Help with interpreting lab results

[fbcoach]

While I am waiting for a vitual consultation with Dr. Crisler, I would appreciate some help interpreting my lab results.

48yr old male

Symptoms:

-tired all the time / no energy / fatigue
-chronic pain in neck, shoulders, lower back due to a cervical lamenctomy
-decreased motivation
-low-grade depression
-insomnia
-good libido though

Medications:

-50-60mgs Testosterone enanthate on Mondays and Thursdays
-.25mgs arimidex every 3rd day

Here are some of my lab results that stand out::

glucose 97 (65-99)
CO2 17 (23-30)Bili total 0.2 (0.2-1.2)
cholesterol 183 (110-200)
HDL 99 (40-59)

TSH 0.81 (0.36-5.50)
T4 FREE 0.9 (0.9-1.8)
T3 FREE 3.1 (2.3-4.2)

CRP 4.4 (0.0-0.5)
SOMATOMEDIN C 245 (90-360)
HOM BIND GLOB 26 (13-71)

CORTISOL 8.7 (1.4-18.1)
FSH 0.3 (1.4-18.1)
LH 0.1 (1.5-9.3)
PROLACTIN 7.4 (2.1-17.7)
INSULIN 4.4 (0.0-29.1)
DHEA 157 (95-530)

ESTADIOL 15 (0-54)
PROGESTERONE 0.7 (0.3-3.0)
TESTOSTERONE 830 (241-827)
FREE TESTOSTERONE 24.48 (5.00-21.00)


SALIVA AND BLOOD SPOT TEST

Cortisol
morning 2.8 (3.7-9.5)
noon 1.0 (1.2-3.0)
evening 1.2 (0.6-1.9)
night 0.2 (0.4-1.0)

freeT4 1.2 (0.7-2.5)
free T3 2.6 (2.5-6.5)
TSH 1.3 (0.5-3.0)
TPO 16 (0-150)

Any help in interpreting this will be greatly appreciated. I realize it looks as if I have adrenal fatigue and possibly hypothyroid. Thanks for any input

[zkt]

Maybe so, but I`m wondering about the CRP, HDL, and cholesterol.
CRP is an indicator of the amount of inFlamation going on sonewhere in your body. Yours is in the top % of the top %. Got an infection or autoaimmune disease ? Lacking anither cause, CRP is a pretty good indicator vulnerable arterial plaque and predictor af heart attack or stroke.
But with a HDL of 99 your arteries ought to be squeaky clean. Sure that s right ? Wheres the LDL ? Total cholesterol would be better in the long run if it were lower.
Cant believe the HDL.
Theres a small population in Silicy that have naturally high HDL. ARe you one of them?

[fbcoach]

Just got my labs back today from the hospital and yes, my HDL is 99 (40-59) and LDL is 69 (50-99).

CRP is 4.4 (0.0-0.5) Could a cervical lamenctomy be causing the inflammation? Or arthritis? This when it all began over a decade ago and it has just gotten worse the past 2 years.

I am 5'8 185lbs. 12%bf

[fbcoach]

I am of German descent on both sides....if that helps Type A personality. Compulsive at times, especially if there is a goal.

[zkt]

I1d kill to have those numbers> I`m taking atorvastatin, gemfibrozil and zetia , eat like a monk and LDL is still above 100. Where the justice Is lamectomy another term for cervical discectomy with fusion. Except for your neck, do your joints hurt especially in th morning ?

[fbcoach]

Those numbers don't mean sh_t if you don't feel well

I have worked out, exercised, and participated in sports since I was 11yrs old. Followed a healthy diet since I was 18yrs old.

In 1992 I had a cervical lamenectomy, where they removed the facets on my spine from C-2 TO C-6. I have had chronic pain and fatigue ever since. Like I said, I am a Type A personality, and can get very compulsive. The past 3 years I have brought my team to the state finals winning this past year. I was offered a coaching position at a Div. I college and had to turn it down due to the fear of not having the proper drive and motivation to perform. That was the last straw. I went to Dr Crisler last Feb. and my Doc refused to run the lab tests. Finally, I got fed up and demanded he DO SOMETHING. So, he ran the tests, and I am just waiting to get a virtual consultation with Dr. Crisler. In the meantime, I would like to have an idea of what is going on. As good of a Dr. as Dr. Crisler is....nobody cares about my health like I do. And I want to find some answers. I really do appreciate your help and input. I am just sick and tired of being sick and tired THANKS!!!!

[zkt]

AMEN to that !
I felt like shit untill I started myself on Trt a month ago. I`m now 58 goin on 38.

No joint pain huh ?
My wife had c5-7 discectomy with fusion a few years ago. Chronic pain will wear you out., Bet you dont like the pain meds either. I`d try to find out whats causing the CRP #. That might be your whole problem. Are you sure the fatique was coincident with the neck surgery? Recovery was about 6-12 months waswnt it.

TSH 0.81 (0.36-5.50)
T4 FREE 0.9 (0.9-1.8)
T3 FREE 3.1 (2.3-4.2)

freeT4 1.2 (0.7-2.5)
free T3 2.6 (2.5-6.5)
TSH 1.3 (0.5-3.0)
TPO 16 (0-150)

2 different tests ? lot of variation. WTF ?

cortisol not so great too

[JanSz]

Originally Posted by fbcoach

While I am waiting for a vitual consultation with Dr. Crisler, I would appreciate some help interpreting my lab results.

48yr old male

Symptoms:

-tired all the time / no energy / fatigue
-chronic pain in neck, shoulders, lower back due to a cervical lamenctomy
-decreased motivation
-low-grade depression
-insomnia
-good libido though

Medications:

-50-60mgs Testosterone enanthate on Mondays and Thursdays
-.25mgs arimidex every 3rd day

Here are some of my lab results that stand out::

glucose 97 (65-99)
CO2 17 (23-30)Bili total 0.2 (0.2-1.2)
cholesterol 183 (110-200)
HDL 99 (40-59)

TSH 0.81 (0.36-5.50)
T4 FREE 0.9 (0.9-1.8)
T3 FREE 3.1 (2.3-4.2)

CRP 4.4 (0.0-0.5)
SOMATOMEDIN C 245 (90-360)
HOM BIND GLOB 26 (13-71)

CORTISOL 8.7 (1.4-18.1)
FSH 0.3 (1.4-18.1)
LH 0.1 (1.5-9.3)
PROLACTIN 7.4 (2.1-17.7)
INSULIN 4.4 (0.0-29.1)
DHEA 157 (95-530)

ESTADIOL 15 (0-54)
PROGESTERONE 0.7 (0.3-3.0)
TESTOSTERONE 830 (241-827)
FREE TESTOSTERONE 24.48 (5.00-21.00)


SALIVA AND BLOOD SPOT TEST

Cortisol
morning 2.8 (3.7-9.5)
noon 1.0 (1.2-3.0)
evening 1.2 (0.6-1.9)
night 0.2 (0.4-1.0)

freeT4 1.2 (0.7-2.5)
free T3 2.6 (2.5-6.5)
TSH 1.3 (0.5-3.0)
TPO 16 (0-150)

Any help in interpreting this will be greatly appreciated. I realize it looks as if I have adrenal fatigue and possibly hypothyroid. Thanks for any input

Stop Arimidex.
Add HCG 250iu/E2D, or 500iu on days of T shots.
Get better e2 test.

[fbcoach]

ZKT,
Yes, I do believe it is connected. I can remember exactly when I began to feel so terrible. It was in April 92'. Almost overnight. It took the doctors until the end of 92 to tell me that my spinal cord was flattened in 3 places with several discs and vertebrae crushed. The fatigue seems to stem from the pain. I was diagnosed years ago as myofascial pain syndrome (a fancy way of saying I have muscle spasms). Hopefully, Dr. Crisler will get to the bottom of this. Thanks for your input

[pmgamer18]

I see low cortisol so you need to treat this to give your adrenals a rest and your thyroid is low some Armour would help this. But first get your adrenals stable. Your LH nad FSH is low but this happens when your on TRT your brain stops sending the LH and FSH messages to your testis. If you were not on TRT then I would say your Secondary.

[fbcoach]

Thanks Janz,
I can't get the HCG until I consult with Dr. Crisler. Do you think this is related to my fatigue and pain?

[fbcoach]

Phil,
I am in the process of setting up a virtual consultation with Dr. Crisler. Does he prescribe HC? I remember Val telling me that Isocort would not be strong enough. I have the Isocort on hand. I also have Armour on hand. I am aware of the dosing protocol that Val recommends. What would be your advice? STIM tests? I have a family history of Diabetes II, but these are family members who are overweight, which I am not. Any advice? Before I forget, would the HC help with the extraodinarily high CRP?

[fbcoach]

Is it possible that the high CRP (inflammation) and low C02 is causing my blood to be more acidic, and this is what is causing the chronic pain and fatigue?

[zkt]

Yea those chronic muscle spasms are a bitch. Wife again. Pressure point treatment helps short term. Some say tht sticking a small needle in the spasm will relax it too. Close to that here. I`m also thinking about injecting some botox into them but havent founf=d a source yet. Dont forget about that CRP. That aint right bro. Listen to Phil- he knows about thryoid and adrenal problems. Jan`s right too E2=~25 is better. Too much AI action.

[pmgamer18]

Your CPR can be high because of your low cortisol levels a lot of areas that were broken will hurt with low cortisol levels this maybe a big help in your case. Cortisol helps keep your body healthy and helps it rebuild it's self so an old injury will give one problems when cortisol levels are this low. I have a broken arm that was sore all the time and my back hurt bad I have 2 bad disks. Going on Cortef fixed this and now I don't get sick in the winter.