Blood Work - Complete Hormone Panel
Blood Work - Complete Hormone Panel
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Complete Hormone Panel - BLOOD TEST 

 Testosterone 

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? 

  • Fatigue 
  • Anxiety 
  • Increased Fat 
  • Weak muscles 
  • Soreness 
  • Bone loss/osteoporosis 
  • Foggy headed 
  • Depression 
  • Low Sex Drive 
  • Low Sexual Pleasure Male and Female 

 

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 

 No Fasting 

 ESTROGEN 

  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 

  • Testosterone Therapy 
  • Abnormal Menstrual Cycles 
  • Hot Flashes 
  • Mood Swings 
  • Estrogen therapy 
  • Trouble Conceiving 
  • Headaches 
  • Vaginal Dryness 
  • Night Sweats 
  • Menstrual Cramps 
  • Miscarriages 

 

 

Other Tests I Should Look at for These Issues 

Testosterone, CBC, CMP,  

 

NO Fast 

 CBC - Complete Blood Count 

CBC  

What is included in a CBC?    

A standard CBC includes:    

Red blood cell (RBC) tests:    

  • 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.    

Platelet tests:    

  • 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.   

NO Fasting 

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.    

Proteins    

  • 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    

Kidney Tests    

  • 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.    

Liver Tests    

  • 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 higher in athletes, especially in those that are training harder or in a new way.  
  • Aspartate amino transferase (AST, SGOT) - enzyme found especially in cells in the heart and liver; also a useful test for detecting liver damage    

Bilirubin - Bilirubin is a normal waste product after breaking down hemoglobin from blood.  Since it is normally filtered out by the liver it can show liver function levels. If Bilirubin levels get too high it will often cause Jaundice which can lead to further damage and yellowing of the skin and eyes. 

 

Dihydrotestosterone:   

DHT is critical for the development of male genitalia during development.  DHT is also important during the maturation of the penis, testicles, seminal vesicles and prostate as men develop into maturity.  Male pattern hair growth on the face, pubic, and body depend on DHT levels as well.  The enzyme 5α-reductase is used to convert testosterone into DHT. 

Levels of DHT are normally significantly less than that of testosterone in most areas of the body.  DHT is normally 1/10 to 1/20 the concentration of testosterone, however, certain tissues like the prostate can have 10 times the amount of DHT vs the rest of the body.  For this reason, it is important to check the levels of DHT to ensure the prostate is not at risk for cancer. 

  DHT is responsible for:  

  • Prostate enlargement- This is critical during puberty, however, if DHT levels stay high for too long prostate cancer risk start to increase markedly.  
  • Facial, axillary, pubic, and over all body hair growth.  
  • Scalp and forehead recession style hair loss- Male pattern balding.  This can happen in women as well if the levels of DHT get too high. 

 Who Should Get This Test? 

Anyone who is or has: 

  • On Testosterone therapy 
  • Is worried about going bald 
  • Has had any prostate enlargement issues 
  • Has a personal or family history of prostate cancer 
  • Has excessive body hair 

 

What Other Tests Go With This? 

Testosterone, PSA, CBC, CMP, Estrogen/Estradiol 

 Thyroid Panel 

The thyroid is a small gland just above the collar bones in the neck.  This gland most famously helps to regulate metabolism/energy.  However, it also works with several other systems in the body such as eyes, hair, temperature, and brain function. 

The Thyroid panel helps to determine any fluctuations in thyroid function that can lead to disease processes.  It can help determine hypothyroidism (to low thyroid) and hyperthyroidism (to high thyroid).  Once you know the levels of the thyroid there are several ways to repair these issues, however you first have to know. 

  

Do I Need This Test? 

If you have any of these symptoms a thyroid panel might be the right test for you. 

  • Fatigue 
  • Increased sensitivity to cold 
  • Constipation 
  • Dry skin 
  • Weight gain 
  • Puffy face 
  • Hoarseness 
  • Muscle weakness 
  • Elevated blood cholesterol level 
  • Foggy headed 

  

  • Impaired memory 
  • Enlarged thyroid gland (goiter) 
  • Muscle aches, tenderness and stiffness 
  • Pain, stiffness or swelling in your joints 
  • Heavier than normal or irregular menstrual periods 
  • Thinning hair 
  • Slowed heart rate 
  • Depression 
  • Anxiety 

  

  

What Other Tests Should I look At For These Issues? 

Other lab tests go with these symptoms include: Full male and female wellness panel, testosterone panel, hormone panel, energy panel, and anemia panel. 

What does the lab panel tell us? 

  1. Thyroid Stimulating Hormone (TSH): This shows how hard your pituitary gland is telling the thyroid to make thyroid hormones T3 and T4. 
  1. T4 Total: This is the amount of thyroxin that is bound and free in the blood. Thyroxin is the precursor to T3 (triiodothyronine). 
  1. Free T3: Triiodothyronine is the active form of thyroid hormone.  Free T3 is the amount that is floating around ready to work. 
  1. Free T4:  This is the amount of T4 that has not bound to any other proteins.  
  1. Thyroid Peroxidase antibodies (TPO): This test helps determine certain autoimmune diseases like Graves' disease or Hashimoto thyroiditis. 

 No fasting 

 

Reverse T3 

Reverse T3 is normally looked at for autoimmune issues at the thyroid gland.  Issues that arise from this are similar to hashimoto disease.  Reverse T3 or rT3 competes with normal T3 at the thyroid binding sites.  This can shut down normal thyroid function and end up giving you hypothyroid issues.  This can lead to weight gain, decreased energy, loss of mental focus, poor workouts, decreased overall body temperature and low IGF1 levels.  This is a good test for anyone of any age.