Hello everyone, I posted about 7 months ago or so about a varicocele issue I’ve had over the last one and a half years as well as issues that were pointing out to hypogonadism, i feel very fatigued all the time, i dont even have the energy to throw a single punch anymore. My erections are quite shitty, and im gaining weight as a result of not working out. I had a surgery for it, but after surgery, my testosterone levels were noted to be about 280. This troubled me and after 5 months of traveling abroad and attending a college semester, i finally got some new blood work done. I am 23 years old as well, if that helps in regards to the overall blood work.
I need some help interpetting the values. I was told that my hormonal levels are now “normal” and that my issue is with Iron and some other things. Anyhow here is all of my recent bloodwork:
Endocrinology tests:
TSH: 3.830 mIU/L Ref: 0.270 - 4.200
FT3: 4.79 pmol/L Ref: 2.60 - 5.70
FT4: 12.80 pmol/L Ref: 10.00 - 24.00
E2- 73.4 pmol/L Ref: 49.6 - 218.0
Testosterone: 19.97 nmol/L Ref: 5.80 - 30.40
Testosterone Free: 117.10 pg/mL Ref: 58-180 (14-49 yrs), 47-136 (50-100 yrs)
FSH: 7.7 IU/L 1.1 - 12.5
Ferritin: 171.00 ng/mL Ref: 28.00 - 365.00
LH: 8.5 IU/L Ref: 0.6 - 12.0
Prolactin: 402.1 mIU/L Ref: 73.0-407.0
Biochemistry Tests:
Glucose: 69.9 mg/dL Ref: 74.0-106.0 (LOW)
Urea: 48.00 mg/dL Ref: 13.00 - 43.00 (HIGH)
Creatinine: 1.43 mg/dL Ref: 0.67 - 1.17 (HIGH)
Transaminase AST (SGOT): 16.00 U/L Ref: <35.00
Transaminase ALT (SGPT): 19.0 U/L Ref: <45.0
Iron (Fe): 50.00 μg/dL Ref: 65.00-175.00 (LOW)
Calcium (Ca): 8.80 mg/dL Ref: 8.60 - 10.30
Magnesium: 2.04 Ref: 1.60 -2.60
Phoshorus P : 1.42 mmol/L Ref: 0.87-1.45
Full Blood Count:
RED BLOOD CELLS:
Red Blood Cells (RBC): 5.39 x10^6/uL Ref: 4.60-6.20
Hemoglobin (HGB): 15.1 gr/dL Ref: 13.5 -18.0
Hematocrit (HCT): 42.2 % Ref: 40.0- 54.0
Mean Corpuscular Volume (MCV): 78.3 fL Ref: 80.0 - 97.0 (LOW)
Mean Corpuscular Hemoglobin (MCH): 28.0 pg Ref: 27.0-32.0
Mean Corpuscular Hemoglobin Concentration (MCHC): 35.8 gr/dL Ref: 31.0-36.0
Red blood cell Distribution Width (RDW-CV): 13.2 % Ref: 11.0 - 16.0
WHITE BLOOD CELLS:
White blood cells (WBC): 8.12 x10^3/uL Ref: 4.50-10.50
White cell Differentials:
Neutrophil Granulocytes: 52.3% ,Normal Values: 40.0-75.0, Absolute: 4.25 x10^3/uL
Lymphocytes: 39.3% , Normal Values: 20.0-45.0, Absolute: 3.19 x10^3/uL
Monocytes: 7.0% , Normal Values: 2.0-10.0, Absolute: 0.57 x10^3/uL
Eosinophil Granulocytes: 1.2%, Normal Values: 1.0-6.0, Absolute: 0.10 x10^3/uL
Basophil Cranulocytes: 0.2%, Normal Values: 0.0-1.0, Absolute: 0.02 x10^3/uL
PLATELETS:
Platelets (PLT): 140 x10^3/uL, Normal Values: 150-450 (LOW)
Mean Platelet Volume (MVP): 12.4 fL , Normal Values: 9.0 -13.0
It appears that the references that had some sort of issue were, Platelets, Mean Corpuscular Volume, Glucose, Urea, Creatinine and Iron. What could be causing this? I eat enough meat, fish, eggs and even vegetables. so im surprised Iron is even an issue here. Do i have something going on internal with either my kidneys? Potential thrombocytopenia? Anemia? It should also be noted that i had not eaten for about 8 hours prior to my blood work that was done first thing in the morning at 8 am.
Also, Are my LH and FSH in normal ranges or is it a tad bit too high within the reference range? I’m asking since i suffered testicular damage while i had the varicoceles (both sides). I was also almost completely infertile prior to the bilateral varicocelectomy procedure because of it, i still need to get that checked out to see if my fertility has been improved.
I await any sort of responses and insights into my bloodwork.