Can anyone interpret my blood test results?

[Saskman Senior Member Find all posts View Profile Close Saskman]

Hello folks, I was so edgy that I contacted my urologists office to obtain my bloodtest prior to seeing him in September. For the past 5-weeks I've been on Clomidiphene Citrate, in efforts to boost my T levels which the urologist thinks is the culprit to my erectile dysfunction that started as a teenager (I'm 31 now) (he also said I had a venous leak per Doppler test).

It seems (based on my very novice Google research) that I have very low Free Androgen, LH and FH. Most of the other stuff is mumbo jumbo to me.

I will probably be starting on injections next month if Clomidiphene doesn't do the trick. I'm feeling an anabolic effect from the Clomid but no increase really in sexual desire.

If anyone who is knowledgeable can help, please do so:

DHT: 391 pg/ml or 1438 pmol/litre (range 860-2406 pmol/l)
Total testosterone: 281.844 ng/dl or 9.78 nmol/litre
SHBG: 28 (range 13-71)
Free Androgen Index: 34 (range 14.8-94.8)
TSH - Screen - TSH: 3.23 mIU/L (range 0.49-4.67)
Total PSA: (Prostate Specific Antigen) 0.4 (ref range 0.0-4.0)
FSH: 4.13 IU/L (Range 1.4-18.1 IU/L)
LH: 2.70 IU/L (Range 20-70 years 1.5-9.3 or older then 70: 3.1-34.6)
Estradiol: 15.52 pg/ml or 57 pmol/l
Triglyceride: 0.88 nmol/l
Cholesterol: 4.45 nmol/l (range 3.8 to 5.2)
HDL Cholesterol: 1.08 nmol/l (range 0.9 to 2.40)
LDL Cholesterol: 3.40 nmol/l
Non HDL Cholesterol: 3.4 nmol/l
ALT - Alanine Aminotransferase (ALT) 31 (range 4-55)

Renal (all units in nmol/l):

Sodium: 137 (range 135-145)
Potassium: 4.8 (range 3.5-5.0)
Chloride: 107 (range 98-110)
Urea: 6.4 (range 3.0-7.1)
Creatine: 76 (range 60-130)
eGFR > 60 (> Normal or slightly decreased)

GGT - Gamma Glutamyl Transferase (GGT) 16 U/L (range 15-73)
Aspartate Aminotransferase (AST) 16 (range 5-35)
ALP - Alkaline Phosphatase (ALP) 66 U/L (range 40-135)
Glucose - Fasting: 5.0 nmol/l (range 3.6 to 6.1)
CO2 Carbon Dioxide: 26 nmol/l (range 21-30)

Corrected Calcium:
Calcium: 2.36 nmol/l (ref 2.14-2.66)
Albumin: 39 g/l (range 35-50)
Corrected calcium: 2.38 (range 2.14 to 2.66)

[CUSP82 Administrator Admin of the Month Dec 2014PEGym Hero Find all posts View Profile Close CUSP82]

There is no one here as knowledgeable as your doctor. What did he say?

[ssj4goku1992 Member Find all posts View Profile Close ssj4goku1992]

You have very low T. You need to bring it up. Be careful, I brought mine up from 380 to 720 ng/dl just by eating fats everyday. Eggs and peanut butter. Of course you can incorporate all kinds of fat, I just told you what I did.

[Saskman Senior Member Find all posts View Profile Close Saskman]

There is no one here as knowledgeable as your doctor. What did he say?

well the urologist whom i was referred to by a 2nd urologist told me that i had very low T levels (the previous test taken was 7.5 or around 200 ng/dl).

after seeing me initially, he ordered all these tests (as well as some others that i have not yet received) and he will review them with me in September.

i was hoping some other members who have experience may know a bit they could share in advance about the other non t categories that could effect my ED cause.

[CUSP82 Administrator Admin of the Month Dec 2014PEGym Hero Find all posts View Profile Close CUSP82]

Other members are not you. What worked for them may just cause you a lot of harm. Let the docs do the best they can because no one here is smarter than they are. They have degrees and we have the internet and I want to be treated by a guy with a degree and not one that has studied at the University of the Internet.

[Saskman Senior Member Find all posts View Profile Close Saskman]

You have very low T. You need to bring it up. Be careful, I brought mine up from 380 to 720 ng/dl just by eating fats everyday. Eggs and peanut butter. Of course you can incorporate all kinds of fat, I just told you what I did.

really, did you find any improvement in your sexual function or energy levels?

i do not think me eating fats would be wise, as my cholesterol is rather high for someone who has always mostly eaten healthy and avoided alcohol, cigarettes and a party style life.

i've actually totally cut out eggs and hydrogenenated peanut butter after seeing my cholesterol levels. i also switched to almond milk from dairy milk, as it too has cholesterol and i drink a lot of it.

my doctor will prescribe me testosterone itself if the clomid doesn't bring my levels up, but that still doesnt' solve the root cause of my testosterone deficiency.

[Saskman Senior Member Find all posts View Profile Close Saskman]

Other members are not you. What worked for them may just cause you a lot of harm. Let the docs do the best they can because no one here is smarter than they are. They have degrees and we have the internet and I want to be treated by a guy with a degree and not one that has studied at the University of the Internet.

Haha, I see your point for sure. University of the Internet can be a scary place when reading about symptoms.

However what else is scary is that two doctors told me that 200 ng/dl was acceptable and "normal" for an otherwise healthy young man who was complaining about ED. it wasn't until my 2nd referral, to a sex trained urologist that I found out otherwise. Had I searched on the Internet, I'd have learned that my T was incredibly low and that doctors are often ignorant and simply rely on lab reference ranges to define normal.

[CUSP82 Administrator Admin of the Month Dec 2014PEGym Hero Find all posts View Profile Close CUSP82]

And you made this diagnosis based on what medical wisdom? If you think that the doctors are wrong you will never find a cure and that will be your fault not theirs. Either have your doc treat you or not but if you are not open to what they say and you believe they are ignorant than the game is over.

[longerlastingnoob Senior Member Member of the Month Jan 2015 Find all posts View Profile Close longerlastingnoob]

I'm not a doctor, but corageon is close enough, I did see him post that other things come into play that determine your range low / high / normal

[Pegasus AdministratorPE Gym EditorPEGym Hero ☺ Admin of the Month Mar 2015 Find all posts View Profile Close Pegasus]

You should be looking for 500 total test so it is still low .
I have previously posted for you a link to 100 odd methods of natural test increase. A member has posted that he had a great result from a simple change of diet .

[jackjohnson Senior Member Find all posts View Profile Close jackjohnson]

Not all doctors are good doctors so it is important to get a second and third opinion.

[Saskman Senior Member Find all posts View Profile Close Saskman]

You should be looking for 500 total test so it is still low .
I have previously posted for you a link to 100 odd methods of natural test increase. A member has posted that he had a great result from a simple change of diet .

and yes, thanks, i did receive that and i reviewed that list. going by that list, i believe i should have high testosterone- not low. but i believe i've had low for 16. based on 3 t tests in the past 1.5 years, my numbers are strong enough indictators to classify me as hypogondal. now based on the fact that i've responded- anabolically- to Clomid, i've been told this is proof that my hypogonadasm is secondary- not primary.

do you believe in naturally rising t when there is actually a medical defect? a common problem (out of this very rare problem, especially at this age) is a benign tumor in the pituitory gland or other benign adenoma.

the fact that since i was 16 and worked out, could never achieve much results or form is a great indictator that half my life ago something went wrong overnight, at least it seemed overnight.

finally i find out i have a problem that makes sense, and only because i got lucky enough to be referred to a urologist who specializes in sexual function. had it not been for him, i would still be scratching my head thinking im OK.

[WIItard Senior Member Find all posts View Profile Close WIItard]

You need the doctor to run down the cause if he can find one. If he can't then he'll probably put you on HRT. You do need to rule out any medical reason at this point. Things could get tricky because hormones involve a whole bunch of interactions. Simply solution is go on a gram of test a week. Game over, you will have enough test and probably feel really good. That is for a little while.

Won't hurt to look at diet and behavior changes to try and raise your Test level while all this is going on at the doctors.

[Jackxxx Banned Find all posts View Profile Close Jackxxx]

Get "opinions" from doctors but be extremely careful with them. You have low testosterone levels. ou are suffering from a chronic disease. Allopathic reduction DOES NOT work for chronic diseases. I repeat, Allopathic reduction DOES NOT work for chronic diseases. ALL MD's, no matter what specialty, are trained for Allopathic reduction. That means drugs/surgery; drugs/surgery. It manages symptoms, but doesn't cure anything. Most doctors will put you on some kind of drug which does not cure, create more symptoms and has catastrophic side effects. We have a mediocre, corrupt 3rd worldish medical system manipulated by pharmaceutical corporations. Basically they need to have people sick living on pills to make billions. Allopathic reduction works only on accute diseases. For example a broken bone, an open wound. That's it.

Your low testosterone levels come either from your Hypothalamus not producing enough GnRh, your pituitary gland not producing enough LH, FSH and/or TSH, or your testicles not producing enough Testosterone having enough FSH in the system. Either way, there is NO DRUG that will repair tissue in order to make your body produce more. NO DRUG can create human tissue to repair a chronic disease. The only cure will be the right nutrients which I am sure you are deficient. The right specialist is a Naturopathic Doctor specialized on Holistic medicine. Unfortunately ND's are only licensed in 17 states. Why? because they fix the issue. They cure chronic diseases and that stop profits for pharmaceutical corporations.

I am not a doctor but I would go through your complete nutrition including your parents. 99% of Americans suffer from chronic mineral deficiency from the catastrophic low quality of food here. The average American diet is toxic. Plain and simple. Your body needs high intake of cholesterol and healthy fats. 75% of your brain is made of cholesterol. ALL your sex hormones are made of cholesterol. The walls of every single of trillions of cells in your body are made of cholesterol. Eat plenty of cholesterol from natural ORGANIC foods. Avoid processed at all costs. Cook with lard or real organic butter. Drink WHOLE organic milk. Avoid any product that says light or diet or low fat or skim. Put plenty of salt in your foods. Sodium is a basic electrolyte just like potassium that everybody needs on a daily basis.

Again, get opinions from doctors first. The reason why the spectrum of normal testosterone levels is so big, is because they don't know. Simple as that. They have no idea what should be the optimum levels so they create a big spectrum hoping you fall in between and tell you "you're good bro" then they charge you and send you home with a drug. Win/win situation for them and pharma corp.

I would stop the clomid right now. If anything will give you a temporary help, it will give you a bust, but after a while everything will go back to the same. I can guarantee you that. And there are high probabilities the clomid or any drug they give you will create even further harm in your system.

[Pegasus AdministratorPE Gym EditorPEGym Hero ☺ Admin of the Month Mar 2015 Find all posts View Profile Close Pegasus]

You need the doctor to run down the cause if he can find one. If he can't then he'll probably put you on HRT. You do need to rule out any medical reason at this point. Things could get tricky because hormones involve a whole bunch of interactions. Simply solution is go on a gram of test a week. Game over, you will have enough test and probably feel really good. That is for a little while.

Won't hurt to look at diet and behavior changes to try and raise your Test level while all this is going on at the doctors.

I agree with this try to chase down the medical while working on a natural solution . I can be sure you have not tried every method .
While I do not agree with Jackxxx he does have some points you could start by looking at your diet .