Lower Energy Levels, Lack of Libido, Lab Results

Pharma / TRT Testosterone Replacement
1

Been reading through the forum and thought I would see what you guys thought about my case / lab results.

I am an avid runner and cyclist. I run 40 to 60 miles per week depending on what I am training for. I bike 60 to 120 miles a week depending on what I am training for. I also strength train 4 days a week.

In terms of my diet, I am very disciplined and eat a whole foods diet that is rich in fiber, fruits and vegetables, whole grains, and lean meats / cold water fish. I watch my hydration levels and electrolyte levels religiously as well.

Over the past 2 years I have noticed a decline in my average training pace on most days. My overall strength levels have not declined, but I don’t get the same results either from strength training I used to. I can still get erections, but my sex drive is very low. I never wake up with an erection. I have tried reducing my training but it had not effect. I don’t drink heavily (never more than 1 or 2 beers or a glass of red wine) My resting heart rate is still low (40s) and my maximum heart rate is still up around 190. As a performance comparison, 2 years ago my race times would be 1:27 to 1:29 for a half marathon and today its more like 1:30 to 1:35. My blood pressure can also get very low if I am sitting for a long time. I discussed all this with my GP and she ordered a lot of lab work. So here it is:

AGE: 38
Sex: M
Height: 6,1
Weight: 165

TSH: 5.7

CBC -
MID: .4
Lymph: 1.8
Gran: 3.3
MID: 7.8%
Lymph%: 32.9%
GRAN%: 59.3%
RDW: 13.2%
RBC: 4.3%
PLT: 159
MCHC: 34.4%
MCH: 30.1
MCV: 87.6
HCT: 37.5%
HGB: 12.9%
WBC: 5.5%
MPV: 10.7

Metabolic Panel:

Glomerular Filtration: 101.3
ALK: 65
ALT: 41
AST: 63 (was told this is due to my training)
T Bilirubin: .2
Albumin: 3.9
Total Protein: 6.6
BUN: 23
Carbon Dioxide: 27.8
Chloride: 108
Potassium: 4.1
Sodium: 143
Creatinine: .8
Glucose: 86
Calcium: 8.8

Hemoglobin Glyclated:

HgbA1C: 5.3%

Testosterone Panel (Free and Total):
Testosterone Total: 306
Testosterone Free: 6.1

2

Might as well post ranges for everything…The boys will be asking for them.

3

Everything showed up as normal in the results with the exception of the following:

RBC - low
HCT - low
HGB - low

TSH - High
Free Testosterone - low

My doctor said I was mildly anemic and mildly hypothyroid.

My doctor prescribed 75 mcg Levothyroxin for my thyroid issue and told me to take an iron supplement to address the mild anemia. She did not want to treat the low testosterone. However, the testosterone numbers look low to me and I am wondering if that is the root cause of the mild anemia and being hypothyroid - in addition to the lower energy levels and low libido.

4

Thyroid affects testosterone, so correcting thyroid may be enough to normalize testosterone.

Therefore, if I were you I would first treat the thyroid. Give it a few months to stabilize, then retest testosterone. Only consider TRT if it is still low then.

5

WAIT:

We sometimes have hypothyroid cases here from guys who have not been using iodized salt who are iodine deficient. What is your iodized salt history? We don’t see doctors asking about basics like this.

Are you in KCKS or KCMO? Lawrence KS here.

Please read these stickies:

  • advice for new guys
  • thyroid basics
    – note references to iodine, selenium, stress, over training

Still need lab ranges, the [edit] in your posts works!

Labs: -note what you do not have
TT
FT
E2
LH/FSH
prolactin
TSH
fT3 [not T3, T4]
fT4
thyroid antibody panel !!!
fasting total cholesterol [might be too low <=160]
AM cortisol
DHEA-S

We can eval the above here.

6

By ranges do you mean what the lab results came back with (Low / Normal / High)?

Also, I use iodized salt and always have.

Total Cholesterol is 194. HDL is 82.

Waist Circumference: 31 inches.

I live on the Kansas side of the KC metro.

7

Here is the actual lab results if that helps:

Order: TSH ï´¾THYROID STIMULATING HORMONEï´¿ ï´¾84443ï´¿ Notes: N Name Date Value Units Range Source TSH 1/30/2015 5.70 ul/mL 0.3â??5.0 Sunflower Medical Group/Heartland Primary Care
Order: METABOLIC PANEL, COMPREHENSIVE ï´¾80053ï´¿ Notes: N Name Date Value Units Range Source Glucose 1/30/2015 86.00 mg/dL 74.0106.0 Sunflower Medical Group/Heartland Primary Care BUN 1/30/2015 23.00 mg/dL 7.018.0 Sunflower Medical Group/Heartland Primary Care
Creatinine 1/30/2015 0.80 mg/dL 0.6â??1.3
Sunflower Medical Group/Heartland Primary Care
Sodium 1/30/2015 143.00 mmol/L 136.0
Sunflower Medical Group/Heartland
146.0 Primary Care
Potassium 1/30/2015 4.10 mmol/L 3.5â??5.1
Sunflower Medical Group/Heartland Primary Care
Chloride 1/30/2015 108.00 mmol/L 98.0107.0
Sunflower Medical Group/Heartland Primary Care
Carbon Dioxide 1/30/2015 27.80 mmol/L 22.030.0
Sunflower Medical Group/Heartland Primary Care
Calcium 1/30/2015 8.80 mg/dL 8.410.5
Sunflower Medical Group/Heartland Primary Care
Total Protein 1/30/2015 6.60 gm/dL 6.4â??8.2
Sunflower Medical Group/Heartland Primary Care
Albumin 1/30/2015 3.90 gm/dL 3.2â??5.5
Sunflower Medical Group/Heartland Primary Care
T Bilirubin 1/30/2015 0.20 mg/dL 0.0â??1.3
Sunflower Medical Group/Heartland Primary Care
AST/SGOT 1/30/2015 63.00 U/L 10.037.0
Sunflower Medical Group/Heartland Primary Care
ALT/SGPT 1/30/2015 41.00 U/L 10.065.0
Sunflower Medical Group/Heartland Primary Care ALK PHOS 1/30/2015 65.00 U/L 50.0â?? Sunflower Medical Group/Heartland
136.0 Primary Care
Glomerular Filtration Rate 1/30/2015 101.30

Sunflower Medical Group/Heartland Primary Care
Order: HEMOGLOBIN GLYCLATED ï´¾HGB A1Cï´¿ ï´¾83036ï´¿ Notes: N Name Date Value Units Range Source HgbA1C 1/30/2015 5.30 % 4.4â??6.4 Sunflower Medical Group/Heartland Primary Care
Order: CBC, PLATELETS & AUT DIFF ï´¾85025ï´¿ Notes: N Name Date Value Units Range Source WBC 1/30/2015 5.50 6/uL 3.810.1 Sunflower Medical Group/Heartland Primary Care RBC 1/30/2015 4.30 6/uL 4.4â??5.8 Sunflower Medical Group/Heartland Primary Care HGB 1/30/2015 12.90 g/dL 13.817.2 Sunflower Medical Group/Heartland Primary Care HCT 1/30/2015 37.50 % 41.050.0

Sunflower Medical Group/Heartland Primary Care MCV 1/30/2015 87.60 fL 80.097.0 Sunflower Medical Group/Heartland Primary Care 26.0â?? Sunflower Medical
MCH 1/30/2015 30.10 pg 32.0 Group/Heartland Primary Care MCHC 1/30/2015 34.40 % 31.036.0 Sunflower Medical Group/Heartland Primary Care PLT 1/30/2015 159.00 3/uL 130.0400.0 Sunflower Medical Group/Heartland Primary Care MPV 1/30/2015 10.70 fL 0.099.8 Sunflower Medical Group/Heartland Primary Care RDW 1/30/2015 13.20 % 11.514.5 Sunflower Medical Group/Heartland Primary Care GRAN% 1/30/2015 59.30 % 37.092.0 Sunflower Medical Group/Heartland Primary Care LYMPH% 1/30/2015 32.90 % 10.058.5 Sunflower Medical Group/Heartland Primary Care MID% 1/30/2015 7.80 % 0.124.0 Sunflower Medical Group/Heartland Primary Care GRAN# 1/30/2015 3.30 3/uL 2.0â??7.8

Sunflower Medical Group/Heartland Primary Care LYMPH# 1/30/2015 1.80 3/uL 0.6â??4.1 Sunflower Medical Group/Heartland Primary Care MID# 1/30/2015 0.40 3/uL 0.0â??1.8 Sunflower Medical Group/Heartland Primary Care
Order: TESTOSTERONE PANEL ï´¾FREE AND TOTALï´¿ ï´¾84402ï´¿ Name Date Value Units Range Source Testosterone, Free 2/3/2015 6.10 ng/dL 9â??30 Sunflower Medical Group/Heartland Primary Care Notes:

ADDITIONAL INFORMATION Testing performed by Equilibrium Dialysis.
Testosterone, Total 2/3/2015 306.00 ng/dL 240950
Sunflower Medical Group/Heartland Primary Care

8

I see where you are!

Very hard to read. Suggest you past into a text editor and see if the format is not messed up.

Total Protein is low and
RBC - low
HCT - low
HGB - low

Are you getting enough red meat? Either that or you have a GI bleed. Any food sensitivities or digestive conditions. You can rule out/in a GI bleed with an occult blood test, poop smear test. If negative, your “thin blood” might be a result of low T and TRT would then resolve that. You can also test serum iron and ferritin.

Would also be a good idea to screen for thyroid antibodies. Thyroid autoimmune diseases can be a result of selenium deficiencies.

Please see my original post again.

9

I only eat red meat a few times a year so I would imagine that was the reason for the mild anemia. Almost all my protein comes in the form of white meat chicken, fish, legumes and greek yogurt.

I take a multivitamin and my diet is like a model diet in terms of the views of a doctor or dietitian. On a typical day I will eat whole oats with fruit for breakfast, an avocado as a mid-morning snack, a spinach salad, fruit, almonds, plain greek yogurt with berries, and smoked salmon wrap for lunch, fruit as a mid afternoon snack, chicken or fish with roasted vegetables and brown rice or quinoa and a green salad for dinner, a melon or fruit as a desert, and a whey protein shake before I go to bed. I never eat fast food.

Here are my results from my last labs again. Let me see if they look better this way:

Order: TSH (THYROID STIMULATING HORMONE) (84443)
Notes:
N
Name Date Value Units Range Source
TSH 1/30/2015 5.70 ul/mL 0.3-5.0 Sunflower Medical Group/Heartland Primary Care

Order: METABOLIC PANEL, COMPREHENSIVE (80053)
Notes:
N
Name Date Value Units Range Source
Glucose 1/30/2015 86.00 mg/dL 74.0-106.0 Sunflower Medical Group/Heartland Primary Care
BUN 1/30/2015 23.00 mg/dL 7.0-18.0 Sunflower Medical Group/Heartland Primary Care
Creatinine 1/30/2015 0.80 mg/dL 0.6-1.3 Sunflower Medical Group/Heartland Primary Care
Sodium 1/30/2015 143.00 mmol/L 136.0-146.0 Sunflower Medical Group/Heartland Primary Care
Potassium 1/30/2015 4.10 mmol/L 3.5-5.1 Sunflower Medical Group/Heartland Primary Care
Chloride 1/30/2015 108.00 mmol/L 98.0-107.0 Sunflower Medical Group/Heartland Primary Care
Carbon Dioxide 1/30/2015 27.80 mmol/L 22.0-30.0 Sunflower Medical Group/Heartland Primary Care
Calcium 1/30/2015 8.80 mg/dL 8.4-10.5 Sunflower Medical Group/Heartland Primary Care
Total Protein 1/30/2015 6.60 gm/dL 6.4-8.2 Sunflower Medical Group/Heartland Primary Care
Albumin 1/30/2015 3.90 gm/dL 3.2-5.5 Sunflower Medical Group/Heartland Primary Care
T Bilirubin 1/30/2015 0.20 mg/dL 0.0-1.3 Sunflower Medical Group/Heartland Primary Care
AST/SGOT 1/30/2015 63.00 U/L 10.0-37.0 Sunflower Medical Group/Heartland Primary Care
ALT/SGPT 1/30/2015 41.00 U/L 10.0-65.0 Sunflower Medical Group/Heartland Primary Care
ALK PHOS 1/30/2015 65.00 U/L 50.0-136.0 Sunflower Medical Group/Heartland Primary Care
Glomerular Filtration Rate 1/30/2015 101.30 Sunflower Medical Group/Heartland Primary Care

Order: HEMOGLOBIN GLYCLATED (HGB A1C) (83036)
Notes:
N
Name Date Value Units Range Source
HgbA1C 1/30/2015 5.30 % 4.4-6.4 Sunflower Medical Group/Heartland Primary Care

Order: CBC, PLATELETS & AUT DIFF (85025)
Notes:
N
Name Date Value Units Range Source
WBC 1/30/2015 5.50 6/uL 3.8-10.1 Sunflower Medical Group/Heartland Primary Care
RBC 1/30/2015 4.30 6/uL 4.4-5.8 Sunflower Medical Group/Heartland Primary Care
HGB 1/30/2015 12.90 g/dL 13.8-17.2 Sunflower Medical Group/Heartland Primary Care
HCT 1/30/2015 37.50 % 41.0-50.0 Sunflower Medical Group/Heartland Primary Care
MCV 1/30/2015 87.60 fL 80.0-97.0 Sunflower Medical Group/Heartland Primary Care
MCH 1/30/2015 30.10 pg 26.0-32.0 Sunflower Medical Group/Heartland Primary Care
MCHC 1/30/2015 34.40 % 31.0-36.0 Sunflower Medical Group/Heartland Primary Care
PLT 1/30/2015 159.00 3/uL 130.0-400.0 Sunflower Medical Group/Heartland Primary Care
MPV 1/30/2015 10.70 fL 0.0-99.8 Sunflower Medical Group/Heartland Primary Care
RDW 1/30/2015 13.20 % 11.5-14.5 Sunflower Medical Group/Heartland Primary Care
GRAN% 1/30/2015 59.30 % 37.0-92.0 Sunflower Medical Group/Heartland Primary Care
LYMPH% 1/30/2015 32.90 % 10.0-58.5 Sunflower Medical Group/Heartland Primary Care
MID% 1/30/2015 7.80 % 0.1-24.0 Sunflower Medical Group/Heartland Primary Care
GRAN# 1/30/2015 3.30 3/uL 2.0-7.8 Sunflower Medical Group/Heartland Primary Care
LYMPH# 1/30/2015 1.80 3/uL 0.6-4.1 Sunflower Medical Group/Heartland Primary Care
MID# 1/30/2015 0.40 3/uL 0.0-1.8 Sunflower Medical Group/Heartland Primary Care

Order: TESTOSTERONE PANEL (FREE AND TOTAL) (84402)
Name Date Value Units Range Source
Testosterone, Free 2/3/2015 6.10 ng/dL 9-30 Sunflower Medical Group/Heartland Primary Care
Notes:
Testosterone, Total 2/3/2015 306.00 ng/dL 240-950 Sunflower Medical Group/Heartland Primary Care
Notes:

As I stated earlier my doctor prescribed 75 mcg levothyroxine and wants me to take an iron supplement. She wants me back in 4 weeks to check again. So far that is what I am doing. Do you think that is a good course of action for me?

10

Get an occult blood test. Low iron does not explain lower protein level and depth of HTC. Meanwhile you do need iron and T will help boost RBC count. Have you been feeling a reduction in oxygen transport?

Still need you to check your body temperatures now and a these can be a good guide to your thyroid med dosing. Better than simply looking at how your labs respond. Also good to know your fT3, fT4 levels. There is a lot going on that TSH does not address.

You seem to be looking for reasons to dodge my suggestions.

I am assuming that your total cholesterol is low. Cholesterol is the chemical base for your steroid hormone cascades. TC<=160 is associated with increased all-cause mortality. Most docs have been programed by drug reps to think that lower and lower cholesterol is good - WRONG!

Suggest that you eat steak and beef liver. You need the iron, protein and cholesterol.

Please re-read my posts.

11

Thanks for the suggestions. My total cholesterol last time I had it checked was 195 and my hdl was 82. So my ratio was 2.4. I have my cholesterol checked once a year and the highest it has ever been is 205 while the lowest it has ever been is 183. My HDL is always very high so my ratio is always good.

I will email my dr about an occult blood test. I still train hard, I am just a little off from my peak. I will take my temps tomorrow in the morning and through the day. I know its always been the case in races and duathlons that I am most competitive in races when its really humid and hot out as I can handle that better than most guys. Although, I have also sweated out over 10 pounds of water weight on a long run in the summer. In terms of cold tolerance, I get out and run in temps all the way down to the single digits, but I always have trouble keeping my hands and feet warm.

I have also read that its not uncommon for endurance athletes to test slightly anemic because of their increased plasma volumes. idk

Last time I had some comprehensive lab work was back in 2008. They did not check T levels or thyroid then though. I noticed I was borderline anemic back then too though.

Results from 2008 for me are here:

Order: CBC, PLATELETS & AUT DIFF (85025)
Name Date Value Units Range Source
LYMPHOCYTES 6/11/2008 38.60 % Sunflower Medical Group/Heartland Primary Care
BASOPHILS 6/11/2008 0.60 % Sunflower Medical Group/Heartland Primary Care
Notes:

Test Performed at:
QUEST DIAGNOSTICS LENEXA
10101 RENNER BLVD
LENEXA, KS 66219-9752 WILLIAM DEPOND,MD
RED BLOOD CELL COUNT 6/11/2008 4.82 Million/uL 4.20-5.80 Sunflower Medical Group/Heartland Primary Care
RDW 6/11/2008 14.50 % 11.0-15.0 Sunflower Medical Group/Heartland Primary Care
MCV 6/11/2008 87.70 fL 80.0-100.0 Sunflower Medical Group/Heartland Primary Care
ABSOLUTE BASOPHILS 6/11/2008 35.00 cells/uL 0-200 Sunflower Medical Group/Heartland Primary Care
MONOCYTES 6/11/2008 7.70 % Sunflower Medical Group/Heartland Primary Care
ABSOLUTE LYMPHOCYTES 6/11/2008 2277.00 cells/uL 850-3900 Sunflower Medical Group/Heartland Primary Care
HEMOGLOBIN 6/11/2008 14.40 g/dL 13.2-17.1 Sunflower Medical Group/Heartland Primary Care
ABSOLUTE MONOCYTES 6/11/2008 454.00 cells/uL 200-950 Sunflower Medical Group/Heartland Primary Care
MCH 6/11/2008 29.90 pg 27.0-33.0 Sunflower Medical Group/Heartland Primary Care
PLATELET COUNT 6/11/2008 214.00 140-400 Sunflower Medical Group/Heartland Primary Care
Notes:
UNITS: Thousand/uL
EOSINOPHILS 6/11/2008 3.50 % Sunflower Medical Group/Heartland Primary Care
NEUTROPHILS 6/11/2008 49.60 % Sunflower Medical Group/Heartland Primary Care
HEMATOCRIT 6/11/2008 42.30 % 38.5-50.0 Sunflower Medical Group/Heartland Primary Care
WHITE BLOOD CELL COUNT 6/11/2008 5.90 3.8-10.8 Sunflower Medical Group/Heartland Primary Care
Notes:
UNITS: Thousand/uL
ABSOLUTE NEUTROPHILS 6/11/2008 2926.00 cells/uL 1500-7800 Sunflower Medical Group/Heartland Primary Care
ABSOLUTE EOSINOPHILS 6/11/2008 207.00 cells/uL 15-500 Sunflower Medical Group/Heartland Primary Care
MCHC 6/11/2008 34.10 g/dL 32.0-36.0 Sunflower Medical Group/Heartland Primary Care

Order: LIPID PANEL (80061)
Name Date Value Units Range Source
CHOL/HDLC RATIO 6/11/2008 2.80 (calc) < OR = 5.0 Sunflower Medical Group/Heartland Primary Care
Notes:

Test Performed at:
QUEST DIAGNOSTICS LENEXA
10101 RENNER BLVD
LENEXA, KS 66219-9752 WILLIAM DEPOND,MD
CHOLESTEROL, TOTAL 6/11/2008 184.00 mg/dL 125-200 Sunflower Medical Group/Heartland Primary Care
HDL CHOLESTEROL 6/11/2008 65.00 mg/dL > OR = 40 Sunflower Medical Group/Heartland Primary Care
LDL-CHOLESTEROL 6/11/2008 96.00 <130 Sunflower Medical Group/Heartland Primary Care
Notes:
UNITS: mg/dL (calc)

DESIRABLE RANGE <100 MG/DL FOR PATIENTS WITH CHD OR
DIABETES AND <70 MG/DL FOR DIABETIC PATIENTS WITH
KNOWN HEART DISEASE.
TRIGLYCERIDES 6/11/2008 115.00 mg/dL <150 Sunflower Medical Group/Heartland Primary Care

Order: URINALYSIS, AUTOMATED W/ MICRO (81001)
Name Date Value Units Range Source
WBC 6/11/2008 0-5 /HPF < OR = 5 Sunflower Medical Group/Heartland Primary Care
BACTERIA 6/11/2008 NONE SEEN /HPF NONE SEEN Sunflower Medical Group/Heartland Primary Care
COLOR 6/11/2008 YELLOW YELLOW Sunflower Medical Group/Heartland Primary Care
PH 6/11/2008 6.00 5.0-8.0 Sunflower Medical Group/Heartland Primary Care
KETONES 6/11/2008 NEGATIVE NEGATIVE Sunflower Medical Group/Heartland Primary Care
NITRITE 6/11/2008 NEGATIVE NEGATIVE Sunflower Medical Group/Heartland Primary Care
HYALINE CAST 6/11/2008 NONE SEEN /LPF NONE SEEN Sunflower Medical Group/Heartland Primary Care
Notes:

Test Performed at:
QUEST DIAGNOSTICS LENEXA
10101 RENNER BLVD
LENEXA, KS 66219-9752 WILLIAM DEPOND,MD
RBC 6/11/2008 NONE SEEN /HPF < OR = 3 Sunflower Medical Group/Heartland Primary Care
GLUCOSE 6/11/2008 NEGATIVE NEGATIVE Sunflower Medical Group/Heartland Primary Care
APPEARANCE 6/11/2008 CLEAR CLEAR Sunflower Medical Group/Heartland Primary Care
LEUKOCYTE ESTERASE 6/11/2008 TRACE NEGATIVE Sunflower Medical Group/Heartland Primary Care
SQUAMOUS EPITHELIAL CELLS 6/11/2008 NONE SEEN /HPF < OR = 5 Sunflower Medical Group/Heartland Primary Care
OCCULT BLOOD 6/11/2008 NEGATIVE NEGATIVE Sunflower Medical Group/Heartland Primary Care
PROTEIN 6/11/2008 NEGATIVE NEGATIVE Sunflower Medical Group/Heartland Primary Care
SPECIFIC GRAVITY 6/11/2008 1.02 1.001-1.035 Sunflower Medical Group/Heartland Primary Care
BILIRUBIN 6/11/2008 NEGATIVE NEGATIVE Sunflower Medical Group/Heartland Primary Care

Order: COMPREHENSIVE METABOLIC PANEL (80053)
Name Date Value Units Range Source
GLOBULIN 6/11/2008 2.50 2.1-3.7 Sunflower Medical Group/Heartland Primary Care
Notes:
UNITS: g/dL (calc)
CALCIUM 6/11/2008 9.70 mg/dL 8.6-10.2 Sunflower Medical Group/Heartland Primary Care
ALKALINE PHOSPHATASE 6/11/2008 63.00 U/L 40-115 Sunflower Medical Group/Heartland Primary Care
CREATININE 6/11/2008 0.90 mg/dL 0.50-1.30 Sunflower Medical Group/Heartland Primary Care
CHLORIDE 6/11/2008 106.00 mmol/L 98-110 Sunflower Medical Group/Heartland Primary Care
BUN/CREATININE RATIO 6/11/2008 NOT APPLICABLE (calc) 6-22 Sunflower Medical Group/Heartland Primary Care
Notes:
BUN/CREATININE RATIO IS NOT REPORTED WHEN THE BUN
AND CREATININE VALUES ARE WITHIN NORMAL LIMITS.
AST 6/11/2008 38.00 U/L 10-40 Sunflower Medical Group/Heartland Primary Care
PROTEIN, TOTAL 6/11/2008 7.20 g/dL 6.2-8.3 Sunflower Medical Group/Heartland Primary Care
ALBUMIN/GLOBULIN RATIO 6/11/2008 1.90 (calc) 1.0-2.1 Sunflower Medical Group/Heartland Primary Care
GLUCOSE 6/11/2008 87.00 mg/dL 65-99 Sunflower Medical Group/Heartland Primary Care
Notes:
FASTING REFERENCE INTERVAL
eGFR NON-AFR. AMERICAN 6/11/2008 >60 > OR = 60 Sunflower Medical Group/Heartland Primary Care
Notes:
UNITS: mL/min/1.73m2
SODIUM 6/11/2008 140.00 mmol/L 135-146 Sunflower Medical Group/Heartland Primary Care
CARBON DIOXIDE 6/11/2008 22.00 mmol/L 21-33 Sunflower Medical Group/Heartland Primary Care
ALBUMIN 6/11/2008 4.70 g/dL 3.6-5.1 Sunflower Medical Group/Heartland Primary Care
BILIRUBIN, TOTAL 6/11/2008 0.70 mg/dL 0.2-1.2 Sunflower Medical Group/Heartland Primary Care
ALT 6/11/2008 24.00 U/L 9-60 Sunflower Medical Group/Heartland Primary Care
Notes:

Test Performed at:
QUEST DIAGNOSTICS LENEXA
10101 RENNER BLVD
LENEXA, KS 66219-9752 WILLIAM DEPOND,MD
eGFR AFRICAN AMERICAN 6/11/2008 >60 > OR = 60 Sunflower Medical Group/Heartland Primary Care
Notes:
UNITS: mL/min/1.73m2
UREA NITROGEN (BUN) 6/11/2008 14.00 mg/dL 7-25 Sunflower Medical Group/Heartland Primary Care
POTASSIUM 6/11/2008 4.40 mmol/L 3.5-5.3 Sunflower Medical Group/Heartland Primary Care

Again thank you for the suggestions though.

12

One last question. Hopefully treating my hypothyroidism will bring my testosterone and free testosterone levels up. However, assuming when the dr has me back for more lab work in a few weeks and my T levels are still low, should I talk to my Dr about maybe prescribing me something like Clomid rather than TRT?

13

If you do TRT, you might not be able to compete with drug testing etc.

Thyroid should be your main focus. Have you read the thyroid basics sticky?

You need selenium in your vitamins for proper thyroid function, otherwise autoimmune disease can occur.

BODY TEMPERATURES?

Get tested for thyroid anti-bodies.

Labs: -note what you do not have
TT
FT
E2
LH/FSH
prolactin
TSH
fT3 [not T3, T4]
fT4
thyroid antibody panel !!!
fasting total cholesterol [might be too low <=160]
AM cortisol
DHEA-S