New labs

[Guest guest]

ok I have some new labs. Looking for feedback. I also have a new endo (Dr

friedman here in LA) and we are working at this slowly. Last labs (dec

2009)showed a high RT3 problem. And I am a bad converter from T4 to t3.

The last 6 weeks I have switched to a combination of 50mcg levoxyl and 1 grain

of NT (split) - conservative to see how I do on NT. The 50mcg semed to be too

much so I downgraded to 25mcg levoxyl because I was still gaining weight and

losing hair. I know I am probably underdosed but he wanted to see how I reacted

after 6 weeks. Let me say I tried t3 alone and could not tolerate and I tried

levoxyl and T3 and could not tolerate for whatever reason.

Thyroid labs

Feb 2010

THS 1.090 (0.450-4.500)

Free T4 1.11 (0.82-1.77)

Reverse T3 177 (90-350)

Free T3 2.5 (2.0-4.4) - know I am still low here and still hypo.

I am having trouble with calc my RT3 ratio would it be 1 or is it 14? Decimal

place is screwing me up

December 2090

TSH 1.04 (0.4-4.5)

Free T4 1.5 (0.8-1.8)(never feel good above 1.4)

Free T3 253 (230-420)

Reverse T3 52H (11-32) - a different measure I know

RT3 ratio of 5?

My ferritin ratio in December was 60. I also showed low in testosterone and Dr.

Friedman said testosterone was needed for conversion so I am on some of that. My

progesterone tested on the high end 915 (less than 10-2555). But I was

supplementing a small amount, I mean really small and I find it hard to believe

it was driving it up so much.

Ifeel like I might be low is estrogen and will have it tested but some of my

headaches are due to the drop in estrogen at ovulation and period. And I am

struggling through my period each month.

Does high progesterone/low testosterone point to insulin resistance?

I do know that my SHBG has gone up from 27 to 39. Iknow low SHBG is indicatove

of insulin resistance. I also red that higher does of thyroid raise

SHBG...maybe its gone too high

Some signs point below to diabetes or insulin resistance which I have tested for

a year ago borderline. My fasting glucose is below

Changes in Glucose since starting NT

Feb 2010 70 (70-110) - post NT - hope I am not hypoglycemic as a precursor to

diabetes

Dec 2090 91 (65-99) - pre NT

I do have that fat around the middle but fasting insulin in Dec was 7 (range of

less than 17) so it looked ok...but I know fasting can be misleading. Can the

addition of NT change things so drastically? And at such a low dose? My AC1 is

5.5 in which non diabetic is less than 6.0 but I do know that I am likely

glucose impaired and insulin resistant because of a test over a year ago that

the doc will not repeat.

Latley I struggle with significant headaches and muscle spasms (could be a

pinched nerve) but I wonder if also could be hypothyroid and or metabolic

acidosis (ie insulin resistance)

Ok some more tests that I find intereting as it relates to muscle spasms etc.

Electrolytes

Feb 2010

Sodium 140 (135-145)

Potassium 3.8 (3.5-5.0)

Also my chloride tested low at 97 (range of 101-111)..I looked up low chloride

and it could mean adrenal deficiency (possibly right), intestal obstruction (not

likley) or metabolic acidosis with diabetes (also possible) - back to the

insulin resistant issue.

December 2090

Sodium 141

Potassium 4.3

Look at the change since starting NT. I especially struggle with fluid issues

around my menstrual cycle.

They also checked something called an anion gap which tested at 18. Apparently

normal is 9. HIgh anion gap means metabolic acidosis. I am too acidic?

Although iron supplementation can also raise the anion gap as does aspirin. But

it also says that low sodium and potatssium and calcium and magnesium which I am

low in all can cause a high anion gap. BUt why am I so low in all these

minerals/electrolytes?

What also worried me was the rise in liver enzymes

Feb 2010

ALT 23 (less 46)

AST 42 Less than 53)

Decemeber 2009 -ranges are slightly different)

ALT 13 (6-40)

AST 12 (10-35)

I have guessed for some time that my liver is sluggish and I know it gets worse

the more hypo you are. And I need to do something to clear it. I know B

vitamins are important to liver and thyroid but I have to tell you I have a hard

time tolerating them as they hit my system and the muscle spasms start. Any

suggestion on improving the liver?

Last I believe that I do have a candida issue. I'll be honest my diet has been

crap and I mean crap! Especially over the holidays. Too many sweets. Candida

can throw off everything right? Thryoid, liver, sex hormones? Plus I just

finished a round of prednisone for the cluster headaches which did not help the

candida situation.

Ok I know this was a lot but I appreciate any information.