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Hormones 2016

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Blood tests<br />

• SHBG,<br />

• testosterone levels,<br />

• estradiol levels (unknown, 2005)<br />

These are some of the more usual blood tests requested.<br />

Any of these further tests could be required -<br />

• calcium and phosphorus (skeletal health)<br />

• serum androgen levels (unknown, 2005)<br />

Alanine aminotransferase - ALT<br />

An alanine aminotransferase (ALT) test measures the amount of this<br />

enzyme in the blood. ALT is found mainly in the liver, but also in smaller<br />

amounts in the kidneys, heart, muscles, and pancreas. ALT was formerly<br />

called serum glutamic pyruvic transaminase (SGPT).<br />

ALT is measured to see if the liver is damaged or diseased. Low levels<br />

of ALT are normally found in the blood. But when the liver is damaged<br />

or diseased, it releases ALT into the bloodstream, which makes ALT levels<br />

go up. Most increases in ALT levels are caused by liver damage (WebMD,<br />

2014a).<br />

Aspartate aminotransferase - AST<br />

An aspartate aminotransferase (AST) test measures the amount of this<br />

enzyme in the blood. AST is normally found in red blood cells, liver, heart,<br />

muscle tissue, pancreas, and kidneys. AST formerly was called serum<br />

glutamic oxaloacetic transaminase (SGOT).<br />

Low levels of AST are normally found in the blood. When body tissue or<br />

an organ such as the heart or liver is diseased or damaged, additional AST<br />

is released into the bloodstream. The amount of AST in the blood is directly<br />

related to the extent of the tissue damage. After severe damage, AST levels<br />

rise in 6 to 10 hours and remain high for about 4 days (WebMD, 2014c).<br />

Full Blood Count - FBC<br />

The normal range describes the range where 95% of the normal healthy<br />

population will lie. This also means that there is 5% of the normal<br />

healthy population will fall outside the "normal range", however they<br />

too are normal. Normal ranges are a guide. There are many instances<br />

where the FBC will fall outside the "normal range" and yet these could be<br />

described as totally normal for the given clinical situation, for example, it<br />

is normal for patients who have had a splenectomy to have a moderately<br />

raised lymphocyte count or a patient on haemofiltration to have a raised<br />

463<br />

Version <strong>2016</strong>.3576– – Document LATEXed – 1st May <strong>2016</strong><br />

[git] • Branch: 1.5 @ 26b5e6d • Release: 1.5 (<strong>2016</strong>-05-01)

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