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The Testosterone Total test measures the level of testosterone hormone available in the blood. This includes two forms of testosterone: free testosterone and bound testosterone. Bound testosterone is attached to proteins, mainly to sex hormone-binding globulin (SHBG) and albumin. It cannot enter the body's cells or directly affect tissues and organs. Instead, it acts as a store of testosterone in the blood and can be released when the body needs it. Free testosterone is not attached to any proteins and is the active form. It can easily transport to various tissues, and affects key functions like sex drive, muscle growth, bone strength, and energy levels.

The Serum Prolactin test measures how much prolactin hormone is in the blood. During pregnancy, prolactin works along with estrogen and progesterone to prepare the body for breastfeeding. After delivery, prolactin helps start and maintain milk production. If a woman does not breastfeed, her prolactin levels drop soon after birth.

Besides pregnancy, the most common cause of high prolactin is a prolactinoma. It is a non-cancerous tumor in the pituitary gland. These tumors are more common in women but can also occur in men. If the tumor becomes large, it may press on the optic nerve, causing headaches and vision problems. It can also affect the production of other hormones.

The Vitamin B12 test measures your vitamin B12 levels. This vitamin is essential for various health aspects, such as maintaining a healthy nervous system, making red blood cells, and creating the genetic material of our cells. Low vitamin B12 levels are more likely to occur in older adults, children, vegans, vegetarians, people with diabetes, individuals who underwent gastric bypass surgery, women who are breastfeeding, and in conditions like Crohn’s disease that impact the absorption of this vitamin. High vitamin B12 levels are seen in conditions like liver diseases and myeloproliferative disorders. Also, high levels of vitamin B12 are seen in individuals on vitamin supplementation, but this usually does not require treatment as the excess vitamin is flushed out through urine.

The Vitamin D (25-Hydroxy) test measures the levels of vitamin D in the body. Vitamin D is an essential nutrient that can be synthesized in the body upon healthy exposure to sunlight or absorbed from dietary sources. It majorly exists in two forms: vitamin D2 (ergocalciferol) and vitamin D3 (cholecalciferol). Vitamin D2 is present in plants, such as yeast or mushrooms, and is available as a supplement in fortified foods, and vitamin D3 is found in foods like cheese, green vegetables, mushrooms, egg yolks, and fatty fish.

Vitamin D is available in two key forms: D2 (present in plants like mushrooms and in some fortified foods) and D3 (present in foods like cheese, green vegetables, egg yolks, mushrooms, and fatty fish).

Both forms of vitamin D need to be converted in the liver and kidneys before the body can use them effectively. This test shows the total level of vitamin D (D2 + D3) circulating in the body and guides your doctor in recommending the right treatment or lifestyle changes if needed.