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Health blood tests (e.g. hormones, vitamin levels, etc)
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jbkunt2 Offline
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Post: #1
Health blood tests (e.g. hormones, vitamin levels, etc)
Hi all,

Seen a lot of people talk about testosterone/hormone panel tests on here.

I was wondering what other blood or other tests might be advisable to do?

E.g. cab yu not get ones that test for vitamins levels, calcium, etc? Where can these be done?

Thanks for any comments.
07-21-2015 09:41 PM
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WanderingSoul Offline
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Post: #2
RE: Health blood tests (e.g. hormones, vitamin levels, etc)
I'd like to know more about this also, as I've suffered from some sort of chronic fatigue for 4 years or so. I used to wake up at 7AM bursting with energy. I literally couldn't lay in bed, I would wake up and instantly need to get out of bed. Now I can lay there for hours and have very little focus or drive in the mornings.

I've done a bit of research and found the following things I should have tested:
Anemia/Iron
Thyroid
Diabetes/Fasting blood sugar
free testosterone/total testosterone/estrogen
vitamin d3
07-21-2015 10:36 PM
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redbeard Online
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Post: #3
RE: Health blood tests (e.g. hormones, vitamin levels, etc)
Agreed. Would love to hear what some other members think. I've got A+ health insurance and on top of a DEXA I'd like to spend some of my leftover pretax money on routine blood work.

1 Year NoFap Veteran --- No Days Off in Trump's America
07-21-2015 10:53 PM
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CleanSlate Offline
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RE: Health blood tests (e.g. hormones, vitamin levels, etc)
I've listed an ENTIRE slew of important blood tests for men's health, what each marker means, WHY to test those, what the standard lab ranges are, and HOW to interpret the results.

It took a lot of work to put this together, and I'm hoping this will be a helpful resource for men who want to learn what the important blood tests are - not just testosterone, but everything else. Blood counts, liver/kidney panel, lipids, etc.

http://www.trtguide.com/labs/
(This post was last modified: 07-22-2015 08:47 AM by CleanSlate.)
07-22-2015 08:46 AM
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jbkunt2 Offline
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RE: Health blood tests (e.g. hormones, vitamin levels, etc)
@CleanSlate

Fantastic article. Great work!

There are so many factors there that I am actually a little scared to take the test because it seems like surely one or two things will be off. I can be a not neurotic!

Do they run all those tests whe you order from one of those sites?
07-23-2015 02:08 PM
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SunW Offline
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Post: #6
RE: Health blood tests (e.g. hormones, vitamin levels, etc)
Just FYI, if you do blood tests frequently and they're in your area, this will save you a lot of money. One test is one fourth of what I was paying at other places.
07-23-2015 03:11 PM
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rottenapple Offline
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RE: Health blood tests (e.g. hormones, vitamin levels, etc)
I'm in Ecuador and just went to get a quote for a full hormone panel, some minerals and B-12 and the standard blood work. 340$!!?? What are you guys paying?

I'm fully ensured so I'm thinking of hitting up a medic, telling him I'm always tired, low libido, trouble sleeping, etc. and then suggest the following tests so that I'm covered, hope that would work.
07-23-2015 03:51 PM
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texas Offline
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RE: Health blood tests (e.g. hormones, vitamin levels, etc)
This is a little hack to get a blood test and urinalysis done for free. It does not include many things that a lot of us would want to know (test levels, certain vitamin levels, etc). If you are not able to afford a full panel, this is an option in the meantime while you are working toward being able to do so.

Call a life insurance company to get a quote on a policy. They will ask you quite a few questions related to the amount and type of policy you want as well as personal health and behavior questions. Around 25 minutes worth. They send out a nurse to take a blood and urine sample to determine how risky you are and to create their quote. The nurse will meet you at your office, house, or I think you can do one of their testing centers. They came to my house. In my mind a hot Latina nurse was on her way, but at 7:00 in the morning what I saw through the rain was a chubby male one. Oh well, but I am pretty sure they match up genders if you choose for them to come to your house, so expect that. The nurse appointment between 10-30 minutes and they give you a yellow slip with an access code that you can use to get your results online in about 2 weeks once the lab has run the samples.

They will test the following: glucose, fructosamine, blood urea nitrogen (BUN), GFR (MAYO), uric acid, alkaline phosphatase, total bilirubin, SGOT (AST), SGPT (ALT), gamma glutamyltransferase, total protein, albumin, globulin, cholesterol, HDL, LDL, triglycerides, cholesterol/HDL ratio, LDL/HDL ratio, urn specific gravity, urn creatinine, urn glucose, urn total protein, urn protein/creatinine, urn red blood count, urn white blood count, urn hyaline casts, urn granular casts, urn blood, and finally, nicotine metabolites.

What they are looking for is heart disease factors, diabetes, AIDS, and some other stuff, so if you are concerned about any of those, this may be a way to test for free. You can do this with various life insurance companies, so say, for example, you want to test your cholesterol levels pre and post 12 eggs a day as a protein source or whatever reason. Call AIG for the first one and John Hancock 2 months after and then you can compare.

Sam's Club in the US also does monthly screenings which offer a cholesterol test among very limited other things. You can see where, when, and what they are offering in your area here:
http://resources.samsclub.com/health-and...screening/
05-20-2016 04:18 PM
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RE: Health blood tests (e.g. hormones, vitamin levels, etc)
(07-21-2015 09:41 PM)jbkunt2 Wrote:  Hi all,

Seen a lot of people talk about testosterone/hormone panel tests on here.

I was wondering what other blood or other tests might be advisable to do?

E.g. cab yu not get ones that test for vitamins levels, calcium, etc? Where can these be done?

Thanks for any comments.

Go to your doctor and get your annual physical, should be cover by your insurance company. Your doctor should get complete metabolic panel, lipid panel, A1c levels (for diabetes), B12/Folate levels and Urinanalysis. In addition with these test, ask the doctor to check you testosterone as well. These test should are general enough to find any problems with your health.
05-20-2016 10:18 PM
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rottenapple Offline
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RE: Health blood tests (e.g. hormones, vitamin levels, etc)
After reading the various posts on this forum on checking blood markers and a few other posts on general health, I decided it was time for me to take matters into my own hands and start truly monitoring and mapping my health as best as I could. In general I don’t have any serious health problems, although I have a weak stomach/bowels and my energy is not at an optimal level.

I’d say I noticed mostly that I am not at this optimal level when I started doing crossfit. I’ve always been a good and pretty competitive athlete, but since a very long time I have trouble with recovery. A day after crossfit my body would be in ruins, while my partner would be ready to go again. I wondered why? Similarly, my sex drive after being with a girl would go down and only with my very top girls I’d feel like going 2-3 in one day. I’m in my late twenties, but felt that such symptoms came early for me, especially given that I do plenty of sports and eat decent.

What steps did I take/will I be taking?

First of all, I spent about 270$ on blood tests, I live in South America, so this might be more expensive or cheaper in other countries. This would be my baseline from now and onward to see what had changed whenever I would become sick. I hope to retrieve some of this money through insurance, but if not, I still consider it an important investment. I also asked my general doctor to send me all results of previous blood tests done in my life that he had stored. As such on some markers I can make a comparison over time. Let’s start with reviewing these results one by one.

I write this all down, since I think others can be inspired to take action and also because it would be less work for others to check their markers if they see how I reviewed them. Secondly, some guys on this forum know a lot more than me about such things and if they would have input it would be very helpful and welcome off course.

Some general markers:

NOTE: reference values vary a lot depending the source and depending the country they use different tests and/or units. Tests were done in the morning after a 12 hour fast.

Age:25-30, BMI: close to optimal.

Cardiac health
-Blood pressure: 130/80 – Fine, 120/80 is optimal.
-Glycemic value: 78.4 – Below a 100 is ok.
-Cholesterol: 201.7, slightly problematic as the ref. value is 120-200.
-HDL Cholesterol: 49.6, should be below 60 so ok.
-LDL Cholesterol: 125.1, below ref. range of 130 but ideally would be below a 100.
-Triglycerides: 198.7, should be below 150, so this is too high

Based on these last results a problem seems to have arisen, so I decided to do some extra calculations which are important:

Cholesterol/HDL: 4.04, good = below 5
LDL/HDL: 2.5, between 2-5 is optimal
Triglycerides/HDL: 3.98, just below ref. value of 4, but no margin there.

So the problem is mostly the triglycerides and has been for some time for me. Recommendations here are healthy fats (Omega 3), fiber, avoiding red meats and smoking. I don’t smoke, but do eat a lot of meat, still I think carb intake is the main reason.

We continue:
-Creatinine: 1.11, 0-7-1.2 so OK.
-Uric acid (?): 5.16, 3.40-7 so OK.
-Glucose: 84.9, between 70-110 is the ref. value but optimally under 85, so I’m good. I was worried about this one, because diabetes runs in the family.
-GGT: 17.9, 0-65 U/L OK
-Total Lipids: 575.1, 400-800 OK
-CRP (Inflammation): >1, >5 so OK
-Calcium: 9.47, 8.80-10.20 OK

I also checked all my blood values (hematology), there’s quite a few, so I won’t go into detail. They do them with every blood test I believe. All were in range for me.

Let’s check some other values:
-AST (SGOT): 24.8, 0-40, optimal is 21 OK
-AST (SGPT): 32.8, 0-41, optimal is 24 OK

No big liver problems, good news since I like me a drink sometimes. Bilirubin was fine as well in former tests.

-TSH: 2.14, 0.27-4.20, optimal is below 2.1
-FT3: 3.54, 1.80-4.20 OK
-FT4: 1.10, 0.70-1.70 OK

Thyroid seems to be working fine based on those last 3.

-Estradiol: 57, 7.6-43, ideally this would be between 10-30 pg/mL, so this is problematic.
-DHEAS (adrenal function): 309, 80-560, ideally between 400-500, should be higher.
-FSH: 3.88, 1.5-15, ideally above 5 but below 15, so should a bit higher as well.
-Insuline: 2.60, 2.60-24.9, ideally below 3 so OK.
-LH: 2.14, 1.7-8.6 OK, although according to my lab, but CleanSlates article suggests 6.0-19.0 mIU/ml, most internet sources seem to state that my levels are not problematic.
-Total Testosterone: 669 ng/dl, 0.28-11.1 so OK midrange let’s say. 617 is the average testosterone level for men between 25-34, with 170 standard deviation, so I’m within normal range.
-Free Testosterone: 10.17 ng/sl, 4.25-30.37, ideally between 15-30. Officially it’s within range, but according to guys here and in sports environments it’s definitely suboptimal. The average for men between 25-34 here is 12.3, with standard deviation of 2.8. Below average, but within range, not something I’m satisfied with.

Former tests indicated that I did not have any shortage of Iron or Transferrine either. I feel like I should’ve tested Vit. D as well, but since I get sufficient sun I didn’t do it. I also supplement B-vitamins since quite a while so didn’t get that checked so far. I also checked for parasites and STDs, came out clean.

So what have I learned so far. First of all, I seem to have two larger problems and a few sub-optimal values. The larger ones are triglycerides and Estrogen (Estradiol). The first has a lot to do with diet, so I should be able to improve it, although it has been a lifelong problem for me. I don’t eat specifically bad nor very good, so I wonder what the origin is here. Anyone had any success bringing triglycerides down? I’ve already bought some fiber supplements (Noni, Psyllium Husk) and Omega 3-6-9 supplement. This combined with eating less sugar rich products should have an effect. It should also further improve my cholesterol levels.

The second problem lies with Estrogen, which is too high. Other hormones are ok, but not perfect. Am I wrong to think that if I would be able to lower my estrogen production, it would have a positive effect on the other hormones? How to lower estrogen levels? What causes it?

One of the main causes is being fat, that is not the case for me so I can rule that out. I also don’t eat soy products. Plastic use can be one of the causes for me. I generally drink water out of one of those huge water coolers, maybe that is not such a good idea after all. Will have to see how I can substitute plastic containers. I’m going to start eating more cruciferous vegetables as well as they are very beneficial. Broccoli especially. Still the cause is not that clear to me yet. I don’t use a lot of chemical hygienic products and I eat a good amount of organic food.

One interesting thing I read is that berries contain Calcium-D-Glucarate, which is a fiber that binds with bad estrogen molecules and removes them from the gut. I remembered visiting Colombia and buying a small container of blue berries every day. I never felt so vibrant and horny ever before. I thought it was the Colombian ladies but who knows this might have been a factor.

What else is good: citric fruits, beets, maca and stop drinking beer. I’m also going to try a DIM, Curcumin and nettle supplement.

Any other suggestions or observations? I'm happy so far to have been able to identify to problems through doing bloodwork and I think with some personal changes my next results can be a lot better. If any experienced members see other things noteworthy, all information can help me go forward and I'd be grateful.

One last thing I wanted to mention is that right after doing these tests, I went to a chiropractor. I didn’t really have much confidence that it would do something, but since it was cheap, I decided to give it a try. After about 2-3 sessions, the only thing I noticed is that I got a lot more morning boners. Very obvious difference, so perhaps there was some kind of blockage in my system. I feel more flexible as well. If I research chiropractic effects on hormones, I find almost no evidence, but for me it seems to have done something. After this realization I haven’t checked any markers so far.


Many thanks to member CleanSlate for his article here: http://www.trtguide.com/labs/
This link was also mentioned somewhere here and is definitely useful: https://www.t-nation.com/diet-fat-loss/blood-simple
06-20-2016 10:00 AM
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Post: #11
RE: Health blood tests (e.g. hormones, vitamin levels, etc)
^ Triglycerides mainly come from processed food and vegetable oils.

I used to have high triglycerides and fairly low HDL as well a couple of years ago and I changed my diet.
Nowadays I mainly eat grass fed bef, grass fed butter, free range eggs, olive oil, coconut oil, vegetables, fruits and rolled oats. Lots of fat, lots of spices, very little processed food.
My HDL shot up and my LDL, triglycerides, fasting insulin and fasting glucose levels went down to absolutely perfect values.

Your estradiol is indeed very high. Since you are not fat, this is definitely an anomaly.
Do you use any hormones such as DHEA?
What about the meat you eat? Does it come from a CAFO (high exposure to hormones and antibiotics) or from a small farm?
And which personal care products do you use? Shampoo, anti-perspirant, skin moisturizer?
06-20-2016 10:17 AM
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rottenapple Offline
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RE: Health blood tests (e.g. hormones, vitamin levels, etc)
(06-20-2016 10:17 AM)PhDre Wrote:  ^ Triglycerides mainly come from processed food and vegetable oils.

I used to have high triglycerides and fairly low HDL as well a couple of years ago and I changed my diet.
Nowadays I mainly eat grass fed bef, grass fed butter, free range eggs, olive oil, coconut oil, vegetables, fruits and rolled oats. Lots of fat, lots of spices, very little processed food.
My HDL shot up and my LDL, triglycerides, fasting insulin and fasting glucose levels went down to absolutely perfect values.

Your estradiol is indeed very high. Since you are not fat, this is definitely an anomaly.
Do you use any hormones such as DHEA?
What about the meat you eat? Does it come from a CAFO (high exposure to hormones and antibiotics) or from a small farm?
And which personal care products do you use? Shampoo, anti-perspirant, skin moisturizer?

I don't use any hormones so far. The meat I eat should be quite decent, since I'm in Ecuador and there is not yet the culture as in the states of mass farms with a lot of chemicals (also not the control though, so it is not to be excluded). I doubt they use more hormones and antibiotics here though than in US/Europe. I mainly eat chicken and seafood (shrimps). Not too much pig and cow meat. Personal care I use a shampoo based on cacao so pretty organic, I don't use a lot of deodorant, but if I do it's not a spray, but a roller. No skin moisturizer, I use coconut oil.

One thing that got me thinking is I use minoxidil for male pattern baldness. Will have to research if it could be related. Air quality where I live is also not too good. Other then that, I'm not really sure. I used to use air fresheners sometimes, but I'll stop doing that. Haven't used antibiotics in ages. Pretty much avoid all mainstream medicine, but I do use a lot of plant medicine, maybe, but I consider it a small chance, one of them could influence estrogen.
(This post was last modified: 06-20-2016 10:25 AM by rottenapple.)
06-20-2016 10:24 AM
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PhDre Offline
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Post: #13
RE: Health blood tests (e.g. hormones, vitamin levels, etc)
I've got no idea about the quality of chicken and shrimps in Ecuador so I can't comment on those.

Minoxidil is suspected to raise prolactin levels which reduces testosterone levels and lowers libido, but in theory this should lower estradiol as well.

You could try to leave it out for a couple of months and see how you feel.
Unfortunately I cannot advice you on natural remedies for male pattern baldness.
06-20-2016 10:42 AM
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S3K2 Offline
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Post: #14
RE: Health blood tests (e.g. hormones, vitamin levels, etc)
This explains it fairly well and saves me a bunch of time from going into detail so here..
https://www.t-nation.com/diet-fat-loss/blood-simple
Oh and here...
https://forums.t-nation.com/t/lab-work-b...s/150881/1
Be mindful what your comparing your values to. The standard now a days used in almost all clincics is outdated. Especially concerning hormones.

Please don't like my posts or rep me. I do not wish to be judged by how many rep points and/or likes I have.
(This post was last modified: 06-20-2016 12:02 PM by S3K2.)
06-20-2016 11:59 AM
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rottenapple Offline
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Post: #15
RE: Health blood tests (e.g. hormones, vitamin levels, etc)
(06-20-2016 10:42 AM)PhDre Wrote:  I've got no idea about the quality of chicken and shrimps in Ecuador so I can't comment on those.

Minoxidil is suspected to raise prolactin levels which reduces testosterone levels and lowers libido, but in theory this should lower estradiol as well.

You could try to leave it out for a couple of months and see how you feel.
Unfortunately I cannot advice you on natural remedies for male pattern baldness.

I'm gonna try some small changes related to chemicals, change my diet and add some supplements and then see if the estradiol has gone down with a re-test, many in half a year or so. I think I'll be able to improve my situation, but it kinda sucks not finding a clear cause of the problem.

Anyway, thanks for the advice! +1
06-21-2016 07:59 AM
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SanMiguel Offline
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Post: #16
RE: Health blood tests (e.g. hormones, vitamin levels, etc)
Just ordered this blood test - https://www.medichecks.com/find-a-test/t...aVit_38XX/

Never had one done before so excited and very interested to see what the results show ...

I've also been thinking about starting a low-dose test cycle so this will be a good start to see where I'm at, I'll post results when I have them.
07-06-2016 08:34 AM
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Post: #17
RE: Health blood tests (e.g. hormones, vitamin levels, etc)
(06-20-2016 10:00 AM)rottenapple Wrote:  Age:25-30, BMI: close to optimal.

Cardiac health
-Blood pressure: 130/80 – Fine, 120/80 is optimal.
-Glycemic value: 78.4 – Below a 100 is ok.
-Cholesterol: 201.7, slightly problematic as the ref. value is 120-200.
-HDL Cholesterol: 49.6, should be below 60 so ok.
-LDL Cholesterol: 125.1, below ref. range of 130 but ideally would be below a 100.
-Triglycerides: 198.7, should be below 150, so this is too high

Based on these last results a problem seems to have arisen, so I decided to do some extra calculations which are important:

Cholesterol/HDL: 4.04, good = below 5
LDL/HDL: 2.5, between 2-5 is optimal
Triglycerides/HDL: 3.98, just below ref. value of 4, but no margin there.

So the problem is mostly the triglycerides and has been for some time for me. Recommendations here are healthy fats (Omega 3), fiber, avoiding red meats and smoking. I don’t smoke, but do eat a lot of meat, still I think carb intake is the main reason.

Things I have learned from addressing my own cholesterol issue (opinions of others will of course differ):

Don't worry about your total cholesterol number so much. The ratio (Total/HDL) is more important and should be 3.5 or under. Generally you want HDL above 40. A higher HDL is better. +60 for men is excellent (women naturally have a higher HDL number).

Eating low cholesterol foods is pointless as you body will just produce more. If your LDL is too high, the issue might be with your liver. Diet changes that improve liver function and supplements will help.

I had great success with adding certain supplements to my diet:

Pantethine (B-5) (link to WSJ article about the clinical trials)
Milk Thistle
Toco Sorb (form of vitamin E)
Vitamin D3 (5,400 IU per day)

Are the 4 big ones. My blood work numbers (before I lost a lot of weight and gained a lot of muscle) improved greatly. My total number was 245 to start. It dropped to 186 with a 58 HDL. My triglycerides went down to 72.

A friend of mine and my in-laws also used the above to address cholesterol and triglyceride issues. All had big improvements. My mother-in-law was taken off many of her meds as the supplements knocked out her fatty liver issue.

I take a bunch of other stuff... but the ones I take specifically for my cholesterol are the 4 above. Also get your T levels and other sex hormones levels checked regularly. There is a link between LDL and testosterone levels.
07-10-2016 08:24 AM
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Post: #18
RE: Health blood tests (e.g. hormones, vitamin levels, etc)
In the U.S. bloodwork will be free with your annual physical as a wellness benefit provided you have standard insurance.

However, the standard bloodwork will not necessarily test everything you want. Tell the doc you have fatigue, ED, slightly enlarged breasts and reduced libido or he probably won't test for Testosterone and Estradiol.

Standard blood work should include your liver enzymes. If you take supplements or drink you should make sure these are tested. Mine were haywire once - not sure what was happening but Doc told me to stop on the supplements.

If you are fatigued, have them check your B12 levels. Or just supplement with sublingual (under the tongue) vitamins. They are not expensive and B12 is not included at decent levels in most multivitamins.
07-15-2017 04:17 PM
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