Updated bloodwork ... please comment (urgent!)

[Guest guest]

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)

> >