Laboratory parameters of the 1st order – obligatory laboratory tests.
- DHEA-S
Laboratory parameters 2nd order – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification.
- Hormone analyses: total testosterone, SHBG (sex hormone-binding globulin), FSH, prolactin, TSH, possibly IGF-1 (insulin-like growth factor), IGFBP-3 (insulin-like-growth-factor-binding-protein-3), estradiol.
- Small blood count
- Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate).
- Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, ketone, urobilinogen, bilirubin, blood), sediment, if necessary urine culture (pathogen detection and resistogram, that is, testing suitable antibiotics for sensitivity / resistance).
- Fasting glucose (fasting blood glucose), if necessary oral glucose tolerance test (oGTT).
- Liver parameters – alanine aminotransferase (ALT, GPT), aspartate aminotransferase (AST, GOT), glutamate dehydrogenase (GLDH) and gamma-glutamyl transferase (gamma-GT, GGT), alkaline phosphatase, bilirubin.
- Renal parameters – urea, creatinine, cystatin C or creatinine clearance, if necessary.
- Atherosclerosis parameters:
- Total cholesterol, LDL cholesterol, HDL cholesterol.
- Triglycerides
- Homocysteine
- Lipoprotein (a) – lipoprotein electrophoresis if necessary.
- Apolipoprotein E – genotype 4 (ApoE4)
- Fibrinogen
- Vitamins D3, B6, B12, folic acid, trace elements selenium and zinc.
- Test for occult (not visible) blood in the stool.
- PSA (prostate specific antigen)
