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HI Dr Stephen!

I just received the results from my latest blood tests today and wondered if you can take a look and help me understand any issues that you might see? Please note the measurements are all in metric.

Chemistry (serum)

Sodium - 141 mmol/L ( Reference range - 135 - 145 )
Potassium - 4.7 mmol/L ( Reference range - 3.5 - 5.5 )
Chloride - 105 mmol/L ( Reference range - 135 - 145 )
Bicarbonate - 22 mmol/L ( Reference range - 20 - 32 )
Anion Gap - 14 mmol/L ( Reference range - 5 - 15 )

Ca (corr) - 2.41 mmol/L ( Reference range - 2.10 - 2.55 )
Phosphate - 1.1 mmol/L ( Reference range - 0.8 - 1.5 )

Urea - 5.5 mmol/L ( Reference range - 3.0 - 8.0 )
Urate - 0.37 mmol/L ( Reference range - 0.20 - 0.50 )
Creatinine - 72 umol/L ( Reference range - 60 - 110 )
eGFR - >90 ( Reference Range - >59 )

Fast Glucose - 5.6 mmol/L ( Reference range - 3.6 - 6.0 )

Total Protein - 77 g/L ( Reference Range - 66 - 83 )
Albumin - 47 gL ( Reference Range - 39 - 50 )
Globulin - 30 g/L ( Reference Range - 20 - 39 )
T Bilirubin - 10 umol/L ( Reference range - 4 - 20 )
ALP - 66 U/L ( Reference Range - 35 - 110 )
AST - 37 U/L ( Reference Range - 10 - 40 )
ALT - 53 U/L ( Reference Range - 5 - 40 )
GGT - 30 U/L ( Reference Range - 5 - 40 )
LDH - 186 U/L ( Reference Range - 120 - 250 )

Cholesterol - 7.4 mmol/L ( Reference range - 3.9 - 5.5 )
Triglyceride - 5.0 mmol/L ( Reference range - 0.6 - 2.0 )
HDL - 0.91 mmol/L ( Reference range - 0.90 - 1.50 )
Measured LDL - 3.7 mmol/L ( Reference range - 0. 0 - 4.0 )
Cholesterol/HDL Ratio - 8.1 ( Reference range - 0. 0 - 4.5 )

Comments on Lab - Suggested optimal treatment targets for patients are:
LDL Cholesterol - <2.0 mmol/L
HDL Cholesterol - >1.00 mmol/L
Triglycerides - <1.5 mmol/L

Androgens

Testosterone - 9.0 nmol/L ( Reference Range - 11.0 - 40.0 )

Anaemia Profile

Iron - 22 umol/L ( Reference Range - 5 - 30 )
Transferrin - 2.3 g/L ( Reference Range - 1.9 - 3.1 )
Haemolysis Index - 7 ( Reference Range - 0 - 40 )
TIBC - 57 umol/L ( Reference Range - 45 - 72 )
Trans Saturation - 39% ( Reference Range - 20 - 55 )
Ferritin - 287 ug/L ( Reference Range - 25 - 300 )

I am aware the cholesterol and triglycerides are an issue and I am working on these with my Doctor. Last blood tests I had, the cholesterol was 8.8 mmol/L, so they are coming down, even if it is slowly. I did have some other concerns about my testosterone (previous blood test, it was 7.6), iron and ferritin. According to the range, I am within range for the ferritin, but it is continuing to rise.

Any thoughts or opinions will be gratefully received. Thanks!

Answer
Steve

As a general rule, we do not comment to on lab tests or we would be doing nothing else. However, your testosterone is  little low. If there are no symptoms of ED or diminished libido, no treatment is needed. You should discuss this issue with your physician.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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