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Labs for metabolic syndrome and thalesemia B minor

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If you needed to have studies done to evaluate for suspected endocrine issues,

ie metabolic symdrome, thyroid malfunction and problems with iron stores or

nonblood loss anemia. What studies would you suggest?

Kristne is exhibiting progressively more signs/symptoms in these two areas.

Her case managing physician siad to let him know what labs I;d liek to have

evaluated and he will order them. Given this opportunity, I;d like to be

comprehensive. Suggestions anyone???

Joanne Kocourek (mom to , lies, and )

visit us at: http://www.caringbridge.org/il/annakris

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Joanne

I had a bone marrow aspiration to evaluate for problems with iron

stores. This confirmed that my marrow was jammed with iron and it

therefore was not getting out into the blood. I had been anemic and

had been taking iron for some time. After I stopped taking all iron

(multi-vit is iron free) then over several years, my red blood count

has gotten almost up to the normal range.

I would suggest a blood test for hyperthyroidism, along with TSH, T3,

T4, estrogen and cortisol (24 hour urine and blood). If a 24 hour

urine is being done, then I would suggest they also check her levels

of magnesium, calcium, phosphorus and potassium to see if she is

spilling any of these. These are the ones that are most often seen

with renal tubular dysfunction.

I'm sure others will have ideas as well.

laurie

> If you needed to have studies done to evaluate for suspected endocrine

> issues, ie metabolic symdrome, thyroid malfunction and problems with iron

> stores or nonblood loss anemia. What studies would you suggest?

>

> Kristne is exhibiting progressively more signs/symptoms in these two

> areas. Her case managing physician siad to let him know what labs I;d liek

> to have evaluated and he will order them. Given this opportunity, I;d like

> to be comprehensive. Suggestions anyone???

>

>

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Thank you Laurie,

In the past was diagnosed with Thalesemia B Minor. Now hematology

keeps saying, it was later ruled out and/or her low RBC and hig MCV mean

nothing because her iron stores are FINE. Funny. I can find NO record that the

Thalesemia or iron storage values have been rechecked since she was diagnosed at

the age of 4 (she's almost 16 now). Fortunatley her case managing physician

agrees and said to let him know what labs I'd like rechecked. Since I'll,

likely, only hvae the opportunity to get this rechecked once, I want to be as

comprehensive as possible:)

Laurie Fitzgerald laurie.fitzgerald@...> wrote:

Joanne

I had a bone marrow aspiration to evaluate for problems with iron

stores. This confirmed that my marrow was jammed with iron and it

therefore was not getting out into the blood. I had been anemic and

had been taking iron for some time. After I stopped taking all iron

(multi-vit is iron free) then over several years, my red blood count

has gotten almost up to the normal range.

I would suggest a blood test for hyperthyroidism, along with TSH, T3,

T4, estrogen and cortisol (24 hour urine and blood). If a 24 hour

urine is being done, then I would suggest they also check her levels

of magnesium, calcium, phosphorus and potassium to see if she is

spilling any of these. These are the ones that are most often seen

with renal tubular dysfunction.

I'm sure others will have ideas as well.

laurie

> If you needed to have studies done to evaluate for suspected endocrine

> issues, ie metabolic symdrome, thyroid malfunction and problems with iron

> stores or nonblood loss anemia. What studies would you suggest?

>

> Kristne is exhibiting progressively more signs/symptoms in these two

> areas. Her case managing physician siad to let him know what labs I;d liek

> to have evaluated and he will order them. Given this opportunity, I;d like

> to be comprehensive. Suggestions anyone???

>

>

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