Lurko's Lab Results

Pharma TRT
1

Hi all, been lurking here for a long time. Here’s my case - my libido has been borderline nonexistent for the past few years. I decided to finally get my hormone levels checked.

  • 32 years old
  • 5’10"
  • about 32 inch waist
  • 170lb
  • I take 0.25mg of propecia (finasteride) every morning

Okay, so the first time I went to see a doc (2 weeks ago) he flat out refused to test for a few things - like LH, free test or E2. He said they weren’t relevant, and wouldn’t sign off on them. That’s when I realized I’d already have to book another doctors appointment (I saw another doc - an endo - a week later).

From first doc:
Serum Testosterone: 896 ng/dL (348-1197) (I had ejaculated maybe two hours prior to the blood being drawn)
TSH: 0.878 uIU/mL (0.45-4.5)
Vitamin D, 25-Hydroxy: 34.2 ng/mL (30-100)
T4: 1.37 ng/dL (0.82-1.77)

So I’m wondering if I have abnormally low TSH levels.

So then I go see the endo. He agreed to everything except pregnesone:
This was taken 6 days after the first blood test:
PSA: 0.7 ng/mL (<4.0)
E2: 19 pg/mL (<63)
FSH: 7.4 miu/mL (1.3-11.4)
LH: 4.2 miu/mL (1.2-7.8)
Prolactin: 4.0 ng/mL (3.0-30)
T4: 7.2 ug/DL (4.4-12.4)
TSH: 0.9 uiu/mL (0.5-4.7)
DHEA-S: 264 ug/dL (103-446)
Testosterone, total: 608 ng/dL (292-1052)
SHBG: 68 nmol/L (17-66) So this showed up as abnormal
Free Test: 7.9 ng/dL (4.8 - 25.0)

What do ya’ll think? My SHBG is off, while my tsh and free test are on the low side, it seems.

Edit: changed “globulin” to SHBG for clarity. I think that’s my concern is that so much of my test is bound to this useless protein

2

The elevation in globulins could be due to dehydration but since no value for albumin or your CBC/electrolyte/kidney panels aren’t there dehydration is not possible to analyze. A slightly elevated globulin such as yours could be associated with dehydration or chronic inflammation etc.

3

The elevation in globulins could be due to dehydration but since no value for albumin or your CBC/electrolyte/kidney panels aren’t there dehydration is not possible to analyze. A slightly elevated globulin such as yours could be associated with dehydration or chronic inflammation etc.

I had that checked (wasn’t sure if relevant).
Albumin, serum: 4.6 g/dL (3.5-5.5)

Oh, and not sure if I labeled the globulin right - it was my SHBG value in my previous post (Sex Hormone Binding Globulin)

4

I can definitely say, upon further research that the elevated SHBG is my biggest concern, but also troubling as it takes a lot of different factors to change it.