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What Do These Following Lab Reports Indicate?

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Posted on Fri, 20 Nov 2015
Question: Hello Doctor,
I would like to have your advice. Today, I received my lab report as below
TSH:1.52ulU/ml; T3: 1.51nmol/l; T4:124.93nmol/l
S. Cholesterol: 157; S. Trigycerides: 126; S. HDL: 33; S. LDL 98
Total Testosterone: 263.11 ng/dl
Age 28; Weight 53kg; Height 170cm.
I am very lean and tensed personality always or restlessness. Would you please advice me possible medical conditions and its relations to weight less and anxiety behaviour.
doctor
Answered by Dr. Ajish TP (1 hour later)
Brief Answer:
Testosterone is on the lower side, other investigations ok

Detailed Answer:
Hi,

Welcome to HCM. I have gone through the question and understand your concerns.

1. Your thyroid function is normal. Mo treatment needed

2. Your HDL cholesterol is on lower side, other wise cholesterol panel is normal.

3. Your testosterone is on the lower side. Make sure that it is done in morning 8 am in a good lab. If not repeat it. If testosterone is again low you have to do additional tests like LH, FSH and prolactin after consulting an endocrinologist.

Hope I have answered your questions. If you have any further queries I will be happy to help you

Regards,

Dr Ajish TP [MD,DM]
Consultant Endocrinologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ajish TP (47 minutes later)
Dear Doctor,

Thank you for writing to me.

I had done these tests in the early morning, assuming to follow the standards of these tests with out food intake at DDRC SRL lab.

I would like to ask you, Does the condition of my low testosterone affect the restlessness and anxiety behaviour in me.

I have less facial hair, less deep voice and knees' pain. Two months age, doctor (orthopaedic) advised me to free from activities which demands sit up and sit down and there was the beginning of osteoporosis after seeing X ray of knee AP, PATELLA.

Does the condition of low testosterone cause less facial hair and knees' pain. As mentioned your replay, do I need to have additional test such as LH, FSH and prolactin. Do these test confirm any medical conditions that I am suffering or deficient. Your medical advice is appreciated
doctor
Answered by Dr. Ajish TP (8 hours later)
Brief Answer:
Do additional tests

Detailed Answer:
Hi,

Welcome back.

The only abnormality in your available which will address your symptoms of decreased facial hair and osteoporosis is low testosterone.

We usually say testosterone deficient when testosterone is less than 200 ng/dl and lower side when less than 300. So you have to do additional tests as I suggested. If all reports are suggestive of testosterone deficiency, you can take a trial of testosterone treatment to see improvement.

Regards
Dr Ajish TP
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ajish TP (2 days later)
Dear Dr Ajish TP,

As you directed me, I had initiated for those additional lab tests; but I received the result of LH, FSH and prolactin only, rest (Total & Free Testosterone) are due for morning.

FSH: 4.57m IU/ml

LH: 3.28m IU/ml

Prolactin: 11.3ngml

Would you advice me any medical conditions or abnormalities in available lab results.

Regards.
doctor
Answered by Dr. Ajish TP (8 hours later)
Brief Answer:
These reports are normal

Detailed Answer:
Hi,

The reports you have uploaded are normal. Wait for testosterone reports.

Regards
Dr Ajish TP
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ajish TP (7 hours later)
Dear Dr Ajish,

I just have received my lab report of remaining tests.

Total Testosterone:4.9 ng/ml

Free Testosterone:4.0 pg/ml

Method:ECLIA/CLIA;ELISA

Would you please advice me about the lab tests
Regards.
doctor
Answered by Dr. Ajish TP (5 hours later)
Brief Answer:
This report is normal

Detailed Answer:
Hi,
welcome back.

Your hormonal tests are normal. So your tense personality and anxiety is not due to hormonal problems or any systemic illness. Try lifestyle modifications, meditation or yoga to see for improvement. If there is no improvement consult a psychologist and if needed a psychiatrist.

Wishing you good health

Regards
Dr Ajish TP
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
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Dr. Ajish TP

Endocrinologist

Practicing since :2002

Answered : 819 Questions

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What Do These Following Lab Reports Indicate?

Brief Answer: Testosterone is on the lower side, other investigations ok Detailed Answer: Hi, Welcome to HCM. I have gone through the question and understand your concerns. 1. Your thyroid function is normal. Mo treatment needed 2. Your HDL cholesterol is on lower side, other wise cholesterol panel is normal. 3. Your testosterone is on the lower side. Make sure that it is done in morning 8 am in a good lab. If not repeat it. If testosterone is again low you have to do additional tests like LH, FSH and prolactin after consulting an endocrinologist. Hope I have answered your questions. If you have any further queries I will be happy to help you Regards, Dr Ajish TP [MD,DM] Consultant Endocrinologist