Hi There,
Sorry for the delay.
I just got back from my doctors and just had a big disagreement with the receptionist as she didnt think it was a good idea I have my results. Long story short I have my results and they are as followsShe can "disagree" all she likes. They are YOUR results and by law you are emtitiled to them. In future make sure the Doc writes on the Lab form "copy to patient" and avoid all this grief!!!
Thyroid Tests *on 4 grains Armour split dosedTSH ............... <0.01 mU/L (0.4-4)
*undetectableFree T4 ...............20 pmo1/L (9-19)
*elevatedThyroid function they only tested Free t4 and TSH. I should probably get thyroid done again hey? HINT: if Doc puts on the Lab form "suspected Hyperthyroid" lab will allow the FT3. & Medicare will cover it.
He should also write "possible Thyroid autoimmune attack?" and they should allow TPOAbs, TG Abs & TSI Abs (these are Hashis & Graves antibodies).
If he writes "thyroid resistance?" they should allow RT3.
However depends on whether your lab can arrange to send blood to Eastern States to be tested (is not tested in WA at all). Takes some weeks to get results. NOT covered by Medicare cost me ~$45.
Remember what I said about your Lab having lousy ranges too.
"By the way your Lab range for FT4 is very low. They lowered ranges a few years back. I go by OLD ranges which is more like 9-24 or 10-25". Can you post previous Thyroid labs including prethyroid meds? When posting results please indicate how much & which Thyroid med you were on at the time.
NOTE: Always test Thyroid early am take last dose of Armour at least 12 hours before blood draw. How long before the blood draw did you take your last Armour dose?
Haemotology as followsFBC
red cells
hb-135 (115-160)
RCC-4.41 (3.80-4.80)
HCT 0.39 (0.37-0.47)
MCV 30.5 (27.0-32.0)
MCHC 347 (320-360)
RDW 13.0 (9.0-15.0)
white cells count 8.88 (4.00-11.00)
differential count
Neutrophils 4.63 (2.00-7.50)
Lymphocytes 3.19 (1.20-4.00)
Monocytes 0.79 (0.20-1.00)
Eosinophils 0.20 (0.00-0.50)
Basophils 0.07 (0.00-0.20)
Platelets Count 292 (150-400)
Did I get an FBC and ESR?Yes this is a FBC but no ESR!!!!
All above look good.
No raised white cells or diffs but Moncytes & Lymphocytes are highish in range maybe indicative of some current infection?
Reproductive HormonesDHEA Sulphate ............2.4 (0.8-10.2)
*17% in range optimal top 25%Total Testosterone...... 0.6 ( <3.2)
19% in rangeSHBG............................ 97 (30-90)
*elevatedFree Androgen Index......1 (1.0-7.0)
*bottom of rangeOestradiol...................350 Luteal (350-800)
*bottom of rangeProgesterone................25 (greater than 4)
Range???FSH.................................4 U/L (2-10)
*25% in rangeCant make sense of your Progesterone range???
I looked up my Labs range for Luteal & its 4-50 so your result is mid range. Possi
FSH is low despite bottom of range Estradiol result.
DHEAS is certainly far from optimal. Total Testosterone is very suboptimal at only 19% however its fREE Testosterone that is the important one. No Free Testosterone was done but with elevated SHBG & FAI of only 1 I can guarantee you are VERY deficient there.
Dont know why SHBG is so high. Elevated Estradiol can cause high SHBG but yours is bottom of range!!! Why no LH done???
You definitely need DHEA & maybe even Testosterone. However is not good to do HRT there if Adrenal Cortisol is not optimal. Need to test that first. Low DHEAS & Tetsoterone is suggestive of Secondary AI. Need to test Plasma ACTH & 8am Cortisol in blood & Saliva 4 x Cortisol & DHEAS.
Iron StudiesIron ................................8 (9-30)[/color]
Transferrin.....................28 (23-46)
Transferrin Saturation....14% (13-48)
Ferritin.........................371 (20-220)
*elevatedWhat do you think about the Ferritin levels?Obviously too high. Optimal is ~80. Anything over 120 is definitely toxic. However iron is deficient & Saturation is only 14%.
Note your Labs ranges are NOT good. Saturation for Women correct range is up to 30% only. The range they gave is MALE range. Range for Ferritin is way too high as well. Top range should be 150 & even then as I say over 80 is really too much & over 200 is definitely Toxic (high free radicals, possible iron deposition in organs, glands etc).
However your Doc failed to do ANY testing to indicate if possble inflammation and/or infection may be the reason for the elevated Ferritin. Body hides the Iron away in Ferritin when under attack.
Your FBC does not indicate any Iron or other Anemias despite the deficient Serum Iron.
I suggest you ask for ESR, CRP (general inflammation) hsCRP (for vascualr inflammation) & Homocysteine.
Would be good to have Lipids & blood sugars (fasting Insulin, Fasting Glucose & Insulin Restistance Ratio) tested too.
Other Resultsvitamin B12 and folate
*wheres Folate???vitamin B12...................630 (120-680)
Where is Folate result?
Was it Folate or RBC Folate that was tested?
B12 is optimal at top or over range.
Yours looks good but IF you are or have been supping B12any time in last 12 months results will be skewed high.
I recommend supping Methylcobalamin 5000mcg sublinguals daily in any case. I also recommend an active Folate supp such as Folapro or Folacal & a good B Multi. I can provide recommendations & links where to order online if you want.
Urea and Electrolytes (plasma)
Sodium ..........................140 (134-146)
Potassium...................... 3.8 (3.4-5.0)
Bicarbonate......................25 (22-32)
Urea................................5.1 (3.0-8.0)
Creatinine........................73 (<105)
EGFr............greater than 60 (>60)
Sodium is suboptimal should be near top of range.
Potassium is far too low again should be top of this lab range.
Unrefined Sea Salt supping & OTC Potassium, high Potassium foods should be started. Low POtassium & low Aldo/renin is also suggestive of Secondary AI.
I have had this weird shaky horrible feeling for about 2 weeks now almost fainting type feeling standing or sitting it doesnt seem to matter which I wonder if it has something to do with iron levels?This may be low Cortisol or may very well be low Aldo and Sodium/Potassium issues. Strongly recommend persue
testing Aldosterone, Renin, Potassium & Sodium. Do you know what your resting & standing BP & HR are? Often low Aldo/suboptimal Sodium causes low BP, which fails to rise when you stand, fast HR, dizziness, fainting, frequent peeing (including during the night), heat intolerance, inappropriate sweating, etc.
I have symptoms that I thought were Adrenal based but after having read some Hypopituitary stuff Im wondering if thats not something I need to look into. Can you now please tell me which Labs to rule out or take off? 1) Essential
-8am Cortisol & ACTH
-Saliva 4 x Cortisol & DHEAS
nb. Pathlab in Melbourne have Saliva kits that can be ordered and posted out to you, samples posted back to them, results posted out to you. No signature is required for this, you can ring them up and order the kits yourself, or email.
www.pathlab.com.au/about/contact.asp -Aldosterone, Renin, Potassium & Sodium
see
forums.realthyroidhelp.com/viewtopic.php?f=7&t=8762-inflammatory markers Homocysteine, CRP, hsCRP, repeat FBC with a ESR
-RBC Folate
-25-OH Vit D
Note Hypothyroid often causes inability to convert from betacarotene to Vit A, problems making Vit D, malbsorption causing low Folate & other nutients.
2) Nice to have but not essentail
-Blood Sugars (Fasting Insulin, Iasting Glucose & Insulin Resistance Ratio)
if not done recently Doc should do this to rule out Hypoglycemia as a cause of your shaky, feeling like fainting type symptoms
-Lipids
if not done recently-Liver Function Test (LFT)
if not done recently-B6, Vit A, Vit E nice to have
note low Cortisol often causes Blood Sugar regulation problems.
Thyroid issues often cause elevated Liver Enzymes & Cholesterols (Lipids).
3) Possibly will also need
-Prolactin
-IGF-1, IGFBP-3, GH
-ACTH Stim