new here, need help with lab results & hormone problems

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New here, need help with these lab results & hormone problems.

23 year old male, lots of strange symptoms for years.

Family history of complicated hormonal issues (mother and sister each since age

11-12, sometimes serious), father possible hormonal issues too, but he's

elsewhere w/ no contact for years.

Can anyone explain what this means? Don't trust doctors- too many bad

experiences with some in the past.

Thanks.

lab tests 7/30/10

Rx antidepressant Celexa 40mg/day

LIPID PANEL:

Cholesterol, Total 195 mg/dL 125-200

HDL Cholesterol 42 mg/dL > or = 40

Triglycerides 181 mg/dL <150 ***HIGH***

LDL Cholesterol Calc 117 mg/dL <130

Chol/HDL Ratio 4.6 < or = 5.0

BASIC METABOLIC PANEL W/EGFR:

Glucose 81 mg/dL 65-99 Fasting reference interval

Urea Nitrogen (BUN) 15 mg/dL 7 - 25

Creatinine, Serum 1.00 mg/dL 0.80 – 1.30

eGFR >60 mL/min/1.73m2 > or = 60

BUN/Creatinine Ratio n/a 6 – 22

BUN/Creatinine Ratiois not reported when the BUN & creatinine values are within

normal limits.

Sodium 139 mmol/L 135-146

Potassium 4.4 mmol/L 3.5 – 5.3

Chloride 104 mmol/L 98 – 110

Carbon Dioxide 23 mmol/L 21 – 33

Calcium 9.5 mg/dL 8.6 – 10.2

VITAMIN D, 25 HYDROXY, LC/MS/MS:

Vitamin D, 25-OH, Total 13 ng/mL 30 – 100 ***LOW***

25-OHD3 indicates both endogenous production and supplementation. 25-OHD2 is an

indicator of exogenous sources, such as diet or supplementation. Therapy is

based on measurement of Total 25-OHD, with levels <20 ng/mL indicative of

Vitamin D deficiency, while levels between 20 ng/mL and 30 ng/mL suggest

insufficiency. Optimal levels are > or = 30 ng/mL.

Vitamin D, 25-OH, D3 13 ng/mL Reference range not established

Vitamin D, 25-OH, D2 <4 ng/mL Reference range not established

Magnesium, RBC 4.3 mg/dL 4.0-6.4

HEPATIC FUNCTION PANEL:

Protein, Total 7.9 g/dL 6.2 – 8.3

Albumin 4.6 g/dL 3.6 – 5.1

Globulin 3.3 g/dL 2.1 – 3.7

Albumin/Globulin Ratio 1.4 1.0 – 2.1

Bilirubin, Total 0.5 mg/dL 0.2 – 1.2

Bilirubin, Direct 0.1 mg/dL < or = 0.2

Bilirubin, Indirect 0.4 mg/dL 0.2 – 1.2

Alkaline Phosphatase, S 86 U/L 40 - 115

AST 24 U/L 10 – 40

ALT 30 U/L 9 – 60

TSH, 3rd Generation 2.54 mIU/L 0.40 - 4.50

T4, Free 0.9 ng/dL 0.8 – 1.8

T3, Free 364 pg/dL 230 – 420

Calcium, RBC none detected mg/dL 8.6 – 10.2

Reporting Limit 0.10 mg/dL

NMS Labs derived data:

10th-90th Percentile Data:

Mean: 0.15 mg/dL +/- 0.04 (SD); range, 0.1-2.3 mg/dL (N = 351).

TESTOSTERONE, FREE AND TOTAL, LC/MS/MS:

Testosterone, Total 187 ng/dL 250-1100 ***LOW***

% Free Testosterone 3.27 1.5-2.2 ***HIGH***

Testosterone, Free 61.1 pg/mL 35.0-155.0

Pregnenolone 96 ng/dL 13-208

CBC (includes DIFF/PLT):

White Blood Cell Count 7.6 K/uL 3.8–10.8

Red Blood Cell Count 4.97 M/uL 4.20–5.80

Hemoglobin 15.5 g/dL 13.2–17.1

Hematocrit 46.7 % 38.5–50.0

MCV 93.9 fL 80.0–100.0

MCH 31.2 pg 27.0–33.0

MCHC 33.3 g/dL 32.0–36.0

RDW 13.3 % 11.0–15.0

Platelet Count 205 K/uL 140-400

Absolute Neutrophils 4720 cells/uL 1500 – 7800

Absolute Lymphocytes 2379 cells/uL 850-3900

Absolute Monocytes 388 cells/uL 200-950

Absolute Eosinophils 91 cells/uL 15-500

Absolute Basophils 23 cells/uL 0-200

Neutrophils 62.1 %

Lymphocytes 31.3 %

Monocytes 5.1 %

Eosinophils 1.2 %

Basophils 0.3 %

IRON AND TOTAL IRON BINDING CAPACITY:

Iron, Total 114 mcg/dL 45-175

Iron Binding Capacity 267 mcg/dL 250-425

% Saturation 43 % 20-50

Ferritin 327 ng/mL 20 – 345

Vitamin B12 563 pg/mL 200-1000

Folate, Serum 7.8 ng/mL

Reference range: Low: <3.4 Borderline: 3.4-5.4 Normal: >5.4

Insulin 16 uIU/mL <17

Insulin analogues may demonstrate non-linear cross-reactivity in this assay.

Interpret results accordingly.

Estradiol 41 pg/mL 13-54

Cortisol, A.M. 18.0 mcg/dL

Reference range: 8 a.m. (7-9 a.m.) Specimen: 4.0-22.0

………………………………………………

lab tests 8/13/10

TESTOSTERONE, FREE AND TOTAL, LC/MS/MS:

Testosterone, Total 191 ng/dL 250-1100 ***LOW***

RESULTS CONFIRMED BY REPEAT ANALYSIS.

% Free Testosterone 4.49 % 1.5-2.2 ***HIGH***

RESULTS CONFIRMED BY REPEAT ANALYSIS

Testosterone, Free 85.7 pg/mL 35.0-155.0

FSH 2.2 mIU/mL 1.6-8.0

LH 1.9 mIU/mL 1.5-9.3

……………………………………………..

Osteoporosis Assessment 8/31/10

23 y/o male Ht 72 " Wt 275 *low testosterone

COMBINED SCAN-FEMUR AND SPINE (COMBSCAN)

BONE MINREAL ASSESSMENT

SPINE: (AP)

T Score- Young Normal Standard*

-1.3 Osteopenia (1-2.5 S.D. below mean)

Z Score

-1.3 Age matched control

VERTEBRAL ASSESSMENT:

Evidence of degenerative changes? YES

Evidence of vertebral fracture? NO

HIP: (Femoral neck)

T Score- Young Normal Standard*

+0.2 Within normal limits

Z Score

+0.2 Age matched control

*There is an approximate two fold increase in fracture risk for each S.D. below

mean (T score value).