Help with interpreting test results please

[Guest guest]

I have recently had some new tests and would appreciate some help with

interpreting them. I was previously diagnosed with Hashimotos but refused any

treatment. I then found a new doctor who has prescribed low dose Armour and

ordered extra tests on my adrenals and Reverse T3. The full results including

earlier tests are as follows:

21/4/2011

* Antithyroid peroxidase (TPO)…………….113 IU/mL (<61)

* Antithyroglobulin……………………………… 135 IU/mL (<61)

Consistent with auto-immune thyroid disease.

CUMULATIVE THYROID FUNCTION TEST

TSH (mU/L) FT4 (pmol/L) FT3 (pmol/L)

(0.40 - 4.00) (10 - 20) (3.5 - 6.5)

09/09/08 1.59

22/04/09 1.37

29/06/10 1.92

05/07/10 2.10 12 4.4

10/01/11 2.61 11 3.9

21/04/11 2.30 12 4.8

CUMULATIVE CORTISOL (earlier tests)

22/04/2009 Cortisol (AM) 10:00 : 250 nmol/L

29/04/2009 Cortisol (AM) 08:10 : 483 nmol/L

29/06/2010 Cortisol (AM) 10:00 : 341 nmol/L

04/01/2011 Cortisol (AM) 09:25 : 281 nmol/L

10/01/2011 Cortisol (AM) 7.30 : 470 nmol/L

Reference range : AM (150 - 600)

PM (100 - 400)

24 HOUR URINE FREE CORTISOL

Cortisol U/L 43 nmol/L

Urine Volume 1890 mL

U-Creatinine Excretion 9.3 mmol/d (7.1 - 15.9)

Cortisol Excretion 81 nmol/d (54 – 319)

CUMULATIVE ACTH (Reference Range < 10 pmol/L)

Date Time Result pmol/L

22/04/09 10:00 3.4

29/04/09 08:10 4.4

10/01/11 07.30 5.0

07/06/11 09.10 3.2

FREE TESTOSTERONE

7/6/11 1.8 pmol/L (0.1 – 13.6)

CUMULATIVE PROLACTIN

22/04/2009 . . . . . . . : 160 mU/L (< 500)

10/01/2011 . . . . . . . : 200 mU/L (< 500)

FREE TESTOSTERONE

7/6/11 1.8 pmol/L (0.1 – 13.6)

CUMULATIVE PROLACTIN

22/04/2009 . . . . . . . : 160 mU/L (< 500)

10/01/2011 . . . . . . . : 200 mU/L (< 500)

REPRODUCTIVE HORMONES (ROCHE METHOD)

07/06/11

FSH 53.4 U/L

Oestradiol 87 pmol/L

Testosterone * 1.9 nmol/L (0.1 – 1.5)

SHBG 28 nmol/L (15 – 70)

Free Androgen Index * 6.8 % (0.3 – 5.5)

DHEAS * 13.4 umol/L (1.0 – 7.0)

Comment

FSH Basal 2.0-13.0

Mid Cycle peak 8.0 – 25.0

Post menopausal 25.0 – 150.0

Oestradiol Follicular Phase <400

Preovulatory phase 600 – 2500

Luteal phase 150 – 1700

Post menopausal <200

Combined result suggestive of polycystic ovary (PCO)

REPRODUCTIVE HORMONES (ROCHE METHOD)

07/06/11

FSH 53.4 U/L

Oestradiol 87 pmol/L

Testosterone * 1.9 nmol/L (0.1 – 1.5)

SHBG 28 nmol/L (15 – 70)

Free Androgen Index * 6.8 % (0.3 – 5.5)

DHEAS * 13.4 umol/L (1.0 – 7.0)

Comment

FSH Basal 2.0-13.0

Mid Cycle peak 8.0 – 25.0

Post menopausal 25.0 – 150.0

Oestradiol Follicular Phase <400

Preovulatory phase 600 – 2500

Luteal phase 150 – 1700

Post menopausal <200

Combined result suggestive of polycystic ovary (PCO)

Sorry, I hit the wrong button.I can't see my earlier post, but I was hoping if

someone could have a look particularly at the ACTH/cortisol results.

I am concerned that I might have adrenal problems as well as thyroid. I have a

history including postpartum haemorrhage which might have made me susceptible to

Sheehan's syndrome. Can anyone tell me whether there is a possibility that I

might have a problem at the pituitary level or higher from these results? Other

tests has shown that I have low B12 and iodine. Previously also had quite low D3

, but that has improved somewhat with supplementation.

Sorry this is so long. Thought it best to put the cumulative results for the

full picture. Any thoughts will be much appreciated.

Thanks