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Your health story begins in 2016 with confirmed hypogonadism — a total testosterone of 306, below the lab's reference floor — and no lipid or metabolic baseline to work from. By late 2017, your first lipid panel revealed the beginning of what would become a persistent, defining pattern: LDL at 154, total cholesterol at 223, both significantly elevated. Over the next seven years, every single lipid panel told the same story, often getting worse: LDL peaked at 192 in early 2021, total cholesterol hit 267, triglycerides reached 234, and HDL dropped as low as 33.
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Flagged high at about 29% above the upper reference limit — this is aromatization from the testosterone, and it's only a concern if you're having symptoms like water retention, mood changes, or gynecomastia.
Flagged low — below the reference range of 8.7-25.1, which means the testosterone that's actually available for your body to use is insufficient despite TRT.
Calcium
↑ 0.8 StableIn range but on the higher side — fine on its own, though worth noting alongside your vitamin D supplementation.
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Start your first entryFlagged high against population norms, but this is expected and therapeutic on your TRT protocol — your weekly 200mg dose is doing its job.
Total cholesterol — <200 optimal per AHA
Textbook normal fasting glucose — especially encouraging given the tirzepatide (Zepbound), which is clearly supporting good metabolic function.
BUN/Creatinine Ratio
-- 0.0 StableAlkaline Phosphatase
↓ 25.0 StableAbove the upper limit of 121 — a third liver enzyme flagged high, reinforcing that the liver needs a closer look.
Bilirubin, Total
↑ 0.7 WatchRight at the upper limit of normal — not concerning on its own, but worth watching on repeat draws; some people run naturally higher (Gilbert's syndrome is common and benign).
Protein, Total
↑ 0.6 StableBasos
-- 0.0 StableEos
↓ 1.0 StableLymphs
↑ 12.0 StableMonocytes
↑ 1.0 StableNeutrophils
↓ 12.0 StableeGFR
↓ 8.0 WatchNormal kidney filtration rate — no concerns here.
BUN
↓ 5.0 StableRight at the top of the reference range (6-20) — in isolation this is fine, but paired with the borderline BUN/creatinine ratio of 19, it's worth making sure you're staying well-hydrated.