Guest guest Posted March 2, 2011 Report Share Posted March 2, 2011 > > Hi All, I have recieved my results from my blood tests done a few weeks back and they are as follows: > Looks like i may of been over looked or my bloods are normal after all but why do i feel so ill and why is my immune system so shot ?? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 4, 2011 Report Share Posted March 4, 2011 I have recieved my results from my blood tests done a few weeks back andthey are as follows:serum.cortisol............197nmol/L(-)serum.oestradiol..........250pmol/L(-)FSH.................32.5iu/L (1.0-11.0) fsh/LH ref ranges apply to follicular stage only. PostmenopausalFSHref. range>30IU/L. fsh may fluctuate a lot in the premenopausal period withboth fertile and infertile cycles. Luteinizing hormone..high..20.0 iu/L(2.0-13.0) Prolactin..................105 mu/L(0-520) FT3.......................4.0 pmol/L(3.5-6.5) Free T4....................12.2 pmol/L(11.0-23.0) TSH........................0.85 mu/L (0.35-5.50) im a bit confused as to all the differant TSH levels i keep gettingfrom these blood tests the last one back in november was 2.14 mu/L ?. I would like to say i still have all the symptoms of being hypo t and the lumpin the left side of my thyroid gland is still there ... Hello Sue, Sorry you have been overlooked L ....always good to send a reminder J Sooo – let's start with the interpretation of your sex hormones. If you are indeed postmenopausal (as the panel suggests) then those coloured results are all `fine'. I do, however, wonder if you are perhaps not quite through the menopause yet, as your luteinizing hormone showed up high, and this hormone usually triggers ovulation- but I don't think it is anything to worry about, as during the menopause all our sex hormones go topsy-turvy. Your oestradiol levels have been marked low (-), but this is to be expected during or post menopause. You may, if you still have menopausal symptoms, benefit from using something like Serenity cream to help with those symptoms. The interpretation of your thyroid panel depends on whether you are already diagnosed and are taking thyroid hormones (and which) or if you are undiagnosed and don't take any thyroid medication. Without knowing what you take (if anything) the interpretation is a bit of a stab in the dark; the interpretation would be very different in either case. Since you are saying your last result was in Nov and since your doctor has ordered a full panel, I am assuming that you have been diagnosed and you are taking thyroid medication. I am also assuming that you stopped your thyroid medication 24 hours before the blood draw. On the basis of those assumptions this thyroid panel shows a `reasonable' result, but your FT4 and FT3 are both still too low - you probably need a higher dose of thyroid medication. The TSH however is now in a very good position.... When looking at a thyroid panel, you want the TSH as low as possible within the ref range (or slightly below the ref range) and the FT4 and FT3 as high as possible, but inside the ref range. The fact that your TSH was still too high (with 2.14) last November demonstrates that you are now going in the right direction.....- and yes, asking for a thyroid antibody count would be an excellent idea. I hope they will oblige. It is important to know whether your thyroid condition is of autoimmune origin or not. However ..... your adrenals are a different matter. Your morning serum cortisol level is much too low. I do not think that you suffer from adrenal insufficiency or 's disease (always assuming that you are indeed on thyroid medication), but your adrenals must be pretty knackered to produce so little morning cortisol. Have you ever had a salivary adrenal profile and are you taking adrenal support of some kind ? If not, you probably should. Your continuing symptoms could well be caused by your low adrenal function and to a lesser degree a result of low thyroid. Many adrenal and thyroid signs and symptoms overlap and it is often difficult to differentiate. I am also unclear about the lump you are referring to – what kind of lump is it? Is it a cyst? – an enlarged lymph gland? – a growth on your thyroid gland? You say to have the lump aspirated `again' – what happened last time – did they tell you what it was? It's difficult to comment without a bit more information as there are so many possibilities. I hope this makes things a little clearer for you. With best wishes, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 4, 2011 Report Share Posted March 4, 2011 > > > I have recieved my results from my blood tests done a few weeks back and > they are as follows: > serum.cortisol............197nmol/L(-) > serum.oestradiol..........250pmol/L(-) > FSH.................32.5iu/L (1.0-11.0) > > fsh/LH ref ranges apply to follicular stage only. Postmenopausal > FSHref. range>30IU/L. fsh may fluctuate a lot in the premenopausal > period with > both fertile and infertile cycles. > > Luteinizing hormone..high..20.0 iu/L(2.0-13.0) > > Prolactin..................105 mu/L(0-520) > > FT3.......................4.0 pmol/L(3.5-6.5) > > Free T4....................12.2 pmol/L(11.0-23.0) > > TSH........................0.85 mu/L (0.35-5.50) > > im a bit confused as to all the differant TSH levels i keep getting > from these blood tests the last one back in november was 2.14 > > > > Hello Sue, > > Sorry you have been overlooked L ....always good to send a reminder J > > Sooo – let's start with the interpretation of your sex hormones. > If you are indeed postmenopausal (as the panel suggests) then those > coloured results are all `fine'. I do, however, wonder if you > are perhaps not quite through the menopause yet, as your luteinizing > hormone showed up high, and this hormone usually triggers ovulation- but > I don't think it is anything to worry about, as during the menopause > all our sex hormones go topsy-turvy. Your oestradiol levels have been > marked low (-), but this is to be expected during or post menopause. You > may, if you still have menopausal symptoms, benefit from using something > like Serenity cream to help with those symptoms. > > The interpretation of your thyroid panel depends on whether you are > already diagnosed and are taking thyroid hormones > Hi , Thankyou so much for your reply. To fill you in on my background i had a hysterectomy back in the early 90s for endometriosis and was told that it could predispose me to an early menapause (i am nearly 49) and i was told that i was menapausal about 10ish yrs ago, i would like to think that its all over now but who know's, i have had a cyst on my left ovary and get a lot of pain from that area and no HRT has ever been given. As for my Thyroid i have not been diagnosed as all they say is my TSH is within range, it was me arguing with the Endo that got the full Thyroid panel as i said that i would not just accept the TSH results because of my continuing symptoms and would be going elsewhere if he was not prepared to help me, i think he was just covering his back just in case. I had my biopsy today ( could'nt even remember getting the letter, good job they text you a reminder these days )the doctor said that she could'nt check for antibodies as they only look at it through a microscope. The lump in my thyroid when i noticed it was about the size of a pea about 8 yrs ago and now it is the size of a small plum ( a bit over an inch in diameter ), all they have said is that it is a lump in my thyroid gland and that it is benign but they like to keep an eye on these things because they could turn cancerous, this is the 3rd biopsy. As for my Adrenals, no i do not take anything but will try to do something about this issue if you could advise on what i need and where to get it the same for the serenity cream please. Thankyou again for responding to my post. Luv Sue :)x Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 4, 2011 Report Share Posted March 4, 2011 Hi Sue, That puts your thyroid panel in a new light.... FT3.......................4.0 pmol/L(3.5-6.5)Free T4....................12.2 pmol/L(11.0-23.0)TSH........................0.85 mu/L (0.35-5.50) Your TSH looks fine, but both your FT3 and FT4 are pretty low, and your morning cortisol is very low, making adrenal fatigue very likely (not that your endo would have any of it, of course!). ly, I do not think much of your endo's "wait and see" policy with regard to your lump in the thyroid gland. If I were in your shoes, I would ask for a second opinion by an endo of your own choice. If you ask Sheila privately, she will send you a list of recommended doctors. It is extremely likely that your thyroid function is not up to par and needs supplementation. Do you think you could twist this endo's arm once more and get him to order the thyroid antibody test? – you would need TPO and TgAB. If either or both of them were positive, that in itself would be diagnostic for Hashimoto's (autoimmune thyroiditis). Hashimoto's often goes undiagnosed because lab results can present with a perfectly normal TSH.... and sadly that is all doctors look at these days. My advice would be to privately do a salivary adrenal profile with Genova to see how low your adrenal function really is and if the panel comes back low (as I would expect), then you need to start supporting your adrenal function with something like NAX and other supplements. This is something no NHS doctor will entertain anyway, so no point in asking them for help or even mentioning it. You would just be met with a blank stare or get ridiculed. To order a test kit from Genova for discounted salivary, urinary or blood tests, please email or phone below (you should ask for a salivary adrenal stress profile – the discounted price for our members is £ 64.29 & courier service (£10) or postage for returning the sample) .... Please remember to mention the TPA-UK as your practitioner (or you won't be offered the discount). It's just a formality; the test results will come direct to you (only) and not the TPA. All orders should be directed to kitorders@... or phone 020 8336 7754 , which is a dedicated test order line. In my view – taking into account your history and low free thyroid values, not to forget the lump, you would most likely benefit from thyroid hormone (preferably natural desiccated thyroid) .... but before tackling the thyroid you need to check your adrenals and start supporting them if the results come back low. The first step is to get all the info together, the next step is to get a second opinion. Don't worry, where there is a will, there is usually a way J Best wishes, PS – the Serenity Cream you can order from here: http://www.progesterone.org.uk/index.php?main_page=product_info & cPath=65 & products_id=180 & zenid=6be9cd7d998a9eeacf441e50f4b60b39 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2011 Report Share Posted March 7, 2011 Hi sue, Yes, do try to get antibodies tested- sometimes more that one type of hypothyroidism is present at the same time- whatever the doc says! the fluctuating TSH does seem to indicate fluctuating antibody attacks. current FT4 is on the low side- but as usual FT3 has not been done. > thyroid treatment > From: spurcell25@...> Date: Mon, 28 Feb 2011 16:20:41 +0000> Subject: Results are in !> > Hi All, I have recieved my results from my blood tests done a few weeks back and they are as follows: serum.cortisol............197nmol/L( Free T4....................12.2 pmol/L(11.0-23.0)SR TSH........................0.85 mu/L (0.35-5.50) SR Any advice as to next step would be greatfully recieved, im a bit confused as to all the differant TSH levels i keep getting from these blood tests the last one back in november was 2.14 mu/L ?. I would like to say i still have all the symptoms of being hypo t and the lump in the left side of my thyroid gland is still there and still growing all be it slowly, sometimes i get a nasty pain that comes from it and radiates down my wind pipe to my chest. I have to go to the hospital to have the lump asperated again but hav'nt recieved a date for that as yet, do you think it would be possible (or a good idea) to get the doctor who does the biopsy to test for antibodies or if he would be open to such a request?? Thankyou for your continual help. luv Sue > > > > ------------------------------------> > TPA is not medically qualified. Consult with a qualified medical practitioner before changing medication.> > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2011 Report Share Posted March 7, 2011 --- In thyroid treatment , jenny stenning <jennystenning@...> wrote current FT4 is on the low side- but as usual FT3 has not been done > > Hi , i think some of my origanal message has gone awal as some of it was missing from your reply< i will type them out for you as follows: TSH on in Nov 2010 was 2.14mu/L had a full panel done on 7th feb of wich results are ..... ................. TSH 0.85 mu/L (0.35-5.50)SR.......... free t4 12.2 pmol/L(11.0-23.0)SR .................................. fT3b 4.0 pmol/L (3.5-6.5)SR > > I have omitted the rest which was more to do with menapause appart from serum cortisol 197 nmol/L (-)SR. Hope that helps. luv Sue:) > > > > ------------------------------------ > > > > TPA is not medically qualified. Consult with a qualified medical practitioner before changing medication. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2011 Report Share Posted March 7, 2011 Hi Sue, FT3 isn't that good- it's on the low side of the range, so together with the other results not ideal. I would say this is a cause to ask for a dose increase as you have plenty of headroom before results go out of range. > thyroid treatment > From: spurcell25@...> Date: Mon, 7 Mar 2011 13:15:27 +0000> Subject: Re: Results are in !> > > > --- In thyroid treatment , jenny stenning <jennystenning@...> wrote current FT4 is on the low side- but as usual FT3 has not been done> > > Hi , i think some of my origanal message has gone awal as some of it was missing from your reply< i will type them out for you as follows: TSH on in Nov 2010 was 2.14mu/L had a full panel done on 7th feb of wich results are ..... ................ TSH 0.85 mu/L (0.35-5.50)SR.......... free t4 12.2 pmol/L(11.0-23.0)SR .................................. fT3b 4.0 pmol/L (3.5-6.5)SR> > > I have omitted the rest which was more to do with menapause appart from serum cortisol 197 nmol/L (-)SR. Hope that helps. luv Sue:)> > > > > > ------------------------------------> > > > > > TPA is not medically qualified. Consult with a qualified medical practitioner before changing medication.> > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2011 Report Share Posted March 7, 2011 > > > Hi sue, > Yes, do try to get antibodies tested- sometimes more that one type of hypothyroidism is present at the same time- whatever the doc says! the fluctuating TSH does seem to indicate fluctuating antibody attacks. current FT4 is on the low side- but as usual FT3 has not been done. > > > > thyroid treatment > > From: spurcell25@... > > Date: Mon, 28 Feb 2011 16:20:41 +0000 > > Subject: Results are in ! > > > > Hi All, I have recieved my results from my blood tests done a few weeks back and they are as follows: serum.cortisol............197nmol/L( Free T4....................12.2 pmol/L(11.0-23.0)SR TSH........................0.85 mu/L (0.35-5.50) SR Any advice as to next step would be greatfully recieved, im a bit confused as to all the differant TSH levels i keep getting from these blood tests the last one back in november was 2.14 mu/L ?. I would like to say i still have all the symptoms of being hypo t and the lump in the left side of my thyroid gland is still there and still growing all be it slowly, sometimes i get a nasty pain that comes from it and radiates down my wind pipe to my chest. I have to go to the hospital to have the lump asperated again but hav'nt recieved a date for that as yet, do you think it would be possible (or a good idea) to get the doctor who does the biopsy to test for antibodies or if he would be open to such a request?? Thankyou for your continual help. luv Sue > > > > > > > > ------------------------------------ > > > > TPA is not medically qualified. Consult with a qualified medical practitioner before changing medication. > > > > Quote Link to comment Share on other sites More sharing options...
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