RE: New member with blood results that I need explaining. [1 Attachment]

[Guest guest]

I was wondering if I should put the reference ranges down.. here goes.

Serum TSH level 2.24 mu/L

Range 0.25 - 5.0 U

Serum FSH 4.2

Range...

Follicular 2 -17

Ovulatory 5 - 48

Luteal 1 -15

Serum LH level 4.4 u/L

Range.....

Follicular 2 - 13

Ovulatory 14 -96

Luteal 1 -11

Serum Oestradiol 213 pmol/L

Range....

Follicular 80 - 550

Ovulatory 400 -1600

Luteal 175 -880

Serum Testosterone 1.2 nmol/L (Skewed by the fact that I was wearing a testosterone patch.)

range....

0.2 - 1.65

The progesterone test won't help because it needed to be taken at a specific time of my cycle, without knowing what part of my cycle I was at made the test useless. I can guess with the differning tests that I probably wasn't ovulating at the time the blood test was done.

The basic blood tests came back as...

Test value Range

White cell 8.6 4-11

Red Blood cell 4.09 3.8 - 5.8

Haemoglobin estimation 13.0 11.0 - 16.0

Haematocrit 0.378 0.36 - 0.47

Mean corpuscular

Volume (MCV) 92.2 76- 100

Mean corpusc.

haemoglobin (MCH) 31.7 27.0 - 34.0

Red Blood cell

Distribution width 12.9 11-16

Platelet count 317 150 - 400

Neutrophil count 5.8 2.0 - 7.5

Lymphocyte count 2.1 1.0 - 4.0

Monocyte count 0.5 0.2 -1.0

Eosinophil count 0.2 < 0.7

Basophil count 0.0 <0.2

I also have liver function tests if they are any help.

2

-----Original Message-----From: thyroid treatment [mailto:thyroid treatment ] On Behalf Of SheilaSent: 30 October 2011 19:33thyroid treatment Subject: RE: New member with blood results that I need explaining. [1 Attachment]

Hello 2 (we already have another ).When you post the results of blood tests, we cannot help unfortunately with their interpretation unless we have the reference range for each of the tests done. We need to know whether your results are at the bottom, the middle, the top or even outside of the reference range, so please can you post these too - and then we might be able to help you.

Have you had any recent thyroid function tests done? If so, post the results here with the ref. ranges. If not, ask your GP to test your thyroid stimulating hormone (TSH) , free T4, free T3 and tests to see whether you have antibodies to your thyroid. These are TPO and Tg Ab. Because you find you are better on a gluten free diet, this could be because you are suffering with Hashimoto's disease. Testing TSH is NOT a thyroid test, it is a hormone secreted by the pituitary gland and it is secreted when the pituitary recognises there is insufficient thyroid hormone in the blood. It does not tell the doctor whether the hormone secreted by the thyroid gland is being fully utilised at the cellular level, so a TSH test alone is useless.

After asking for these blood tests to be done, if they have not already been done, ask for iron, transferrin saturation%, ferritin, vitamin B12, vitamin D3, magnesium, folate, copper and zinc. It is very important to get these checked because if any are low in the range, no amount of thyroid hormone can be fully utilised at the cellular level, and your symptoms suggest you might be suffering with hypothyroidism. If any of these are low, then they would need to be supplemented as a priority.

If your GP is really useless at helping his patients find the cause of their symptoms, then you might find it works out better to write him a letter and telling him that you are determined to find out the cause of your symptoms and that you would like him to help you,

First list all of your symptoms and signs. Check these against those in our web site www.tpa-uk.org.uk under 'Hypothyroidism' Then take your basal temperature for 4 or 5 mornings before you get out of bed and list these if they are 97.8 degrees F (36.6 degrees C, of less).

Next, list the thyroid function tests you need to be done as outlined above and the specific minerals and vitamins mentioned above too. Check the attached document to print off to enclose with your request so your GP can see these are vital. Ask your GP to make these results available to you once they come back, together with the reference range. A doctor cannot withhold any information that is in your medical notes under the Data Protection Act 1998.

List any members of your family who have a thyroid or autoimmune disease.

Ask for a referral to an endocrinologist if your GP says he cannot help you, or that there is nothing wrong with you as you are entitled to a second opinion when you have continuing symptoms. Remember that however clever your GP might think he is, he is not a specialist in endocrinology.

Last, ask for your letter of requests to be placed into your medical notes and for y our GP to write to you acknowledging that this has been done.

Remember to keep a copy of this letter yourself, and remember also, that doctors have to pay attention to the written word, as they can deny discussions that have taken place behind closed doors.

Good luck

….but first, do give us the reference ranges for the tests that you have had done.

Luv - Sheila

Serum FSH level 4.2 u/L Serum LH level 4.4 u/LSerum Oestradiol level 213 pmol/LSerum Progesterone 16.4 nmol/LSerum Testosterone 1.2 nmol/LSerum sex hormone binding globulin level 25 nmol Serum TSH level 2.24 mu/L (0.25 - 5.0 U)Theres plenty more results that I can show if need be. Can anyone interpret these results for me and tell me if I should be taking Iodine or other hormones to help?ThanksPS my doc's flat out refuse to do a T3 or T4 test as my TSH test was normal. They don't do T3 or T4 unless the TSH test comes back abnormal.