Anything Concerning in my lab tests?

[wealthofwisdom]

Hi all. I'm getting ready to order more lab tests. Before I do that, would anybody chime in on what I should be looking at, considering the results of my first test (6 months ago)?

The number one thing I'm looking to improve on is my overall energy and stamina (for exercise, tennis, etc). Basically I tend to get tired easily. I want to increase both physical and mental stamina. I am a late 30-something female, slender build, 5'6", 125lbs.

TLDR: What tests and/or concerns should I be focused on when I go to get my 2nd round of tests, considering the results of my first tests (below)? Are there any additional tests I should be ordering, besides the blood tests and salivary steroid tests, this 2nd time around?

I took 2 tests last time: 1) blood test and 2) salivary steroids test

Blood Tests I took:

• CBC w/ Differential, w/ Platelet;
• TSH, High Sensitivity;
• T4 Free Non-Dialysis;
• Microsomal TPO Antibody;
• Thyroglobulin Antibodies;
• T3 Free Non-Dialysis;
• Comprehensive Metabolic Panel;
• Vitamin D, 25- Hydroxy D2/ D3, LC/ MS/ MS

Salivary Steroid Test (taken on day 20 of my cycle)

BLOOD TEST RESULTS (just pasting everything from the results):​

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HEMATOLOGY
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CBC w/ Differential, w/ Platelet
WBC 10.3 Reference Range: 4.0 - 11.0 k/mm3
RBC 4.12 Reference Range: 3.70 - 5.40 m/mm3
Hemoglobin 12.6 Reference Range: 11.5 - 16.0 g/dl
Hematocrit 39.5 Reference Range: 35.0 - 48.0 %
MCV 95.9 Reference Range: 78.0 - 100.0 fL
MCH 30.6 Reference Range: 27.0 - 34.0 pg
MCHC 31.9 Reference Range: 31.0 - 37.0 g/dl
Platelet Count 352 Reference Range: 130 – 450 k/mm3
RDW(sd) 45.9 Reference Range: 38.0 - 49.0 fL
RDW(cv) 13.0 Reference Range: 11.0 - 15.0 %
MPV 9.9 Reference Range: 7.5 - 14.0 fL
Segmented Neutrophils 71.4* Reference Range: %
Lymphocytes 20.5 Reference Range: %
Monocytes 7.0 Reference Range: %
Eosinophils 0.6 Reference Range: %
Basophils 0.2 Reference Range: %
Absolute Neutrophil 7.37 Reference Range: 1.60 - 9.30 k/ul
Absolute Lymphocyte 2.12 Reference Range: 0.60 - 5.5O k/ul
Absolute Monocyte 0.72 Reference Range: 0.10 - 1.60 k/ul
Absolute Eosinophil 0.06 Reference Range: 0.00 - 0. 70 k/ul
Absolute Basophil 0.02 Reference Range: 0.00 - 0.20 k/ul
Immature Granulocytes 0.3 Reference Range: %
Absolute Immature Granulocytes 0.03 Reference Range: 0.00 - 0.10 k/ul
NRBC RE, Nucleated Red Blood Cell 0.0 Reference Range: 0.0 - 1.0 %

Percent
*Segmented Automated Diff
Neutrophils:
====================================
CHEMISTRY
====================================

Specimen Integrity
Slightly hemolyzed specimen: Aldolase, Aspartate Aminotransferase, Direct Bilirubin, Glycomark, Lactate Dehydrogenase, Potassium and Total Iron Binding Capacity (TIBC) results may be increased due to erythrocyte contamination or hemolysis. Alanine Aminotransferase and Fructosamine are affected.

TSH, T4, T3, TPO​

TSH, High Sensitivity 1.12 Reference Range: 0.45 - 4.50 mU/L
T4 Free Non-Dialysis 1.1 Reference Range: 0.8 - 1.7 ng/dl
T3 Free Non-Dialysis 3.0 Reference Range: 2.0 - 4.8 pg/ml
Microsomal TPO Antibody <28.0 Reference Range: ≤ 60.0 U/ml

Thyroglobulin Antibodies <0.9 Reference Range: ≤ 3.9 IU/ml

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Comprehensive Metabolic Panel:
------------------------------------------------------------------------
Glucose 93* Reference Range: 65 – 99 mg/dl
Urea Nitrogen (BUN) 7 Reference Range: 6 – 19 mg/dl
Creatinine 0.65 Reference Range: 0.60 - 1.40 mg/dl
GFR Estimated (Non-African Amer)110 Reference Range: ≥60 mL/min/1.73m2
GFR Estimated (African American)128 Reference Range: ≥60 mL/min/1.73m2
BUN/Creatinine Ratio 10.8 Reference Range: 10.0 - 28.0
Sodium 138 Reference Range: 135 - 145 mmol/L
Potassium 4.2 Reference Range: 3.6 - 5.3 mmol/L
Chloride 103 Reference Range: 98 – 108 mmol/L
Carbon Dioxide(C02) 23 Reference Range: 20 – 31 mmol/L
Anion Gap 12 Reference Range: 4 - 18
Protein, Total 7.4 Reference Range: 6.3 - 8.0 g/dl
Albumin 4.8 Reference Range: 3.8 - 5.1 g/dl
Globulin 2.6 Reference Range: 1.9 - 3.7 g/dl
Albumin/Globulin Ratio 1.9 Reference Range: 1.0 - 2.5
Calcium 9.2 Reference Range: 8.7 - 10.4 mg/dl
Alkaline Phosphatase 55 Reference Range: 37 – 127 IU/L
Alanine Aminotransferase 17 Reference Range: 5 – 46 IU/L
Aspartate Aminotransferase 22 Reference Range: 11 – 40 IU/L
Bilirubin, Total 0.6 Reference Range: ≤ 1.3 mg/dl

*Glucose: Glucose reference range reflects fasting state

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Vitamin D, 25-Hydroxy D2/ D3, LC/ MS/ MS​

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Vitamin D, 2S-OH, D2 <4* Reference Range: Not established ng/ml
Vitamin D, 2S-OH, D3 27* Reference Range: Not established ng/ml
Vitamin D, 2S-OH, Total 27* Reference Range: ≥20 ng/ml

*All Tests
This test was developed and its performance characteristics determined by Sonora Quest Laboratories. It has not been cleared or approved by the FDA.

*Vitamin D, 25-OH, Total :
<10 ng/ml Severe Deficiency
10 - 19 ng/ml Mild/Moderate Deficiency
20 - 50 ng/ml Optimum
51 -150 ng/ml Increased Risk of Hypercalciuria
>150 ng/ml Possible Toxicity

SALIVARY STEROID TEST RESULTS​

Taken on day 20 of my cycle

Estradiol 2.0 RANGE: 3-3.3 pg/mL Premenopausal (Luteal)
Progesterone 223 RANGE: 75-270 pg/mL Premenopausal (Luteal)
Ratio: Pg/E2 112 RANGE: Optimal: 100-500 when E2 1.3-3.3 pg/mL
Testosterone 26 RANGE: 16-55 pg/mL (Age Dependent)
DHEAS 3.3 RANGE: 2-23 ng/mL (Age Dependent)
Cortisol 8.2 RANGE: 3.7-9.5 ng/mL (morning)



THANKS IN ADVANCE TO ANY INSIGHT/ SUGGESTIONS / ADVICE!

 

[wealthofwisdom]

Anybody...?

 

[Kozak]

I'd say all looks good. DHEAS is a little on the low side. Increasing the amount of animal protein and saturated fat in the diet will help with energy issues. Another option is rest if overtraining.

 

[sweetpeat]

Overall, these results are pretty good. A couple of things that I notice:
Your BUN and creatinine numbers being on the low end suggest you might not be getting enough protein.
Vitamin D rather low. I think Peat would suggest getting it closer to 50, either with sunlight or supplement. He has mentioned a connection between vitamin D status and thyroid function.
Free t3 is barely midrange. Probably not optimal IMO.
As mentioned above, DHEAS bottom of range.

You could test cholesterol next time. This can give an indication of thyroid function. Temps and pulse are also good indicators.

 

[wealthofwisdom]

Great, thanks for these ideas guys