Enhanced TRT Health Screen

Alanine aminotransferase (ALT)
ALT is an enzyme found primarily in the liver and kidney. It was originally referred to as serum glutamic pyruvic transaminase (SGPT). Normally, a low level of ALT is found in the serum. ALT is increased with liver damage and is used to screen for and/or monitor liver disease

Albumin
Albumin is the most abundant circulating protein found in plasma. It represents half of the total protein content (3.5 g/dL to 5 g/dL) of plasma in healthy human patients. Albumin is synthesized by liver hepatocytes and rapidly excreted into the bloodstream at the rate of about 10 gm to 15 gm per day.

Alkaline phosphatase (ALP)
alkaline phosphatase (ALP) is an enzyme that’s found throughout your body. ALP blood tests measure the level of ALP in your blood that comes from your liver and bones, and it’s one of the tests included in a comprehensive metabolic panel.

Aspartate aminotransferase (AST)
Aspartate transferase (AST) is an enzyme that’s found in your liver, heart, pancreas, muscles and other tissues in your body. An AST blood test is often included in a liver panel and comprehensive metabolic panel, and healthcare providers most often use it to help assess your liver health.

Bilirubin
Bilirubin (bil-ih-ROO-bin) is a yellowish pigment that is made during the breakdown of red blood cells. Bilirubin passes through the liver and is eventually excreted out of the body. Higher than usual levels of bilirubin may indicate different types of liver or bile duct problems.

Cholesterol-HDL
Your cholesterol levels are an important measure of heart health. For HDL cholesterol, or “good” cholesterol, higher levels are better.

Cholesterol-LDL (Direct)
Your cholesterol levels are an important measure of heart health. For HDL cholesterol, or “good” cholesterol, higher levels are better.

Cholesterol-Total
Your cholesterol levels are an important measure of heart health. For HDL cholesterol, or “good” cholesterol, higher levels are better.

Cortisol
Cortisol is a steroid hormone that is produced by your 2 adrenal glands, which sit on top of each kidney. When you are stressed, increased cortisol is released into your bloodstream. Having the right cortisol balance is essential for your health, and producing too much or too little cortisol can cause health problems.

Creatine kinase (CK)
Creatine kinase (CK) is an enzyme that mainly exists in your heart and skeletal muscle, with small amounts in your brain.

Creatinine
creatinine is a chemical waste product of creatine. Creatine is a chemical made by the body and is used to supply energy mainly to muscles. This test is done to see how well your kidneys work. Creatinine is removed from the body entirely by the kidneys

Dehydroepiandrosterone Sulphate (DHEAS)
DHEAS stands for dehydroepiandrosterone sulfate. DHEAS is a male sex hormone that is found in both men and women. DHEAS plays an important role in making the male sex hormone testosterone and the female sex hormone estrogen. It’s also involved in the development of male sexual characteristics at puberty.

Ferritin
Ferritin is a protein that stores iron. Red blood cells need iron to form normally and carry oxygen around your body. Other parts of your body, such as your liver, bone marrow, and muscles, also need iron. Low levels of ferritin lead to iron-deficiency anemia. This means you have too few red blood cells.

Folate
folate (vitamin B-9) is important in red blood cell formation and for healthy cell growth and function. The nutrient is crucial during early pregnancy to reduce the risk of birth defects of the brain and spine. Folate is found mainly in dark green leafy vegetables, beans, peas and nuts.

Follicle Stimulating Hormone
Follicle-stimulating hormone (FSH) is a hormone produced by the anterior pituitary in response to gonadotropin-releasing hormone (GnRH) from the hypothalamus.[1] FSH plays a role in sexual development and reproduction in both males and females.

Free Testosterone (calculated)
Measuring free testosterone directly is possible, but it’s challenging and not widely available. So it’s often calculated instead, using total testosterone, SHBG, and albumin levels. It’s a complicated equation that produces a very reliable estimate.

Free Thyroxine
A level of free T 4 that is higher than normal could mean you have an overactive thyroid. Conditions linked to hyperthyroidism include Graves disease, an autoimmune disorder. Abnormally low free T 4 levels may signal hypothyroidism. This means your thyroid is not making enough hormones.

Full Blood Count (FBC) + 5-part Diff

A 5-part differential hematology instrument uses the principle of flow cytometry to differentiate white blood cells (WBC) into their five major sub-populations—neutrophils, lymphocytes, monocytes, eosinophils, and basophils—based on cell size and complexity (granularity).

Gamma-Glutamyl transferase (GGT)
Gamma-glutamyl transferase (GGT), also known as gamma-glutamyl transpeptidase, is an enzyme that’s found throughout your body, though it mainly exists in your liver. An enzyme is a type of protein in a cell that acts as a catalyst and allows certain bodily processes to happen. There are thousands of enzymes throughout your body that have important functions.

Globulin (calculated)
Calculated globulin (CG), often performed as part of liver function testing (LFT), is defined as the plasma total protein minus albumin and is linearly associated with IgG content. While there are many causes of a low CG, including antibody deficiency, this information is often missed.

Glucose
Glucose is a sugar with the molecular formula C 6H 12O 6. Glucose is overall the most abundant monosaccharide, a subcategory of carbohydrates.

HbA1c
A hemoglobin A1C (HbA1C) test is a blood test that shows what your average blood sugar (glucose) level was over the past two to three months. Glucose is a type of sugar in your blood that comes from the foods you eat. Your cells use glucose for energy. A hormone called insulin helps glucose get into your cells.

High sensitivity C-Reactive Protein (hsCRP)
High-sensitivity C-reactive protein (hsCRP) is a marker of inflammation that predicts incident myocardial infarction, stroke, peripheral arterial disease, and sudden cardiac death among healthy individuals with no history of cardiovascular disease, and recurrent events and death in patients with acute or stable coronary syndromes.

Iron Studies
(Iron, LC, TIBC, COS),

Luteinising Hormone
Luteinising hormone is produced by the pituitary gland and is one of the main hormones that control the reproductive system.

Magnesium
Magnesium is a cofactor in more than 300 enzyme systems that regulate diverse biochemical reactions in the body, including protein synthesis, muscle and nerve function, blood glucose control, and blood pressure regulation [1-3]. Magnesium is required for energy production, oxidative phosphorylation, and glycolysis

Oestradiol
Oestradiol (E2) is a steroid hormone made from cholesterol and is the strongest of the three naturally occurring oestrogens (oestrone E1, oestradiol E2, oestriol E3). It is the main oestrogen found in women and has many functions, although it mainly acts to mature and maintain the female reproductive system.

Prolactin
Prolactin is a polypeptide hormone that is responsible for lactation, breast development, and hundreds of other actions needed to maintain homeostasis. The chemical structures prolactin is similar to the structure of growth hormone and placental lactogen hormone

Prostate Specific Antigen
Prostate-specific antigen, or PSA, is a protein produced by normal, as well as malignant, cells of the prostate gland. The PSA test measures the level of PSA in the blood. For this test, a blood sample is sent to a laboratory for analysis.

Sex Hormone Binding Globulin (SHBG)
SHBG is a protein made by your liver. It binds tightly to 3 sex hormones found in both males and females. These hormones are estrogen, dihydrotestosterone (DHT), and testosterone.

Thyroid Stimulating Hormone
Thyroid-stimulating hormone, also known as TSH, is a glycoprotein hormone produced by the anterior pituitary. It is the primary stimulus for thyroid hormone production by the thyroid gland. It also exerts growth effects on thyroid follicular cells leading to enlargement of the thyroid

Total Protein
The total protein test measures the total amount of two classes of proteins found in the fluid portion of your blood. These are albumin and globulin. Proteins are important parts of all cells and tissues. Albumin helps prevent fluid from leaking out of blood vessels. It also carries chemicals in your blood.

Total Testosterone
This test measures the level of the hormone testosterone in your blood. Testosterone is a male sex hormone (androgen) that helps male features develop
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Triglycerides
Triglycerides are a type of fat, called lipid , that circulate in your blood. They are the most common type of fat in your body. Triglycerides come from foods, especially butter, oils, and other fats you eat. Triglycerides also come from extra calories your body does not need right away.

Urea
urea, also called carbamide, the diamide of carbonic acid. Its formula is H2NCONH2. Urea has important uses as a fertilizer and feed supplement, as well as a starting material for the manufacture of plastics and drugs.

Uric Acid
Uric acid is a waste product that’s created when your body breaks down chemicals called purines in food and drinks. Most uric acid dissolves in your blood, passes through your kidneys and leaves your body in your pee (urine). Hyperuricemia happens if too much uric acid stays in your body

Vitamin B12
Vitamin B12 or B9 (folate) deficiency anaemia happens when you have a shortage of the relevant vitamin. The body then produces abnormally large red blood cells that can’t function properly.

Vitamin D
Vitamin D helps regulate the amount of calcium and phosphate in the body.