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Re: Re: low WBC,RBC,HGB,platlet ct

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Amy had a visit with an ophthalmologist today; he declared her watery, itchy

eyes to be a problem with Graves' but saw no other problems there. She's on

eye drops several times a day to help.

Her endo visit last week went well, but could anyone comment on the labs?

I'm a little concerned with some of the numbers. Also, she seems to have

been swinging back and forth with pulse rates lately. Finally, her blood

pressure, measured three times, was around 88/50 with a couple lower

readings. Any comment here?

Here are labs:

range units

WBC 4.7 4.5 - 11.0 X10*3

RBC 4.11 3.8 - 5.1 X10*6

HGB 12.9 11.5 - 16.0 G/DL

Red Cell 14.2 11.5 - 14.5 %

platlet 198 145 - 450 X10*3

glucose 69 70 - 105 MG/DL

Bilirubin 1.7 0.0 - 1.0 MG/DL

Total T4 7.1 4.5 - 12.0 UG/DL

TSH/im 3.76 0.4 - 4.0 UIU/ML

FREE T4 1.1 0.8 - 1.9 NG/DL

Total T3 121. 82 - 179 NG/DL

Thank you so much and Merry Christmas!

Amy's Pam

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Amy had a visit with an ophthalmologist today; he declared her watery, itchy

eyes to be a problem with Graves' but saw no other problems there. She's on

eye drops several times a day to help.

Her endo visit last week went well, but could anyone comment on the labs?

I'm a little concerned with some of the numbers. Also, she seems to have

been swinging back and forth with pulse rates lately. Finally, her blood

pressure, measured three times, was around 88/50 with a couple lower

readings. Any comment here?

Here are labs:

range units

WBC 4.7 4.5 - 11.0 X10*3

RBC 4.11 3.8 - 5.1 X10*6

HGB 12.9 11.5 - 16.0 G/DL

Red Cell 14.2 11.5 - 14.5 %

platlet 198 145 - 450 X10*3

glucose 69 70 - 105 MG/DL

Bilirubin 1.7 0.0 - 1.0 MG/DL

Total T4 7.1 4.5 - 12.0 UG/DL

TSH/im 3.76 0.4 - 4.0 UIU/ML

FREE T4 1.1 0.8 - 1.9 NG/DL

Total T3 121. 82 - 179 NG/DL

Thank you so much and Merry Christmas!

Amy's Pam

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Hi Amy's Pam,

It looks like Amy is a bit hypothyroid. Her TSH is best kept below 2.0 and

preferably 1.0, and her FT4 would be better near the higher edge of normal.

Hypothyroidism can account for her low blood pressure, and it can make any

eye symptoms worse.

Her bilirubin, which is a bile pigment used to test liver function, is

elevated and this could also be related to her dose of ATD being too high.

Her other labs look fine. Take care, Elaine

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