INFERTILITY INVESTS
as well as uss seminal analysis
wt control taking folic acid check rubella and varicalla immunity
do FSH LH Oestradiol Androgens TFT Prolactin day 2-4 and Progesterone day 21
HAEM
Low Ferritin can only be low iron
Iron overload check transferrin saturation
Iron/TIBC x100 under 15 iron defy over 60 overload refer if over 50
Thal Tr vs Fe |Defy MCV/RBC <13 Th Tr > 13 Fe Defy
^MCV check TSH B12 and Folate think of drugs and ETOH and liver disease
EGFR and high muscle mass do cystatin c, brown tube and do acr
NAFLD? Do alfa anti trypsin ceruloplasmin tsh b12 folate celiac screen uss fibroscan auto immine screen hep screen ferritin iron chol hba1c ggt
Anti psychotics and metabolic syndrome do annual ecg bp lft tft ue hba1clipids bone prolactin