privatelabs question about fasting

[Gossamer]

I chose my tests, and prepaid. I got my email to print the requisition to bring to the lab, and it had a notice that I had to fast for 12 hours before the blood work.

Now that's a problem. My Dr. wrote no fast on my orders, and for these same tests, I've never had to fast. My Dr. also needs me to have my blood drawn in the afternoon before I inject in the evening, so she can see results including the thyroid med I take in the morning. There's no way I can go all day at work without eating, before my blood test.

So, what do I do? Just tell the person at the lab that I didn't fast, so they can adjust the results accordingly?

 

[riprockwell]

Every time I test my testosterone, I always test in the morning in luring my thyroid. I wait until after I draw blood in the morning and then pop a thyroid pill. I always am faster when I do.

 

[Megatron28]

They don't adjust the results. They simply note it. Fasting will affects glucose readings in the metabolic panel. It won't affect hormone levels.

 

[Gossamer]

They don't adjust the results. They simply note it. Fasting will affects glucose readings in the metabolic panel. It won't affect hormone levels.

So you think I don't have to fast. Apparently my Dr. agrees with you. Or she would've had me fast every other time I had the same tests.

Thanks Megatron.

 

[Gossamer]

Could someone look over my last results, and let me know what you think.

Test Name Result Flag Reference Range Lab
TSH+Free T4
TSH 0.041 LOW 0.450-4.500 uIU/mL TA
T4,Free(Direct) 0.04 LOW 0.82-1.77 ng/dL TA
CBC With Differential/Platelet
WBC 6.7 3.4-10.8 x10E3/uL TA
RBC 5.35 4.14-5.80 x10E6/uL TA
Hemoglobin 15.4 12.6-17.7 g/dL TA
Hematocrit 45.2 37.5-51.0 % TA
MCV 85 79-97 fL TA
MCH 28.8 26.6-33.0 pg TA
MCHC 34.1 31.5-35.7 g/dL TA
RDW 13.9 12.3-15.4 % TA
Platelets 334 155-379 x10E3/uL TA
Neutrophils 58 40-74 % TA
Lymphs 31 14-46 % TA
Monocytes 9 4-12 % TA
Eos 2 0-5 % TA
Basos 0 0-3 % TA
Neutrophils (Absolute) 3.9 1.4-7.0 x10E3/uL TA
Lymphs (Absolute) 2.1 0.7-3.1 x10E3/uL TA
Monocytes(Absolute) 0.6 0.1-0.9 x10E3/uL TA
Eos (Absolute) 0.1 0.0-0.4 x10E3/uL TA
Baso (Absolute) 0.0 0.0-0.2 x10E3/uL TA
Immature Granulocytes 0 0-2 % TA
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL TA
Comp. Metabolic Panel (14)
Glucose, Serum 87 65-99 mg/dL TA
BUN 23 6-24 mg/dL TA
Creatinine, Serum 1.09 0.76-1.27 mg/dL TA
eGFR If NonAfricn Am 82 >59 mL/min/1.73 TA
eGFR If Africn Am 94 >59 mL/min/1.73 TA
BUN/Creatinine Ratio 21 HIGH 9-20 TA
Sodium, Serum 136 134-144 mmol/L TA
Potassium, Serum 4.5 3.5-5.2 mmol/L TA
Chloride, Serum 96 LOW 97-108 mmol/L TA
Carbon Dioxide, Total 25 19-28 mmol/L TA
Calcium, Serum 9.8 8.7-10.2 mg/dL TA
Protein, Total, Serum 7.4 6.0-8.5 g/dL TA
Albumin, Serum 4.4 3.5-5.5 g/dL TA
Globulin, Total 3.0 1.5-4.5 g/dL TA
A/G Ratio 1.5 1.1-2.5 TA
Bilirubin, Total 0.4 0.0-1.2 mg/dL TA
Alkaline Phosphatase, S 75 39-117 IU/L TA
AST (SGOT) 25 0-40 IU/L TA
ALT (SGPT) 21 0-44 IU/L TA
Testosterone,Free and Total
Testosterone, Serum 1188 348-1197 ng/dL TA
Free Testosterone(Direct) 44.7 HIGH 6.8-21.5 pg/mL BN
Dihydrotestosterone
Dihydrotestosterone 39 ng/dL ES
Reference Range:
1 of 2
Adult Male: 30 - 85
Luteinizing Hormone(LH), S
LH 0.1 LOW 1.7-8.6 mIU/mL TA
FSH, Serum
FSH <0.2 LOW 1.5-12.4 mIU/mL TA
Estradiol
Estradiol 57.6 HIGH 7.6-42.6 pg/mL TA
Roche ECLIA methodology
Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum 0.6 0.0-4.0 ng/mL TA
Roche ECLIA methodology.
.
According to the American Urological Association, Serum PSA should
decrease and remain at undetectable levels after radical
prostatectomy. The AUA defines biochemical recurrence as an initial
PSA value 0.2 ng/mL or greater followed by a subsequent confirmatory
PSA value 0.2 ng/mL or greater.
Values obtained with different assay methods or kits cannot be used
interchangeably. Results cannot be interpreted as absolute evidence
of the presence or absence of malignant disease.
Progesterone
Progesterone 0.8 0.2-1.4 ng/mL TA
Triiodothyronine,Free,Serum
Triiodothyronine,Free,Serum 1.0 LOW 2.0-4.4 pg/mL TA

I'm questioning TSH which is low
T4, free which is low
BUN/Creatinine Ratio which is high
Chloride, Serum which is low
Free Testosterone which is high
Luteinizing Hormone(LH) which is low
FSH which is low
And Estradiol which is high

Keep in mind, this blood was drawn in the afternoon, before my evening injection(Trough)

The Estradiol is throwing me off because I have completely different symptoms than before, when my Estradiol was high. I'm very weepy, almost depressed now. And tired too.

Also, for reference, 2 weeks prior to this blood test, I got a blood test for estradiol sensitive only, and my result was
10, with the range being 3-70. So that lead me to stop the anastrozole. And being off anastrozole for two weeks, the test came back at 57.6, on a scale of 7.6-42.6.(non-sensitive)
Now I wish I got the estradiol sensitive with this test, but I was paying out of pocket, and I was already paying almost $400 for what I had tested.

 

[Megatron28]

Why didn't you just get the Hormone Panel for Males? That is about $130.

You LH and FSH are supposed to be practically zero. You are taking exogenous test which shuts down your HPTA. Your pituitary senses that you already have enough test in your body so it doesn't send a signal to your testicles telling them to make more.

TSH indicates that you lean toward the hyperthyroid side. I don't know if that is low enough to be worried about that.

Bun/creatinine ratio may just mean you were a little dehydrated.

Most guys like having high Free T. That means more T is available for your muscles! If it worries you though, lower your Test dose.

Your estradiol is probably ok. Regular Assay is usually 10-20 points higher than sensitive which would put you at 38-48. Any symptoms of high estradiol like acne, bloat, moodiness or fatigue?

 

[Gossamer]

Megatron wrote:
Why didn't you just get the Hormone Panel for Males? That is about $130.

My Dr. gave me a list of tests she wanted. I went with the cheapest way I could, that included all she wanted.

You LH and FSH are supposed to be practically zero. You are taking exogenous test which shuts down your HPTA. Your pituitary senses that you already have enough test in your body so it doesn't send a signal to your testicles telling them to make more.

Ok. That makes sense.

TSH indicates that you lean toward the hyperthyroid side. I don't know if that is low enough to be worried about that.

If it's low, you're saying hyper not hypo thyroid?

Bun/creatinine ratio may just mean you were a little dehydrated.

Ok. My wife was worried about my kidney function.

Most guys like having high Free T. That means more T is available for your muscles! If it worries you though, lower your Test dose.

Doesn't worry me. It only worries me that my T dose might get lowered when my Dr. gets my results.

Your estradiol is probably ok. Regular Assay is usually 10-20 points higher than sensitive which would put you at 38-48. Any symptoms of high estradiol like acne, bloat, moodiness or fatigue?

Not much acne. I had that before with high e.
No bloat.
Some moodiness.
I don't know if I'd call it fatigue, but I've been more tired lately.
But I've been horribly weepy lately. Bordering on mild depression. And that's not like me at all.