Help With Test Results

[Guest guest]

Fibromyalgia is often a name doctors use when they don't realise you are suffering from hypothyroidism. Fibromyalgia is treated with liothyronine (T3) because your body is not making sufficient, or/and your thyroxine that is put out from your thyroid gland is not converting to the active T3. I bet you will be relieved to get back onto your T3. Your ferritin is too low and yes, but before you splash out on purchasing ferrous sulphate yourself, can you ask your doctor, under the circumstances, to prescribe this for you?

Luv - Shei;la

Just had a call with my test results, I have been diagnoised with fibromyalgia and Dr P diagnoised me as not converting t4 top t3. used t3 very successsfully in past. stopped to get tested on NHS could I please have some advice on these resultsT4 14.7 (8-21)T3 4.8 (2.5-6)TSH 1.4 (.2-4)Ferratin 25 (15-230)Cortison 226Calcium 2.44I guess I need some ferrous sulphate does anyone know if these are ok as seem very cheap:http://www.pharmacyathand.co.uk/shop/customer/product.php?productid=3703 & cat=0 & page=1ThanksCaroline

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[Guest guest]

Thanks Shelia Yes glad to be back on the T3 have built up to 40mg a day but will need to be on a bit more before I get any benefit on past expereince, still on the way. It was Dr Burrows and he says I do not need it as my ferritin is within range. He is writing to my Dr to say I am normal. What did you think of the test results. Thanks Caroline I have not trimmed the message so you can still see results hope this is ok.sheilaturner <sheilaturner@...> wrote: Fibromyalgia is often a name doctors use when they don't realise you are suffering from hypothyroidism. Fibromyalgia is treated with liothyronine (T3) because your body is not making sufficient, or/and your thyroxine that is put out from your thyroid gland is not converting to the active T3. I bet you will be relieved to get back onto your T3. Your ferritin is too low and yes, but before you splash out on purchasing ferrous sulphate yourself, can you ask your doctor, under the circumstances, to prescribe this for you? Luv - Shei;la Just had a call with my test results, I have been diagnoised with

fibromyalgia and Dr P diagnoised me as not converting t4 top t3. used t3 very successsfully in past. stopped to get tested on NHS could I please have some advice on these resultsT4 14.7 (8-21)T3 4.8 (2.5-6)TSH 1.4 (.2-4)Ferratin 25 (15-230)Cortison 226Calcium 2.44I guess I need some ferrous sulphate does anyone know if these are ok as seem very cheap:http://www.pharmacyathand.co.uk/shop/customer/product.php?productid=3703 & cat=0 & page=1ThanksCaroline .

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[Guest guest]

When we are talking of a ferritin range of (for women) 20 to 200) HOW can anybody think that is normal? You might have to treat this on your own as you say, so hopefully, somebody might know where the best place is to buy your ferrous sulphate.

With the reference ranges, your results look fine - I have no idea what they would have shown had you taken yhour medication before you had your blood drawn though. Can't tell with your cortisol ect as there was no range there.

luv - Sheila

Thanks Shelia

Yes glad to be back on the T3 have built up to 40mg a day but will need to be on a bit more before I get any benefit on past expereince, still on the way.

It was Dr Burrows and he says I do not need it as my ferritin is within range. He is writing to my Dr to say I am normal.

What did you think of the test results.

Thanks Caroline

I have not trimmed the message so you can still see results hope this is ok.sheilaturner <sheilaturnertpa-uk (DOT) org.uk> wrote:

Fibromyalgia is often a name doctors use when they don't realise you are suffering from hypothyroidism. Fibromyalgia is treated with liothyronine (T3) because your body is not making sufficient, or/and your thyroxine that is put out from your thyroid gland is not converting to the active T3. I bet you will be relieved to get back onto your T3. Your ferritin is too low and yes, but before you splash out on purchasing ferrous sulphate yourself, can you ask your doctor, under the circumstances, to prescribe this for you?

Luv - Shei;la

Just had a call with my test results, I have been diagnoised with fibromyalgia and Dr P diagnoised me as not converting t4 top t3. used t3 very successsfully in past. stopped to get tested on NHS could I please have some advice on these resultsT4 14.7 (8-21)T3 4.8 (2.5-6)TSH 1.4 (.2-4)Ferratin 25 (15-230)Cortison 226Calcium 2.44I guess I need some ferrous sulphate does anyone know if these are ok as seem very cheap:http://www.pharmacyathand.co.uk/shop/customer/product.php?productid=3703 & cat=0 & page=1ThanksCaroline

..

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[Guest guest]

Thanks Shelia With my blood tests, I am confused as Dr P diagnoised me as Hypo and not converting, is that possible with these tests? I had taken cortef the morning blood was drawn but no thyroid hormone for over a month. Whilst on T3 very few symptoms now lots of them main ones being pain, and exhaustion. I have ordered some ferrous sulphate of the internet so will see if that helps. Carolinesheilaturner <sheilaturner@...> wrote: When we are talking of a ferritin range of (for women) 20 to 200) HOW can anybody think that is normal? You might have to treat this on your own as you say, so hopefully, somebody might know where the best place is to buy your ferrous sulphate. With the reference ranges, your results look fine - I have no idea what they would have shown had you taken yhour medication before you had your blood drawn though. Can't tell with your cortisol ect as there was no range there. luv - Sheila Thanks Shelia T4 14.7 (8-21)T3 4.8 (2.5-6)TSH 1.4

(.2-4)Ferratin 25 (15-230)Cortison 226Calcium 2.44 .

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[Guest guest]

This is the problem with not knowing what OUR normal TSH, FT4 and FT3 is Caroline. I think the fact that you are showing normal blood results when you are feeling so very bad (without any extra thyroid hormone replacement) shows how wrong it is to go by blood results alone. You need the T3 whatever the results show and you have proved that. No wonder doctors get confused...no wonder you are confused and no wonder I'm confused (

Luv - Sheila

Thanks Shelia

With my blood tests, I am confused as Dr P diagnoised me as Hypo and not converting, is that possible with these tests? I had taken cortef the morning blood was drawn but no thyroid hormone for over a month. Whilst on T3 very few symptoms now lots of them main ones being pain, and exhaustion.

I have ordered some ferrous sulphate of the internet so will see if that helps.

Carolinesheilaturner <sheilaturnertpa-uk (DOT) org.uk> wrote:

When we are talking of a ferritin range of (for women) 20 to 200) HOW can anybody think that is normal? You might have to treat this on your own as you say, so hopefully, somebody might know where the best place is to buy your ferrous sulphate.

With the reference ranges, your results look fine - I have no idea what they would have shown had you taken yhour medication before you had your blood drawn though. Can't tell with your cortisol ect as there was no range there.

luv - Sheila

Thanks Shelia

T4 14.7 (8-21)T3 4.8 (2.5-6)TSH 1.4 (.2-4)Ferratin 25 (15-230)Cortison 226Calcium 2.44

..

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[Guest guest]

Thanks Shelia I have been quite depressed over this for the last couple of days. Do you think that either Dr Skinner or Dr Ahemed? who will be at the TPA day would treat me with these blood results? It would make my life so much easier if I could get someone to get my GP on my side. Thanks for the help Carolinesheilaturner <sheilaturner@...> wrote: This is the problem with not knowing what OUR normal

TSH, FT4 and FT3 is Caroline. I think the fact that you are showing normal blood results when you are feeling so very bad (without any extra thyroid hormone replacement) shows how wrong it is to go by blood results alone. You need the T3 whatever the results show and you have proved that. No wonder doctors get confused...no wonder you are confused and no wonder I'm confused ( Luv - Sheila .

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[Guest guest]

Hi Caroline, first, Dr Achmed is a PhD and specialises in virology, she works with Dr Skinner. I cannot answer for Dr Skinner whether he would or would not treat you with such blood results. He takes everything into account and would need to see you personally. You would need to be referred to him by your GP if you are thinking of having a consultation with him.

I can understand you feeling so down at the moment, especially as you have been without your medication for so long. You will feel much better once the T3 has kicked in.

Luv - Sheila

I have been quite depressed over this for the last couple of days.

Do you think that either Dr Skinner or Dr Ahemed? who will be at the TPA day would treat me with these blood results?

It would make my life so much easier if I could get someone to get my GP on my side.

Thanks for the help

Caroline

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[Guest guest]

Thanks Shelia I thought Dr Achmed may have been a man from birmingham I nearly saw about s T3 treatment a few years ago. Me and Neil would like to come to the get together day, we just may not be able top stay too long. This may be cheeky but would it be possible to have 5 mins of Dr Skinners time at that meeting. I nay not be able to get another referral and do not want to try unless I feel I could get a result out of it. Thanks Carolinesheilaturner <sheilaturner@...> wrote: Hi Caroline, first, Dr Achmed is a PhD and specialises in virology, she works with Dr Skinner. I cannot answer for Dr Skinner whether he would or would not treat you with such blood results. He takes everything into account and would need to see you personally. You would need to be referred to him by your GP if you are thinking of having a consultation with him. .

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[Guest guest]

Re: Help with test results

Thanks Shelia

I thought Dr Achmed may have been a man from birmingham I nearly saw about s T3 treatment a few years ago. Me and Neil would like to come to the get together day, we just may not be able top stay too long. This may be cheeky but would it be possible to have 5 mins of Dr Skinners time at that meeting. I nay not be able to get another referral and do not want to try unless I feel I could get a result out of it.

Thanks

Carolinesheilaturner <sheilaturnertpa-uk (DOT) org.uk> wrote:

Hi Caroline, first, Dr Achmed is a PhD and specialises in virology, she works with Dr Skinner. I cannot answer for Dr Skinner whether he would or would not treat you with such blood results. He takes everything into account and would need to see you personally. You would need to be referred to him by your GP if you are thinking of having a consultation with him.

..

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[Guest guest]

Re: Help with test results

Thanks Shelia

I thought Dr Achmed may have been a man from birmingham I nearly saw about s T3 treatment a few years ago. Me and Neil would like to come to the get together day, we just may not be able top stay too long. This may be cheeky but would it be possible to have 5 mins of Dr Skinners time at that meeting. I nay not be able to get another referral and do not want to try unless I feel I could get a result out of it.

Thanks

Carolinesheilaturner <sheilaturnertpa-uk (DOT) org.uk> wrote:

Hi Caroline, first, Dr Achmed is a PhD and specialises in virology, she works with Dr Skinner. I cannot answer for Dr Skinner whether he would or would not treat you with such blood results. He takes everything into account and would need to see you personally. You would need to be referred to him by your GP if you are thinking of having a consultation with him.

..

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[Guest guest]

Hi Caroline

I think I am going to have to add a room extension because of all the people coming to our Yorkshire Get Together. I am so pleased that you and Neil will be able to come. You will probably have no problem in trying to grab Dr Skinner for five minutes, and I am sure he will be able to give you a pointer or two. One thing is certain though, I will not be making any consultations for Dr Peatfield on this day, as this will be his day of 'rest' like it will be for all of us and he wants to enjoy chatting to everybody too. He has a clinic at my home on Thursday, Friday and Sunday (note that Thursday has now been added because Friday and Sunday are already overflowing, so anybody wanting to come on the Thursday 27th is welcome. Please contact me asap. though, because the chances are this day will also soon fill up too.

Thanks Shelia

I thought Dr Achmed may have been a man from birmingham I nearly saw about s T3 treatment a few years ago. Me and Neil would like to come to the get together day, we just may not be able top stay too long. This may be cheeky but would it be possible to have 5 mins of Dr Skinners time at that meeting. I nay not be able to get another referral and do not want to try unless I feel I could get a result out of it.

Thanks

Carolinesheilaturner <sheilaturnertpa-uk (DOT) org.uk> wrote:

Hi Caroline, first, Dr Achmed is a PhD and specialises in virology, she works with Dr Skinner. I cannot answer for Dr Skinner whether he would or would not treat you with such blood results. He takes everything into account and would need to see you personally. You would need to be referred to him by your GP if you are thinking of having a consultation with him.

..

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[Guest guest]

Thanks so much looking forward to meeting everyone Carolinesheilaturner <sheilaturner@...> wrote: Hi Caroline I think I am going to have to add a room extension because of all the people coming to our Yorkshire Get Together. I am so pleased that you and Neil will be able to come. You will probably have no problem in trying to grab Dr Skinner for five minutes, and I am sure he will be

able to give you a pointer or two. One thing is certain though, I will not be making any consultations for Dr Peatfield on this day, as this will be his day of 'rest' like it will be for all of us and he wants to enjoy chatting to everybody too. He has a clinic at my home on Thursday, Friday and Sunday (note that Thursday has now been added because Friday and Sunday are already overflowing, so anybody wanting to come on the Thursday 27th is welcome. Please contact me asap. though, because the chances are this day will also soon fill up too. .

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[Guest guest]

Hello,

I was directed here from the Natural Thyroid Hormone NTH list. My fiancee,

Alijah has been feeling ill recently. His current symptoms are increased sleep

apnea, lower back pain that is eased by sleeping on an incline, no energy, brain

fog, depression, and lost libido. Alijah is 28. He is 6'3 " and weighs 350lbs. He

is on NO medication of any kind.

Free Testosterone 5.7 (9.3-26.5 pg/mL) LOW

Glucose 108 (65-99 mg/dL) HIGH

Sodium 141 (135-145 mmol/L)

Potassium 4.1 (3.5-5.2 mmol/L)

Iron, Serum 84 (40-155 ug/dL)

Cholesterol, Total 221 (100-199 mg/dL) HIGH

Triglycerides 114 (0-149 mg/dL)

HDL Chol 52 (>39 mg/dL)

LDL Chol 146 (0-99 mg/dL) HIGH

T. Chol/HDL 4.3 (0-5)

TSH 2.49 (.45-4.5 uIU/mL)

T4 8.5 (4.5-1.2 ug/dL)

FT4 1.18 (.82-1.77 ng/dL)

FT3 3.7 (2-4.4 pg/mL)

WBC 2.8 (4-10.5 x10e3/uL)

RBC 7.0 (4.1-5.6 x10e3/uL)

Hemoglobin 13.4 (12.5-17 g/dL)

Hematocrit 39.3 (36-50%)

Platelets 2.8 (140-415 x10e3/uL) LOW

Any comments on the testosterone would be greatly appreciated. Also, what else

do we need to test?

Thank so much,

Jennie

[Guest guest]

His Free testosterone is dam low but this is only 2% of all the Testosterone in

his body you need to have him test his Total Testosterone levels with LH and FSH

and do his Estradiol levels. Loss of libido can will be high or low levels of

Estradiol. If you live in the USA get this tested.

Here is what I am have done at Quest Labs

Estradiol sentive Code #4021

Testosterone, Free, Bioavailable & Total LC/MS/MS Code # 14966X.

with LH and FSH if his Total T is low and his LH and FSH are low with good

Estradiol levels say at about 20 pg/ml then he needs an MRI on his Pituitary to

rule out a tumor this is rare to be cancer.

Don't add Testosterone meds until you find out way he is low. High levels of

Estradol make SHBG levels go up and this binds up Free T levels with getting

Estradiol level down his Free T level can go back up.

There are a lot of things that can do this to a mans Testosterone levels so find

out why fix it do labs again see if his levels come back up.

He needs to get some exercise if he dose not do any and lose weight. His

Thyroid looks low do this test at home to see if it is.

http://drbate.com/Ref/thyroid.html

It looks to me link his Iron levels are low do a Ferritin blood test this is his

iron storage levels.

Read this link about low testosterone and high levels of Estradiol.

http://www.griffinmedical.com/male_hormone_modulation_therapy.html

This link is about high levels of Estradiol in older men but I see this in

younger men too.

http://jcem.endojournals.org/cgi/content/full/89/3/1174

If he does not have involuntary nocturnal erections that appear during REM

(Rapid Eye Movement) sleep. It can be his Estradiol levels.

http://www.medibolics.com/ArimidexBoostsTestosterone.htm

http://www.lef.org/magazine/mag2008/nov2008_Dangers-of-Excess-Estrogen-in-the-Ag\

ing-Male_01.htm

A good read about treatment for this is at Dr. 's site www.allthingsmale.com

read TRT: A Recipe for Success and in this are lab one needs and why.

Co-Moderator

Phil

> From: jrmoidel <jrmoidel@...>

> Subject: Help With Test Results

>

> Date: Monday, December 7, 2009, 3:52 PM

> Hello,

>

> I was directed here from the Natural Thyroid Hormone NTH

> list. My fiancee, Alijah has been feeling ill recently. His

> current symptoms are increased sleep apnea, lower back pain

> that is eased by sleeping on an incline, no energy, brain

> fog, depression, and lost libido. Alijah is 28. He is

> 6'3 " and weighs 350lbs. He is on NO medication of any kind.

>

> Free Testosterone 5.7 (9.3-26.5 pg/mL) LOW

>

> Glucose    108   (65-99 mg/dL)

> HIGH

> Sodium 

>    141   (135-145 mmol/L)

> Potassium    4.1 (3.5-5.2 mmol/L)

> Iron, Serum 84   (40-155 ug/dL)

>

> Cholesterol, Total 221   (100-199 mg/dL)

> HIGH

> Triglycerides     

> 114   (0-149 mg/dL)

> HDL Chol           

> 52   (>39 mg/dL)

> LDL Chol       

>    146   (0-99 mg/dL) HIGH

> T. Chol/HDL          4.3 (0-5)

>

> TSH 2.49 (.45-4.5 uIU/mL)

> T4  8.5  (4.5-1.2 ug/dL)

> FT4 1.18 (.82-1.77 ng/dL)

> FT3 3.7  (2-4.4 pg/mL)

>

> WBC         2.8 (4-10.5

> x10e3/uL)

> RBC         7.0 (4.1-5.6

> x10e3/uL)

> Hemoglobin 13.4 (12.5-17 g/dL)

> Hematocrit 39.3 (36-50%)

> Platelets   2.8 (140-415 x10e3/uL) LOW

>

> Any comments on the testosterone would be greatly

> appreciated. Also, what else do we need to test?

>

> Thank so much,

> Jennie

>

>

>

>

> ------------------------------------

>

>

[Guest guest]

Hi Phil,

I didn't put his health history in the previous post because it was already

long. In 1998, he was in a motorcyle accident. He was hit by a car and thrown

several yards. His MRI at the time showed no abnormalities but I wonder if he

damaged his pituitary. Would the test you list show if it was pituitary damage

causing the low thyroid and testosterone?

The thyroid list said it was low and recommended testing ferritin as well. Thank

you for all the links. We will get the tests you recommended done.

Thanks,

Jennie

[Guest guest]

I was in an auto accident where I hit my head into the roof of my car. I

started to get sick about 6 months later for the first 5 yrs they told me it was

depresson and I was on every dam AD drug out there never felt better I was off

work on sick leave more then I was at work. I later fond out my Testosteone

levels were below the normal range I have been on TRT 27 yrs and it took 23 yrs

to figure out it was my Pituitary that got damaged in he auto accident. Now I

treat all the low normal hormones Testosterone, Cotridol, Thyroid and do to this

I have low Ferritin and take Iron pills, Aldosterone and now just started on

Gorwth Hormone.

My story is long read it and the heart update.

http://forums.realthyroidhelp.com/viewtopic.php?f=5 & t=9239

I help men so they don't suffer like I did.

Yes when his labs come back if his Total T is low with low LH and FSH and his

Estradiol looks good at about 20 pg/ml then he has a Pituitary probelm my MRI

showed clean but from my labs going back some 27 yrs my LH was low with low

testosteone why they missed this I don't know. LH and FSH are the messages sent

to his testis to tell them to make more Testostoene so when labs are low and

this is low it's called Hypopituitary if there is no tumor on an MRI.

The ACTH is the message sent to adrenals to tell them to make Cortisol you can

do an ACTH stim test to tell if he is Secondary meaning it's a pituitary

problem.

http://en.wikipedia.org/wiki/ACTH_stimulation_test

TSH is the Message sent to the Thyroid to tell it to make Thyroid hormones my

TSH was on the high side but my Thyroid tests low.

He can also do a Clomid Stim. test it's in this link when you have time.

http://www.aace.com/pub/pdf/guidelines/hypogonadism.pdf

It is helpful to know why one is low on Testosterone in my case I just got my

Drug care pain to pay for Gorwth Hormone meds that would cost me $1,000 per

month my cost is #25. So it's good to know also labs that are low normal with a

pituitary probelm Dr.'s will not tell you your in range and OK they will treat

them.

Co-Moderator

Phil

> From: jrmoidel <jrmoidel@...>

> Subject: Re: Help With Test Results

>

> Date: Monday, December 7, 2009, 4:37 PM

> Hi Phil,

>

> I didn't put his health history in the previous post

> because it was already long.  In 1998, he was in a

> motorcyle accident. He was hit by a car and thrown several

> yards. His MRI at the time showed no abnormalities but I

> wonder if he damaged his pituitary. Would the test you list

> show if it was pituitary damage causing the low thyroid and

> testosterone?

>

> The thyroid list said it was low and recommended testing

> ferritin as well. Thank you for all the links. We will get

> the tests you recommended done.

>

> Thanks,

> Jennie

>

>

>

>

>

> ------------------------------------

>

>

[Guest guest]

Hi Randy,

He is 28. He knows he's extremely overweight. He had just started biking to work

when fatigue got extremely bad. My being too ill to exercise with him didn't

help.

Most of the weight was gained after his motorcycle accident when he was

bedridden for 6 months and during a depression spell a couple of years ago.

He has not been able to get it off since then. He tried atkins and was loosing

on that but I was having blood sugar issues and we stopped. Trying to eat

healthier and working on portion control now.

Thanks,

Jennie

>

> Jennie:

>

> We shouldn't ignore the most obvious problem.... at 6' 3 " and 350 lbs, Alijah

is in the category of " extremely obese " . He would have to get down to 240 lbs,

to be merely " overweight " .

>

> You didn't mention his age, but I am thinking he must be under 30 years old,

because he is not diabetic yet. ( He is pre-diabetic and that is a serious

warning sign. )

[Guest guest]

Do what you can it's dam hard to lose weight will low hormones like Testosterone

and Thyroid but you need to work at it because if you don't you gain more this

cascades into more problems like high sugar and a bad Heart. As you treat this

it gets easier to lose if anything do what you can to keep from putting on more

weight. I would walk every where I could when I went shopping I parked in the

back of the lot and took the stairs. Walking will keep you going.

Co-Moderator

I joined Weight Watches yrs ago it kept me for gaining and I lost weight and

could eat.

Phil

> From: jrmoidel <jrmoidel@...>

> Subject: Re: Help With Test Results

>

> Date: Monday, December 7, 2009, 5:55 PM

> Hi Randy,

>

> He is 28. He knows he's extremely overweight. He had just

> started biking to work when fatigue got extremely bad. My

> being too ill to exercise with him didn't help.

>

> Most of the weight was gained after his motorcycle accident

> when he was bedridden for 6 months and during a depression

> spell a couple of years ago.

>

> He has not been able to get it off since then. He tried

> atkins and was loosing on that but I was having blood sugar

> issues and we stopped. Trying to eat healthier and working

> on portion control now.

>

> Thanks,

> Jennie

>

>

> >

> > Jennie:

> >

> > We shouldn't ignore the most obvious problem.... at 6'

> 3 " and 350 lbs, Alijah is in the category of " extremely

> obese " .  He would have to get down to 240 lbs, to be

> merely " overweight " .

> >

> > You didn't mention his age, but I am thinking he must

> be under 30 years old, because he is not diabetic yet. 

> ( He is pre-diabetic and that is a serious warning sign. )

>

>

>

>

>

> ------------------------------------

>

>

[Guest guest]

I was in an auto accident where I hit my head into the roof of my car.  I

started to get sick about 6 months later for the first 5 yrs they told me it was

depresson and I was on every dam AD drug out there never felt better I was off

work on sick leave more then I was at work.  I later fond out my Testosteone

levels were

Co-Moderator

Phil

> From: jrmoidel <jrmoidel@...>

> Subject: Re: Help With Test Results

>

> Date: Monday, December 7, 2009, 4:37 PM

> Hi Phil,

>

> I didn't put his health history in the previous post

> because it was already long.  In 1998, he was in a

> motorcyle accident. He was hit by a car and thrown several

> yards. His MRI at the time showed no abnormalities but I

> wonder if he damaged his pituitary. Would the test you list

> show if it was pituitary damage causing the low thyroid and

> testosterone?

>

> The thyroid list said it was low and recommended testing

> ferritin as well. Thank you for all the links. We will get

> the tests you recommended done.

>

> Thanks,

> Jennie

>

>

>

>

>

> ------------------------------------

>

>

[Guest guest]

Hi,

He was not sick when taking these labs. We do not have insurance at the moment.

We ordered these labs before his doctor's appointment so we would have one

office visit.

We will definitely ask about the platelets. I posted the rbc, wbc, platelet

because they showed up low. I do not know if it means anything significant. His

platelet count was normal but " mean platelet volume " was high in August when he

went to the ER for kidney stones.

Jennie

>

> Jennie, I am far from an expert on blood tests but does your doctor seem

concerned with the WBC, RBC and platelets? If these were my results I would want

to know more about what may be going on. Was he sick when the tests were taken?

[Guest guest]

Trauma--even no more than a simple concussion--often results in permanent low

pituitary output, including T and GH. I am currenlty working with my good friend

Dr. Mark Gordon to provide medical service to those suffering this issue,

including our brave veterans returning from war:

Traumatic Brain Injury Medical Consulting

http://www.tbimedlegal.com

>

> > From: jrmoidel <jrmoidel@...>

> > Subject: Re: Help With Test Results

> >

> > Date: Monday, December 7, 2009, 4:37 PM

> > Hi Phil,

> >

> > I didn't put his health history in the previous post

> > because it was already long.  In 1998, he was in a

> > motorcyle accident. He was hit by a car and thrown several

> > yards. His MRI at the time showed no abnormalities but I

> > wonder if he damaged his pituitary. Would the test you list

> > show if it was pituitary damage causing the low thyroid and

> > testosterone?

> >

> > The thyroid list said it was low and recommended testing

> > ferritin as well. Thank you for all the links. We will get

> > the tests you recommended done.

> >

> > Thanks,

> > Jennie

> >

> >

> >

> >

> >

> > ------------------------------------

> >

> >

[Guest guest]

With a tsh >1-1.5 This would red flag hypothyroidism

Low platelets count could indicated severe clotting factors which need to be

further explored by a specailist. His testosterone is low but I would also look

at his adrenal function as well since he does seem to be a fast converter from

T-4 to t3. Depending on your location I would also look at ferritin, vitamin D

25 oh since (>80% we tested are below 50 ng/dl). Our goal is reach around 70

ng/dl. We also need to evaluate his lifestyle, sleep hygiene, nutritional

content of diet, current stress levels, emotional factors. Also need to address

if testosterone is primary or secondary as well get a MRI to confirm pituitary

issues. With his weight gain one can also suspect potential insuilin resistance

and also elevated estrogen which may be blocking the pituitary signal. Do not

be fooled people can have perfect glucose levels <95 and still have high insulin

levels. This is why its imperative to have fasting insulin check in heavier

individual.

> >

> > Hello,

> >

> > I was directed here from the Natural Thyroid Hormone NTH list. My fiancee,

Alijah has been feeling ill recently. His current symptoms are increased sleep

apnea, lower back pain that is eased by sleeping on an incline, no energy, brain

fog, depression, and lost libido. Alijah is 28. He is 6'3 " and weighs 350lbs. He

is on NO medication of any kind.

> >

> > Free Testosterone 5.7 (9.3-26.5 pg/mL) LOW

> >

> > Glucose 108 (65-99 mg/dL) HIGH

> > Sodium 141 (135-145 mmol/L)

> > Potassium 4.1 (3.5-5.2 mmol/L)

> > Iron, Serum 84 (40-155 ug/dL)

> >

> > Cholesterol, Total 221 (100-199 mg/dL) HIGH

> > Triglycerides 114 (0-149 mg/dL)

> > HDL Chol 52 (>39 mg/dL)

> > LDL Chol 146 (0-99 mg/dL) HIGH

> > T. Chol/HDL 4.3 (0-5)

> >

> > TSH 2.49 (.45-4.5 uIU/mL)

> > T4 8.5 (4.5-1.2 ug/dL)

> > FT4 1.18 (.82-1.77 ng/dL)

> > FT3 3.7 (2-4.4 pg/mL)

> >

> > WBC 2.8 (4-10.5 x10e3/uL)

> > RBC 7.0 (4.1-5.6 x10e3/uL)

> > Hemoglobin 13.4 (12.5-17 g/dL)

> > Hematocrit 39.3 (36-50%)

> > Platelets 2.8 (140-415 x10e3/uL) LOW

> >

> > Any comments on the testosterone would be greatly appreciated. Also, what

else do we need to test?

> >

> > Thank so much,

> > Jennie

> >

>

[Guest guest]

Wow great link I am as you know Hypopituitary do to a head injury thanks to you

and your help on the forums after suffering on just TRT for 23 yrs we found

this problem out 4 yrs ago.

I never seen you and you saved my Life.

Co-Moderator

Phil

> From: <drjohn@...>

> Subject: Re: Help With Test Results

>

> Date: Tuesday, December 8, 2009, 6:19 AM

>

> Trauma--even no more than a simple concussion--often

> results in permanent low pituitary output, including T and

> GH. I am currenlty working with my good friend Dr. Mark

> Gordon to provide medical service to those suffering this

> issue, including our brave veterans returning from war:

>

> Traumatic Brain Injury Medical Consulting

> http://www.tbimedlegal.com

>

>

>

>

>

>

>

> >

> > > From: jrmoidel <jrmoidel@...>

> > > Subject: Re: Help With Test

> Results

> > >

> > > Date: Monday, December 7, 2009, 4:37 PM

> > > Hi Phil,

> > >

> > > I didn't put his health history in the previous

> post

> > > because it was already long.  In 1998, he was in

> a

> > > motorcyle accident. He was hit by a car and

> thrown several

> > > yards. His MRI at the time showed no

> abnormalities but I

> > > wonder if he damaged his pituitary. Would the

> test you list

> > > show if it was pituitary damage causing the low

> thyroid and

> > > testosterone?

> > >

> > > The thyroid list said it was low and recommended

> testing

> > > ferritin as well. Thank you for all the links. We

> will get

> > > the tests you recommended done.

> > >

> > > Thanks,

> > > Jennie

> > >

> > >

> > >

> > >

> > >

> > > ------------------------------------

> > >

> > >

[Guest guest]

On Mon, 07 Dec 2009 22:55:17 -0000, you wrote:

>Hi Randy,

>

>He is 28. He knows he's extremely overweight. He had just started biking to

work when fatigue got extremely bad. My being too ill to exercise with him

didn't help.

>

>Most of the weight was gained after his motorcycle accident when he was

bedridden for 6 months and during a depression spell a couple of years ago.

>

>He has not been able to get it off since then. He tried atkins and was loosing

on that but I was having blood sugar issues and we stopped. Trying to eat

healthier and working on portion control now.

>

>Thanks,

>Jennie

He should likely have an E2 test. T is converted to E2 in males. The

enzyme that enables this conversion is more abundant in fat cells. SO

overweight males can convert too much T. Some can get a 200 to 300

point total T boost by simply controlling E2.

[Guest guest]

Hi,

I got the additional lab results back. I'd ordered fasting glucose and insulin.

They didn't do them but at least I got a refund. Still waiting on Adrenal

numbers.

The current plan is to start:

-exercising 30min each evening walking and stair climbing

-cut down on junk food, aiming to start Atkins after New Years

-start 1grn Natural Thyroid once know adrenals are okay

or start adrenal support then address thyroid

-track temps and bp to help with adrenal and thyroid dosing

-consistently take multivitamin

Here are the additional labs:

Estradiol, Sensitive 41.9 (7.6 - 42.6 pg/mL) At Top of Range

Ferritin, Serum 137 (22-322 ng/mL)

LH 3.5 (1.7-8.6 mIU/mL)

FSH 3.2 (1.5-12.4 mIU/mL)

Testosterone, Serum 174 (280-800 ng/dL) LOW

Free Testosterone 5.5 (9.3-26.5 pg/mL) LOW

Questions:

1. Am I correct that these results mean he is hypopituitary?

2. Would the high estradiol be explained by fat conversion of T to E2 as Randy

and Retrogrouch mentioned?

3. Other than losing weight, what is the next step to get his hormones lined

out?

4. Is that a good ferritin number for a guy?

Thanks,

Jennie

> >

> > >

> > > His current symptoms are increased sleep apnea, lower back pain that is

eased by sleeping on an incline, no energy, brain fog, depression, and lost

libido.

> > >

> > > Alijah is 28. He is 6'3 " and weighs 350lbs. He is on NO

> > > medication of any kind.

> > >

> > > Free Testosterone 5.7 (9.3-26.5 pg/mL) LOW

> > >

> > > Glucose 108 (65-99 mg/dL) HIGH

> > > Sodium 141 (135-145 mmol/L)

> > > Potassium 4.1 (3.5-5.2 mmol/L)

> > > Iron, Serum 84 (40-155 ug/dL)

> > >

> > > Cholesterol, Total 221 (100-199 mg/dL) HIGH

> > > Triglycerides 114 (0-149 mg/dL)

> > > HDL Chol 52 (>39 mg/dL)

> > > LDL Chol 146 (0-99 mg/dL) HIGH

> > > T. Chol/HDL 4.3 (0-5)

> > >

> > > TSH 2.49 (.45-4.5 uIU/mL)

> > > T4 8.5 (4.5-1.2 ug/dL)

> > > FT4 1.18 (.82-1.77 ng/dL)

> > > FT3 3.7 (2-4.4 pg/mL)