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Hi

Can anyone look at these blood tests for me, please, especially the FSH and LH

which I don't understand. Thanks.

Analyte Follicular Mid Cycle Luteal Peri-Menopausal

FSH 3.5 - 12.5 4.7 -21.5 1.7 - 7.7 25.8 - 134.8 IU/L

LH 2.4 - 12.6 14.0 - 95.6 1.0 - 11.4 7.7 - 58.5 IU/L

Adult Males

FSH - 1.5 - 12.4 LH 1.7 - 8.6 IU/L

Serum FSH level 42.8 IU/L

Serum LH level 30.2 IU/L

Serum cortisol OR 97 nmol/L (171-536)

FBC

HB 13.1 g/dL (11.5 - 16.5)

RBCs 4.18 10*12/L (3.8 - 5.8)

Haematocrit 0.386 (0.37 - 0.47)

MCV 92.2 fL (80 - 100)

MCH 31.4 pg (27 - 32)

Red blood cell distribtion width 12.6 (11.5 - 14.5)

WBCs OR 11.4 10*9/L (3.6 - 10.5)

Neutrophil count 6.6 10* 9/L (1.5 - 7.2)

Lymphocyte count OR 3.9 10* 9/L (1.0 - 3.5)

Monocyte count 0.7 10* 9/L 0.2 - 0.9)

Eosinophil count 0.2 10* 9/l (<0.4)

Basophil count 0.0 10* 9/L (0.0 - 0.1)

ESR OR 23 mm/1Hr (3 - 15)

Platelet count 328 10*9/L (150 400)

Blood glucose level OR 6.5 mmol/L (3.0 - 6.0)

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Analyte Follicular Mid Cycle Luteal Peri-MenopausalFSH 3.5 -12.5 4.7 -21.5 1.7 - 7.7 25.8 - 134.8 IU/LLH 2.4 - 12.6 14.0 - 95.6 1.0 - 11.4 7.7 - 58.5 IU/LSerum FSH level 42.8 IU/LSerum LH level 30.2 IU/LSerum cortisol OR 97 nmol/L (171-536)FBCHB 13.1 g/dL (11.5 - 16.5)RBCs 4.18 10*12/L (3.8 - 5.8)Haematocrit 0.386 (0.37 - 0.47)MCV 92.2 fL (80 - 100)MCH 31.4 pg (27 - 32)Red blood cell distribtion width 12.6 (11.5 - 14.5)WBCs OR 11.4 10*9/L (3.6 - 10.5)Neutrophil count 6.6 10* 9/L (1.5 - 7.2)Lymphocyte count OR 3.9 10* 9/L (1.0 - 3.5)Monocyte count 0.7 10* 9/L 0.2 - 0.9)Eosinophil count 0.2 10* 9/l (<0.4)Basophil count 0.0 10* 9/L (0.0 - 0.1)ESR OR 23 mm/1Hr (3 - 15)Platelet count 328 10*9/L (150 400)Blood glucose level OR 6.5 mmol/L (3.0 - 6.0)

Hello ,

Your test results show that you are:

a) Perimenopausal

B) Have an infection somewhere – your white blood cell count is elevated and so is your ESR, this spells `infection' (although it does not specify what or where)

c) Your glucose levels were elevated – but that could be explained if you had eaten before the blood was drawn. If you had not eaten, you should be checked out for diabetes or prediabetes.

d) The most worrying factor however is your low cortisol level. It is too low for any time of day (except night time), but if the blood draw has happened in the morning around 9 am, then such low cortisol levels are critical and your doctor should order a short synacthen test, which needs to be performed no later than 9 am (please insist on that when they make an appointment). Your doctor should also order for serum ACTH levels to be checked at the same time as the SST is performed (short synacthen test) – you may have to remind your doctor to order this test. It needs to be specified on the form or they won't do it.

Has your doctor explained anything to you yet?

Best wishes,

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>

> I'm American, male, 67, retired and was diagnosed with hypothyroidism 2

> or 3 years ago. >

Hello

I hope you don`t mind me asking but, have you watched the 6 information videos

from the West LA Thyroid Institute? They are by a Dr. Ian Beckingham. I found

them very informative as I find the whole endocrine system difficult to

understand.

For anyone trying to get their head around this whole business - Dr Beckingham`s

presentations make it easier to understand.

Have you heard any reports about this clinic at all? Or anyone on this forum?

They can be viewed at :-

http://www.youtube.com/watch?v=yc6wkrF8Kk0 & feature=related

Jane

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>Hello ,

Thanks for your reply. I think if I give background. In 2007 I had saliva test

which showed very low cortisol and low DHEA. Four years, 2 endos and 4 SSTs

later I managed to get printouts and posted them in November 2010 -

TSH Less than 0.03 Reference 0.35 - 5.5 Units mU/l

FT4 31.3 Reference 10 - 19.8 Units pmol/l

FT3 3.8 Reference 3.5 - 6.5 Units pmol/l

25 0H Vitamin D3 63.5 Units nmol/l

25 0H Vitamin D2 Less than 5 Units nmol/l

Ranges relate to Total 25 - OH Vitamin D (D2 + D3)

30 - 50 nmol/l: Vitamin D is suboptimal

15 - 30 nmol/l: Represents moderate deficiency

Below 15 nmol/l represents severe deficiency

Red cell folate 570 Reference over 250 Units ug/l

Vitamin B12 342 Reference 211 - 911 Units ng/l

DHEA Sulphate 2.7 Reference 0.4 - 4.9 Units umol/l

Renin (immunoassay) 20 units mU/L

92% of values are between 5.4 and 60 mU/L in upright position.

92% of values are between 5.4 and 30 mU/L after 1 hour rest

Aldosterone 101 Units pmol/L

Normal levels vary with posture and Na and K conc.

Adults recumbent overnight 100 - 450 pmol/l

Random sample & /or upright 100 - 800 pmol/l

Synacthen Test Cortisol 0 min 148 nmol/l

Cortisol 30 min 418 nmol/l

Normal response at 30 mins is greater than 450 nmol/l.

I don't understand why endo doesn't think there is anything wrong with cortisol

level which I think is very low and also aldosterone looks low to me. Saliva

tests I have taken show Zone 7 adrenal exhaustion showing a decline in the

production of either or both cortisol and DHEA. I asked if pituitary was

producing ACTH to stimulate cortisol or DHEA low. - No pituitary is ok also DHEA

level. Endo has now referred me back to GP to sort out TFT as he prescribes

Armour. Nothing is wrong with adrenal, I do not have s. I would be

grateful if you could give any advice. Thanks.

Both you and Lee helped me over these tests and in April this year I

sent to GP an analysis of these tests with questions I wanted answered. Four

months later I have had a reply of sorts. None of the specific questions I

asked have been answered. All I got was that all the tests were normal and a

half hour rant about the evils of taking Armour (GP who prescribed has retired).

I wanted to make sure that the last tests hadn't thrown up any more hormone

imbalances (FSH and LH tests). I really don't know what to do next, probably

admit I am beaten and self medicate for rT3 dominance and hope I have guessed

right.

Thanks for your help.

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