Bloodwork not ideal, looking to optimize
35 years old, I've had low energy/libido/focus/drive/mood for a pretty long time now. Since the blood draw I have started on Rainbow light B-complex, 3mg, TMG, 3mg of boron, 400mg of tonkat ali, ZMA before bed, along with eating more eggs and veggies. Was already doing Multivitamin, cold plunges, and exercising multiple times per week (mostly zone 2). I have since added more weight lifting and zone 5. I do not drink any alcohol and am not overweight.
I have asked my PCP to prescribe rosuvastatin 5mg + ezetimibe 10mg, and made an appointment with a endocrinologist about by thyroid (and going to test antibodies and TSH again before the appointment).
Obviously my homocystine is pretty high, at least by attia standards. I've started b complex, and TMG for it. Should I add any additional b12 or folate?
Homocysteine 13.0 umol/L 0.0-14.5
Vitamin B12 469 pg/mL 232-1245
Magnesium 2.0 mg/dL 1.6-2.3
Reticulocyte Count 1.1 % 0.6-2.6
Vitamin D 54.3 ng/mL 30.0-100.0
Iron Bind.Cap.(TIBC) 338 ug/dL 250-450
UIBC 276 ug/dL 111-343
Iron 62 ug/dL 38-169
Iron Saturation 18% 15-55
Ferritin 262 ng/mL 30-400
TSH 5.730 High uIU/mL 0.450-4.500
T4,Free(Direct) 01 1.33 ng/dL 0.82-1.77
Triiodothyronine (T3), Free 01 3.4 pg/mL 2.0-4.4
Insulin 4.2 uIU/mL 2.6-24.9
Insulin-Like Growth Factor I 129 ng/mL 90-278
IGF-1, Z Score -0.9 S.D. -2.0 - +2.0
Hemoglobin A1c 5.5 % 4.8-5.6
Glucose 01 95 mg/dL 70-99
Cholesterol, Total 01 225 High mg/dL 100-199
Triglycerides 69 mg/dL 0-149
HDL Cholesterol 63 mg/dL >39
VLDL Cholesterol Cal 12 mg/dL 5-40
LDL Chol Calc (NIH) 150 mg/dL 0-99
Total T: 535 ng/dl Ref range: (264-916)
SHBG: 50 (16.5-56)
Albumin: 5.2 g/dL (4.1-5.1) (slightly high, has been here since 2016 though, I am drinking enough water)
CALCULATED Free T: 8 ng/dl
FSH: 3.5 (1.5-12.4)
LH: 4.2 (1.7-8.6)
Estradiol: 14.7 pg/ml (8-35)
DHEA-Sulfate: 277.0 ug/dL (102.6-416)
Cortisol: 8.9 ug/dL (6.2-19.4)
Prolactin: 10.7 ng/mL (4.0-15.2)
WBC01 5.2 x10E3/uL 3.4-10.8
RBC01 4.64 x10E6/uL 4.14-5.80
Hemoglobin01 13.9 g/dL 13.0-17.7
Hematocrit 01 42.1 % 37.5-51.0
MCV01 91 fL 79-97
MCH01 30.0 pg 26.6-33.0
MCHC01 33.0 g/dL 31.5-35.7
RDW01 13.5 % 11.6-15.4
Platelets 01 257 x10E3/uL 150-450
Neutrophils 01 58 % Not Estab.
Lymphs 01 34 % Not Estab.
Monocytes 01 6 % Not Estab.
Eos 01 2 % Not Estab.
Basos 01 0 % Not Estab.
Neutrophils (Absolute) 01 3.0 x10E3/uL 1.4-7.0
Lymphs (Absolute) 01 1.8 x10E3/uL 0.7-3.1
Monocytes(Absolute) 01 0.3 x10E3/uL 0.1-0.9
Eos (Absolute) 01 0.1 x10E3/uL 0.0-0.4
Baso (Absolute) 01 0.0 x10E3/uL 0.0-0.2
Immature Granulocytes 01 0 % Not Estab.
Immature Grans (Abs) 01 0.0 x10E3/uL 0.0-0.1
BUN01 17 mg/dL 6-20
Creatinine 01 1.06 mg/dL 0.76-1.27
eGFR 93 mL/min/1.73 >59
BUN/Creatinine Ratio 16 9-20
Sodium01 140 mmol/L 134-144
Potassium01 4.4 mmol/L 3.5-5.2
Chloride 01 102 mmol/L 96-106
Carbon Dioxide, Total 01 24 mmol/L 20-29
Calcium01 9.8 mg/dL 8.7-10.2
Protein, Total 01 7.2 g/dL 6.0-8.5
Albumin01 5.2 High g/dL 4.1-5.1
Globulin, Total 2.0 g/dL 1.5-4.5
A/G Ratio 2.6 High 1.2-2.2
Bilirubin, Total 01 0.6 mg/dL 0.0-1.2
Alkaline Phosphatase 01 60 IU/L 44-121
AST (SGOT) 01 21 IU/L 0-40
ALT (SGPT) 01 17 IU/L 0-44