Re: new blood labs in ( D.)

[Guest guest]

Your ferritine is LOW...and testosterone is looking pretty low as well, as DHEA...could be that you're right and HC is putting your adrenals to sleep, since DHEA and T are both produced by adrenals, especially DHEA.

-J.

Subject: new blood labs in ( D.)To: rhythmicliving Date: Tuesday, December 30, 2008, 12:13 PM

Hi everyone,I haven't been here for a while and hope everyone is doing well. I wanted to get your thoughts on some new blood labs. I have a phone consultation with Dr. Vliet (yes I'm splurging) because I don't know where to turn. I'm on 3.5 grains, 30mg of HC and prometrium.One of my questions is, if your on HC (cortisol) will that cause your adrenals to atrophy and stop working properly to produce other hormones? Also, is ferritin accurate if tested on day 3 of cycle when you have lost a lot of blood at that time? I'm still menstruating regularly and I'm 40 years old and want to have a HEALTHY baby, but I still have some lingering symptoms. This was done on day 3 of cycle:DHEA-S = less than 15 (25-220)FSH = 6.5 (2.5-10.2)LH = 1.4 (1.9-12.5)FT4 = 1.3 (.8-1.8)FT3 = 420 (230-420)Estradiol = 49 (11-212)Ferritin = 28 (10-232)Free Testosterone = .2 (.1-6.4)Total Testosterone = 2

(2-45)Thanks,

[Guest guest]

Thanks, I know I'm a mess.

>

>

> Subject: new blood labs in ( D.)

> To: rhythmicliving

> Date: Tuesday, December 30, 2008, 12:13 PM

>

>

>

>

>

>

> Hi everyone,

>

> I haven't been here for a while and hope everyone is

> doing well. I wanted to get your thoughts on some new blood

> labs. I have a phone consultation with Dr. Vliet (yes

> I'm splurging) because I don't know where to turn.

> I'm on 3.5 grains, 30mg of HC and prometrium.

>

> One of my questions is, if your on HC (cortisol) will that

> cause your adrenals to atrophy and stop working properly to

> produce other hormones? Also, is ferritin accurate if tested

> on day 3 of cycle when you have lost a lot of blood at that

> time? I'm still menstruating regularly and I'm 40

> years old and want to have a HEALTHY baby, but I still have

> some lingering symptoms. This was done on day 3 of cycle:

>

> DHEA-S = less than 15 (25-220)

> FSH = 6.5 (2.5-10.2)

> LH = 1.4 (1.9-12.5)

> FT4 = 1.3 (.8-1.8)

> FT3 = 420 (230-420)

> Estradiol = 49 (11-212)

> Ferritin = 28 (10-232)

> Free Testosterone = .2 (.1-6.4)

> Total Testosterone = 2 (2-45)

>

> Thanks,

>

[Guest guest]

Typical adrenal support consists of HALF the cortisol that healthy

adrenals would make. It does not atrophy adrenal glands, it's support to

let them rest a bit so they can recover. Typical adrenal support is 5mg

cortisol (Cortef/HC) four times a day, " or " 5mg prednisoLone (not

predniSone) once per day. Please read this about adrenals:

http://www.stopthethyroidmadness.com/adrenal-info/faq

http://www.stopthethyroidmadness.com/adrenal-info

http://www.stopthethyroidmadness.com/aldosterone

Ferritin is iron " storage " . Here is a quote from

http://www.labtestsonline.org/understanding/analytes/ferritin/sample.html

" Ferritin is a protein inside of cells that stores iron for later use by

your body. The small amount of ferritin that is released into blood

reflects the total amount of storage iron. Iron is also stored as

hemosiderin, a complex of iron, proteins, and other materials. Ferritin

and hemosiderin are present primarily in the liver but also in the bone

marrow, spleen, and skeletal muscles. In healthy people, most iron is

stored as ferritin (an estimated 70% in men and 80% in women) and smaller

amounts are stored as hemosiderin. "

Yuor ferritin should be " at least " 70. If it is low it will affect thyroid

and thyroid replacement. Feosol is an excellent supplement to get ferritin

'up'.

Looking at your test results I can see your DHEA and Testosterone are not

where they should be in relation to one another, and this can indicate

adrenal issues. Adrenal issues can cause a number of problems so it's wise

to address them properly and as aggressively as you're comfortable with.

Sam

=====

> One of my questions is, if your on HC (cortisol) will that cause your

> adrenals to atrophy and stop working properly to produce other hormones?

> Also, is ferritin accurate if tested on day 3 of cycle when you have lost

> a lot of blood at that time? I'm still menstruating regularly and I'm 40

> years old and want to have a HEALTHY baby, but I still have some lingering

> symptoms. This was done on day 3 of cycle:

>

> DHEA-S = less than 15 (25-220)

> FSH = 6.5 (2.5-10.2)

> LH = 1.4 (1.9-12.5)

> FT4 = 1.3 (.8-1.8)

> FT3 = 420 (230-420)

> Estradiol = 49 (11-212)

> Ferritin = 28 (10-232)

> Free Testosterone = .2 (.1-6.4)

> Total Testosterone = 2 (2-45)

>

> Thanks,

>

>

>

>

>

[Guest guest]

Thanks Sam. I used to be on those adrenal forums. So you think that 30mg of HC

isn't causing my adrenals to be less productive?

Here is my initial lab results before beginning HRT:

SALIVA TEST:

7-8am = 12 (13-24)

11-12 = 7 (5-10)

4-5pm = 8 (3-8)

11-midnight = 4 (1-4)

Cortisol burden: 31 (23-42)

DHEA = 4 (3-10)

TSH = >600 (Borderline high: 86-120)

L-Thyroxine = .25 (normal .17-.42)

Triiodo-thyronine = .22 (borderline low .21-.27) (normal .28-1.10)

Thyroid Microsomal Ab, SigA = Positive<<

Does DHEA look a bit low to you at this time?

>

> Subject: Re: new blood labs in ( D.)

> To: rhythmicliving

> Date: Tuesday, December 30, 2008, 3:38 PM

> Typical adrenal support consists of HALF the cortisol that

> healthy

> adrenals would make. It does not atrophy adrenal glands,

> it's support to

> let them rest a bit so they can recover. Typical adrenal

> support is 5mg

> cortisol (Cortef/HC) four times a day, " or " 5mg

> prednisoLone (not

> predniSone) once per day. Please read this about adrenals:

> http://www.stopthethyroidmadness.com/adrenal-info/faq

> http://www.stopthethyroidmadness.com/adrenal-info

> http://www.stopthethyroidmadness.com/aldosterone

>

> Ferritin is iron " storage " . Here is a quote from

> http://www.labtestsonline.org/understanding/analytes/ferritin/sample.html

> " Ferritin is a protein inside of cells that stores

> iron for later use by

> your body. The small amount of ferritin that is released

> into blood

> reflects the total amount of storage iron. Iron is also

> stored as

> hemosiderin, a complex of iron, proteins, and other

> materials. Ferritin

> and hemosiderin are present primarily in the liver but also

> in the bone

> marrow, spleen, and skeletal muscles. In healthy people,

> most iron is

> stored as ferritin (an estimated 70% in men and 80% in

> women) and smaller

> amounts are stored as hemosiderin. "

> Yuor ferritin should be " at least " 70. If it is

> low it will affect thyroid

> and thyroid replacement. Feosol is an excellent supplement

> to get ferritin

> 'up'.

>

> Looking at your test results I can see your DHEA and

> Testosterone are not

> where they should be in relation to one another, and this

> can indicate

> adrenal issues. Adrenal issues can cause a number of

> problems so it's wise

> to address them properly and as aggressively as you're

> comfortable with.

>

> Sam

>

> =====

> > One of my questions is, if your on HC (cortisol) will

> that cause your

> > adrenals to atrophy and stop working properly to

> produce other hormones?

> > Also, is ferritin accurate if tested on day 3 of cycle

> when you have lost

> > a lot of blood at that time? I'm still

> menstruating regularly and I'm 40

> > years old and want to have a HEALTHY baby, but I still

> have some lingering

> > symptoms. This was done on day 3 of cycle:

> >

> > DHEA-S = less than 15 (25-220)

> > FSH = 6.5 (2.5-10.2)

> > LH = 1.4 (1.9-12.5)

> > FT4 = 1.3 (.8-1.8)

> > FT3 = 420 (230-420)

> > Estradiol = 49 (11-212)

> > Ferritin = 28 (10-232)

> > Free Testosterone = .2 (.1-6.4)

> > Total Testosterone = 2 (2-45)

> >

> > Thanks,

> >

> >

> >

> >

> >

[Guest guest]

20-30mg HC is not unusual for adrenal support. Adrenal support usually

merely allows the adrenals to rest until they can heal. Others like me

will need to be on adrneal support for life - I am hypo-pit

(hypopituitarism) and am on the equivalent of 35mg HC (7mg Medrol). My

adrenals are fine, but they do not get properly signaled by my damaged

pituitary to produce enough cortisol.

Your initial saliva cortisols look bad. They should be high in the am and

gradually reduce during the day and be very low at midnight. Your morning

should be top of the range but it's below range, but your noon reading

looks great, and afternoon and midnight are bad. Your DHEA would be a

result of your adrenal issue. You wouldn't supplement DHEA, you'd address

adrenals, et al, and DHEA should normalize eventually.

Also, I'd really address that low ferritin asap. I know Feosol is

available at Wal-Mart, 'cause I used to get it there.

Sam

=====

> Thanks Sam. I used to be on those adrenal forums. So you think that 30mg

> of HC isn't causing my adrenals to be less productive?

>

> Here is my initial lab results before beginning HRT:

>

> SALIVA TEST:

> 7-8am = 12 (13-24)

> 11-12 = 7 (5-10)

> 4-5pm = 8 (3-8)

> 11-midnight = 4 (1-4)

> Cortisol burden: 31 (23-42)

> DHEA = 4 (3-10)

> TSH = >600 (Borderline high: 86-120)

> L-Thyroxine = .25 (normal .17-.42)

> Triiodo-thyronine = .22 (borderline low .21-.27) (normal .28-1.10)

> Thyroid Microsomal Ab, SigA = Positive<<

>

> Does DHEA look a bit low to you at this time?

>

>

>

>

>>

>> Subject: Re: new blood labs in ( D.)

>> To: rhythmicliving

>> Date: Tuesday, December 30, 2008, 3:38 PM

>> Typical adrenal support consists of HALF the cortisol that

>> healthy

>> adrenals would make. It does not atrophy adrenal glands,

>> it's support to

>> let them rest a bit so they can recover. Typical adrenal

>> support is 5mg

>> cortisol (Cortef/HC) four times a day, " or " 5mg

>> prednisoLone (not

>> predniSone) once per day. Please read this about adrenals:

>> http://www.stopthethyroidmadness.com/adrenal-info/faq

>> http://www.stopthethyroidmadness.com/adrenal-info

>> http://www.stopthethyroidmadness.com/aldosterone

>>

>> Ferritin is iron " storage " . Here is a quote from

>> http://www.labtestsonline.org/understanding/analytes/ferritin/sample.html

>> " Ferritin is a protein inside of cells that stores

>> iron for later use by

>> your body. The small amount of ferritin that is released

>> into blood

>> reflects the total amount of storage iron. Iron is also

>> stored as

>> hemosiderin, a complex of iron, proteins, and other

>> materials. Ferritin

>> and hemosiderin are present primarily in the liver but also

>> in the bone

>> marrow, spleen, and skeletal muscles. In healthy people,

>> most iron is

>> stored as ferritin (an estimated 70% in men and 80% in

>> women) and smaller

>> amounts are stored as hemosiderin. "

>> Yuor ferritin should be " at least " 70. If it is

>> low it will affect thyroid

>> and thyroid replacement. Feosol is an excellent supplement

>> to get ferritin

>> 'up'.

>>

>> Looking at your test results I can see your DHEA and

>> Testosterone are not

>> where they should be in relation to one another, and this

>> can indicate

>> adrenal issues. Adrenal issues can cause a number of

>> problems so it's wise

>> to address them properly and as aggressively as you're

>> comfortable with.

>>

>> Sam

[Guest guest]

Sam - are you male? If so, you may not understand a women's cycle but I had

ferritin tested on day 3 of cycle when a lot of blood was lost due to period and

had questioned if this could be naturally very low at that time. I'm on 90mg of

iron a day for over a year now. I had it up to 70 but gave blood a few weeks ago

and don't know if that caused it to go down that much. I've been on the HC for

two years now and do feel much better so wouldn't my DHEA have come up by now?

thanks for your insight.

> >

> >> From: k9gang@...

>

> >> Subject: Re: new blood labs in

> ( D.)

> >> To: rhythmicliving

> >> Date: Tuesday, December 30, 2008, 3:38 PM

> >> Typical adrenal support consists of HALF the

> cortisol that

> >> healthy

> >> adrenals would make. It does not atrophy adrenal

> glands,

> >> it's support to

> >> let them rest a bit so they can recover. Typical

> adrenal

> >> support is 5mg

> >> cortisol (Cortef/HC) four times a day,

> " or " 5mg

> >> prednisoLone (not

> >> predniSone) once per day. Please read this about

> adrenals:

> >>

> http://www.stopthethyroidmadness.com/adrenal-info/faq

> >> http://www.stopthethyroidmadness.com/adrenal-info

> >> http://www.stopthethyroidmadness.com/aldosterone

> >>

> >> Ferritin is iron " storage " . Here is a

> quote from

> >>

> http://www.labtestsonline.org/understanding/analytes/ferritin/sample.html

> >> " Ferritin is a protein inside of cells that

> stores

> >> iron for later use by

> >> your body. The small amount of ferritin that is

> released

> >> into blood

> >> reflects the total amount of storage iron. Iron is

> also

> >> stored as

> >> hemosiderin, a complex of iron, proteins, and

> other

> >> materials. Ferritin

> >> and hemosiderin are present primarily in the liver

> but also

> >> in the bone

> >> marrow, spleen, and skeletal muscles. In healthy

> people,

> >> most iron is

> >> stored as ferritin (an estimated 70% in men and

> 80% in

> >> women) and smaller

> >> amounts are stored as hemosiderin. "

> >> Yuor ferritin should be " at least " 70.

> If it is

> >> low it will affect thyroid

> >> and thyroid replacement. Feosol is an excellent

> supplement

> >> to get ferritin

> >> 'up'.

> >>

> >> Looking at your test results I can see your DHEA

> and

> >> Testosterone are not

> >> where they should be in relation to one another,

> and this

> >> can indicate

> >> adrenal issues. Adrenal issues can cause a number

> of

> >> problems so it's wise

> >> to address them properly and as aggressively as

> you're

> >> comfortable with.

> >>

> >> Sam

[Guest guest]

I'm a nearly 57yr old female. I also run the Yahoo group " thyroidless " .

Here is a great article on ferritin:

http://www.stopthethyroidmadness.com/ferritin/

Here's a quote: " Ferritin is an iron-storage protein. So when Ferritin is

measured via a blood test, it is basically measuring your storage iron, or

the iron you have tucked away for future use. You can have “normal” iron

serum levels, yet a low Ferritin. "

I don't have a thyroid, nor uterus, nor ovaries anymore, nor do I give

blood, but while I was hypOthyroid I also had low ferritin.

Sam

(almost a great granny)

=====

> Sam - are you male? If so, you may not understand a women's cycle but I

> had ferritin tested on day 3 of cycle when a lot of blood was lost due to

> period and had questioned if this could be naturally very low at that

> time. I'm on 90mg of iron a day for over a year now. I had it up to 70 but

> gave blood a few weeks ago and don't know if that caused it to go down

> that much. I've been on the HC for two years now and do feel much better

> so wouldn't my DHEA have come up by now? thanks for your insight.

>

>

>

>> >

>> >> From: k9gang@...

>>

>> >> Subject: Re: new blood labs in

>> ( D.)

>> >> To: rhythmicliving

>> >> Date: Tuesday, December 30, 2008, 3:38 PM

>> >> Typical adrenal support consists of HALF the

>> cortisol that

>> >> healthy

>> >> adrenals would make. It does not atrophy adrenal

>> glands,

>> >> it's support to

>> >> let them rest a bit so they can recover. Typical

>> adrenal

>> >> support is 5mg

>> >> cortisol (Cortef/HC) four times a day,

>> " or " 5mg

>> >> prednisoLone (not

>> >> predniSone) once per day. Please read this about

>> adrenals:

>> >>

>> http://www.stopthethyroidmadness.com/adrenal-info/faq

>> >> http://www.stopthethyroidmadness.com/adrenal-info

>> >> http://www.stopthethyroidmadness.com/aldosterone

>> >>

>> >> Ferritin is iron " storage " . Here is a

>> quote from

>> >>

>> http://www.labtestsonline.org/understanding/analytes/ferritin/sample.html

>> >> " Ferritin is a protein inside of cells that

>> stores

>> >> iron for later use by

>> >> your body. The small amount of ferritin that is

>> released

>> >> into blood

>> >> reflects the total amount of storage iron. Iron is

>> also

>> >> stored as

>> >> hemosiderin, a complex of iron, proteins, and

>> other

>> >> materials. Ferritin

>> >> and hemosiderin are present primarily in the liver

>> but also

>> >> in the bone

>> >> marrow, spleen, and skeletal muscles. In healthy

>> people,

>> >> most iron is

>> >> stored as ferritin (an estimated 70% in men and

>> 80% in

>> >> women) and smaller

>> >> amounts are stored as hemosiderin. "

>> >> Yuor ferritin should be " at least " 70.

>> If it is

>> >> low it will affect thyroid

>> >> and thyroid replacement. Feosol is an excellent

>> supplement

>> >> to get ferritin

>> >> 'up'.

>> >>

>> >> Looking at your test results I can see your DHEA

>> and

>> >> Testosterone are not

>> >> where they should be in relation to one another,

>> and this

>> >> can indicate

>> >> adrenal issues. Adrenal issues can cause a number

>> of

>> >> problems so it's wise

>> >> to address them properly and as aggressively as

>> you're

>> >> comfortable with.

>> >>

>> >> Sam

>

>

>

>