Guest guest Posted August 31, 2006 Report Share Posted August 31, 2006 Can you add the ranges associated with the numbers? I can't comment, but would be interested. --- testifyhisgrace wrote: > LIPIDs > > Triglycerides 155 > Cholesterol, Total 258 > HDL Cholesterol 60 > LDL-Cholesterol 167 > CHOL/HDLC Ratio 4.3 > > > THYROID PANEL WITH TSH (THYROID PANEL) > > T-3 UPTAKE 24 > T-4 (Thyroxine), Total 5.9 > FREE T4 INDEX (T7) 1.4 > TSH 2.9 > > > GLUCOSE, FASTING (P) 80 > > COMPREHENSIVE METABOLIC PANEL > > GLUCOSE 87 > > UREA NITROGEN (BUN) 15 > CREATININE 0.7 > BUN/CREATININE RATIO 21 > SODIUM 141 > POTASSIUM 4.8 > CHLORIDE 106 > CARBON DIOXIDE 24 > CALCIUM 9.3 > PROTEIN, TOTAL 6.9 > ALBUMIN 4.3 > GLOBULIN 2.6 > ALBUMIN/GLOBULIN RATIO 1.7 > BILIRUBIN, TOTAL 0.4 > ALKALINE PHOSPHATASE 62 > ASH 37 > ALT 31 > ANDROSTENEDIONE, LC/MS/MS 69 > > TESTOSTERONE, FREE AND TOTAL, LC/MS/MS > TESTOSTERONE, TOTAL 20 > > % FREE TESTOSTERONE .82 > > TESTOSTERONE, FREE 1.6 > > INSULIN, FREE 12.4 > > INSULIN, TOTAL 9.6 > > DHEA SULFATE 137 > > FSH 3.1 > > LH 3.5 > > PROLACTIN 7.9 > > THANKS FOR YOUR WISDOM AND THOUGHTS ABOUT THESE > LABS.. > Connie > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 31, 2006 Report Share Posted August 31, 2006 First we need the reference ranges for each test. Second, your doc has run the older, obsolete thyroid panel. Third, I do not see a Free T3 or even a Total T3. The T3 Uptake test does measure T3 levels. It is an obsolete test which measures thyroid binding globulins and is used together with the Total T4 to calculate the Free Thyroxine Index, another obsolete test which yields an estimate of the amount of Free T4 in your blood. Your cholesterol and your TSH, however tell me that you are still undermedicated. I also do not see any tests for estrogen, progesterone, or cortisol. It appears that this doc is not thinking about optimizing your hormone levels, but rather is looking for PCOS/insulin resistance. What treatment or change in treatment does this doc propose? You need an increase in your thyroid meds, but I would want to see a Free T3 and Free T4 (direct) before making any specific suggestions. You may need more Armour, or you may need to add some Unithroid or Levoxyl to your current dose of Armour. testifyhisgrace wrote: LIPIDsTriglycerides 155Cholesterol, Total 258HDL Cholesterol 60LDL-Cholesterol 167CHOL/HDLC Ratio 4.3THYROID PANEL WITH TSH (THYROID PANEL)T-3 UPTAKE 24T-4 (Thyroxine), Total 5.9FREE T4 INDEX (T7) 1.4TSH 2.9GLUCOSE, FASTING (P) 80COMPREHENSIVE METABOLIC PANELGLUCOSE 87UREA NITROGEN (BUN) 15CREATININE 0.7BUN/CREATININE RATIO 21SODIUM 141POTASSIUM 4.8CHLORIDE 106CARBON DIOXIDE 24CALCIUM 9.3PROTEIN, TOTAL 6.9ALBUMIN 4.3GLOBULIN 2.6ALBUMIN/GLOBULIN RATIO 1.7BILIRUBIN, TOTAL 0.4ALKALINE PHOSPHATASE 62ASH 37ALT 31ANDROSTENEDIONE, LC/MS/MS 69TESTOSTERONE, FREE AND TOTAL, LC/MS/MS TESTOSTERONE, TOTAL 20% FREE TESTOSTERONE .82TESTOSTERONE, FREE 1.6INSULIN, FREE 12.4INSULIN, TOTAL 9.6DHEA SULFATE 137FSH 3.1LH 3.5PROLACTIN 7.9THANKS FOR YOUR WISDOM AND THOUGHTS ABOUT THESE LABS..Connie __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 31, 2006 Report Share Posted August 31, 2006 Thank You for helping me understand.. > LIPIDs > > Triglycerides 155 <150 mg/dL > Cholesterol, Total 258 <200 mg/dL > HDL Cholesterol 60 < or = 40 mg/dL > LDL-Cholesterol 167 <130 mg/dL (calc) > CHOL/HDLC Ratio 4.3 <4.4 (calc) > > > THYROID PANEL WITH TSH (THYROID PANEL) > > T-3 UPTAKE 24 22-35% > T-4 (Thyroxine), Total 5.9 4.5 - 12.5 mcg/dl > FREE T4 INDEX (T7) 1.4 1.4 - 3.8 This is the Note that was by this area of the report: (TSH w/reflex to Free T4 (Test Code 36127) is considered a standard of patient care for assessing thyroid disease by the american thyroid association and the endocrine society. AMA, CPT - 4 Code Book, 2004.) > TSH 2.90 mIU/L 20 Years: 0.40 - 5.50 FOR PREGNANT PATIENTS: FIRST TRIMESTER 0.34 - 4.50 SECOND TRIMESTER 0.50 - 4.60 THIRD TRIMESTER 0.80 - 5.20 > > GLUCOSE, FASTING (P) 80 65 - 99 mg/dL > > COMPREHENSIVE METABOLIC PANEL > > GLUCOSE 87 65 - 99 mg/dL FASTING REFERENCE INTERVAL > UREA NITROGEN (BUN) 15 7 - 25 mg/dL > CREATININE 0.7 0.5 - 1.2 mg/dL > BUN/CREATININE RATIO 21 6 - 25 (calc) > SODIUM 141 135-146 mmol/L > POTASSIUM 4.8 3.5-5.3 mmol/L > CHLORIDE 106 98-110 mmol/L > CARBON DIOXIDE 24 21-33 mmol/L > CALCIUM 9.3 8.5-10.4 mg/dL > PROTEIN, TOTAL 6.9 6.0-8.3 g/dL > ALBUMIN 4.3 3.5-4.9 g/dL > GLOBULIN 2.6 2.2-4.2 g/dL (calc) > ALBUMIN/GLOBULIN RATIO 1.7 0.8-2.0 (calc) > BILIRUBIN, TOTAL 0.4 0.2-1.3 mg/dL > ALKALINE PHOSPHATASE 62 20-125 U/L > ASH 37 3-35 U/L (This ASH 37 is considered out of range- my question is this at a point where I need to take action now? And what action would that be?) > ALT 31 3-40 U/L > ANDROSTENEDIONE, LC/MS/MS 69 ng/dL Adult Female Reference Ranges for Androstenedione, Serum: Follicular: 35-250 ng/dL Mid-Cycle: 60-285 ng/dL Luteal: 30-235 ng/dL Postmenopausal: 20-75 ng/dL > > TESTOSTERONE, FREE AND TOTAL, LC/MS/MS > TESTOSTERONE, TOTAL 20 ng/dL Reference Range: 2-45 Total Testosterone was measured by LCMSMS. The LCMSMS method correlates well with our extraction/RIA method. > > % FREE TESTOSTERONE .82 % Reference Range: 0.5-2.3 Total Testosterone was measured by LCMSMS. The LCMSMS method correlates well with our extraction/RIA method. > > TESTOSTERONE, FREE 1.6 pg/mL Reference Range: 0.1-6.4 Total Testosterone was measured by LCMSMS. The LCMSMS method correlates well with our extraction/RIA method. > > INSULIN, FREE 12.4 uU/mL Reference Range: 4.0-20.0 Insulin level vary widely in specimens taken from non-fasting individuals. (NOTE: I WAS FASTING FOR THIS TEST) > > INSULIN, TOTAL 9.6 uU/mL Reference Range: 20 or Less Individuals with circulating Insulin antibodies may demonstrate variable concentrations depending upon the binding capacity of the circulating antibodies. Insulin level vary widely in specimens taken from non-fasting individuals. (NOTE: I WAS FASTING FOR THIS TEST) > > DHEA SULFATE 137 25-220 mcg/dL > > FSH 3.1 mIU/mL Reference Range: Follicular: 2.5-10.2 Mid-Cycle: 3.1-17.7 Luteal: 1.5-9.1 Postmenopausal: 23.0-116.3 > > LH 3.5 mIU/mL Reference Range: Follicular: 1.9-12.5 Mid-Cycle: 8.7-76.3 Luteal: 0.5-16.9 Postmenopausal: 5.0-52.3 > > PROLACTIN 7.9 ng/mL Reference Range ADULT FEMALES: Non-Pregnant 3.0- 30.0 Pregnant 10 -209.0 Postmenopausal 2.0- 20.0 > > THANKS FOR YOUR WISDOM AND THOUGHTS ABOUT THESE LABS.. > Connie Quote Link to comment Share on other sites More sharing options...
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