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NEW Labs. Please comment Val, thanks.

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1/20/2010 for comparison to recent thyroid labs:

On HC 25.0 and 6 weeks after decreasing from 1 ½ to 1 grain compounded

dessicated thyroid

TSH 4.0 (0.450-4.50)

FT4 1.12 (0.82-1.77)

FT3 3.2 (2.0-4.4)

RT3 239 (90-350)

Ferritin 44 (22-322)

2/10/10

After starting 250 daily elemental iron and substituting Cytomel 20 mcg daily

for the 1 grain dessicated, increasing HC to 30/day, stopping DHEA supp as well

as iodine, zinc, selenium

Did not stop oral iron before blood draw

TIBC 354 (250-450)

UIBC 156 ((150-375)

Serum Iron 198 H (40-155)

Iron saturation 56 H (15-55)

Sodium 142 (135-145)

Potassium 4.0 (3.5-5.2)

Chloride 102 (97-108)

CO2 25 (20-32)

Calcium 10.0 (8.7-10.2)

Protein tot 7.3 (6.0-8.5)

Albumin 4.9 (3.5-5.5)

Globulin 2.4 (1.5-4.5)

Bilirubin tot 0.7 (0.1-1.2)

Alk Phos 87 (25-150)

AST 23 (0-40)

ALT 26 (0-55)

Calcitriol(1,25 di-OH vit D) 68.3 (10.0-75.0)

Vit D, 25-Hydroxy 35.6 (32.0-100.0) This needs to be 70, no? I increased

supp from 4000 to 10,000 when I got this back

Homocysteine, plasma 5.8 (0.0-15)

RBC magnesium 5.1 (4.2-6.8)

DHEA-S 24.2 (44.3-331)

IGF-1 293 H (94-252)

Testost Total serum 688 (280-800)

Testost Free 20.5 (6.8-21.5)

Estradiol 11 (3-70)

SHBG 28.4 (14.5-48.4)

Plasminogen Act Inhibitor-1 9 (0-14)

Ammonia, Plasma 126 Alert (27-102)

2-24-10

On HC 32.5 daily, Cytomel 35 mcg daily, T3 only for over 3 weeks

TSH 0.141 (0.45 – 4.5)

FT3 4.0 (2.0-4.4)

FT4 0.69 (0.82-1.77)

RT3 148 (90-350)

I am feeling less hypo and my temps are stable the past week, 98.4-98.5 on 35 of

Cytomel, but when I had tried increasing to 40 the temps got low and then high

and I was getting real hot and palps and waking up at night hot with heart

pounding. Not since I decreased back to 35. Do you think I can clear RT3 on

such a low dose of cytomel? My basal is still 97.4-97.6. I have had my 4th IV

iron and will stop for one week and get iron and ferritin labs and check

eletrolytes again. Is one week long enough off iron to check ferritin, even if

it is IV? Thank you for any input from anyone.

Steve

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