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More Labs - sans ACTH Stim

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Hi There,

I posted a couple of months ago, with lab results of very low levels

of everything. Val thought I should get an ACTH Stim test to rule out

Pituitory cause of my low levels & to do this before starting HC.

I'm on my 2nd DO, trying to get an ACTH Stim test, but for some reason

it keeps falling thru the cracks. However, I've got multiple TSH

levels, taken while on .175 mcg of Levoxil & then several months later

when I transitioned to 1/2 grain of Armour (at the start of ramping up

on the Armour). The TSH level increased when I switched to Armour -

due the small dosage.

I'm a little concerned, because I'm holding up my treatment until I

get this test done & its taken months. My new DO thinks that its not

needed because the increase in TSH proves that my Pituitory is

functioning properly. Can I assume that my Pit is functioning ok

based on this?

Also, I've got new labs, that looks like I've got Hashi's - I'm a

perimenopausal woman.

ACTH Plasma @ 8am: 8 5-27

Aldosterone Serum: 7 <= 28

Calcium 9.2 8.4-10.4

Cortisol Serum 8am: 22 4.0 - 22.0

Cortisol 24hr Saliva

9 13-24;

1 5-10;

1 3-8;

1 1-4

DHEA Sulfate 52 15-170 (My DO say it s/b 300 & prescribed 25mg DHEA)

Estradiol 24 FLuteal <= 247; post Menapause <= 27

FSH 32.4 Luteal 1.5 - 9.1; post Menapause 23.0 - 116.3

Ferritin: 55 10-232

IGBP3 /IG Binding Protein 3: 4.2 3.4-6.9

Methylmaalonic Acid Serum: 230 87 - 318

Potassium: 4.2 3.4-5.0

Pregnenolone: <10 10-230

Progesterone: <0.5 midLuteal 4.4-28.0; post Menapause <0.7

Prolactin: 18.9 nonPregnant 3.0 - 30.0; postMenopause 2.0 - 20.0

Renin Activity, Plasma: 1.2 nonHypertensive adult 0.65 - 5

Sodium: 142 136-145

Serum Thyroid tests

T3 Free: 131 230-420 (on .75grain Armour)

RT3: <5 11-32 (on .75grain Armour)

T4 Free:

1.87 .89-1.76 (on .175 levoxyl)

..05 .08-1.8 (on 1/2grain Armour)

..04 .08-1.8 (on .75grain Armour)

TSH

<0.01 0.35-5.50 (on .175mcg levyoxyl) 11/27/2007

33.39 0.40-4.5 (on 1/2grain Armour) 01/08/2007

ThyroGlobulin Antibodies: 47 <2.0

Thyroid Peroxidase Antibodies >1,000 <35

Testosterone Total: 19 2.0-45

Testosterone Free: 3 0.1-6.4

Testosterone % Free: 1.58 0.5-2.0

Vitamin D 25-OH total: 30 20-100

Vitamin D 25-OH D2: <4 <20 indicates vitD deficiency

Vitamin D 25-OH D3: 30

I've been on the initial ramp up dosage of armour, actually I'm taking

1grain now & am on hold until I get the ACTH. Would appreciate

comments on how to proceed.

Thanks!

C

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