In 2018 I got a blood test following a Kallman Syndome diagnosis (age 17 at time of test), but several problems have arrisen since then. After several months I finally got access to the blood test results but its essencially Chinese to me.
The Dr told me that testosterone was far below average and I started TRT since, but it looks like LH and FSH are also low, which would explain the low testosterone. Does the test show below average LH/FSH?
My thinking has been that from the ages of about 11-15/16 I had high levels of Cortisol and little sleep. Without going into detail my lifestyle was absolutely not healthy. Cortisol inhibits GnRH which would stop the pituritary from growing (MRI showed 'smaller than average Pituritary' after months of low Cortisol, good sleep and TRT) which results in low LH/FSH. I'd hope that by fixing the Hypothalamus's inability to produce GnRH I could permanently solve the medical problems and get on with life, but I told this Hypothalamus-Piturity-Testes axis to the Dr and it was passed off a pseudoscience.
There's a lost more to my condition and my reasons for concluding this but I haven't stated them here for privacy's sake. If anyone can confirm low LH/FSH and point out anything I might have missed I'd me grateful!
Urea and electrolytes
Serum sodium level 143 mmol/L [133.0 - 146.0]
Serum potassium level 4.2 mmol/L [3.5 - 5.3]
Serum urea level 3.2 mmol/L [2.5 - 7.8]
Serum creatinine level 61 umol/L [59.0 - 98.0]
Liver function tests
Serum total protein level 77 g/L [60.0 - 80.0]
Serum albumin level 48 g/L [35.0 - 50.0]
Serum globulin level 29 g/L [20.0 - 35.0]
Serum alkaline phosphatase level 156 u/L [30.0 - 130.0]
Above high reference limit
ALP is variable in this age group and consistent
with normal bone growth and development.
Serum total bilirubin level 11 umol/L [0.0 - 21.0]
Serum alanine aminotransferase level 16 u/L [0.0 - 50.0]
Bone profile
Serum calcium level 2.49 mmol/L [2.2 - 2.6]
Calcium adjusted level 2.37 mmol/L [2.2 - 2.6]
Thyroid function test
Serum TSH level 1.16 mu/L [0.3 - 5.0]
Serum free T4 level 11.3 pmol/L [7.9 - 16.0]
FULL BLOOD COUNT
Haemoglobin concentration 135 g/L [130.0 - 160.0]
Total white blood count 6.7 10*9/L [4.0 - 11.0]
Platelet count - observation 310 10*9/L [150.0 - 400.0]
Haematocrit 0.41 L [0.37 - 0.49]
Red blood cell count 4.41 10*12/L [4.5 - 5.3]
Below low reference limit
RDW 13.0 % [11.0 - 14.8]
Mean cell volume 91.9 fL [78.0 - 98.0]
Mean cell haemoglobin level 30.7 pg [25.0 - 35.0]
MPV 7.7 fL
Neutrophil count 3.97 10*9/L [1.7 - 7.5]
Lymphocyte count 2.04 10*9/L [1.0 - 4.5]
Monocyte count - observation 0.56 10*9/L [0.2 - 0.8]
Eosinophil count - observation 0.07 10*9/L [0.0 - 0.4]
Basophil count 0.06 10*9/L [0.0 - 0.1]
Serum LH level < 0.2 u/L [1.2 - 8.6]
Below low reference limit
Serum follicle stimulating hormone level 0.2 u/L [1.3 - 19.3]
Below low reference limit
Serum testosterone level 1.1 nmol/L [6.1 - 27.1]
Below low reference limit
Serum prolactin level 116 mu/L [0.0 - 278.0]
Serum cortisol level 280 nmol/L [185.0 - 624.0]
Serum ferritin level 71 ng/mL [15.0 - 300.0]
Ferritin >15 and <100ng/mL. With low Hb and MCV,
a normal ferritin in the presence of inflammatory
changes does not exclude iron deficiency.