Testosterone is critical for overall health. Testosterone is always reduced with stress and age. Many people start to have testosterone levels start to drop after the age of 35-40. Regardless of what many people think both men AND WOMEN need testosterone. Many younger women 30+ that have high stress from young children and a busy life have lower testosterone levels that can manifest in many different symptoms/issues.
Do I Need This Test?
Have You Had Any?
Things To Remember
Testosterone helps heal and repair muscles. This means that it can help biceps and leg muscles, however never forget that the heart is a muscle that needs to repair and regenerate. Also, the arteries and veins have muscles in them. If the muscles in the veins get weak and soft the chance for DVT increases. While many people think of testosterone as a quality of life hormone it should be looked at as a quantity of life hormone as well.
What Does This Panel Look For?
Testosterone Free: How much testosterone is available to bind to a receptor and make things happen.
Testosterone Total: Total amount of testosterone free and bound.
What Other Tests Should I look At For These Symptoms?
Full male or female panel, thyroid panel, anemia panel, Hormone panel, Energy Panel
Estrogens are in the steroid chemical family. Estrogens are found in both men and women and are important to both. In men they help transport fats and regulate cholesterol. In women they help develop breast, uterus, and along with progesterone regulate the menstrual cycle. Estrogen is also a critical hormone for pregnancy. For adult women outside of pregnancy estrogen levels do not have to be very high for quality of life and normal function. Symptoms of low estrogen include: vaginal dryness, hot flashes, night sweats, headaches, mood swings.
Do I Need This Test?
Have You Had
Other Tests I Should Look at for These Issues
Testosterone, CBC, CMP,
CBC - Complete Blood Count
What is included in a CBC?
A standard CBC includes:
Red blood cell (RBC) tests:
- Red blood cell (RBC) count is the total number of red blood cells in your blood.
- Hemoglobin measures the amount of the oxygen-carrying protein in the blood, which gives a good idea of the number of red blood cells in the blood.
- Hematocrit measures the percentage of your total blood volume that consists of red blood cells.
Hemoglobin and Hematocrit are what is referred to as H&H. This is what is looked at for testosterone therapy. When these numbers go up the blood becomes thicker. As the blood becomes thicker it puts more pressure on the blood vessels. This is an important marker to look at. If it gets high it is important to donate blood to decrease the pressure on the blood vessels.
- Red blood cell indices provide information on the physical features of the RBCs:
- Mean corpuscular volume (MCV) is a measurement of how big the RBC is.
- Mean corpuscular hemoglobin (MCH) is the measurement of the average amount of hemoglobin inside the RBC.
- Mean corpuscular hemoglobin concentration (MCHC) is a measurement of the average concentration of hemoglobin in the RBC.
- Red cell distribution width (RDW) is the variation in the size of the RBC.
- The CBC may also include reticulocyte count, which shows the count/percentage of newly released young red blood cells in your blood sample.
White blood cell (WBC) tests:
- White blood cell (WBC) count is a count of the total number of white blood cells.
- White blood cell differential The WBC differential identifies the individual categories of WBC (neutrophils, lymphocytes, monocytes, eosinophils, and basophils). This can be listed as a total number or a fraction of the total WBC.
- The platelet count is the number of platelets in the blood.
- Mean platelet volume (MPV) is a measurement of the size of platelets.
- Platelet distribution width (PDW) It reflects how uniform platelets are in size.
All blood tests give us clues as to the health of a person or a bodily system. If there are any numbers that are out of normal ranges or you have any questions ALWAYS consult your primary care physician. All systems in the body are interconnected so one test result often triggers the need for other tests your primary healthcare provider will know of additional places to look.
What Other Tests Should I look For With This Test?
A CMP is almost always ordered with a CBC, these two tests a CBC, CMP are a standard baseline in blood testing.
CMP – Comprehensive Metabolic Panel
The comprehensive metabolic panel (CMP) is a panel of 14 different tests that all help look at your metabolism. Including: Glucose, electrolytes, liver, and kidney health.
The CMP tests for:
- Glucose - the primary fuel source for the body used primarily by the muscles, heart and brain. Without proper levels energy starts to decrease and mental function can deteriorate into complete collapse. This helps show hypoglycemia and can indicate diabetes.
- Calcium – A critical element in the body used for heart, nerves, muscles, bones and the formation of blood clots.
- Albumin - a protein made in the liver; it accounts for about 60% of the protein in the blood.
- Total Protein - measures albumin as well as all other proteins in blood; proteins are important building blocks for all cells in the body.
Electrolytes—these are minerals that are in the tissues and blood in the form of dissolved salts. Electrolytes help move nutrients into the cells and help remove wastes out of the cells. They help maintain a healthy water balance and help stabilize the body's acid-base (pH) level. The 4 tests for electrolytes are:
- Sodium - critical for normal nerve and muscle function
- Potassium - critical for cell metabolism and muscle function, helping to transmit messages between nerves and muscles
- Bicarbonate (Total CO2) - helps to maintain the body's acid-base balance (pH)
- Chloride - helps to regulate the amount of fluid in the body and maintain the acid-base balance
- Blood urea nitrogen (BUN) - waste product filtered out of the blood by the kidneys; as kidney function decreases, the BUN level rises. This can also help determine hydration needs.
- Creatinine - waste product produced in the muscles; it is filtered out of the blood by the kidneys so blood levels are a good indication of how well the kidneys are working. This test can be higher in athletes as supplementation and muscle break down from exercise can increase these levels.
- Alkaline phosphatase (ALP) - enzyme found in bone, liver, and other tissues; higher levels of ALP in the blood are most commonly caused by liver disease or bone disorders.
- Alanine amino transferase (ALT, SGPT) - enzyme found mostly in the cells of the liver and kidney; a test for commonly used for detecting liver damage. These levels may be