Post by sallycinnamon on Apr 1, 2009 17:01:53 GMT -5
Hi ladies....
I'm a bit concerned about recent labs. Posted in RTH but Kitty Cat pretty tied up so thought I'd post here too:
----------------------------------------------------
oh dear. my sex hormones are in a total mess :-(
no wonder i feel so crap!
With FSH and LH, should I be looking at mid cycle peak range???
Does this point to potential pituitary problem?
I'm getting HGH, IGF etc etc done next week with some other tests.
I can't believe how high the SHBG is now. The ratio between E2 and progesterone is now much worse than before (it was already far too high).
Would appreciate any input. Need to ditch the 7 Keto DHEA, what a waste!
FYI, when I had the ACTH done, it would have been great if doc agreed to 8am cortisol as I requested but she does 24hr urinary instead.
Background info can be found here: forums.realthyroidhelp.com/viewtopic.php?f=11&t=9077
thanks ladies
Serum 6/4/09
Day 3 of cycle. Fasting. Meds at the time: 80mcg T3, 50mg DHEA, 40mg HC, 1mg prednisolone, 2400mg Slow K
Oestradiol 215 pmol/L (Follicular phase <400)
Progesterone 1.6 nmol/L (Follicular phase 0.1 -4.3)
Testosterone 0.5 nmol/L (0.2-3.0)
Free Testosterone 0.8 (0.1-13.5) curious as to why this is higher than testo
SHBG 150 nmol/L (30-110)
Free Androgen
Index 0.3% (0.4-6.0)
DHEAS 3.1 umol/L (2.0-11.0) **switched to regular DHEA at 50-75mg for a few days before test after seeing previous results. I obviously need this type of DHEA not 7 Keto
FSH 12.5 U/L
LH 8.9 U/L
Ranges
FSH Basal 2.0-13.0
Mid cycle peak 8.0-25.0
LH Basal 2.5-13.0
Mid cycle peak 14.0-95
IGF-1 35 nmol/L (15 - 64)
IGFBP3 167 nmol/L 115 - 240)
GH 1.3 mIU/L (0 - 15)
Aldosterone (Upright) 122 pmol/L (100 - 950)
Renin (Upright) 19 mU/L ( 3.3 - 41)
Aldosterone/Renin Ratio 6 (<70)
Sodium 138 (135-145) too low, esp considering I ate supped some salt and ate some salty food the day before (though not the night before)
Potassium 4.0 (3.5-5.5) too low, but higher than when not on Slow K. Need to keep taking Slow K. Had taken some Slow K mid-morning previous day
Vasopressin Level: 0.6 pmol/L ( <=7.0 )
Prolactin 315 (85-500)
Serum 30/3/09
Day 21 of cycle. Fasting. Meds at the time: 80mcg T3, 25mg 7 Keto DHEA, 40mg HC, 1mg prednisolone
Oestradiol 680 pmol/L (Luteal phase 150-1700)
Progesterone 37.6 nmol/L (Luteal phase 5.8 -96.0)
Testosterone 0.3 nmol/L (0.2-3.0)
SHBG 190 nmol/L (30-110)
Free Androgen
Index 0.2% (0.4-6.0)
DHEAS 0.6 umol/L (2.0-11.0)
FSH 3.3 U/L
LH 5.0 U/L
Ranges
FSH Basal 2.0-13.0
Mid cycle peak 8.0-25.0
LH Basal 2.5-13.0
Mid cycle peak 14.0-95
Serum 27/10/08
Day 21 of cycle. Fasting. Meds at the time were 25mg DHEA (regular DHEA not 7 Keto), thyroid extract 120mg. Not on HC at the time, but was taking adrenal extract
Oestradiol 883 pmol/L (Luteal phase 150-1700)
Progesterone 55.7 nmol/L (Luteal phase 5.8 -96.0)
Testosterone 1.2 nmol/L (0.2-3.0)
SHBG 142 nmol/L (30-110) HIGH
Free Androgen
Index 0.8 % (0.4-6.0)
DHEAS 5.0 umol/L (2.0-11.0)
24 hr urinary cortisol:
Cortisol U/L 83 nmol/L
Urine volume 1700 mL
Cortisol excretion 141 nmol/d (70-430)
ACTH 6.2 pmol/L (0-12)
Blood draw 22/8/08
Non fasting (doc didn't tell me I needed to fast and In didn't know any better at the time. I was on NO meds at this point.
9am Cortisol 426 nmol/l (range 171 to 536)
7 August 08 - Day 3 of cycle
Fasting for AM reading. Not on any hormone replacement at all at this time.
Cort morning 8.3 (3.7-9.5)
Cort noon 1.6 (1.2 - 3.0)
Cort evening (4pm) 2.2 (0.6 - 1.9)
Cort night 0.5 (0.4 - 1.0)
I'm a bit concerned about recent labs. Posted in RTH but Kitty Cat pretty tied up so thought I'd post here too:
----------------------------------------------------
oh dear. my sex hormones are in a total mess :-(
no wonder i feel so crap!
With FSH and LH, should I be looking at mid cycle peak range???
Does this point to potential pituitary problem?
I'm getting HGH, IGF etc etc done next week with some other tests.
I can't believe how high the SHBG is now. The ratio between E2 and progesterone is now much worse than before (it was already far too high).
Would appreciate any input. Need to ditch the 7 Keto DHEA, what a waste!
FYI, when I had the ACTH done, it would have been great if doc agreed to 8am cortisol as I requested but she does 24hr urinary instead.
Background info can be found here: forums.realthyroidhelp.com/viewtopic.php?f=11&t=9077
thanks ladies
Serum 6/4/09
Day 3 of cycle. Fasting. Meds at the time: 80mcg T3, 50mg DHEA, 40mg HC, 1mg prednisolone, 2400mg Slow K
Oestradiol 215 pmol/L (Follicular phase <400)
Progesterone 1.6 nmol/L (Follicular phase 0.1 -4.3)
Testosterone 0.5 nmol/L (0.2-3.0)
Free Testosterone 0.8 (0.1-13.5) curious as to why this is higher than testo
SHBG 150 nmol/L (30-110)
Free Androgen
Index 0.3% (0.4-6.0)
DHEAS 3.1 umol/L (2.0-11.0) **switched to regular DHEA at 50-75mg for a few days before test after seeing previous results. I obviously need this type of DHEA not 7 Keto
FSH 12.5 U/L
LH 8.9 U/L
Ranges
FSH Basal 2.0-13.0
Mid cycle peak 8.0-25.0
LH Basal 2.5-13.0
Mid cycle peak 14.0-95
IGF-1 35 nmol/L (15 - 64)
IGFBP3 167 nmol/L 115 - 240)
GH 1.3 mIU/L (0 - 15)
Aldosterone (Upright) 122 pmol/L (100 - 950)
Renin (Upright) 19 mU/L ( 3.3 - 41)
Aldosterone/Renin Ratio 6 (<70)
Sodium 138 (135-145) too low, esp considering I ate supped some salt and ate some salty food the day before (though not the night before)
Potassium 4.0 (3.5-5.5) too low, but higher than when not on Slow K. Need to keep taking Slow K. Had taken some Slow K mid-morning previous day
Vasopressin Level: 0.6 pmol/L ( <=7.0 )
Prolactin 315 (85-500)
Serum 30/3/09
Day 21 of cycle. Fasting. Meds at the time: 80mcg T3, 25mg 7 Keto DHEA, 40mg HC, 1mg prednisolone
Oestradiol 680 pmol/L (Luteal phase 150-1700)
Progesterone 37.6 nmol/L (Luteal phase 5.8 -96.0)
Testosterone 0.3 nmol/L (0.2-3.0)
SHBG 190 nmol/L (30-110)
Free Androgen
Index 0.2% (0.4-6.0)
DHEAS 0.6 umol/L (2.0-11.0)
FSH 3.3 U/L
LH 5.0 U/L
Ranges
FSH Basal 2.0-13.0
Mid cycle peak 8.0-25.0
LH Basal 2.5-13.0
Mid cycle peak 14.0-95
Serum 27/10/08
Day 21 of cycle. Fasting. Meds at the time were 25mg DHEA (regular DHEA not 7 Keto), thyroid extract 120mg. Not on HC at the time, but was taking adrenal extract
Oestradiol 883 pmol/L (Luteal phase 150-1700)
Progesterone 55.7 nmol/L (Luteal phase 5.8 -96.0)
Testosterone 1.2 nmol/L (0.2-3.0)
SHBG 142 nmol/L (30-110) HIGH
Free Androgen
Index 0.8 % (0.4-6.0)
DHEAS 5.0 umol/L (2.0-11.0)
24 hr urinary cortisol:
Cortisol U/L 83 nmol/L
Urine volume 1700 mL
Cortisol excretion 141 nmol/d (70-430)
ACTH 6.2 pmol/L (0-12)
Blood draw 22/8/08
Non fasting (doc didn't tell me I needed to fast and In didn't know any better at the time. I was on NO meds at this point.
9am Cortisol 426 nmol/l (range 171 to 536)
7 August 08 - Day 3 of cycle
Fasting for AM reading. Not on any hormone replacement at all at this time.
Cort morning 8.3 (3.7-9.5)
Cort noon 1.6 (1.2 - 3.0)
Cort evening (4pm) 2.2 (0.6 - 1.9)
Cort night 0.5 (0.4 - 1.0)