Mods: I need help with labs

[Guest guest]

Still trying to figure out if I belong here and what to do next...

Here are all my labs, any more I should have done? I'm pretty sure my adrenals

are okay, but I ordered the saliva cortisol test. Also, why is my B12 so high? I

supplemented for a couple of weeks, months ago but my daily multi doesn't have

much...do I need RT3 and antibodies tests? Or am I simply hypo? I have some TSH

test history also, I'll tack those to the end of this.

Thyroid Panel With TSH

Date Collected: 4/13/2010 9:27:00 AM

Test Description Result Range Units

Thyroxine (T4)001149 7.2 4.5-12.0 ug/dL

T3 Uptake001156 35 24-39 %

Free Thyroxine Index001164 2.5 1.2-4.9

Magnesium, Serum

Date Collected: 4/13/2010 9:27:00 AM

Test Description Result Range Units

Magnesium, Serum001537 1.8 1.6-2.6 mg/dL

Vitamin D, 25-Hydroxy

Date Collected: 4/13/2010 9:27:00 AM

Test Description Result Range Units

Vitamin D, 25-Hydroxy081952 79.7 32.0-100.0 ng/mL

Recent studies consider the lower limit of 32.0 ng/mL to be a

threshold for optimal health.

Hollis BW. J Nutr. 2005 Feb;135(2):317-22.

C-Reactive Protein, Cardiac

Date Collected: 4/13/2010 9:27:00 AM

Test Description Result Range Units

C-Reactive Protein, Cardiac120768 0.64 0.00-3.00 mg/L

Relative Risk for Future Cardiovascular Event

Low <1.00

Average 1.00 - 3.00

High >3.00

TSH+TestT+T4F+DHEA-S+Prog+E...

Date Collected: 4/13/2010 9:27:00 AM

Test Description Result Range Units

Testosterone, Serum004227 15 6-82 ng/dL

TSH004264 2.33 0.450-4.500 uIU/mL

Progesterone004317 8.3 ng/mL

Follicular phase 0.2 - 1.5

Luteal phase 1.7 - 27.0

Ovulation phase 0.8 - 3.0

Postmenopausal 0.1 - 0.8

Estradiol004519 134.9 pg/mL

Adult Female:

Follicular phase 12.5 - 166.0

Ovulation phase 85.8 - 498.0

Luteal phase 43.8 - 211.0

Postmenopausal <6.0 - 54.7

Pregnancy

1st trimester 215.0 - >4300.0

Girls (1-10 years) 6.0 - 27.0

Roche ECLIA methodology

DHEA-Sulfate004699 170 98.8-340.0 ug/dL

Triiodothyronine,Free,Serum010389 1.7 2.0-4.4 pg/mL

T4,Free(Direct)019745 1.14 0.82-1.77 ng/dL

% Free Testosterone080770 1.93 0.50-2.80 %

Testosterone,Free080796 0.29 0.10-0.85 ng/dL

CMP14+LP+5AC+CBC/D/Plt

Date Collected: 4/13/2010 9:27:00 AM

Test Description Result Range Units

Calcium, Serum001016 8.9 8.7-10.2 mg/dL

Phosphorus, Serum001024 3.6 2.5-4.5 mg/dL

Glucose, Serum001032 84 65-99 mg/dL

BUN001040 18 5-26 mg/dL

Uric Acid, Serum001057 3.4 2.4-8.2 mg/dL

Cholesterol, Total001065 253 100-199 mg/dL

Protein, Total, Serum001073 7 6.0-8.5 g/dL

Albumin, Serum001081 4.2 3.5-5.5 g/dL

Bilirubin, Total001099 0.6 0.1-1.2 mg/dL

**Effective April 26, 2010, Bilirubin, Total,**

reference interval will be changing to: mg/dL

Newborns, term and near term:

24 hours old: 0.0 - 8.0

48 hours old: 0.0 - 13.2

72 hours old: 0.0 - 15.6

96 hours to 1 month old: 0.0 - 16.6

Children 1 month and older and

Adults: 0.0 - 1.2

.

*Panic value will be changed such that results*

>17.0 mg/dL will be called as panics.

Alkaline Phosphatase, S001107 40 25-150 IU/L

LDH001115 108 100-250 IU/L

AST (SGOT)001123 14 0-40 IU/L

Triglycerides001172 63 0-149 mg/dL

Potassium, Serum001180 3.8 3.5-5.2 mmol/L

Sodium, Serum001198 136 135-145 mmol/L

Chloride, Serum001206 104 97-108 mmol/L

Iron, Serum001339 89 35-155 ug/dL

Creatinine, Serum001370 0.72 0.57-1.00 mg/dL

ALT (SGPT)001545 8 0-40 IU/L

Carbon Dioxide, Total001578 20 20-32 mmol/L

GGT001958 9 0-60 IU/L

WBC005025 5 4.0-10.5 x10E3/uL

RBC005033 4.44 3.80-5.10 x10E6/uL

Hemoglobin005041 13 11.5-15.0 g/dL

Hematocrit005058 38.7 34.0-44.0 %

BUN/Creatinine Ratio011577 25 8-27

HDL Cholesterol011817 66 >39 mg/dL

According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a

negative risk factor for CHD.

LDL/HDL Ratio011849 2.6 0.0-3.2 ratio units

Estimated CHD Risk011858 0.7 0.0-1.0 times avg.

T. Chol/HDL Ratio

Men Women

1/2 Avg.Risk 3.4 3.3

Avg.Risk 5.0 4.4

2X Avg.Risk 9.6 7.1

3X Avg.Risk 23.4 11.0

.

The CHD Risk is based on the T. Chol/HDL ratio. Other

factors affect CHD Risk such as hypertension, smoking,

diabetes, severe obesity, and family history of pre-

mature CHD.

VLDL Cholesterol Cal011916 13 5-40 mg/dL

Globulin, Total012039 2.8 1.5-4.5 g/dL

A/G Ratio012047 1.5 1.1-2.5

LDL Cholesterol Calc012054 174 0-99 mg/dL

MCV015065 87 80-98 fL

MCH015073 29.3 27.0-34.0 pg

MCHC015081 33.6 32.0-36.0 g/dL

Neutrophils015107 58 40-74 %

Immature Granulocytes015108 0 0-1 %

**Please note reference interval change**

The Neonatal reference interval did not change.

Lymphs015123 29 14-46 %

Monocytes015131 10 4-13 %

Eos015149 2 0-7 %

Basos015156 1 0-3 %

Platelets015172 271 140-415 x10E3/uL

Hematology Comments:015180

Neutrophils (Absolute)015909 2.9 1.8-7.8 x10E3/uL

Immature Grans (Abs)015911 0 0.0-0.1 x10E3/uL

**Please note reference interval change**

The Neonatal reference interval did not change.

Lymphs (Absolute)015917 1.4 0.7-4.5 x10E3/uL

Monocytes(Absolute)015925 0.5 0.1-1.0 x10E3/uL

Eos (Absolute)015933 0.1 0.0-0.4 x10E3/uL

Baso (Absolute)015941 0 0.0-0.2 x10E3/uL

NRBC015945

T. Chol/HDL Ratio100065 3.8 0.0-4.4 ratio units

eGFR100784 >59 >59 mL/min/1.73

eGFR AfricanAmerican100786 >59 >59 mL/min/1.73

Note: Persistent reduction for 3 months or more in an eGFR

<60 mL/min/1.73 m2 defines CKD. Patients with eGFR values

>/=60 mL/min/1.73 m2 may also have CKD if evidence of persistent

proteinuria is present. Additional information may be found at

www.kdoqi.org.

RDW105007 13.3 11.7-15.0 %

Immature Cells115398

Homocyst(e)ine, Plasma

Date Collected: 4/13/2010 9:27:00 AM

Test Description Result Range Units

Homocyst(e)ine, Plasma707009 4.6 0.0-15.0 umol/L

Vitamin B12 and Folate

Date Collected: 4/23/2010 11:55:00 AM

Test Description Result Range Units

Vitamin B12001503 984 211-946 pg/mL

**Please note reference interval change**

Folate (Folic Acid), Serum002019 18.7 >3.0 ng/mL

Indeterminate: 2.2 - 3.0

Deficient: <2.2

**Please note reference interval change**

Ferritin, Serum

Date Collected: 4/23/2010 11:55:00 AM

Test Description Result Range Units

Ferritin, Serum004598 81 13-150 ng/mL

Older TSH labs

7/2004 TSH 1.68 range .40-5.2

10/2007 TSH 2.67 2 weeks pregnant

7/2008 TSH .78 range .45-4.5 4mos post-partum, my micro-preemie was still in

NICU under extreme stress, panic attacks etc.

Thank you!

shannon