Re: Updated blood work ... please comment (URGENT!)/Dr and further test to do??

[Guest guest]

Hi all,

Please recommend an open minded endocrinologist. i am the new york city area..

willing to go as far a connecticut.. new jersey..

I followed up with my regular endocrinologist and he didn't seem to concerned at

all. He said a restless night can result in low cortisol and and acth and an

increase in salt can lead to high aldosterone. Since i did not have high blood

pressure - he was convinced that the aldosterone levels were not significant.

However on my insistence he wrote the following tests up:

do i need to request any additional tests?

24 hour urine and cortisol and creatinine

HbA1c

renin activity, aldosterone

acth and cortisol

DHEAS

complete metabolic profile

magnesium

transferrin sat

zinc

fasting lipid profile

CRP

Free testoterone, dihydrotestosterone

I guess he needs to add full thyroid panel and iron panel??

>

> Hi all,

>

> This is the new blood work - please take a look and let me know what your

thoughts are on the low cortisol, low ACTH but high aldosterone. The TSH is non

existent.

> My integrative health practitioner was quite puzzled and has asked me to see a

endocrinologist at the earliest

>

> Currently I am taking Vit D, Blue bonnet iron, some magnesium and T3 25mcg 3

times a day ( I switched from synthroid to T3 about two and a half months ago)

>

> My symptoms right now are feeling low, brain fog, can't get anything done,

anxiety ( have challenging personal circumstances as well) and sometimes feel

breathless

> I still have weakness and constant fatigue. My nails have terrible ridges. I

am on a meat and salad diet and try to keep my fat intake high. (I lie down as

often as I can and procrastinate a lot - not sure if that is related)

>

> Many Many thanks - Saisha

>

>

> LATEST BLOOD WORK

>

> TSH < 0.01 (.40 - 4.40mIU/L)

>

> T4 FREE .2 (.8 - 1.8 ng/dl)

>

> T3 2.7 (2.3 - 4.2 pg/dl)

>

> Ferritin 99 (10-154 ng/dl)

>

> Vitamin B12 serum 769 (200-1100pg/dl)

>

> Cortisol AM 6.0 ( 4.0 - 22.0 mcg/dl)

>

> Insulin, Serum 2 <17uIU/mL

>

> DHEA SULPHATE 155 (40 - 325 mcg/dL)

>

> ACTH, PLASMA 6 (5- 27 pg/ml)

>

> Hemoglobin A1C 5.5 percent < 5.7% decreased risk of diabetes

>

> Vitamin D , 25-OH total 51 (30-100 ng/mL)

>

> Vitamin D , 25-OH D3 51 ng/mL

>

> Vitamin D , 25-OH d2 < 4 ng/mL

>

> ALDOSTERONE, LC/MS/MS 73 (RANGE FOr UPRIGHT 8.00 AM TO 10.00 AM

< OR EQUAL TO 28 ng/dL)

>

>

> PREVIOUS BLOODWORK DONE IN EARLY FEBRUARY IS BELOW..

>

> glucose fasting - 84            * 65--99*

> > >

> > > sodium - 134 (should be 142 or higher )        *135--146*

> > >

> > > potassium - 4.4 (had touniquet on - so i guess its not that accurate)     

 

> *3.5--5.3*

> > >

> > > chloride - 104              * 98--110*

> > >

> > > carbon dioxide - 21      *21--23*

> > >

> > > urea nitrogen - 14    *7--25*

> > >

> > > creatinine - .60      *0.50--1.10*

> > >

> > > calcium - 9.1    *8.6--1.2*

> > >

> > > protein total 7.8    *6.2--8.3*

> > >

> > > albumin - 4.5          *4.5--5.1*

> > >

> > > globulin, calculated- 3.3      *2.2--3.9*

> > >

> > > a/g ratio 1.4        * 1.0--2.1*

> > >

> > > bilirubin total - .4    *0.2--1.2*

> > >

> > > alkaline phosphatase - 52          *33--115*

> > >

> > > AST 17      *10--30*

> > >

> > > ALT 15        *6--40*

> > >

> > > EGFR NON AFR AMERICAN  116        *>=60 *

> > >

> > > EGFR AFRICAN AMERICAN  135          *.>=60

> > >

> > > MAGNESIUM    2.1 (normal?)              *1.5--2.5*

> > >

> > > LIPID PANEL

> > >

> > > CHOLESTEROL TOTAL - 269      *125--200*  (high!!)

> > >

> > > HDL - 48                          *>=46*

> > >

> > > CHOLESTEROL/HDL RATIO 5.6      *<= 5.0*

> > >

> > > LDL CHOL CALCULATED 197        *<130*    (high!!)

> > >

> > > TRIGLYCERIDES 120        *<150*

> > >

> > > IRON AND IRON BINDING CAP

> > >

> > > IRON. TOTAL 52              *40-175* (should be 110??)

> > >

> > > TIBC 323          (normal?)  *250--450*

> > >

> > > TRANSFERRIN SATURATION 16%            (should be 35%)    *15--50%*

> > >

> > > TSH - 1.14          *0.40---4.50*

> > >

> > > T4. FREE    1.4          *0.8--1.8*

> > >

> > > T3 UPTAKE - 30%            *22--35%*

> > >

> > > T3, FREE  2.4                    *2.3 --- 4.3* (THIS IS ON THE LOWER END

OF

> THE RANGE - pituitary issue?)

> > >

> > >

> > > FERRITIN  41            *10-154* (SHOULD BE 70-90??)

> > >

> > > CBC

> > >

> > > RBC  4.36                  (NORMAL)

> > >

> > > HEMOGLOBIN  12.3    (PREFERABLY SHOULD BE 13.5-14.5)

> > >

> > > HEMATOCRIT 36.3    ( SHOULD BE HIGHER  - LOW THYMUS FUNCTION)

> > >

> > > MCV 83.1            (LOW - SHOULS BE ABOVE 87)

> > >

> > > MCH 28.2              (LOW END - OR NORMAL)

> > >

> > > MCHC 34              (NORMAL)

> > >

> > > RDW 13.1              (NORMAL)

> > >

> > > PLATELET COUNT 229        (LOWER END BUT FINE)

> > >

> > > MPV 9.5

> > >

> > > TOTAL NEUTROPHILS %  56.9

> > >

> > > TOTAL LYMPHOCYTES %    33.1

> > >

> > > MONOCYTES  % 8.0

> > >

> > > EOSINOPHILS % 1.5

> > >

> > > BASOPHILS%  .5

> > >

> > > NEUTROPHILS, ABSOLUTE 1707

> > >

> > > LYMPHOCYTES, ABSOLUTE 993

> > >

> > > MONOCYTES ABSOLUTE 240

> > >

> > > EOSINOPHILS ABSOLUTE 45

> > >

> > > BASOPHILS  ABSOLUTE 15

> > >

> > > VITAMIN B12 SERUM  370                *200--1100* (SHOULD BE ABOVE 800??)

> > >

> > > DHEA SULPHATE 114    *40--325*

> > >

> > > HEMOGLOBIN A1C 5.5%        <5.7% is for decreased diabetes risk.  >= 6.5%

> consistent with diabetes

> > >

> > > VITAMIN D, 25-OH, LC/MS/MS

> > >

> > > VITAMIN D,  25 -OH . TOTAL 30          *30-100*  (SHOULD BE 50-80)

> > >

> > > VITAMIN D, 25-OH D3  30

> > >

> > > VITAMIN D. 25-OH, D2 <4

> > >

> > > ZINC  84    *60-130*

> > >

> > > T3, REVERSE  45          *11-32*  (HIGH)

> > >

>

[Guest guest]

Hi! You also need T3 and T4 for thyroid. These are important. You can go to

www.labtestsonline.org and www.endfatigue.com for understanding the tests and

your results. The end fatigue site has all the lab tests you need, ready to

print out, and take to your lab. All are specific for CFS, fatigue, etc. These

will really help you. Sincerely, Jill K

From: mslu43

Subject: Re: Updated blood work ... please comment (URGENT!)/Dr

and further test to do??

Hi all,

Please recommend an open minded endocrinologist. i am the new york city area..

willing to go as far a connecticut.. new jersey..

I followed up with my regular endocrinologist and he didn't seem to concerned at

all. He said a restless night can result in low cortisol and and acth and an

increase in salt can lead to high aldosterone. Since i did not have high blood

pressure - he was convinced that the aldosterone levels were not significant.

However on my insistence he wrote the following tests up:

do i need to request any additional tests?

24 hour urine and cortisol and creatinine

HbA1c

renin activity, aldosterone

acth and cortisol

DHEAS

complete metabolic profile

magnesium

transferrin sat

zinc

fasting lipid profile

CRP

Free testoterone, dihydrotestosterone

I guess he needs to add full thyroid panel and iron panel??