I got back several blood hormonal tests. I was wondering if you guys could help me make sense of them

Symptoms
#1

My main symptom is head pressure and insomnia. I’m wondering if I have some stressed out adrenal or pituatary , if that is the source of the head presure. So here are my tests. …

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Your test result on 12/05/2018
Patient Name: Shellnyce | Date of Birth: 5/76
Note to Patient: The results of your recent lab tests are within normal limits. We look forward to seeing you at your next appointment.

17-OH-PROG/DHEA/ANDROSTEN/TESTOS T+F 12/05/2018 (#745323, Final)
Note to Patient The results of your recent lab tests are within normal limits. We look forward to seeing you at your next appointment.
Report Result Ref. Range Units Status Lab
DHEA SULFATE 262 70-495 mcg/dL Normal Final TBR

     DHEA-S values fall with advancing age.  For reference, the
     reference intervals for 31-40 year old patients are: 
     Female 23-266 mcg/dL and Male 106-464 mcg/dL.

ANDROSTENEDIONE 43 40-190 ng/dL Normal Final QNI

This test was developed and its analytical performance
characteristics have been determined by Quest Diagnostics
Nichols Institute San Juan Capistrano. It has not been
cleared or approved by FDA. This assay has been validated
pursuant to the CLIA regulations and is used for clinical
purposes.

               Test performed by:
               Quest Diagnostics Nichols Institute 
               33608 Ortega Highway
               San Juan Capistrano, California 92690
               Medical Director: Irina Maramica MD

TESTOSTERONE,TOTAL, MS 333 250-1100 ng/dL Normal Final AMD

For additional information, please refer to
http://education.questdiagnostics.com/faq/
TotalTestosteroneLCMSMSFAQ165
(This link is being provided for informational/
educational purposes only.)

This test was developed and its analytical performance
characteristics have been determined by Quest
Diagnostics Nichols Institute Chantilly, VA. It has
not been cleared or approved by the U.S. Food and Drug
Administration. This assay has been validated pursuant
to the CLIA regulations and is used for clinical
purposes.

TESTOSTERONE,FREE 38.6 35.0-155.0 pg/mL Normal Final AMD

This test was developed and its analytical performance
characteristics have been determined by Quest
Diagnostics Nichols Institute Chantilly, VA. It has
not been cleared or approved by the U.S. Food and Drug
Administration. This assay has been validated pursuant
to the CLIA regulations and is used for clinical
purposes.

               This test was performed at:
               Quest Diagnostics Nichols Institute Chantilly 
               14225 Newbrook Drive
               Chantilly, VA 20151

17-HYDROXYPROGESTERONE 19 33-195 ng/dL Low Final AMD

This test was developed and its analytical performance
characteristics have been determined by Quest
Diagnostics Nichols Institute Chantilly, VA. It has
not been cleared or approved by the U.S. Food and Drug
Administration. This assay has been validated pursuant
to the CLIA regulations and is used for clinical
purposes.

               This test was performed at:
               Quest Diagnostics Nichols Institute Chantilly 
               14225 Newbrook Drive
               Chantilly, VA 20151

FREE T3/FREE T4/TSH 12/05/2018 (#745322, Final)

Note to Patient The results of your recent lab tests are within normal limits. We look forward to seeing you at your next appointment.

Report Result Ref. Range Units Status Lab
TSH 1.28 0.40-4.50 mIU/L Normal Final TBR
T4,FREE 1.1 0.8-1.8 ng/dL Normal Final TBR
T3,FREE 3.1 2.3-4.2 pg/mL Normal Final TBR
#2

You have borderline Total Testesterone and Free Testesterone…Even though it is within the acceptable range, it is still borderline low, so that could be where the insmonia is coming from, Considering, if before taking Fin you had testesterone higher than this and now you have lower than your usual Free Testesterone it can cause imbalance in your system stemming to decreased libido, ED and insomnia etc… It’s always good to compare with an old (Pre-Fin) test.

As for your Thyroid profile, it’s normal… I wouldn’t worry about that… It’s normal.

Just give yourself some time , a doctor wouldn’t prescribe you any medicine since your testesterone is not below the normal range… Just exercise (heavy) and eat healthy to boost testesterone naturally.

You can also take some supplements to boost testesterone naturally.

Cheers

#3

Do you think getting my T up will improve my insomnia? Like I said my insomnia is really bad. By far my worst symptom.

#4

I am not sure about what Androstendione is, but yes lower than normal Testesterone can lead to insomnia.

And Yes getting T up will help with sleep

#5

So I should start looking at supplements like Tribulus, Ashwaganda, Maca, etc… all those T boosting sups?

#6

More of my tests have showed up…

CATECHOLAMINES/METANEPRINES 12/08/2018 (#749370, Final, 11/29/2018 4:30pm)
Report Result Ref. Range Units Status Lab
EPINEPHRINE 49 pg/mL Normal Final AMD

This test was developed and its analytical performance
characteristics have been determined by Quest
Diagnostics Nichols Institute Chantilly, VA. It has
not been cleared or approved by the U.S. Food and Drug
Administration. This assay has been validated pursuant
to the CLIA regulations and is used for clinical
purposes.

NOREPINEPHRINE 531 pg/mL Normal Final AMD

This test was developed and its analytical performance
characteristics have been determined by Quest
Diagnostics Nichols Institute Chantilly, VA. It has
not been cleared or approved by the U.S. Food and Drug
Administration. This assay has been validated pursuant
to the CLIA regulations and is used for clinical
purposes.

DOPAMINE see note Normal Final AMD
Results are below reportable range for this analyte,
which is 30 pg/mL.

This test was developed and its analytical performance
characteristics have been determined by Quest
Diagnostics Nichols Institute Chantilly, VA. It has
not been cleared or approved by the U.S. Food and Drug
Administration. This assay has been validated pursuant
to the CLIA regulations and is used for clinical
purposes.

TOTAL CATECHOLAMINES 580 pg/mL Normal Final AMD

Adult Reference Ranges for Catecholamines, Plasma

Epinephrine Supine: LESS THAN 50 pg/mL
Upright: LESS THAN 95 pg/mL

Norepinephrine Supine: 112-658 pg/mL
Upright: 217-1109 pg/mL

Dopamine Supine: LESS THAN 30 pg/mL
Upright: LESS THAN 30 pg/mL

Total (N+E) Supine: 123-671 pg/mL
Upright: 242-1125 pg/mL

Pediatric Reference Ranges for Catecholamines, Plasma

Due to stress, plasma catecholamine levels are
generally unreliable in infants and small children.
Urinary catecholamine assays are more reliable.

Epinephrine Supine: LESS THAN OR EQUAL
3-15 Years TO 464 pg/mL
Upright: Not Available

Norepinephrine Supine: LESS THAN OR EQUAL
3-15 Years TO 1251 pg/mL
Upright: Not Available

Dopamine Supine: LESS THAN 60 pg/mL
3-15 Years Upright: Not Available

Pediatric data from J Chromatogr (1993) 617:304-307.

This test was developed and its analytical performance
characteristics have been determined by Quest
Diagnostics Nichols Institute Chantilly, VA. It has
not been cleared or approved by the U.S. Food and Drug
Administration. This assay has been validated pursuant
to the CLIA regulations and is used for clinical
purposes.

               This test was performed at:
               Quest Diagnostics Nichols Institute Chantilly 
               14225 Newbrook Drive
               Chantilly, VA 20151

METANEPHRINES, FREE 37 <=57 pg/mL Normal Final AMD

This test was developed and its analytical performance
characteristics have been determined by Quest
Diagnostics Nichols Institute Chantilly, VA. It has
not been cleared or approved by the U.S. Food and Drug
Administration. This assay has been validated pursuant
to the CLIA regulations and is used for clinical
purposes.

NORMETANEPHRINES, FREE 177 <=148 pg/mL High Final AMD

This test was developed and its analytical performance
characteristics have been determined by Quest
Diagnostics Nichols Institute Chantilly, VA. It has
not been cleared or approved by the U.S. Food and Drug
Administration. This assay has been validated pursuant
to the CLIA regulations and is used for clinical
purposes.

TOTAL, FREE (MN + NMN) 214 <=205 pg/mL High Final AMD

For additional information, please refer to
http://education.questdiagnostics.com/faq/MetFractFree
(This link is being provided for informational/educatio
informational/educational purposes only.)

Elevations >4-fold upper reference range: strongly
suggestive of a pheochromocytoma(1).

Elevations >1- 4-fold upper reference range:
significant but not diagnostic, may be due to
medications or stress. Suggest running 24 hr urine
fractionated metanephrines and/or serum Chromagranin A
for confirmation.

Reference:

(1)Algeciras-Schimnich A et al, Plasma Chromogranin A
or Urine Fractionated Metanephrines Follow-Up Testing
Improves the Diagnostic Accuracy of Plasma Fractionated
Metanephrines for Pheochromocytoma. The Journal of
Clinical Endocrinology # Metabolism 93(1), 91-95, 2008.

This test was developed and its analytical performance
characteristics have been determined by Quest
Diagnostics Nichols Institute Chantilly, VA. It has
not been cleared or approved by the U.S. Food and Drug
Administration. This assay has been validated pursuant
to the CLIA regulations and is used for clinical
purposes.

               This test was performed at:
               Quest Diagnostics Nichols Institute Chantilly 
               14225 Newbrook Drive
               Chantilly, VA 20151
#7

ARGININE VASOPRESSIN 12/08/2018 (#749369, Final, 11/29/2018 4:30pm)
Report Result Ref. Range Units Status Lab
ARGININE VASOPRESSIN 1.0 pg/mL Normal Final QNI
Reference Range:
1.0-13.3

This test was developed and its analytical performance
characteristics have been determined by Quest Diagnostics
Nichols Institute San Juan Capistrano. It has not been
cleared or approved by FDA. This assay has been validated
pursuant to the CLIA regulations and is used for clinical
purposes.

               Test performed by:
               Quest Diagnostics Nichols Institute 
               33608 Ortega Highway
               San Juan Capistrano, California 92690
               Medical Director: Irina Maramica MD
#8

SEX HORMONE BINDING GLOB 12/05/2018 (#745337, Final)

Report Result Ref. Range Units Status Lab
SEX HORMONE BINDING GLOB 37 10-50 nmol/L Normal Final TBR
No collection date received. We have used the date the specimen was received by Quest Diagnostics as the collection date. If this is incorrect, please contact us at 1-866-MYQUEST.
#9

FSH AND LH 12/05/2018 (#745336, Final)

Report Result Ref. Range Units Status Lab
FSH 3.3 1.6-8.0 mIU/mL Normal Final TBR
LH 2.7 1.5-9.3 mIU/mL Normal Final TBR
#10

17-OH-PREGNENOLONE,SERUM 12/05/2018 (#745333, Final)
Report Result Ref. Range Units Status Lab
17-HYDROXYPREGNENOLONE 25 < OR = 905 ng/dL Normal Final QNI

This test was developed and its analytical performance
characteristics have been determined by Quest Diagnostics
Nichols Institute San Juan Capistrano. It has not been
cleared or approved by FDA. This assay has been validated
pursuant to the CLIA regulations and is used for clinical
purposes.

               Test performed by:
               Quest Diagnostics Nichols Institute 
               33608 Ortega Highway
               San Juan Capistrano, California 92690
               Medical Director: Irina Maramica MD
#11

VITAMIN D,25-OH,TOTAL,IA 12/05/2018 (#745332, Final)
Report Result Ref. Range Units Status Lab
VITAMIN D,25-OH,TOTAL,IA 40 30-100 ng/mL Normal Final TBR

     Vitamin D Status         25-OH Vitamin D:

     Deficiency:                    <20 ng/mL
     Insufficiency:             20 - 29 ng/mL
     Optimal:                 > or = 30 ng/mL

     For 25-OH Vitamin D testing on patients on
     D2-supplementation and patients for whom quantitation
     of D2 and D3 fractions is required, the QuestAssureD(TM)
     25-OH VIT D, (D2,D3), LC/MS/MS is recommended: order
     code 92888X (patients >2yrs).

     For more information on this test, go to:
     http://education.questdiagnostics.com/faq/FAQ163
#12

HEMOGLOBIN A1C 12/05/2018 (#745331, Final)
Report Result Ref. Range Units Status Lab
HEMOGLOBIN A1C 5.1 <5.7 % of total Hgb Normal Final TBR

     For the purpose of screening for the presence of diabetes:


     <5.7%       Consistent with the absence of diabetes
     5.7-6.4%    Consistent with increased risk for diabetes
                 (prediabetes)
     >or=6.5%    Consistent with diabetes

     This assay result is consistent with decreased risk of
     diabetes.

     Currently, no consensus exists for use of hemoglobin A1c
     for diagnosis of diabetes in children.

     According to American Diabetes Association (ADA) 
     guidelines, hemoglobin A1c <7.0% represents optimal control 
     in non-pregnant diabetic patients. Different metrics may
     apply to specific patient populations. Standards of 
     Medical Care in Diabetes(ADA).
#13

CORTISOL, TOTAL 12/05/2018 (#745330, Final)
Report Result Ref. Range Units Status Lab
CORTISOL, TOTAL 2.6 mcg/dL Normal Final TBR
REFERENCE RANGE
Cortisol AM 4.0 - 22.0 mcg/dL
Cortisol PM 3.0 - 17.0 mcg/dL

#14

ESTRADIOL 12/05/2018 (#745329, Final)
Report Result Ref. Range Units Status Lab
ESTRADIOL 19 < OR = 39 pg/mL Normal Final TBR

     Reference range established on post-pubertal patient
     population. No pre-pubertal reference range established
     using this assay. For any patients for whom low estradiol
     levels are anticipated (e.g. males, pre-pubertal children,
     and hypogonadal/post-menopausal females), the Quest
     Diagnostics Nichols Institute Estradiol, Ultrasensitive,
     LC/MS/MS assay is recommended (Order code 30289X).

     Please note: patients being treated with the drug
     fulvestrant (Faslodex(R)) have demonstrated significant
     interference in immunoassay methods for estradiol
     measurement. The cross reactivity could lead to falsely
     elevated estradiol test results leading to an
     inappropriate clinical assessment of estrogen status.
     Quest Diagnostics order code 30289X-Estradiol,
     Ultrasensitive LC/MS/MS demonstrates negligible cross
     reactivity with fulvestrant.
#15

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Patient Name: William Sheley | Date of Birth: 05/04/1976

PROLACTIN 12/05/2018 (#745328, Final)

Report Result Ref. Range Units Status Lab
PROLACTIN 6.1 2.0-18.0 ng/mL Normal Final TBR
#16

This is a lot of stuff. I am no expert, an Endocrinologist would be best to make sense of this mate. And if required they’d prescribe you medication to boost T etc.

I say talk to your endocrinologist or GP get his professional opinion. And it’s best to get their opinion before self medicating.

#17

Your Estradiol and catecholamines, FSH and LH are within range. As for cortisol the stress hormone it’s also within normal range.

#18

URINALYSIS,COMPLETE 12/05/2018 (#745327, Final)

Report Result Ref. Range Units Status Lab
COLOR Yellow YELLOW Normal Final TBR
APPEARANCE Clear CLEAR Normal Final TBR
SPECIFIC GRAVITY 1.022 1.001-1.035 Normal Final TBR
PH 6.5 5.0-8.0 Normal Final TBR
GLUCOSE Negative NEGATIVE Normal Final TBR
BILIRUBIN Negative NEGATIVE Normal Final TBR
KETONES Negative NEGATIVE Normal Final TBR
OCCULT BLOOD Negative NEGATIVE Normal Final TBR
PROTEIN Negative NEGATIVE Normal Final TBR
NITRITE Negative NEGATIVE Normal Final TBR
LEUKOCYTE ESTERASE Negative NEGATIVE Normal Final TBR
WBC None Seen <OR=5 /hpf Normal Final TBR
RBC None Seen <OR=2 /hpf Normal Final TBR
SQUAMOUS EPITHELIAL CELLS None Seen <OR=5 /hpf Normal Final TBR
BACTERIA None Seen NONE SEEN /hpf Normal Final TBR
HYALINE CAST None Seen NONE SEEN /lpf Normal Final TBR
#19

BC (INCLUDES DIFF/PLT) 12/05/2018 (#745326, Final)
Report Result Ref. Range Units Status Lab
WBC 7.4 3.8-10.8 Thous/mcL Normal Final TBR
RBC 4.85 4.20-5.80 Mill/mcL Normal Final TBR
HEMOGLOBIN 15.6 13.2-17.1 g/dL Normal Final TBR
HEMATOCRIT 46.8 38.5-50.0 % Normal Final TBR
MCV 96.4 80.0-100.0 fL Normal Final TBR
MCH 32.1 27.0-33.0 pg Normal Final TBR
MCHC 33.3 32.0-36.0 g/dL Normal Final TBR
RDW 12.6 11.0-15.0 % Normal Final TBR
PLATELET COUNT 241 140-400 Thous/mcL Normal Final TBR
MPV 7.9 7.5-12.5 fL Normal Final TBR
TOTAL NEUTROPHILS,% 62.8 38-80 % Normal Final TBR
TOTAL LYMPHOCYTES,% 28.0 15-49 % Normal Final TBR
MONOCYTES,% 7.6 0-13 % Normal Final TBR
EOSINOPHILS,% 1.0 0-8 % Normal Final TBR
BASOPHILS,% 0.6 0-2 % Normal Final TBR
NEUTROPHILS,ABSOLUTE 4647 1500-7800 Cells/mcL Normal Final TBR
LYMPHOCYTES,ABSOLUTE 2072 850-3900 Cells/mcL Normal Final TBR
MONOCYTES,ABSOLUTE 562 200-950 Cells/mcL Normal Final TBR
EOSINOPHILS,ABSOLUTE 74 15-500 Cells/mcL Normal Final TBR
BASOPHILS,ABSOLUTE 44 0-200 Cells/mcL Normal Final TBR
DIFFERENTIAL Normal Final TBR
An instrument differential was performed.

#20

I can say one thing for sure.

Your urine analysis is all clear. So you don’t have a Urinary Tract infection.

As for the hormones best to consult an Endocrinologist mate :slight_smile: