I need a second opinion.

[panakamana]

Here is my last week blood work.
My endo is putting me on TRT. But I think I might also have problems with cortisol, thyroid and human growth hormon levels. What do you think?

Last week blood work:

Test/ Result / References/

Total Cholesterol/ 184 / 130 – 200 mg/dl/

Triglycerides/ 58* / 60 – 190 mg/dl/

Cortisol/ 10.9 / 4.2 – 38.4 mcg/dl/

HGH/ 2.76*/ 0 – 1 ng/ml/

TSH/ 0.96/ 0.35 – 4.94 mcUI/ml/

FSH/ 3.7 / 0.95 – 11.95 mUI/ml/

LH/ 1.05*/ 1.26 – 10.05 mUI/ml/

Total Testosterone/ 3.2/ 1.66 – 8.77 ng/ml/

Free Testosterone/ 3.1*/ 4.25 – 30.37 pg/ml/

IGF-I/ 161/ 116 – 358 ng/ml/

Results with a * are either low or out of range.

[rglr]

@panakamana 2819 wrote:

Here is my last week blood work.
My endo is putting me on TRT. But I think I might also have problems with cortisol, thyroid and human growth hormon levels. What do you think?

Last week blood work:

Test/ Result / References/

…
Cortisol/ 10.9 / 4.2 – 38.4 mcg/dl/
…

Results with a * are either low or out of range.

I can’t speak for the rest of it but an AM Cortisol (assuming this is a morning sample) of 10.9 is pretty low. It should be closer to 18-20.

[panakamana]

@rglr 2830 wrote:

I can’t speak for the rest of it but an AM Cortisol (assuming this is a morning sample) of 10.9 is pretty low. It should be closer to 18-20.

Well not exactly AM, it was taken around 12 – 1 pm, does it change something?

[DrMariano2]

Testosterone is near the low end of the reference range (300-1000 ng/dL).
HGH seems pretty high for your lab’s reference range.
However, IGF-1 is low.

However, there is too little data otherwise. The labs are incomplete, making it difficult to more fully comment.

For example:
What is the problem that one is experiencing?
What is the reason for seeing an endocrinologist?
What is the person’s age?
What are the person’s health problems?
What is the person’s axillary temperature and blood pressure?
What physical signs were seen on exam?

Other labs to help complete the picture:
HDL Cholesterol
LDL Cholesterol
DHEA-s
Progesterone
Estradiol
Total T4
Free T3
Reverse T3
Electrolytes
Fasting Glucose
Serum Osmolality
Insulin
Vitamin A, B12, D 25 OH, Folate,
Homocysteine, Methylmalonic Acid,
Ferritin, Serum Iron, CBC,
Zinc, Magnesium,
Fractionated Plasma Catecholamines,
etc.

@panakamana 2819 wrote:

Here is my last week blood work.
My endo is putting me on TRT. But I think I might also have problems with cortisol, thyroid and human growth hormon levels. What do you think?
Last week blood work:
Test/ Result / References/
Total Cholesterol/ 184 / 130 – 200 mg/dl/
Triglycerides/ 58* / 60 – 190 mg/dl/
Cortisol/ 10.9 / 4.2 – 38.4 mcg/dl/
HGH/ 2.76*/ 0 – 1 ng/ml/
TSH/ 0.96/ 0.35 – 4.94 mcUI/ml/
FSH/ 3.7 / 0.95 – 11.95 mUI/ml/
LH/ 1.05*/ 1.26 – 10.05 mUI/ml/
Total Testosterone/ 3.2/ 1.66 – 8.77 ng/ml/
Free Testosterone/ 3.1*/ 4.25 – 30.37 pg/ml/
IGF-I/ 161/ 116 – 358 ng/ml/
Results with a * are either low or out of range.

[Author]

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