Post-op Endocrinology Exam

Last Wednesday I had my first post-op checkup with my endocrinologist. One of the first things he asked me was "What's new?" I responded "I had my surgery." Obviously, he did not remember or note it on my chart. He asked about my breast growth; I responded "non-existent and the breast tenderness went away during the pre-op withdrawal from hormones and hasn't returned." During the physical exam he concurred and confirmed my suspicion that I may have lost some size. We talked about my hormone dosage: 1.25 mg Premarin taken in two doses; no spironolactone.

I switched medical insurance back in June, due to an employer change, and my endo is the one doctor who's not on the new plan. I knew I'd have to pay upfront and then submit a receipt for partial reimbursement. I opted to have him draw my blood, as usual, since I was already fasting and didn't want to prolong this for a trip to the lab or have to repeat it another day (I hate fasting!) Tests ordered:
80053, Comprehensive Metabolic Panel, $74
80061, Lipid Panel, $56
84403, Testosterone, $90
82670, Estradiol, $90.
The final bill: $440! Hopefully I'll get back like 80%.

Test Results:
Testosterone: 46; shouldn't this be near zero?
Estradiol: 36; too low, I'm ordered to increase the Premarin to 1.875mg
Cholesterol: Total, 225; LDL, 132; HDL, 76; my cholesterol has been steadily increasing for 2 years. It has me concerned
Blood Sugar: 108; he didn't believe me that this was a fasting value and now wants a 2hr glucose tolerance test. I need to talk to him again and find out what my target testosterone and estradiol are and find out when I should be retested. Also, he never tells me my triglycerides result; need to get that, too.

Heart disease, diabetes, and high cholesterol run on both sides of my family so I'm a bit concerned. I see my GP on the 29th to discuss all this and have my first pelvic exam. I'll keep you informed.