New Test Results -hope to fix this issue so I can enjoy this new year and onward

[Guest guest]

Note: the second test was done at 8:30AM (not PM which was a typo) -

they say T is highest in the morning.

Can anyone please help explain my results?

Thanks

Tom.

> > >

> >

> >

> > > Thanks

> > >

> > > First can you or anyone tell me off hand what is a typical

level of

> > > Free T for a 40 year old active man measured in " pmol/L " as

that is

> > > what my doctor uses? Most sites mention other units so not sure

how

> > > to convert it. Again my initial results of free T was 31.7

pmol/L.

> > >

> > > Secondly, I went and got several other tests done on the list

from

> > > the link you provided and they are forthcoming. They say first

thing

> > > in the morning is the best time to test T.

> > >

> > > Note: Man I tell you some doctors just will not test for many

of the

> > > things on the list. Seems they just don't care or are too lazy

to

> > > fill out the forms...but I finally found one that will test

most of

> > > it. Some doctors really just don't understand the frustration

people

> > > go through until they go through it themselves.

> > >

> > > Thank god there is a great group site like this to help the

quality

> > > of life for us!

> > >

> > > Tom

> >

>

>

>

>

>

[Guest guest]

Your test results are similar to mine.

I found (Via Google) that high E2, low SHBG are counter the norm and

indicate hypothyroidism as does your high TSH. Please get that checked

- T4, free T4, T3, free T3.

High triglycerides are indicative of too many simple carbs and sugars.

Fat in your blood does NOT come from dietary sources - your body

converts excess blood sugar into fats for storage.

For example, my wife baked a cake - I usually avoid cakes, but this

was my favourite and I had two big pieces - the night before my blood

test. The test result showed triglycerides at 850+/. My doctor

freaked. I told him it was my bad - the cake. So we redid the test - 220.

I now minimize carbs, and avoid the refined ones totally.

Hope this helps..

Ihor

> > >

> >

> >

> > > Thanks

> > >

> > > First can you or anyone tell me off hand what is a typical level of

> > > Free T for a 40 year old active man measured in " pmol/L " as that is

> > > what my doctor uses? Most sites mention other units so not sure how

> > > to convert it. Again my initial results of free T was 31.7 pmol/L.

> > >

> > > Secondly, I went and got several other tests done on the list from

> > > the link you provided and they are forthcoming. They say first thing

> > > in the morning is the best time to test T.

> > >

> > > Note: Man I tell you some doctors just will not test for many of the

> > > things on the list. Seems they just don't care or are too lazy to

> > > fill out the forms...but I finally found one that will test most of

> > > it. Some doctors really just don't understand the frustration people

> > > go through until they go through it themselves.

> > >

> > > Thank god there is a great group site like this to help the quality

> > > of life for us!

> > >

> > > Tom

> >

>

>

>

>

>

[Guest guest]

Hey, Tom.

Your summary seems about right, as did the other poster's comment

about potential hypothyroidism in light of your estradiol & SHBG

results. I tried converting the estradiol reference range into one

I'm familiar with (10-30 pg/mL), but it still doesn't seem right.

Check here

(http://www.lef.org/protocols/appendix/blood_testing_01.htm) & here

(http://www.lef.org/magazine/mag2002/nov2002_awsi_01.html) . (Many

docs don't pay much attention to Estradiol, which can be very

problematic above 30 or 35 pg/mL as your chance for stroke doubles.)

In any event, your number was above the reference range for a man, so

this is worth looking into.

SHBG & estradiol are affected by liver activity. Do you also have

results for your liver enzymes (SGT, ALT, etc.)? However, body fat

also produces aromatase, which converts testosterone to estradiol.

Are you overweight? I ask this in light of the possibility that your

thyroid is underactive (as suggested by your pituitary's " assessment "

via TSH).

I hope your doc helps you get the treatment you need. Otherwise,

consider seeing Dr. Crisler or check the group's database. You

might find an excellent doc near you.

Happy New Year.

~Xian

> >

> >

> > Hi Guys, I finally found 2 doctors that would test most of the

> things I

> > wanted to, but not all unfortunately. The 2 series of tests

> mentioned

> > below were done 1 week apart. I also included the ranges that they

> > consider normal but I see these ranges to be quite different on

> other

> > sites.

> >

> > #1) Test Results (tested at 5:30pm)

> >

> > Testosterone (T) 14.6 nmol/L (range 10 - 30)

> >

> > Free T 383 pmol/L (range 200 -

> 800)

> > (Method of Vermeulen)

> >

> > Bioavailable T 9.8 nmol/L (range 5 -

> 20)

> > (Method of Vermeulen)

> >

> > SHBG 26 nmol/L (range 10 - 70)

> >

> > LH 4.6 IU/L (range <10)

> >

> > FSH 2.2 IU/L (range <10)

> >

> > Albumin 47 g/L (range 35 - 50)

> >

> > DHEA Sulphate (not tested at this time)

> >

> > Prolactin 3.0 ug/L (range <15)

> >

> > Estradiol (not tested at this time)

> >

> > Glucose Fasting (not tested at this time)

> >

> > TSH 3.0 mU/L (range 0.38 -

> 5.5)

> > (some suggest the range is (0.38 to 2.5)

> >

> > Lipemia slight (serum appeared slightly

> > fatty)

> >

> >

> >

> >

> >

> > #2) Test Results (tested at 8:30pm a week later – fasted for 10

> > hours)

> >

> > Testosterone (T) 11.8 nmol/L (range 10 - 30)

> >

> > Free T 301 pmol/L (range 200 - 800)

> > (Method of Vermeulen)

> >

> > Bioavailable T 7.5 nmol/L (range 5 - 20)

> > (Method of Vermeulen)

> >

> > SHBG 28 nmol/L (range 10 - 70)

> >

> > LH 4.8 IU/L (range <10)

> >

> > FSH 2.0 IU/L (range <10)

> >

> > Albumin 46 g/L (range 35 - 50)

> >

> > DHEA Sulphate 1.9 umol/L (range 5.2 - 14.2)

> > (lower than normal range)

> >

> > Prolactin 7.0 ug/L (range <15)

> >

> > Estradiol 122 ug/L (<15)

> >

> > Glucose Fasting 5.0 mmol/L (range 3.3 - 6)

> >

> > TSH (not tested at this time)

> >

> > Lipemia slight (serum appeared slightly

> fatty

> > – even after fasting)

> >

> >

> >

> > Results Analysis

> >

> > - My testosterone is low - the normal range mentioned on this site

> for

> > men 20 to 40 is 520 – 1387 pmol/L and mine is 301 pmol/L.

> >

> > - My DHEA Sulphate is low

> >

> > - Visually my blood serum appeared slightly fatty (slight Lipemia)

> and I

> > don't eat a lot of fats at all. I read that this can happen if you

> ate

> > a fatty meal before the test and they suggest fasting to clear it

> up,

> > but for the second test I fasted for 10 hours and still my blood

> serum

> > appeared slightly fatty which is very unusual.

> >

> > I am not sure how to read the other test results, so guys - please

> help

> > if you can.

> >

> > Thanks very much!

> >

> > Tom

[Guest guest]

Thanks Xian and Ihor, I appreciate it.

I am actually fairly slim and keep fit with soccer 2 times a week. I

did have some fat on my belly but just got rid of it a few months

ago. I rarely eat fat at all really. I can understand that if I ate

some fat before the test that it may show up, but it is hard to

believe that even after fasting for 10 hours that the serum sample

looked slightly fatty. There definitely is an issue there for sure

but in some strange way I am glad I am getting some results to

examine cause I can then find a way to fix it hopefully. I do take

Luvox which is an SSRI anti-depressant, but take a low dose of it. I

did have side effects from it before, but when I lowered it down I

was OK mostly, but have been taking it for several years everyday so

maybe changes have been slowly accumulating such as lowering my T or

DHEAS...etc. and maybe my liver is tired from it and not filtering

out the fat enough.

One thing that is confusing, is the ranges that these regular doctors

(non-specialists) use. Most of the doctors I saw looked at the

results and said I am in the normal range and said " see you later "

but their ranges are either way too broad or just not updated for

this specific science yet. How they say " goodbye when I stll have

issues " oh well, thanks that I have you guys. We got each others

backs and I'm sure in time I will have this issue fixed up and

feeling good, just can't be soon enough.

I have one doctor that is more serious about this and he actually

sent me for some more tests for DHEAS to confirm if it is in fact

that low(even by their standards) plus all the differnt types of fat

and a Cortisol test. I will have those in a about 3 days.

I will look at the documents on this site to get the more applicable

ranges for these tests so I can see this in my mind more clearly. I

totally agree with your Xian, that once some of these doctors start

to have issues in this way, they will start to take these types of

things more seriously. I am just 40 years old and slim and in good

shape and should have many more good years ahead of me if I can fix

these issues for sure. I still got to get married too, so need my

mojo and energy back.

Thanks guys, I have some studying to do for sure.

Tom

> > >

> > >

> > > Hi Guys, I finally found 2 doctors that would test most of the

> > things I

> > > wanted to, but not all unfortunately. The 2 series of tests

> > mentioned

> > > below were done 1 week apart. I also included the ranges that

they

> > > consider normal but I see these ranges to be quite different on

> > other

> > > sites.

> > >

> > > #1) Test Results (tested at 5:30pm)

> > >

> > > Testosterone (T) 14.6 nmol/L (range 10 - 30)

> > >

> > > Free T 383 pmol/L (range 200 -

> > 800)

> > > (Method of Vermeulen)

> > >

> > > Bioavailable T 9.8 nmol/L (range 5 -

> > 20)

> > > (Method of Vermeulen)

> > >

> > > SHBG 26 nmol/L (range 10 -

70)

> > >

> > > LH 4.6 IU/L (range

<10)

> > >

> > > FSH 2.2 IU/L (range

<10)

> > >

> > > Albumin 47 g/L (range 35 -

50)

> > >

> > > DHEA Sulphate (not tested at this time)

> > >

> > > Prolactin 3.0 ug/L (range <15)

> > >

> > > Estradiol (not tested at this time)

> > >

> > > Glucose Fasting (not tested at this time)

> > >

> > > TSH 3.0 mU/L (range

0.38 -

> > 5.5)

> > > (some suggest the range is (0.38 to 2.5)

> > >

> > > Lipemia slight (serum appeared

slightly

> > > fatty)

> > >

> > >

> > >

> > >

> > >

> > > #2) Test Results (tested at 8:30pm a week later – fasted for 10

> > > hours)

> > >

> > > Testosterone (T) 11.8 nmol/L (range 10 - 30)

> > >

> > > Free T 301 pmol/L (range 200 -

800)

> > > (Method of Vermeulen)

> > >

> > > Bioavailable T 7.5 nmol/L (range 5 - 20)

> > > (Method of Vermeulen)

> > >

> > > SHBG 28 nmol/L (range 10 -

70)

> > >

> > > LH 4.8 IU/L (range

<10)

> > >

> > > FSH 2.0 IU/L (range

<10)

> > >

> > > Albumin 46 g/L (range 35 -

50)

> > >

> > > DHEA Sulphate 1.9 umol/L (range 5.2 - 14.2)

> > > (lower than normal range)

> > >

> > > Prolactin 7.0 ug/L (range <15)

> > >

> > > Estradiol 122 ug/L (<15)

> > >

> > > Glucose Fasting 5.0 mmol/L (range 3.3 - 6)

> > >

> > > TSH (not tested at this time)

> > >

> > > Lipemia slight (serum appeared

slightly

> > fatty

> > > – even after fasting)

> > >

> > >

> > >

> > > Results Analysis

> > >

> > > - My testosterone is low - the normal range mentioned on this

site

> > for

> > > men 20 to 40 is 520 – 1387 pmol/L and mine is 301 pmol/L.

> > >

> > > - My DHEA Sulphate is low

> > >

> > > - Visually my blood serum appeared slightly fatty (slight

Lipemia)

> > and I

> > > don't eat a lot of fats at all. I read that this can happen if

you

> > ate

> > > a fatty meal before the test and they suggest fasting to clear

it

> > up,

> > > but for the second test I fasted for 10 hours and still my

blood

> > serum

> > > appeared slightly fatty which is very unusual.

> > >

> > > I am not sure how to read the other test results, so guys -

please

> > help

> > > if you can.

> > >

> > > Thanks very much!

> > >

> > > Tom

>

[Guest guest]

Hi Xian, I made one typo.

It is true my Estridiol is 122ug/L but the range is <220 (not <22) so

my Estradiol would be low right?

Or is it still considered too high? I am having trouble converting

ug/L to pg/mL.

I will get more tests done as mentioned.

Thanks Bud!

Tom

> > >

> > >

> > > Hi Guys, I finally found 2 doctors that would test most of the

> > things I

> > > wanted to, but not all unfortunately. The 2 series of tests

> > mentioned

> > > below were done 1 week apart. I also included the ranges that

they

> > > consider normal but I see these ranges to be quite different on

> > other

> > > sites.

> > >

> > > #1) Test Results (tested at 5:30pm)

> > >

> > > Testosterone (T) 14.6 nmol/L (range 10 - 30)

> > >

> > > Free T 383 pmol/L (range 200 -

> > 800)

> > > (Method of Vermeulen)

> > >

> > > Bioavailable T 9.8 nmol/L (range 5 -

> > 20)

> > > (Method of Vermeulen)

> > >

> > > SHBG 26 nmol/L (range 10 -

70)

> > >

> > > LH 4.6 IU/L (range

<10)

> > >

> > > FSH 2.2 IU/L (range

<10)

> > >

> > > Albumin 47 g/L (range 35 -

50)

> > >

> > > DHEA Sulphate (not tested at this time)

> > >

> > > Prolactin 3.0 ug/L (range <15)

> > >

> > > Estradiol (not tested at this time)

> > >

> > > Glucose Fasting (not tested at this time)

> > >

> > > TSH 3.0 mU/L (range

0.38 -

> > 5.5)

> > > (some suggest the range is (0.38 to 2.5)

> > >

> > > Lipemia slight (serum appeared

slightly

> > > fatty)

> > >

> > >

> > >

> > >

> > >

> > > #2) Test Results (tested at 8:30pm a week later – fasted for 10

> > > hours)

> > >

> > > Testosterone (T) 11.8 nmol/L (range 10 - 30)

> > >

> > > Free T 301 pmol/L (range 200 -

800)

> > > (Method of Vermeulen)

> > >

> > > Bioavailable T 7.5 nmol/L (range 5 - 20)

> > > (Method of Vermeulen)

> > >

> > > SHBG 28 nmol/L (range 10 -

70)

> > >

> > > LH 4.8 IU/L (range

<10)

> > >

> > > FSH 2.0 IU/L (range

<10)

> > >

> > > Albumin 46 g/L (range 35 -

50)

> > >

> > > DHEA Sulphate 1.9 umol/L (range 5.2 - 14.2)

> > > (lower than normal range)

> > >

> > > Prolactin 7.0 ug/L (range <15)

> > >

> > > Estradiol 122 ug/L (<15)

> > >

> > > Glucose Fasting 5.0 mmol/L (range 3.3 - 6)

> > >

> > > TSH (not tested at this time)

> > >

> > > Lipemia slight (serum appeared

slightly

> > fatty

> > > – even after fasting)

> > >

> > >

> > >

> > > Results Analysis

> > >

> > > - My testosterone is low - the normal range mentioned on this

site

> > for

> > > men 20 to 40 is 520 – 1387 pmol/L and mine is 301 pmol/L.

> > >

> > > - My DHEA Sulphate is low

> > >

> > > - Visually my blood serum appeared slightly fatty (slight

Lipemia)

> > and I

> > > don't eat a lot of fats at all. I read that this can happen if

you

> > ate

> > > a fatty meal before the test and they suggest fasting to clear

it

> > up,

> > > but for the second test I fasted for 10 hours and still my

blood

> > serum

> > > appeared slightly fatty which is very unusual.

> > >

> > > I am not sure how to read the other test results, so guys -

please

> > help

> > > if you can.

> > >

> > > Thanks very much!

> > >

> > > Tom

>

[Guest guest]

Converting ug/l to pg/ml

ug = micro gram or one millionth of a gram

pg - picogram or one millionth of a microgram

Therefore 1 ug =1,000,000 pg

ml = milliliters or one thousandth of a liter.

conversely

1 L = 1000 ml.

putting it all together

122 ug/l = 122 1000000pg/1000ml = 122,000 pg/ml - a tad high.

I think that there is some error either in my conversion or in the data.

According to Phil, the Quest stradiol test is code #30289X. Should get

it redone....

Ihor