Blood Test results

[Guest guest]

Yes your high and if this is a sensitive test for men you need to be down to

about 20 pg/ml REM wood will get so strong it will wake you up and you can hang

a coat on it. As for gyno as long as you don't have breast tissue it should

come down.

Co-Moderator

Phil

> From: heyfritzy <haverhillguy@...>

> Subject: Re: Blood Test Results

>

> Date: Thursday, October 29, 2009, 11:51 AM

> Thanks Phil -

>

> Great information!!! and much appreciate the details and

> instructions.

>

> I still get morning wood at even my super high estrogen

> levels...Don't know about during REM.. so I think I will

> start on the arimidex and do an estrodiol panel in a few

> weeks... Would that be too soon to test?  or should I

> even test sooner?

>

> Keep in mind I'm at 78.2 pg/ml on the estrogen panel and

> want to get this back into the norm range asap as I'm

> concerned that I don't know how long it has been elevated

> like this and worry about the gyno as well as other issues

> that high e can cause..

>

>

>

> Thanks again!

>

>

> > > > > >

> > > > > > > From: heyfritzy

> <haverhillguy@>

> > > > > > > Subject: Blood

> Test

> > > Results

> > > > > > >

> > > > > > > Date: Wednesday, October 28,

> 2009,

> > > 12:28 PM

> > > > > > > I am a 34 year old male and I

> have

> > > > > > > been on 200mg/week (single

> injection)

> > > of

> > > > > Testosterone

> > > > > > > Cypionate.

> > > > > > >

> > > > > > > About a week ago I noticed a

> small

> > > sensitive lump

> > > > > under my

> > > > > > > right

> nipple.  I googled a bit

> > > and am 99.9%

> > > > > positive

> > > > > > > it's the start of some gyno.

> > > > > > >

> > > > > > > I was never prescribed and

> anti

> > > estrogens or

> > > > > aromatase

> > > > > > > inhibitors

> etc.  While I am

> > > from the US and

> > > > > was living

> > > > > > > there when diagnosed with low

> T, I am

> > > now living

> > > > > in Central

> > > > > > > America - so there is not

> standardized

> > > medical

> > > > > treatment and

> > > > > > > I have yet to find a hormone

> > > specialist.  I

> > > > > quickly

> > > > > > > went to the pharmacy and

> purchased

> > > Nolvadex (god

> > > > > love the

> > > > > > > fact that everything down

> here is over

> > > the

> > > > > counter) which I

> > > > > > > have been taking 2x a day in

> order to

> > > fight the

> > > > > gyno. 

> > > > > > > My Blood tests show a

> estrodiol level

> > > of 2x that

> > > > > of a normal

> > > > > > > man my age (and when I say 2x

> I am

> > > referring to

> > > > > the fact

> > > > > > > that I am double the highest

> end of the

> > > normal

> > > > > range). 

> > > > > > > It is also odd that at

> 200mg/week of

> > > test cyp I

> > > > > was usually

> > > > > > > over 1000 ng/ml on my test

> results -

> > > but am now

> > > > > down under

> > > > > > > 700.

> > > > > > >

> > > > > > > If people who are taking

> testosterone

> > > cypionate

> > > > > long term

> > > > > > > could please comment and let

> me know

> > > what you all

> > > > > are taking

> > > > > > > for estrodiol management I

> would be

> > > very

> > > > > interested in

> > > > > > > hearing about it.

> > > > > > >

> > > > > > > Is it possible that my

> receptors are

> > > not

> > > > > responding as well

> > > > > > > to the testosterone

> supplementation due

> > > to the

> > > > > use over the

> > > > > > > last 2 years downgrading the

> > > receptors?

> > > > > > >

> > > > > > > Here are my lab results for

> your

> > > edification.

> > > > > > >

> > > > > > > T3: 1.13

> > >

> ng/ml   (Range

> 0.6-2.1)

> > > > > > > T4: 4.88

> > >

> ug/dl   (Range

> 5.0-13.0)

> > > > > > > TSH: 2.24

> mUI/L  (Range

> > > 0.3-6.2)

> > > > > > >

> > > > > > > Estrodiol: 78.2

> > >

> pg/ml   (Range

> 10-40)

> > > > > > >

> > > > > > > Testosterone Total: 698.76

> > > > >

> ng/ml   (Range

> > > > > > > 245-1836 for men 20-49yrs)

> > > > > > > Testosterone Free: 14.0

> pg/ml 

> > >   (Range

> > > > > 8.80-27

> > > > > > > pg/ml for men 20-39yrs)

> > > > > > >

> > > > > > > Thank you

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > >

> ------------------------------------

> > > > > > >

> > > > > > >

[Guest guest]

Hi,

you're probably converting lots of test to estrogen.

novaldex won't stop that... just blocks -some- of the affects... so that's

probably why you're going down... you're converting the test.

you're a prime candidate for www.alldaychemist.com they'll sell you arimidex via

the mail... order 2 cards and when you hit the 2nd card order more... same with

HCG...

that way you're not relying on some small pharmacy on an island off central

america.

as far as test goes... THAT you might want to try the local sources... the body

building crowd has been using (usually mexican) steroids for years. Now you're

more likely to see either Sustanon-250 types (a blend... I use a version of this

and really like it) or Enanthate... both you'd use just like your regular

cypionate...

cypionate and enanthate are literally 1 carbon atom different.

now the sustanon type blends have some really FAST tests like acetate... and

some super slow esters like decoanate... but it works out... and some say they

aromatize less too.

ttyl

[Guest guest]

Hi -

what happened that caused your TSH level of 7.30 in April to drop to 0.10 in

May. Did you have a change in your thyroid hormone replacement? Your free T3 in

September is low, when on thyroid hormone replacement it should be in the upper

third of the reference range. Your Ferritin is also on the low side and perhaps

you might benefit from 200mgs Ferrous Sulphate taken daily (with food) to get

this level built up. It should be around 70 to 90 mark. Without a reference

range, I cannot help with your vitamin D.

Luv - Sheila

Here is what I've found in my results (lab ranges in brackets):

1/04/09:

Serum TSH level (XaELV) 7.30 mu/L (0.35-5.5)

Serum Free T4 level (XaERr) 16.4 pmol/L (11.5-22.7)

27/05/09:

Serum TSH level (XaELV) 0.10 mu/L (0.35-5.5)

Serum Free T4 level (XaERr) 17.7 pmol/L (11.5-22.7)

23-24/09/09:

TSH 0.06 mu/L (0.35-5.5)

Free T4 16.7 pmol/L (11.5-22.7)

Free T3 4.7 pmol/L (3.5-6.5)

Parathyroid hormone 25 ng/L (14-72)

Parathyroid hormone 2.65 pmol/L (1.48-7.63)

Ferritin 46.5 ug/L (10-291)

25 Hydroxy Vitamin D 34.2 ug/L No range given

I do not have any results for the other vitamins and minerals you listed. I

have printed the paragraph off and will organise a blood test for these at the

same time as my next thyroid test.

>

[Guest guest]

Hi Sheila,

Many thanks for your comments and suggestions.

" what happened that caused your TSH level of 7.30 in April to

> drop to 0.10 in May. Did you have a change in your thyroid hormone

> replacement? "

No change in medication. From the time of year I would say it was the light - I

suffer from SAD and do light therapy for it in the winter. It does help but I

have noticed a seasonal fluctuation in my thyroid levels - they normally go up

around April and down again in Oct-Nov depending on the weather and the amount

of sunlight I get. The other likely explanation is stress - we lost my

sister-in-law at the end of April.

These results were obtained before I started supplementing. The supplement I am

now taking contains 18mg of iron (bisglycinate). Would I still need to take

Ferrous Sulphate?

" Your free T3 in September is low, when on thyroid hormone

> replacement it should be in the upper third of the reference range. "

What does this indicate?

I don't know if this is anything to do with anything, but my Cortisol levels at

the time and again in October were slightly below normal range. My LH and FSH

were also abnormal - LH in post-menopausal range, FSH just below.

Thank you again for looking at my results. The endocrinologist at the end of

September said they were fine... I ought to ask her for her definition of the

word, obviously.

Best wishes,

>

> Hi - what happened that caused your TSH level of 720202

[Guest guest]

Hello

So far I got back the following (ranges in brackets):

TSH = 0.03 mu/L (0.35-5.5) Suppressed - which is to be expected taking such a high

dose levothyroxine?

Free T4: 22.7 mu/L (10-19.8) Above the reference range

Free T3: 5.5 pmol/L (3.5-6.5) High in the range - how do you actually feel?

Ferritin: 39.9ug/L (10-291) Too low - this should be around 7- to - 90 in such a

reference range. You need to take some form of elemental iron such as

Ferrous Sulphate/Fumerate 200mgs, twice a day with food to start with until it

has reached an acceptable level.

Additional comments:

" Ferritin rises to an unpredicable extent with the Acute Phase Response.

When the CRP is over 30 mg/l, a patient's ferritin may be high and uninterpretable. "

Vit. D: 23.4 ug/L Nov-Dec mean:26.6 Range: 11-61

Additional comments: 10-20 ug/L is considered suboptimal and treatment may be

required.What has your GP suggested here?

Magnesium: 0.74 mmol/L (0.7-1.0) - too low, did your GP suggest supplementing this?

CRP: 3 mg/L (0-6)

Additional comments: " Regret serum copper not routinely available as an

indicator of nutritional status. Sample will be stored until 8/01/10. " This needs testing because you are hypothyroid and if low,

will stop the thyroid hormone from getting into the cells.

Synacthen test:

0 min Cortisol = 247 nmol/L (280-650)

0 min Cortisol = 568 nmol/L (280-650)

Additional comments:

" Complex reference range:

Normal response at 30 mins is greater than 570 nmol/L

Normal response at 60 mins is greater than 660 nmol/L "

I only got tested for response after 30 mins which I take to be the second

(higher) reading. Not sure how to read this - did

you mean to write '30 min Cortisol - and then 60min Cortisol? Did you tell your

GP you were only tested after 30 minutes?

My GP and I have agreed to lower my thyroxin dose to 225mg a day from last

Monday. Start to keep a diary about how you feel and

take your basal temperature before you get out of bed to see whether your

temperature starts to drop. I shall get the missing results as soon

as possible. Post them here when you get them. What can I do about the copper if

they refuse to provide a result? Let your GP know the reason you specifically wanted your

copper testing and ask him to reconsider, because for you and for any

hypothyroid sufferer, copper is an important test to do.

Vitamin D: I am currently using a light box to alleviate mild symtoms of SAD.

It is usually very effective.

Synacthen test: if I understand correctly, my Cortisol levels are on the low

side, though not by much. I am seeing the endocrinologist in February. What can

I expect from her with this reading? If not offered, should I request/insist on

hydrocortisone? I do feel very tired and depleted despite the supplements I am

taking. I am also going from one bug to another. The Synacthen test only tests to see whether you have 's

Disease (little or no cortisol output) or Cushing's Syndrome (too high a level

of Cortisol). It does NOT test to see whether you have low adrenal reserve and

this can only be tested by doing the 24 hour salivary adrenal test. Look in our

FILES section of this forum and check out the FOLDER 'Discounts' and you can

see that TPA-UK members have been given a discount on thyroid and adrenal tests

done through Genova Diagnostics. I would, if at all possible, get this test to

see where your cortisol and DHEA lie at FOUR specific times during the day. Your

results do not show that you need hydrocortisone, but your 24 hour salivary

adrenal profile might show you need adrenal supplements, depending on how low

your adrenals are functioning.

My homeopath is giving me treatment to stabilise and support my endocrine

system. I usually respond well to homeopathy.What is

she giving you exactly.

Thanks again for your help and support. Have a lovely Christmas!

I hope you too have a lovely Christmas and a

wonderfully happy and healthy New Year.

Luv - Sheila

No virus

found in this incoming message.

Checked by AVG - www.avg.com

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19:35:00

[Guest guest]

Hello Sheila,

Thank you so much for analysing my results. Sorry about being unclear - I have

not actually seen my GP to discuss the results. I had a quick phone conversation

to " ratify " the lower thyroxin dose since these were the only results I had at

the time. We have agreed to another thyroid blood test in a couple of months.

I have now made an appointment with my GP to discuss the other results. Is it OK

to take a printout of your comments with me?

Re blood tests: I've just checked with the dispensary and they only had folate

outstanding - it seems B12 and Zinc were not done even though I'd requested them

(or the results got mislaid.) I am seeing my GP on 30/12 to discuss the blood

test and Synacthen results. I shall request B12 and Zinc as well as copper then.

Re Synacthen test: no typo on my part, I copied the results exactly as I saw

them. My homeopath, who also has also suffered from adrenal fatigue, reckons the

GP/hospital will pick up on my levels and medicate. I hope this is the case.

Failing that, will the GP/hospital accept the results of a privately done saliva

test?

Re thyroid: hard to say how I'm feeling at the moment in this respect as I seem

to have yet another bug. I'm feeling fluey, very tired, down and anxious (as

ever, there are stress reasons involved as well.)

Re homeopathic treatment: I am currently on Berberis 30c am and pm, avena sativa

6c 3/day, oak and granite as needed. She also gave me an avena sativa tincture

(5 drops) and a waterworks tincture (10 drops) both am and pm. Next week she

wants to give me two combination remedies, one for general endocrine support and

one specifically for the adrenals.

I shall post the folate result as soon as I've got it.

Best wishes,

>

> Hello

> So far I got back the following (ranges in brackets):

> TSH = 0.03 mu/L (0.35-5.5) Suppressed - which is to be expected taking such

> a high dose levothyroxine?

> Free T4: 22.7 mu/L (10-19.8) Above the reference range

> Free T3: 5.5 pmol/L (3.5-6.5) High in the range - how do you actually feel?

>

> Ferritin: 39.9ug/L (10-291) Too low - this should be around 7- to - 90 in

> such a reference range. You need to take some form of elemental iron such

> as Ferrous Sulphate/Fumerate 200mgs, twice a day with food to start with

> until it has reached an acceptable level.

> Additional comments:

> " Ferritin rises to an unpredicable extent with the Acute Phase Response.

> When the CRP is over 30 mg/l, a patient's ferritin may be high and

> uninterpretable. "

>

> Vit. D: 23.4 ug/L Nov-Dec mean:26.6 Range: 11-61

> Additional comments: 10-20 ug/L is considered suboptimal and treatment may

> be required.What has your GP suggested here?

>

> Magnesium: 0.74 mmol/L (0.7-1.0) - too low, did your GP suggest

> supplementing this?

>

> CRP: 3 mg/L (0-6)

>

> Additional comments: " Regret serum copper not routinely available as an

> indicator of nutritional status. Sample will be stored until 8/01/10. " This

> needs testing because you are hypothyroid and if low, will stop the thyroid

> hormone from getting into the cells.

>

> Synacthen test:

> 0 min Cortisol = 247 nmol/L (280-650)

> 0 min Cortisol = 568 nmol/L (280-650)

>

> Additional comments:

> " Complex reference range:

> Normal response at 30 mins is greater than 570 nmol/L

> Normal response at 60 mins is greater than 660 nmol/L "

>

> I only got tested for response after 30 mins which I take to be the second

> (higher) reading. Not sure how to read this - did you mean to write '30 min

> Cortisol - and then 60min Cortisol? Did you tell your GP you were only

> tested after 30 minutes?

>

> My GP and I have agreed to lower my thyroxin dose to 225mg a day from last

> Monday. Start to keep a diary about how you feel and take your basal

> temperature before you get out of bed to see whether your temperature starts

> to drop. I shall get the missing results as soon as possible. Post them here

> when you get them. What can I do about the copper if they refuse to provide

> a result? Let your GP know the reason you specifically wanted your copper

> testing and ask him to reconsider, because for you and for any hypothyroid

> sufferer, copper is an important test to do.

>

> Vitamin D: I am currently using a light box to alleviate mild symtoms of

> SAD. It is usually very effective.

>

> Synacthen test: if I understand correctly, my Cortisol levels are on the low

> side, though not by much. I am seeing the endocrinologist in February. What

> can I expect from her with this reading? If not offered, should I

> request/insist on hydrocortisone? I do feel very tired and depleted despite

> the supplements I am taking. I am also going from one bug to another. The

> Synacthen test only tests to see whether you have 's Disease (little

> or no cortisol output) or Cushing's Syndrome (too high a level of Cortisol).

> It does NOT test to see whether you have low adrenal reserve and this can

> only be tested by doing the 24 hour salivary adrenal test. Look in our FILES

> section of this forum and check out the FOLDER 'Discounts' and you can see

> that TPA-UK members have been given a discount on thyroid and adrenal tests

> done through Genova Diagnostics. I would, if at all possible, get this test

> to see where your cortisol and DHEA lie at FOUR specific times during the

> day. Your results do not show that you need hydrocortisone, but your 24 hour

> salivary adrenal profile might show you need adrenal supplements, depending

> on how low your adrenals are functioning.

>

> My homeopath is giving me treatment to stabilise and support my endocrine

> system. I usually respond well to homeopathy.What is she giving you exactly.

>

> Thanks again for your help and support. Have a lovely Christmas!

>

> I hope you too have a lovely Christmas and a wonderfully happy and healthy

> New Year.

>

> Luv - Sheila

>

>

>

>

>

>

>

> No virus found in this incoming message.

> Checked by AVG - www.avg.com

> Version: 8.5.427 / Virus Database: 270.14.116/2578 - Release Date: 12/20/09

> 19:35:00

>

[Guest guest]

Hi

I have now made an appointment with my GP to

discuss the other results. Is it OK to take a printout of your comments with

me?

Yes.

Re blood tests: I've just checked with the dispensary

and they only had folate outstanding - it seems B12 and Zinc were not done even

though I'd requested them (or the results got mislaid.) I am seeing my GP on

30/12 to discuss the blood test and Synacthen results. I shall request B12 and

Zinc as well as copper then.

Don't forget to let him know that these affect the absorption of

thyroid hormone into the cells and this is why you needed them checked.

Re Synacthen test: no typo on my part, I copied

the results exactly as I saw them. My homeopath, who also has also suffered

from adrenal fatigue, reckons the GP/hospital will pick up on my levels and

medicate. I hope this is the case. Failing that, will the GP/hospital accept

the results of a privately done saliva test?

We have information from Genova laboratories (you will

find this in our FILES section under 'Tests') that you can print off and take

to your GP/hospital to show the legitimacy of their testing, which is

excellent.

Re thyroid: hard to say how I'm feeling at the

moment in this respect as I seem to have yet another bug. I'm feeling fluey,

very tired, down and anxious (as ever, there are stress reasons involved as

well.)

I hope this all clears soon, it is hard to know what is hypo/adrenal/'flu

symptoms

I shall post the folate result as soon as I've got it.

Best wishes,

>

> Hello

> So far I got back the following (ranges in brackets):

> TSH = 0.03 mu/L (0.35-5.5) Suppressed - which is to be expected taking

such

> a high dose levothyroxine?

> Free T4: 22.7 mu/L (10-19.8) Above the reference range

> Free T3: 5.5 pmol/L (3.5-6.5) High in the range - how do you actually

feel?

>

> Ferritin: 39.9ug/L (10-291) Too low - this should be around 7- to - 90 in

> such a reference range. You need to take some form of elemental iron such

> as Ferrous Sulphate/Fumerate 200mgs, twice a day with food to start with

> until it has reached an acceptable level.

> Additional comments:

> " Ferritin rises to an unpredicable extent with the Acute Phase

Response.

> When the CRP is over 30 mg/l, a patient's ferritin may be high and

> uninterpretable. "

>

> Vit. D: 23.4 ug/L Nov-Dec mean:26.6 Range: 11-61

> Additional comments: 10-20 ug/L is considered suboptimal and treatment may

> be required.What has your GP suggested here?

>

> Magnesium: 0.74 mmol/L (0.7-1.0) - too low, did your GP suggest

> supplementing this?

>

> CRP: 3 mg/L (0-6)

>

> Additional comments: " Regret serum copper not routinely available as

an

> indicator of nutritional status. Sample will be stored until

8/01/10. " This

> needs testing because you are hypothyroid and if low, will stop the

thyroid

> hormone from getting into the cells.

>

> Synacthen test:

> 0 min Cortisol = 247 nmol/L (280-650)

> 0 min Cortisol = 568 nmol/L (280-650)

>

> Additional comments:

> " Complex reference range:

> Normal response at 30 mins is greater than 570 nmol/L

> Normal response at 60 mins is greater than 660 nmol/L "

>

> I only got tested for response after 30 mins which I take to be the second

> (higher) reading. Not sure how to read this - did you mean to write '30

min

> Cortisol - and then 60min Cortisol? Did you tell your GP you were only

> tested after 30 minutes?

>

> My GP and I have agreed to lower my thyroxin dose to 225mg a day from last

> Monday. Start to keep a diary about how you feel and take your basal

> temperature before you get out of bed to see whether your temperature

starts

> to drop. I shall get the missing results as soon as possible. Post them

here

> when you get them. What can I do about the copper if they refuse to

provide

> a result? Let your GP know the reason you specifically wanted your copper

> testing and ask him to reconsider, because for you and for any hypothyroid

> sufferer, copper is an important test to do.

>

> Vitamin D: I am currently using a light box to alleviate mild symtoms of

> SAD. It is usually very effective.

>

> Synacthen test: if I understand correctly, my Cortisol levels are on the

low

> side, though not by much. I am seeing the endocrinologist in February.

What

> can I expect from her with this reading? If not offered, should I

> request/insist on hydrocortisone? I do feel very tired and depleted

despite

> the supplements I am taking. I am also going from one bug to another. The

> Synacthen test only tests to see whether you have 's Disease

(little

> or no cortisol output) or Cushing's Syndrome (too high a level of

Cortisol).

> It does NOT test to see whether you have low adrenal reserve and this can

> only be tested by doing the 24 hour salivary adrenal test. Look in our

FILES

> section of this forum and check out the FOLDER 'Discounts' and you can see

> that TPA-UK members have been given a discount on thyroid and adrenal

tests

> done through Genova Diagnostics. I would, if at all possible, get this

test

> to see where your cortisol and DHEA lie at FOUR specific times during the

> day. Your results do not show that you need hydrocortisone, but your 24

hour

> salivary adrenal profile might show you need adrenal supplements,

depending

> on how low your adrenals are functioning.

>

> My homeopath is giving me treatment to stabilise and support my endocrine

> system. I usually respond well to homeopathy.What is she giving you

exactly.

>

> Thanks again for your help and support. Have a lovely Christmas!

>

> I hope you too have a lovely Christmas and a wonderfully happy and healthy

> New Year.

>

> Luv - Sheila

>

>

>

>

>

>

>

> No virus found in this incoming message.

> Checked by AVG - www.avg.com

> Version: 8.5.427 / Virus Database: 270.14.116/2578 - Release Date:

12/20/09

> 19:35:00

>

No virus

found in this incoming message.

Checked by AVG - www.avg.com

Version: 8.5.430 / Virus Database: 270.14.116/2578 - Release Date: 12/21/09

19:13:00

[Guest guest]

Hi Tracey - certainly, your free T4 is way below the reference

range and you could try adding 25 mcgs levothyroxine to your T3 to see if that

helps raise the T4 level. How much T3 were you taking and did you take

any thyroid hormone the morning you had your blood drawn for the last test. Is

June 09 the last time you had your blood drawn?

Many do better with desiccated thyroid extract and this could be

because it also has the active T2, T1 and other unspecified enzymes plus

calcitonin for the bones. Would your GP consider prescribing NDT for you?

Luv - Sheila

Can see that TSH was increasing steadily. Felt better when I started taking T3

than ever on T4 (switching to T3 from T4 was my idea, not GPs; he agreed

reluctantly) but good effects started to wear off despite increasing dose with

self-medicating. Have just started taking Nutri Adrenal Extra and will start T3

again in next few days. Should I be considering NDT for T4? Tried before and

had no effect but maybe NAE will help that now. Would be really grateful for

any advice.

Thanks,

Tracey

No virus

found in this incoming message.

Checked by AVG - www.avg.com

Version: 8.5.435 / Virus Database: 271.1.1/2674 - Release Date: 02/09/10

19:35:00

[Guest guest]

Tracey,

That will be four years of badly treated thyroid then ... TSH ought to be

nearer to 1, but when taking T4 or T3 is usually well under 1. The doctor

sounds fairly incompetant.

A normal replacement dose of T4 only is 100 to 200 mcg per day. 20mcg of t3 is

equivalent roughly to 100 mcg t4, so this might account for why you feel a bit

better.

Have you been taking supplements, like vitamin c, selenium (helps with

conversion of t4 to t3)? (Information in the files)

If I was you I would take a 24hour saliva adrenal test to find out what state

they are now in... The adrenals will have been propping you up for the last

four years and taking a larger dose of T3 or T4 might be the last thing they can

cope with. It does warn you on the patient information leaflet that the

adrenals need to be healthy before taking t4. 24 hour tests are not generally

available through the doctor.

A correct dose of thyroid meds at the beginning, and not just leaving you to

struggle for four years would have saved the stress on your adrenals, but now

they may need quite a bit of help.....

Many people do fine on thyroxine only, they are on a large enough dose, they can

convert well to t3 and their cellular uptake is good. We never hear from these

as they don't need a forum. (I was fine for 10 years, then I started to

struggle.) A large minority of us don't do ok though and we have to work out

whether its just too low a dose, problems converting, or problems with uptake.

Any idea why your thyroid isn't working? Have you asked the doctor for an

antibody test? If you have antibodies, then hashimotos disease means your

thyroid will never recover and will eventually just give up completely.

..

>

> I wondered if someone could help with blood test analysis, please? I just got

results for the last few years emailed to me. Incredibly (or not) they were only

measuring TSH for most of the tests. I'll include a note of the thyroid meds I

was taking at the time.

>

> (TSH reference range is 0.35-5.5 mu/l)

> Jan 05 - TSH 3.44 (75 mcg T4)

> Mar 07 - TSH 3.54 (75 mcg T4)

> Mar 09 - TSH 4.09 (75 mcg T4)

> Jun 09 - TSH 4.94; Free T4 6 (ref range 9-24 pmol/l) (20 mcg T3)

> For the last result there is an added note - TSH result has been checked; Free

T4 - modified FT4 reagent from 5/5/09, results expected 7% lower on average.

Reference range under review.

>

> Can see that TSH was increasing steadily. Felt better when I started taking T3

than ever on T4 (switching to T3 from T4 was my idea, not GPs; he agreed

reluctantly) but good effects started to wear off despite increasing dose with

self-medicating. Have just started taking Nutri Adrenal Extra and will start T3

again in next few days. Should I be considering NDT for T4? Tried before and had

no effect but maybe NAE will help that now. Would be really grateful for any

advice.

> Thanks,

> Tracey

>

[Guest guest]

Hi Tracey, How much T3 are you taking? I would expect a TSH of >0.01 with sufficient T3 ( or NDT) All those TSH are far too high- should be around 1.0 or lower. A FT4 of 6 would not be unreasonable with no thyroid activity and only taking T3, but taking NDT this would raise a bit, but if you can't convert then T4 is of little or no use, though the other minor constituents of NDT may make a difference. all depends on how you feel and only trial and error will tell. > thyroid treatment > From: traceys_36@...> > I wondered if someone could help with blood test analysis, please? I just got results for the last few years emailed to me. Incredibly (or not) they were only measuring TSH for most of the tests. I'll include a note of the thyroid meds I was taking at the time.> > (TSH reference range is 0.35-5.5 mu/l)> Jan 05 - TSH 3.44 (75 mcg T4)> Mar 07 - TSH 3.54 (75 mcg T4)> Mar 09 - TSH 4.09 (75 mcg T4)> Jun 09 - TSH 4.94; Free T4 6 (ref range 9-24 pmol/l) (20 mcg T3)> For the last result there is an added note - TSH result has been checked; Free T4 - modified FT4 reagent from 5/5/09, results expected 7% lower on average. Reference range under review. > > Tracey> > > > ------------------------------------> > TPA is not medically qualified. Consult with a qualified medical practitioner before changing medication.> >

[Guest guest]

MODERATED TO REMOVE MESSAGES PREVIOUSLY READ. PLEASE DELETE THESE BEFORE

CLICKING 'SEND' AND LEAVE JUST A PORTION OF WHAT YOU ARE RESPONDING TO. LUV -

SHEILA

___________________________________________

Hi ,

many thanks for replying. It's nearer 8 years of bad treatment, unfortunately.

These were the only results that my GP gave me. I have had 2 GPs over that time.

The first wasn't even going to test my blood for thyroid problems despite having

textbook symptoms. It was the practice nurse who added it to the list of things

to be tested. Thank goodness she did. Second GP told me that usually only people

who are allergic to T4 take T3. The less said about that the better. However, he

did prescribe it for me (reluctantly). I'm taking NAE at the moment to see if

that helps. I was self-medicating on a fairly high dose of T3 (up to about 100

mcg) with no o/d symptoms but never got the weight loss and good feeling back

that I got when I first switched to T3. Had a spell where I tried Armour too but

same thing happened so could be adrenals but also need to look at ferritin,

selenium, vitamins etc. Trying to work through everything, adrenals first! I'll

look at all the files to make sure I cover everything.

I've never had an antibodies test - my most recent GP said that basically

Hypothyroidism in my case is most likely to ba an auto-immune disorder, end of

story. So helpful - not. I am currently in the USA for 2 years and I have

medical insurance but not sure what I am covered for and how much treatment

costs. Another thing to look into... I wish I had done these tests while I was

in the UK as I think you need permission from a GP to get them done here. I was

just getting to grips with everything on the forum and was hoping to see either

Dr S or Dr P before I came out here but ran out of time in the end. My GP

wouldn't refer me to Dr S - what can I say? Unhelpful isn't the word.

I am a wee bit concerned that my TSH has been steadily increasing but my GP

never thought to up my dose or refer me. I wish I had known then what I know now

thanks to this forum. It's such a minefield trying to pinpoint exactly what the

problem might be and why I'm not getting good uptake from T3 or Armour but will

hopefully get to the bottom of it!

Huge thanks for your help,

Tracey

>

> Tracey,

>

> That will be four years of badly treated thyroid then ... TSH ought to be

nearer to 1, but when taking T4 or T3 is usually well under 1. The doctor

sounds fairly incompetant.

>

> Have you been taking supplements, like vitamin c, selenium (helps with

conversion of t4 to t3)? (Information in the files)

>

>

[Guest guest]

Hi ,

thanks for your reply. I was only taking 20 mcg when the last test was done.

After that, some of the good effects I got when I first started taking T3

(including weight loss, for the first time in years) began to wear off so I

decided to up my dose a bit by self-medicating. Was up to about 100 mcg but the

weight loss and some of the other benefits never returned. Tried Armour too, but

nothing happened there either. Posted about this a few days ago and Sheila

suggested it might be adrenals, so am trying NAE now and also need to work

through other potential deficiencies and associated conditions. I thought I

would post blood test results as well to see what people thought. Need to try

everything by process of elimination - adrenals first. Very interested in your

thoughts about no thyroid activity. Do you think that might be the case?

Concerned (but not surprised) that my TSH was increasing steadily and GP did

nothing; he didn't even up my T4 dose. It was me who suggested T3 and he only

agreed reluctantly. I wish I had known about this forum a few years ago but so

glad I heard about it - there are so many people who still think T4 is the only

treatment for hypo and are getting nowhere on it.

Thanks again for your help and advice,

Tracey

>

>

> Hi Tracey,

> How much T3 are you taking? I would expect a TSH of >0.01 with

sufficient T3 ( or NDT) All those TSH are far too high- should be around 1.0 or

lower. A FT4 of 6 would not be unreasonable with no thyroid activity and only

taking T3, but taking NDT this would raise a bit, but if you can't convert then

T4 is of little or no use, though the other minor constituents of NDT may make a

difference. all depends on how you feel and only trial and error will tell.

>

>

[Guest guest]

Found a lab that will test ferritin cheaply without medical referral )

-

> I wish you could get your ferritin, B12 and D3 tested .

[Guest guest]

I am currently in the USA for 2 years and I have medical insurance but not sure what I am covered for and how much treatment costs. Another thing to look into... I wish I had done these tests while I was in the UK as I think you need permission from a GP to get them done here.

Tracey --

Where are you in the States? There are lists that could help you find a good doctor for adrenal and thyroid problems. There also are US forums that are state-by-state that can help, as well as more general ones, which you may already know.

I know the challenges of going between medical cultures: I've dealt with fibromyalgia and Hashimoto's on three continents.

Your medical insurance will have information on the Internet. You need to know the name, the policy number and the policy type. You can check your coverage that way.

I was able to get natural dessicated thyroid meds in the US because I had a good general doctor who would do all the necessary tests and offered to switch me from synthetics to (old) Armour.

Yes, doctors do order tests. But in the US, most of the thyroid and adrenal tests you can get done without a doctor's orders. You need to know which labs do so. Your insurance will not cover self-ordered tests.

Now I order my drugs on the Internet, have them sent to a friend in England, who sends them on to France. French customs confiscates Internet drugs.

Best of health, Fibrojay

[Guest guest]

Can't you do it yourself through TPA-UK. You order the test

direct and you put Thyroid Patient Advocacy-UK as your practitioner, though the

test results are sent to you direct. You have to order this in the way we

mention though to get a discount. Go to the FILES section from the Home Page of

this forum and click on the FOLDER entitled 'DISCOUNTS'

Luv - Sheila

Just started with the NAE so only 1 tab a day

at the moment.

Genova tests have to be done through a GP here, unfortunately, was hoping just

to go ahead and organise myself. Needs to be done, though, otherwise will never

get to the bottom of this! Tracey

>

> I wish you could get your ferritin, B12 and D3 tested

> How much NAE are you taking?

> luv - Sheila

>

>

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found in this incoming message.

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19:38:00

[Guest guest]

That's great Tracey - won't they do the B12 too? let us know

your results with the reference range as soon as you get them.

Luv - Sheila

Found a lab that will test ferritin cheaply

without medical referral )

-

> I wish you could get your ferritin, B12 and D3 tested .

No virus

found in this incoming message.

Checked by AVG - www.avg.com

Version: 8.5.435 / Virus Database: 271.1.1/2680 - Release Date: 02/10/10

19:38:00

[Guest guest]

Hi Tracey, No natural thyroid activity is the eventual outcome of autoimmune thyroid disease - with some folk it is quicker than others. I've been on T3 alone, and took 120mcg which was fractionally too much- but we are all different and some folk do well on small amounts. I do thing that adrenals first and also look at the toehr things than can affect thyroid utilisation- candida, low iron, zinc, selenium as well a adrenal insufficiency > thyroid treatment > From: traceys_36@...> > Hi ,> thanks for your reply. I was only taking 20 mcg when the last test was done. After that, some of the good effects I got when I first started taking T3 (including weight loss, for the first time in years) began to wear off so I decided to up my dose a bit by self-medicating. Was up to about 100 mcg but the weight loss and some of the other benefits never returned. Tried Armour too, but nothing happened there either.> > > > > ------------------------------------> > TPA is not medically qualified. Consult with a qualified medical practitioner before changing medication.> >

[Guest guest]

Only as part of a bigger and more expensive test, unfortunately. I'm on the

trail now though, determined to find places that will do these tests as cheaply

as possible! I'm in the USA so sorry for any confusion about labs - I am from

and was in the UK until very recently. From what I can make out, you need to be

a med. prac. to even order the tests from Genova out here, unlike the UK, but am

sorted now that I know what to look for.

Huge thanks, Sheila.

Tracey

>

> That's great Tracey - won't they do the B12 too?

> Luv - Sheila

>

[Guest guest]

Hi Tracey, If it is still in range then that is a silly question!!!! sometimes you have to be very insistant to get progress. remember around 90% of healthy folk have a TSH of around 1.0 this is what doc should be aiming for. > Subject: Re: Blood test results> > Hi ,> so is that why TSH is steadily increasing? Why did GP not put up my dose then (or is that a silly question)?! ;o)> Thanks, Tracey> > > >> No natural thyroid activity is the eventual outcome of autoimmune thyroid disease. > > > > ------------------------------------> > TPA is not medically qualified. Consult with a qualified medical practitioner before changing medication.> >

[Guest guest]

Hi Kath, Those tests aren't very clear, but if you are saying that TSH is 0.19 FT4 is 13- a bit low and FT3 is 5.4 then that isn't too bad, but and there's always a but! it could be adrenal insufficiency- see symptoms lists of adrenal and thyroid symptoms in the files also there is an excellent comparative symptoms list on http://www.drrind.com you could also have low ferritin ( stored iron- this can make you vey tired and reduce thyroid hormone absorption also low zinc and selenium can also affect T4 to t3 conversion. thyroid treatment From: kathrobinsonhx1@...Date: Tue, 23 Mar 2010 21:28:03 +0000Subject: Blood test results

Hi all,

I have never written before as I am a new member. I have been Hypo for years and I am really ill most of the time. I take 150mg Levothyroxine and I keep having blood tests because I'm sure that the way I feel is something to do with my thyroid. I never get the same GP twice at our practice which dosen't help all they can say is my thyroid is OK. I have just had another blood test done but I didn't know and I took the tablets on the morning of the test. The results are Serum free T4 13 .9 (range) 8.0 - 21.0 U

Serum free 5.4 (range) 2.5 - 6.0 U Serum TSH level OR 0.19 (range) 0.2 - 4. 0 I hope this makes sense. I hope someone can help me to get some kind of help to make me feel better. Can you recommend a good Endo neat Halifax. Thank you.

Kath.

Do you have a story that started on Hotmail? Tell us now

[Guest guest]

There is an excellent endo in Huddersfield, perhaps your GP would

refer you to. I have sent you my list of good doctors privately.

Thyroid function test results should not be relied on solely.

Your symptoms and signs should be taken into consideration and you should have

a physical examination. Thyroid function tests ONLY measure the level of

secretion of thyroid hormone by your thyroid GLAND. Those tests do not measure

to see whether the thyroid hormones are actually getting into the cells - and

thyroxine, on its own, is a mainly INACTIVE hormone to boot and must convert

through the liver, kidneys, skin, brain and other thyroid hormone receptors

throughout the body to the ACTIVE hormone T3. Without T3 we die. You should ask

your GP to test y our free T3 to see whether this is low in the reference range

or not. Never allow a doctor to tell you that your thyroid function tests are

'normal'. You have no idea whether you are at the bottom, the top or the middle

of the reference range, and you need to know this. ALWAYS insist on getting the

actual figures and the reference range for each test, and post them on to this

forum so we can help interpret them with you.

There are many associated conditions that go along with being

hypothyroid. These are low adrenal reserve, systemic candidiasis, mercury

poisoning through amalgam fillings, low ferritin, B12, vitamin DF3, magnesium,

folate, copper and zinc. If any of these are low in the range, you need to supplement

whatever you are low in, because your thyroid hormone cannot be properly

absorbed. Go to our web site www.tpa-uk.org.uk

- click on 'Hypothyroidism' in the Menu, and in the drop down Menu, click on

'Associated Conditions' and read everything there is to read there. This will

teach you a lot and you will understand the workings of the thyroid from here

much better.

Luv - Sheila

Hi all,

I have never written

before as I am a new member. I have been Hypo for years and I am really ill

most of the time. I take 150mg Levothyroxine and I keep having blood tests

because I'm sure that the way I feel is something to do with my thyroid. I

never get the same GP twice at our practice which dosen't help all they can say

is my thyroid is OK. I have just had another blood test done but I didn't know

and I took the tablets on the morning of the test. The results are Serum

free T4 13 .9 (range) 8.0 - 21.0 U

Serum free

5.4 (range) 2.5 - 6.0 U Serum TSH

level OR

0.19 (range) 0.2 - 4. 0 I hope this makes

sense. I hope someone can help me to get some kind of help to make me

feel better. Can you recommend a good Endo neat Halifax. Thank you.

Kath.

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found in this incoming message.

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19:44:00

[Guest guest]

Is this Huddersfield endo NHS by any chance?

Best wishes Sharon

From: Sheila <sheila@...>Subject: RE: Blood test resultsthyroid treatment Date: Wednesday, March 24, 2010, 6:06 PM

There is an excellent endo in Huddersfield, perhaps your GP would refer you to. I have sent you my list of good doctors private.

[Guest guest]

Hi

the blood test results I gave were what my GP printed off for me. Like all the other GPs mine is not very helpful in trying to find out what is causing me to feel so ill asif I have a bad dose of flu. I am taking Iron as they did tell me my iron was low. Since reading the advice that Sheila has been giving people on the TPA emails I have started to take Selenium and Vit C. I will get some Zinc and try that as well.

Thanks Kath.

From: jenny stenning <jennystenning@...>sheila turner <thyroid treatment >Sent: Wed, 24 March, 2010 13:06:49Subject: RE: Blood test results

Do you have a story that started on Hotmail? Tell us now

[Guest guest]

Yes

Luv - Sheila

Is this Huddersfield endo NHS by any chance?

Best wishes Sharon

There is an excellent endo in

Huddersfield, perhaps your GP would refer you to. I have sent you my list of

good doctors private.

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Checked by AVG - www.avg.com

Version: 8.5.437 / Virus Database: 271.1.1/2766 - Release Date: 03/23/10

19:33:00

[Guest guest]

Just in relation to your cholesterol?  Have you ever had your thyroid checked?

Sky

________________________________

From: Primemuscle <Primemuscle@...>

Sent: Wed, 31 March, 2010 8:04:14 AM

Subject: Blood Test Results

 

The last health concern is that I have gained about 25 pounds since starting

TRT. A lot of this is muscle since I stepped up my workouts in both frequency

and intensity. However, my cholesterol has increased with my LDL being @ 142,

HDL @ 63. and total @ 230. This is high for me. I have been on Cholesterol meds

for over 20 years.

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