Rohit456; Here is the some of the test result which i did on Wednesday.The test done in fasting.
Glucose Serum 93 (65-99)
Potassium serum 4.2 (3.5-5.2)
Sodium serum 137 (135-145)
Calcium serum 9.8 (6.5-10.6)
Alkaline Phosphate 95 (25-150)
This is your basic metabolic profile and it looks good. If your adrenals were severely off mark the K value would not be where it is... your Sodium is a tad low. Is your Chloride low too? Or is your CO2 high? Hemoglobin Aic 5.5 (4.8-5.9)
Another good result here. LH 2.4 ( 1.5-9.3)
This is on the low side which points to suboptimal pituitary performance. Your FSH is comparatively low with respect to your LH.. it is another indicator of suboptimal pituitary function. Testosterone Serum 211 (241-827)
This is LOW it will be interea=sting to see what the DHEA shows. Estrodil 39 (0-53)
Umm this looks high for a male. I would think that your estrogen would be lower. This may be a sign that your DHEA and progesterone levels are too low. I will be interested in hearing what your MD says about it. They may say it is normal in range.. but is this range used for women and men. Men have a different optimal than women.
Ferritin Serum 61 (22-322) 13% of normal
Vitamin B12 394 (211-911) 26.1% of normal here
Magnessium 2.0 (1.6-2.6) You are 40% here
BINGO! You have some metabolic absorption issues going on here. your ferritin and B12 levels are low. You want your ferritin, B12, Magnesium levels at least 40% in range if my MDs are anything to go by. Magnesium is the normally the last to fall. You would benefit from supplementing B12 and Ferrous fumarate if your MD thinks it is safe. Always check with the MD.. some don't believe in giving men any iron supplementation...
ACTH Plasma 24 (6-48)
Okay this is good it is normal in range. This indicates that your adenoma is not producing ACTH.. which is more common than a prolactin producing adenoma.
Cortisol AM 11.8 (4.3-22.4) This is 41% of normal. If this is your 8 am fasting result.. this can be taken as an indicator of fatigue. An ACTH stimulation test may be warranted.
FT3 3.4 (2.3-4.2) This is 57.9% It is in the optimal 50-80% window.. but let us see if you are balanced.
FT4 1.53 (0.61-1.76) You are 80% of normal here. Your ft3 level is low in comparison to your Ft4 level. Given your low0mid range cortisol the reason for this is most likely high conversion of T4 ot RT3. You need an RT3 test confirmation to be sure.
TSH 1.230 (0.45-4.5) Near optimal. However each person is different. Mine sits at 0.4.. but I am far from hyperT.
Some more result came back
Here are some more results came to me still some free testosterone and IGF binding is pending.
DHEA 337 (160-800)
I was wanting this one! This is low. My MD wants me in the 60-80% range. But I am female.. male levels may differ. However I would think that 50% would be a good average. You are at 37.6% of normal. Boosting your DHEA by 10 mg in the morning may help your testosterone. Once again check with your MD.. this is a non-prescription supplement. Prolactin serum 11 (3-18) , keep in mind i am not taking Bromocriptine 2.5mg/day .. So shouldn't it not increase that much in just month not taking bromo, Normally i see in people in different forum is around 4-8 w/o bromo.
The MD is going to argue normal in range. I have had prolactin levels that high and my MDs don't flinch. Until you fall right on the range limit or over many do not see it as an issue. Getting optimal treatment and proactive care is a challenge to say the least. GH (ICMA ) <0.05 (0-6)
GH binding is pending.
I am not as familiar with this eather, but it is very low. The GH binding will be necessary to determine if it is a binding tie up issue or overall low production of GH here.
I would ask for an ACTH stim test to with a complete adrenal profile to see how your adrenals respond to ACTH stimulation. Also ask if you can safely add DHEA, iron, B12 supplementation to your regime. Also ask about getting tested for RT3 levels. Humm.. given that your prolactin is still in normal limits after a month and no other pituitary hormone appears to be running wild your adenoma.. if present appears to be inactive. I would ask your MD if he would recommend a send MRI/Ct to confirm/refute the first questionable micro-adenoma.
Listen to what the MD has to say and stress your concerns over the low testosterone and suboptimal B12 and Ferritin. Pity you don't have a vit D level. That may just be in the tank too. Good luck at your appointment. Keep us posted.