|
Post by justaustin on Mar 5, 2009 18:16:43 GMT -5
WOW that's pretty impressive!! The next time this happens, why don't you continue monitoring your BP and pulse at 10min intervals. Would be interesting to see how long it takes before your BP starts to drop and pulse increases. With severe salt wasting, salt doesn't seem to stabilize BP/HR for very long...thus necessitating frequent consumption of salted water.
Be sure to bring this log with you when you see your docs. This coupled with your expected low aldo/renin will further support need for florinef. Your symptoms of heat intolerance is typical with low aldo.
Laurie
|
|
Dana
New Member
Posts: 85
|
Post by Dana on Mar 7, 2009 19:15:01 GMT -5
My hubby and I went on a very short walk yesterday at the park. Today I woke up with very sore shins and ankles. I can't imagine that the walk should have made my muscles ache so much.
Then today, we had an apple tree fall down in one of the ice storms and I started to cut some of the branches off to clear it out of our yard. Well I overdid it.
Do you have any suggestions on what I can do to recover from this. My muscles are aching already and I just came in a few hours ago. My legs, toes and feet are cramping really bad.
Thanks again!
Dana
|
|
|
Post by justaustin on Mar 8, 2009 23:45:38 GMT -5
Dana, You did too much and your body is kindly telling you so. Were you drinking salted water with your exertion? Your muscle aches/cramps may be due to needing more salt, potassium, and/or magnesium. My legs/feet bother me some days after working nearly 13hours. I'll soak in warm(not hot) bath with epsom salt. Sometimes they won't start cramping until I go to bed. I'll take some potassium( 1/4tsp of nosalt/fakesalt mixed in OJ ). I already take magnesium at bedtime. You are welcome, Laurie
|
|
Dana
New Member
Posts: 85
|
Post by Dana on Mar 10, 2009 11:22:00 GMT -5
It looks like the incompetent hospital I went to lost or just didn't run some tests. I called my docs yesterday and she told me at least 1 test wasn't run right or something. But I'll be getting the results today or tomorrow (depends on the mail).
One of the tests was IGF-1, which was the test the outpatient lab forced me to go to the hospital for. Basically I went to the hospital for nothing...That whole situation is probably what caused my noon cortisol level to be much higher than the rest. Just unbelievable! I think Quest lost it because I know it was ordered in the computer and the lady knew I was there for the IGF-1 test...All of this means the GH result is useless without IGF-1.
I recovered pretty well from the yard work. I think the spoonfuls of molasses, glasses of natural calm and sea salt helped! My muscles are still sore, but not too terrible. Thank you.
|
|
Dana
New Member
Posts: 85
|
Post by Dana on Mar 11, 2009 15:43:19 GMT -5
Here are the lab results. Shocking to say the least...I feel I am back to square one again. With these results, I am def canceling the appointment with the endo. There is no reason to see him because nothing is out of range and that's all he will care about!
Basic Metabolic Panel Glucose-----------91 (70-99) Seem rather high considering I was fasting. Bun----------------10 (7-22) Creatinine--------0.8 (0.5-1.3) Bun/Creat--------12.5 (8-27) Sodium------------139 (136-147) Low Normal Potassium--------3.7 (3.6-5.3) Low Normal Chloride----------104(98-110) CO2 Content-----28 (22-34) Anion Gap---------7 (2-12) Calc Osmol-------276 (269-297) Calcium------------9.5 (8.7-10.7)
Aldosterone--------6 (<=28) Renin----------------2.4 (0.65-5.0) This isn't the salt fasting range. Cortisol-AM---------26.7 (3.7-19.4) HIGH This was a shocker considering my saliva results! ACTH----------------37 Female range (5-27) Would be high according to their range DHEA-S-------------215 (45-320) My doc wrote in the range he uses (150-250) TSH------------------3.804 (.35-4.94) Why did this change so much? Went from <0.01 to this in a few month's time? Free T4-------------0.9 (0.7-1.5) Low normal Free T3-------------3.0 (1.71-3.71) The lab range changed from last time. It used to be (2.3-4.2) TGA-----------------<20 (<20) I couldn't find a lab that tested to 0 TPO-----------------<10 (<35)
Sex hormones were tested on Day 21 of my cycle. I am not supplementing them. Progesterone------12.5 (3.3-26.0) Luteal Gotta love that my saliva results were >1000! Estradiol------------182 (48-309) Luteal Testosterone,Total---20 (2-45) Testosterone,%,Free---1.07 (0.50-2.00%) Testosterone,Free----2.1 (0.1-6.4) My doctor wrote in the range he uses (3.2-6.4) Low Prolactin-------------15.9 (3.0-30) Luteal LH----------------------6.8 (0.5-16.9) Luteal FSH--------------------2.7 (1.5-9.1) Luteal IGF-1------------------53.5 (13-73) Growth Hormone----0.7--(<=10.0) This seems low I am 24 years old.
|
|
Dana
New Member
Posts: 85
|
Post by Dana on Mar 11, 2009 16:02:27 GMT -5
The lab really messed things up. There are two results for the following tests. I really can't trust their accuracy! Rather than have me come back into the lab and get my blood drawn again, they used my blood from before, but the results are different from what was run initially. I am so mad right now I can't even think straight.
LH----6.8 (0.5-16.9) & 5 (1-9) The different lab range here is not a mistake. I don't understand this at all... FSH----2.7 (1.5-9.1) & 2 (1-6) Prolactin-------15.9 (3.0-30.0) & 24 (5-27) I don't know how the same blood could test this different.
|
|
Dana
New Member
Posts: 85
|
Post by Dana on Mar 13, 2009 20:02:05 GMT -5
I called the lab about the two different results for LH, FSH and prolactin. They told me that the hospital did a set of them and they (quest diagnostic) did a set of them. The hospital sent my blood out to them for some reason and repeated the labs. He said that each lab uses their own methodology, instruments, and reagents to obtain results. It sounds pretty technical. Since the lab ranges were also different, he suspects that's why the numbers were different.
I'm not sure that makes me feel any better, but it gives me a little bit more info. Each set of labs should be compared to their associated lab range.
I'm still really upset about these lab results. I feel like nothing makes sense. I've been so depressed and I've made my husband depressed too because I told him it contradicts everything I originally thought! He was not happy to hear that because I've been sick for so long. I need to get better and move on with my life!
|
|
|
Post by justaustin on Mar 15, 2009 15:09:16 GMT -5
Dana,
I think that some of your labs suggest you being hypopit. Your low aldosterone and low renin is common with hypopituitary folks. Your lowish sodium and potassium point to this as well. The renin I believe (from what I've read) is also impacted by suboptimal thyroid function and low growth hormone. Your IGF-1 is a crap range. Your growth hormone is the pits.
I think I would retest ALL your labs on day 3 with a different lab. I'm not sure that the initial lab can be trusted. That is a crap range for ACTH.
If you have to pay out of pocket, do so. You can order via econolabs and/or healtcheckusa. Econolabs has the best price for aldo/renin. Healthcheck has best price for thyroid panel II. Compare with the two and pick/choose. Both contract with labcorp. You can go on one day with both requisitions...they can do it all. Been there done that.
The cortisol range is a crap range too. Your cortisol could be semingly great first thing in the morning, but could TANK thereafter. Serum cortisol doesn't reflect binding. Again, I would retest. Have your husband drive you to avoid stress.
Your TSH being variable with low free thyroid homones could be due to Hashi's antibodies. The antibody ranges tell us nothing of your actual antibody levels. My antibodies are "negative" but I have thyroid ultrasound findings consistent with Hashi's(hypoechoic nodules and heterogenous appearance/texture).
When was the last time you have had your pit MRI'd? Probably time for repeat scan with and without gadolinium.
You need help with your low aldosterone(strongly suspected with symptoms and salt cravings).
Remind me again...what was your saliva cortisol?
Laurie
|
|