thyroid output (otherwise TSH would rise to produce more thyroid hormone but it hasn’t done that). I would looke here for problems and do some further testing in that area:

-TSH
-Free T4
-Free T3
-Reverse T3
-Thyroid antibodies (to rule out Hashi’s and other auto-immune disorders)
-Cortisol

Thanks so much for the informed reply! I am seeing my doc tomorrow and will request exactly what you mention here.

One thing: He is an antiaging doc. My goal is to get my testosterone to be like that of a 25 year old. I didn’t realize I had a thyroid issue.

The doctor already has started me on a 150 mg / week testosterone ethanate regimen, injected 2x per week (75 mg each time). Tomorrow I go for my second ever injection. Is this going to screw up the results of the things you said to test for? (In which case should I halt starting the test regimen, and wait a certain amount of time and retest everything?)

Thanks,
Junk2222

It is better to get a baseline off all meds, but that has to be balanced with treatment options that keep you from feeling like shit…I personally wouldn’t worry about it and would continue my treatment, but would get the tests done as soon as possible. Talk to your doc and get their opinion as well.

Take probiotics after antibiotics stopped.

Convert your labs: http://www.unc.edu/~rowlett/units/scales/clinical_data.html

I think that your T4 is low as week.

[quote]KSman wrote:
Take probiotics after antibiotics stopped.

Convert your labs: http://www.unc.edu/~rowlett/units/scales/clinical_data.html

I think that your T4 is low as week. [/quote]Not sure what you mean by this? Are you saying I should be replacing the doxycycline I take (for Rosacea) with someting else? Or that if it stops being effective, consider a probiotic?

And I assume the bit about my T4 is “as well”, not “as week”, right?

[quote]VTBalla34 wrote:
It is better to get a baseline off all meds, but that has to be balanced with treatment options that keep you from feeling like shit…I personally wouldn’t worry about it and would continue my treatment, but would get the tests done as soon as possible. Talk to your doc and get their opinion as well.[/quote]Well I am continuing with the TRT, and have had 4 injections now, the last of which I did myself. My doctor agreed to add some news tests for thyroid, base don your own recommendation. (Thanks!) But he said in Canada we don’t have a “reverse T3” test, which seems strange and possibly wrong? But in my newest lab tests, which I am getting blood drawn tomorrow for, are:

Free Test
E2
DHEA-S
Cortisol
Thyroid antibodies

Doc didn’t want to re-test TSH, Free T4 and Free T3 because he said “we just did it”.

I do wonder how the TRT kicking in may play with the results, but I was too eager to continue TRT to delay it, since I am hoping my mood and energy are likey to get better when I have higher testosterone. I also wonder in the Thyroid issue (if I have one) is what is causing me to have low testosterone in the first place?


Lab Results back… trying to dial in a good TRT program. Also checking into my thyroid – results before showed a low T3 though TSH and T4 weren’t that far off.

My Free T is much higher, but my E2 is through the roof. Now with proof, my doctor happily has prescribed an AI. But he is not sure if my insurance will cover this “off label” use. (It is for Femara, not Arimidex. He told me how to dissolve it in water and take a miniscule dose with an oral syringe – making one pill last 40 days.)

I am wondering:

  1. Is there any reason why using Femara is not as good as Arimidex, as an AI for my purposes? (Since my insurance probably won’t cover either, Femara is much more cost effective.)
  2. My DHEA Sulphate has been “above range” 2x now, but my doctor hasn’t mentionef anything regarding this? Should I be concerned?
  3. Because my Free T is still not in the optimal range, the doctor bumped up my dose from .375ml 2x per week to .400ml 2x per week. The old dose was 150mg total per week, so (if my math is right) I am now on 172.5mg per week. Seems to be creeping high? Is my doc being prudent, or are we overdoing it? (I was thinking maybe if we got my E2 in the right range, my T would go up without having to increase my dosage?)
  4. Can anyone comment on my cortisol?
  5. Also, the doc mentioned trying hCG soon, but sublingually possibly instead of injecting it. I told him to let me look into it, which means coming here and asking “is this wise”? I would prefer less injections, not more, so sublingual is appealing if it can be effective? Can it?

Cheers!