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Can someone explain what my Blood Test Results mean?

BecauseGenes profile image
5 Replies

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.

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BecauseGenes profile image
BecauseGenes
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Nackapan profile image
Nackapan

Would you get more help on the thyroid forum perhaps?

Looks very involved

If you seeing a haematologist get

them to explain everything

BecauseGenes profile image
BecauseGenes in reply toNackapan

Would something like Kallman Syndrome have anythnig to do with the Thyroid?

I'll try though, thanks

Nackapan profile image
Nackapan in reply toBecauseGenes

Sorry I read your tsh was low so there might be more help from thyroid forum .

Nackapan profile image
Nackapan in reply toNackapan

I think this is the wrong forum to help you . Have you PA?

Gambit62 profile image
Gambit62Administrator

red blood cell count low but no other signs of anaemia.

fertility measures all seem to be out of range

This is link to article on low LH etc

labtestsonline.org.uk/tests...

you can probably find out more about the other tests and what they mean on the same site.

Nothing strikes me as particularly indicating either thyroid or PA/B12 absorption problems.

Suggest you try speaking to GP about the results.

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