Eddie,
I've set your September 8th results side by side with your June labs so you can see how things have moved over the last three months. The picture is a good one. Your PSA is unchanged, your kidneys and liver look healthy, and the two blood count numbers I asked us to watch in June have both moved in the right direction.
Below is what has changed, what has stayed the same, and what I'd like us to include next time so the picture is complete.
Up from 13.7 to 14.0. In June this read as mildly low. It now sits inside the normal range, at the lower edge.
Up from 89 to 98. Still below the lab's range, but moving the right way, which is the trend we were hoping to see.
Down from 113 to 103. The lab still flags it as slightly high, but it has come down by 10 points.
eGFR has gone from 87 to 92. Creatinine (0.91) and BUN (20) are both comfortably normal.
| Test | June 8 | Sept 8 | Reference | Reading |
|---|---|---|---|---|
| PSA, Total | <1.0 ng/mL | <1.0 ng/mL | 0.0–4.0 | Low and steady |
| Testosterone, Total | 17 ng/dL | 16 ng/dL | 264–916* | Below printed range |
| Testosterone, Free | 2.0 pg/mL | 1.3 pg/mL | 6.6–18.1* | Below printed range |
*The printed ranges are for healthy men aged 19 to 39. They are not the right comparison for your situation, so the lab's "low" flag is not a finding in itself. The readings are set out here as measured, June against September.
| Test | June 8 | Sept 8 | Reference | Trend |
|---|---|---|---|---|
| Platelets | 89 K/uL | 98 K/uL | 150–400 | Low, improving |
| Haemoglobin | 13.7 g/dL | 14.0 g/dL | 14.0–18.0 | Back in range |
| Fasting Glucose | 113 mg/dL | 103 mg/dL | 79–99 | High, improving |
| eGFR (kidney) | 87 | 92 | mL/min/1.73m² | Improved |
| Total Cholesterol | 210 mg/dL | Not tested | ≤199 | Recheck next time |
| LDL (Direct) | 146 mg/dL | Not tested | <100 optimal | Recheck next time |
| HDL Cholesterol | 61 mg/dL | Not tested | ≥40 | Recheck next time |
| Triglycerides | 76 mg/dL | Not tested | 0–149 | Recheck next time |
| Haemoglobin A1C | 5.7 % | Not tested | 3.0–5.6 | Recheck next time |
| TSH (thyroid) | 2.55 | Not tested | normal range | Recheck next time |
| Test | Result | Reference | Flag |
|---|---|---|---|
| Sodium | 139 mmol/L | 136–144 | Normal |
| Potassium | 5.1 mmol/L | 3.6–5.1 | Top of range |
| Chloride | 104 mmol/L | 101–111 | Normal |
| CO2 | 29 mmol/L | 21–31 | Normal |
| Calcium | 9.6 mg/dL | 8.5–10.3 | Normal |
| Total Protein / Albumin | 6.8 / 4.2 g/dL | 6.4–8.3 / 3.5–4.8 | Normal |
| Liver (AST / ALT / ALP / Bilirubin) | 23 / 17 / 74 / 0.5 | all within range | Normal |
| White Cells (WBC) | 4.7 K/uL | 4.1–10.0 | Normal |
| Red Cells (RBC) | 4.41 M/uL | 4.41–5.46 | Lower edge |
| Haematocrit | 41.8 % | 40.0–54.0 | Normal |
| MCV / RDW | 95 fL / 14 % | 84.5–97.8 / 11.5–14.5 | Normal |
| White cell breakdown | all normal | neutrophils, lymphocytes, monocytes, eosinophils, basophils | Normal |
98 is better than 89, but still below range. Two readings moving upward is encouraging. I'd like a third to confirm the trend is holding.
This doesn't show up on a blood test, and it remains a long-term priority while your testosterone sits low. Keep up vitamin D, calcium and weight-bearing movement.
5.1 is still normal, but right at the upper line. It's often a sampling effect. It's worth seeing where it sits next time.
103 is lower than June. On a ketogenic, lectin-free way of eating a mildly raised fasting glucose is a common pattern, and the direction of travel is good.
Your readings are steady and your blood counts are recovering. There's nothing here that calls for a change in direction.
September's panel didn't repeat cholesterol, A1C or thyroid, so we can't yet compare those with June. Please ask for a lipid panel, A1C and TSH next time, along with iron studies, B12, folate and vitamin D, since your platelets are still below range. We'll look again in about three months.
Vitamin D, calcium, and regular weight-bearing and resistance movement. It's also worth asking your oncology team whether a bone density scan is due.
I'm glad to walk through any of this with you whenever you'd like. You're doing the right things by keeping up with your monitoring.
Warm regards,
Barry Bonner
Bonner Natural Health · Integrative & Functional Wellness