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Marc,

Your not on any HC meds for Adreals but your higher levels are the start or

first stages of Adrenal Problems your higher levels late at night can keep you

from sleeping if you dont' sleep good talk to your Dr. about taking this.

From this link.

http://livingnetwork.co.za/lifestylefunctional-medicine/hormones/adrenal-fatigue\

/

And in this link it shows the stages of Adrenal Problems.

http://www.chronicfatigue.org/ASI%201%20.html

Page through the stages I pray it's your infection doing this fixing it might

fix your Cortisol levels.

I feel your Dr. is a great Dr.

====================================================

Adrenal insufficiency is linked to insomnia in two ways.

1)If your cortisol drops too low during the night your blood sugar drops too.

Your body compensate by releasing adrenaline as an emergency measure to mobilize

more sugar. This has the effect of waking you in an instant. This can be reduced

by eating high protein snack before retiring e.g. sardines, nuts of high quality

protein shake.

2)In early stages of adrenal fatigue cortisol levels tend to rise and if they

are high at midnight they can energise you and keep you awake. Phosphorylated

serine can be used to lower cortisol at these times due to its ACTH dampening

effect.

Co-Moderator

Phil

> From: marc200134470 <cfs38@...>

> Subject: Got some test results back

>

> Date: Thursday, December 23, 2010, 12:55 PM

> Well some of my problems are coming

> to light I guess finally. Short of Barb and Phil most of you

> don't know the saga though.

>

> Full thyroid panel this time:

> TSH - 1.19 (0.40-4.50 mIU/L)

> T4 Total - 6.9 (4.5-12.5 mcg/dL)

> T4 Free - 1.2 (0.8-1.8 ng/dL)

> T3 Free - 2.9 (2.3-4.2 pg/mL)

> T3 Total - 90 (76-181 ng/dL)

> T3 Reverse - 27 (11-32 ng/dL)

> Antibody tests came back normal.

>

> Anyway, just like Barb said,......T3 Free not optimal. He

> wants 3.5 to 4.2 on this.

> Reverse T3 while in range is high according to the doc.

> Barb also bet it would be.

>

> He is putting me on a very low dose of T3 only I believe.

> He said Armour would drive my reverse higher, and affect

> other things. We talked about so many things today.

>

> My vitamin D25 Hydroxy test came back really low!

> Vitamin D, 25-OH Total - 19 (30-100 ng/mL)

> Needless to say I am now on 10,000 IU of D3 for a month,

> and then 5,000 IU.

>

> My 4X a day Cortisol was crazy bad!

> AM - 37 (13-24nM)

> Noon - 13 (5-10nM)

> Late Afternoon - 6 (3-8nM) I did this about 5PM

> Evening - 20 (1-4nM) Did this about 11PM

>

> One was normal, and noon was close, but morning and night

> were way high.

>

> On top of all this, my fecal test showed a large infection

> of Citrobacter sp. bacterium. It is called an 'opportunistic

> bacteria.'

> Get to take Cipro for 2 weeks for this one.

> I also have a large overabundance of yeast. After the

> Cipro, I get to take Diflucan for 2 weeks.

>

> He says all of this is having a huge impact upon my

> absorption of nutrients, and is having an affect on

> everything.

>

> He is starting me on Arimidex as well to bring down my E2

> levels.

> No testosterone for now,....said he would start me if I

> really wanted to, but he wants to try to adjust all of this

> other stuff first. He seems to think that my T levels may do

> quite nicely on their own with some time.

>

> He knows I don't want to take anything I don't have to, and

> I am none too thrilled with starting TRT if I might not need

> to. If I do, I will NEVER find out what my levels may return

> to on their own. He says I am NOT primary,.....no way, no

> how. That is why I chose to try to avoid it for now.

>

> Sorry for the novel, but a couple of you folks wanted me to

> report back with the results of all these tests I had done.

> Here they are!

> Unfortunately it appears Barb is not around

> lately,....maybe she will see this after the holidays.

>

> Any input is appreciated as usual.

>

>

>

> ------------------------------------

>

>

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I have to take probiotics also while taking all the anti-biotics.

He is putting me on some kind of cream for my adrenals,.....I think it's called

Adaptocrine/Adrenal Calm or something like that.

I'm kind of confused about the T3 med, and the Arimidex as he sent those 2

scrips to a compounding pharmacy. I have the scrips for the Cipro and Diflucan

of course. I think the Arimidex might be the liquid type some of you have spoken

of before.

He also wants me to have some test done for celiac disease. I think it is gene

testing as some other test he ordered showed that as being borderline.

I have had so many tests done I am losing track of it all at this point.

Yes,.....I often have trouble sleeping, and I'm sure that is the Cortisol.

Amazing what all can happen in a year basically.

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I am not sure about the Arimidex but some men get it compounded so they can take

a much lower dose your not on TRT and even taking 1/4 of a pill .25 mgs every 3

days could be very strong.

It sounds like you have a dam good Dr.

Here is a link I found about the Adaptocrine/Adrenal Calm he gave you might work

has all kinds of good stuff in it and the stuff in the link I gave you

Phosphorylated serine

http://www.myvits.com/product/f0d314eb-1883-428b-ad86-6b4f6a63a2f0.aspx

Co-Moderator

Phil

> From: marc200134470 <cfs38@...>

> Subject: Re: Got some test results back

>

> Date: Thursday, December 23, 2010, 1:23 PM

> I have to take probiotics also while

> taking all the anti-biotics.

> He is putting me on some kind of cream for my

> adrenals,.....I think it's called Adaptocrine/Adrenal Calm

> or something like that.

>

> I'm kind of confused about the T3 med, and the Arimidex as

> he sent those 2 scrips to a compounding pharmacy. I have the

> scrips for the Cipro and Diflucan of course. I think the

> Arimidex might be the liquid type some of you have spoken of

> before.

>

> He also wants me to have some test done for celiac disease.

> I think it is gene testing as some other test he ordered

> showed that as being borderline.

>

> I have had so many tests done I am losing track of it all

> at this point.

> Yes,.....I often have trouble sleeping, and I'm sure that

> is the Cortisol.

>

> Amazing what all can happen in a year basically.

>

>

>

>

>

> ------------------------------------

>

>

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What you said about Arimidex makes sense. I won't hear from the compounding lab

until Monday I'm sure, but I bet that is why it went there.

He sure seems to know what he's talking about,....I guess I will see as some

time passes. You added him to the directory already in case you forgot.

The other thing I like about the guy is he tells you what you NEED now, but

knows how I feel about all of this stuff. That is why he wants to wait a bit for

the TRT.

He likes high levels typically, but thinks I might have a chance of increasing

substantially by fixing the other things. I agree with that approach for me. If

I wanted the stuff, he would have prescribed it though.

I also have never seen a doc that will spend as much time with you as he does.

Only down side is the waiting room that has mainly women in it! LOL

He is the OB/GYN plus 'Functional Medicine' doc I told you about before.

There was actually another guy there this AM!

>

> I am not sure about the Arimidex but some men get it compounded so they can

take a much lower dose your not on TRT and even taking 1/4 of a pill .25 mgs

every 3 days could be very strong.

>

> It sounds like you have a dam good Dr.

> Here is a link I found about the Adaptocrine/Adrenal Calm he gave you might

work has all kinds of good stuff in it and the stuff in the link I gave you

Phosphorylated serine

>

> http://www.myvits.com/product/f0d314eb-1883-428b-ad86-6b4f6a63a2f0.aspx

> Co-Moderator

> Phil

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Marc every time you post about what your Dr. is dong post his name this way men

will know who to look for in the Database section.

I need to now look for a new Dr. my Dr. joined MDVIP and is cutting his people

down to 600 if I want to keep seeing him I need to pay him $1500 to $1800 per

yr. over and above what I pay for my health care plain.

To me this is a scam to cheat me out of my money and with all the people in MI.

out of work I have been helping my Daughter Pay her bills and house feeding them

here everyday for the last 4 yrs. Her husband just finished Collage and got a

good job they are just getting back on there feet. But things are so bad here

in MI. there is now way I am giving my Dr. this kind of money just to keep

seeing him.

Wow the more I search into MDVIP it's a scam even Dr.'s that join it are being

ripped off.

http://www.google.com/search?hl=en & l...MDVIP & gs_rfai=

So here I go again I can go see Dr. but he dose not take any kind of Heath

Care Plain. I am not rich retired on a fixed income.

Co-Moderator

Phil

> From: marc200134470 <cfs38@...>

> Subject: Re: Got some test results back

>

> Date: Thursday, December 23, 2010, 3:06 PM

>

>

> What you said about Arimidex makes sense. I won't hear from

> the compounding lab until Monday I'm sure, but I bet that is

> why it went there.

>

> He sure seems to know what he's talking about,....I guess I

> will see as some time passes. You added him to the directory

> already in case you forgot.

>

> The other thing I like about the guy is he tells you what

> you NEED now, but knows how I feel about all of this stuff.

> That is why he wants to wait a bit for the TRT.

>

> He likes high levels typically, but thinks I might have a

> chance of increasing substantially by fixing the other

> things. I agree with that approach for me. If I wanted the

> stuff, he would have prescribed it though.

>

> I also have never seen a doc that will spend as much time

> with you as he does. Only down side is the waiting room that

> has mainly women in it! LOL

>

> He is the OB/GYN plus 'Functional Medicine' doc I told you

> about before.

> There was actually another guy there this AM!

>

>

> >

> > I am not sure about the Arimidex but some men get it

> compounded so they can take a much lower dose your not on

> TRT and even taking 1/4 of a pill .25 mgs every 3 days could

> be very strong.

> >

> > It sounds like you have a dam good Dr.

> > Here is a link I found about the Adaptocrine/Adrenal

> Calm he gave you might work has all kinds of good stuff in

> it and the stuff in the link I gave you  Phosphorylated

> serine

> >

> > http://www.myvits.com/product/f0d314eb-1883-428b-ad86-6b4f6a63a2f0.aspx

> > Co-Moderator

> > Phil

>

>

>

>

> ------------------------------------

>

>

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Sorry to hear that news Phil.

So far everything this doc has done has been covered short of one test. I have

no clue yet what my insurance will say about the Arimidex, but he says it's

needed, and will write a letter if there is a problem.

This guy is into traditional RX's, as well as supplements. Sure you could tell

that already though. You can buy the supplements from him or online,......he

doesn't give a crapola either way.

My 'functional medicine' doc is Hall in Ocala, Fl. BTW.

>

> Marc every time you post about what your Dr. is dong post his name this way

men will know who to look for in the Database section.

>

> I need to now look for a new Dr. my Dr. joined MDVIP and is cutting his people

down to 600 if I want to keep seeing him I need to pay him $1500 to $1800 per

yr. over and above what I pay for my health care plain.

>

> To me this is a scam to cheat me out of my money and with all the people in

MI. out of work I have been helping my Daughter Pay her bills and house feeding

them here everyday for the last 4 yrs. Her husband just finished Collage and

got a good job they are just getting back on there feet. But things are so bad

here in MI. there is now way I am giving my Dr. this kind of money just to keep

seeing him.

>

> Wow the more I search into MDVIP it's a scam even Dr.'s that join it are being

ripped off.

> http://www.google.com/search?hl=en & l...MDVIP & gs_rfai=

>

> So here I go again I can go see Dr. but he dose not take any kind of

Heath Care Plain. I am not rich retired on a fixed income.

> Co-Moderator

> Phil

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My wife needed a new Dr. to treat her thyroid I called around and found her one

just like your new Dr. and I called his office yesterday about his seeing me I

was told by his Office Manger he treats a lot of men for low T and has a lot of

them that are Secondary like myself and is up on Statin Drug damage to muscles

and is board certified in this.

I think I ma going to give him a shot at it.

Co-Moderator

Phil

> From: marc200134470 <cfs38@...>

> Subject: Re: Got some test results back

>

> Date: Thursday, December 23, 2010, 4:00 PM

> Sorry to hear that news Phil.

> So far everything this doc has done has been covered short

> of one test. I have no clue yet what my insurance will say

> about the Arimidex, but he says it's needed, and will write

> a letter if there is a problem.

>

> This guy is into traditional RX's, as well as supplements.

> Sure you could tell that already though. You can buy the

> supplements from him or online,......he doesn't give a

> crapola either way.

>

> My 'functional medicine' doc is Hall in Ocala, Fl.

> BTW.

>

>

> >

> > Marc every time you post about what your Dr. is dong

> post his name this way men will know who to look for in the

> Database section.

> >

> > I need to now look for a new Dr. my Dr. joined MDVIP

> and is cutting his people down to 600 if I want to keep

> seeing him I need to pay him $1500 to $1800 per yr. over and

> above what I pay for my health care plain. 

> >

> > To me this is a scam to cheat me out of my money and

> with all the people in MI. out of work I have been helping

> my Daughter Pay her bills and house feeding them here

> everyday for the last 4 yrs.  Her husband just finished

> Collage and got a good job they are just getting back on

> there feet.  But things are so bad here in MI. there is

> now way I am giving my Dr. this kind of money just to keep

> seeing him.

> >

> > Wow the more I search into MDVIP it's a scam even

> Dr.'s that join it are being ripped off.

> > http://www.google.com/search?hl=en & l...MDVIP & gs_rfai=

> >

> > So here I go again I can go see Dr. but he dose

> not take any kind of Heath Care Plain.  I am not rich

> retired on a fixed income.

> > Co-Moderator

> > Phil

>

>

>

>

> ------------------------------------

>

>

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Looks like your total T4 dropped from last time, IIRC, so you're now low enough

to supplement. But interesting that he wants to start you on T3 only. How

much? I hope he's scheduled you for frequent testing.

Also interesting that your antibody tests came back normal but he thinks you

might be celiac. You said you eat a sandwich a day, so if you were celiac, just

getting off the wheat/rye/barley products would really help your gut. That

would also help with any bacteria/yeast, which are common in hypo, I think,

because of the low body temp. A healthy person has an afternoon temp of 98.6;

most hypos are in the 97s.

You must be a night owl with those cortisol labs.

Did he test your B12? If that was below 550, you should be taking methyl B12

too. That can help with estrogen.

Glad to hear you're not having to start shots. They're a literal PITA!

Barb

>

> Well some of my problems are coming to light I guess finally. Short of Barb

and Phil most of you don't know the saga though.

>

> Full thyroid panel this time:

> TSH - 1.19 (0.40-4.50 mIU/L)

> T4 Total - 6.9 (4.5-12.5 mcg/dL)

> T4 Free - 1.2 (0.8-1.8 ng/dL)

> T3 Free - 2.9 (2.3-4.2 pg/mL)

> T3 Total - 90 (76-181 ng/dL)

> T3 Reverse - 27 (11-32 ng/dL)

> Antibody tests came back normal.

>

> Anyway, just like Barb said,......T3 Free not optimal. He wants 3.5 to 4.2 on

this.

> Reverse T3 while in range is high according to the doc. Barb also bet it would

be.

>

> He is putting me on a very low dose of T3 only I believe. He said Armour would

drive my reverse higher, and affect other things. We talked about so many things

today.

>

> My vitamin D25 Hydroxy test came back really low!

> Vitamin D, 25-OH Total - 19 (30-100 ng/mL)

> Needless to say I am now on 10,000 IU of D3 for a month, and then 5,000 IU.

>

> My 4X a day Cortisol was crazy bad!

> AM - 37 (13-24nM)

> Noon - 13 (5-10nM)

> Late Afternoon - 6 (3-8nM) I did this about 5PM

> Evening - 20 (1-4nM) Did this about 11PM

>

> One was normal, and noon was close, but morning and night were way high.

>

> On top of all this, my fecal test showed a large infection of Citrobacter sp.

bacterium. It is called an 'opportunistic bacteria.'

> Get to take Cipro for 2 weeks for this one.

> I also have a large overabundance of yeast. After the Cipro, I get to take

Diflucan for 2 weeks.

>

> He says all of this is having a huge impact upon my absorption of nutrients,

and is having an affect on everything.

>

> He is starting me on Arimidex as well to bring down my E2 levels.

> No testosterone for now,....said he would start me if I really wanted to, but

he wants to try to adjust all of this other stuff first. He seems to think that

my T levels may do quite nicely on their own with some time.

>

> He knows I don't want to take anything I don't have to, and I am none too

thrilled with starting TRT if I might not need to. If I do, I will NEVER find

out what my levels may return to on their own. He says I am NOT primary,.....no

way, no how. That is why I chose to try to avoid it for now.

>

> Sorry for the novel, but a couple of you folks wanted me to report back with

the results of all these tests I had done. Here they are!

> Unfortunately it appears Barb is not around lately,....maybe she will see this

after the holidays.

>

> Any input is appreciated as usual.

>

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Barb,.......my T4 Free was exactly the same as it was in August on the tests the

endo ran. Previously all I had ever had done was TSH, and another T4 Free in

2009. August was 1.2,.......2009 was 1.3 so they were very close. This was the

first time I had ever done a Total T3/T4.

The antibody tests I was referring to were thyroid antibodies BTW.

All I know about the T3 med is he said it was a low dose. I seem to recall him

saying 5 mcgs? I won't have that or the Arimidex until next week sometime from

the compounding pharmacy.

I thought you had said last time that my T4 free looked good, and that I was

just not optimal on Free T3?

You also said that you expected my RT3 to be high when I had it tested? This

seems to be exactly what this doc is saying.

Am I missing something?

The celiac gene testing comes from the fecal test I had done,......something to

do with that showed up 'borderline' per se, and he suggested I have this done to

be sure.

Yes,......my B-12 was 385. I am supposed to start supplements for that as well.

The vitamin D I was really not shocked about to be honest. I have spent so much

time in the sun in my line of work, and when I was a young person that I

basically cover myself totally when working outside. I wear jeans, and I have

dozens of these long sleeve t-shirts that I wear, along with a hat, and even an

ear/neck drape when out for long periods.

Needless to say my body doesn't get exposed to the sun much at all anymore.

As far as the cortisol goes,......I am without a clue. Not really a night owl at

all, but I am a TypeA personality.

I have had the blood version of AM cortisol done a couple of times previously,

and I have always been right at top of range or just over.

This was the first 4X day saliva based test for me. It was through a company

called Diagnos-Techs or something like that.

I asked about an adrenal tumor, but he said with that you usually have a high

flat line result in Cortisol.

Any further input you have is appreciated, as I am a little nervous about

starting to mess with my thyroid when it doesn't appear to be THAT bad. Will

taking T3 screw up my thyroid, and make me dependent on the med?

As you can tell,.....I do NOT like meds at all!

>

> Looks like your total T4 dropped from last time, IIRC, so you're now low

enough to supplement. But interesting that he wants to start you on T3 only.

How much? I hope he's scheduled you for frequent testing.

>

> Also interesting that your antibody tests came back normal but he thinks you

might be celiac. You said you eat a sandwich a day, so if you were celiac, just

getting off the wheat/rye/barley products would really help your gut. That

would also help with any bacteria/yeast, which are common in hypo, I think,

because of the low body temp. A healthy person has an afternoon temp of 98.6;

most hypos are in the 97s.

>

> You must be a night owl with those cortisol labs.

>

> Did he test your B12? If that was below 550, you should be taking methyl B12

too. That can help with estrogen.

>

> Glad to hear you're not having to start shots. They're a literal PITA!

>

> Barb

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The confusion is in total vs Free T4. You've only reported Free T4 in the past,

and 1.2-1.3 are not bad numbers. Dr. no prefers a total T4, and sure

enough, yours is below the halfway mark of 8 that is his cutoff. Above that he

won't supplement you with thyroid, because he says you make enough and the

problem is downstream in conversion. But yours is below 8, so by that lab, I'd

consider you hypo.

Celiac is highly correlated with thyroid autoimmune disease, so I would've

expected positive thyroid antibodies.

With that low of a dose of T3, he is trying to supplement your own production,

not replace it, which is good. It may do the trick. Report back in a month.

Yes, I did say FT3 was too low, and rT3 too high, and it is. Total T3 confirms

that you're low.

Barb

> >

> > Looks like your total T4 dropped from last time, IIRC, so you're now low

enough to supplement. But interesting that he wants to start you on T3 only.

How much? I hope he's scheduled you for frequent testing.

> >

> > Also interesting that your antibody tests came back normal but he thinks you

might be celiac. You said you eat a sandwich a day, so if you were celiac, just

getting off the wheat/rye/barley products would really help your gut. That

would also help with any bacteria/yeast, which are common in hypo, I think,

because of the low body temp. A healthy person has an afternoon temp of 98.6;

most hypos are in the 97s.

> >

> > You must be a night owl with those cortisol labs.

> >

> > Did he test your B12? If that was below 550, you should be taking methyl

B12 too. That can help with estrogen.

> >

> > Glad to hear you're not having to start shots. They're a literal PITA!

> >

> > Barb

>

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Here is what my antibody tests show from Quest on my thyroid panel.

Doesn't make a lot of sense to me, but shows within range, and the doc said they

were fine.

Thyroglobulin Antibodies: <20 (range <20 IU/mL)

Thyroid Peroxidase Antibodies: <10 (range <35 IU/mL)

I was wrong about the fecal test,.....it came from the saliva test.

Gliadin Ab, SIgA (saliva): 14 (13-15 U/ml Borderline)

As before,....some of these tests are totally foreign to me. It would take me

about 8 pages to list all of the results. Don't worry though, I have no

intention of doing that.

Back to the T3 med,.....all I know is he mentioned Armour, and that if he gave

me that it would do this or that most likely and would be negative for me. It

was actually too much info for me to take in at one time to be honest. Pretty

sure he said it would drive my RT3 higher, but I wouldn't swear to it. He was

pointing to how all of the stuff is converted when he was explaining this.

The guy sure SEEMS to know his stuff, but maybe I have too much confidence in

him?

I appreciate the help folks.

T is not off the table,.....he just thinks that I may recover quite nicely with

some adjustments and time. I went along with that of my own choice, as he would

have started me towards the 1000 mark right off if I wanted it.

This guy takes Arimidex himself, and talks about the same ranges as Phil does.

20 being optimal for most males, and 30 being the high limit.

>

> The confusion is in total vs Free T4. You've only reported Free T4 in the

past, and 1.2-1.3 are not bad numbers. Dr. no prefers a total T4, and sure

enough, yours is below the halfway mark of 8 that is his cutoff. Above that he

won't supplement you with thyroid, because he says you make enough and the

problem is downstream in conversion. But yours is below 8, so by that lab, I'd

consider you hypo.

>

> Celiac is highly correlated with thyroid autoimmune disease, so I would've

expected positive thyroid antibodies.

>

> With that low of a dose of T3, he is trying to supplement your own production,

not replace it, which is good. It may do the trick. Report back in a month.

Yes, I did say FT3 was too low, and rT3 too high, and it is. Total T3 confirms

that you're low.

>

> Barb

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Barb,...another thing that I believe you suggested previously was my adrenals

trying to compensate for my being slightly hypo?

I think this is where he is headed also,...if you did not say this forgive me.

As you can see I have test results of being slightly hypo, but many of my

symptoms are of being hyper-thyroid, as in hypertension, rapid heart rate,

weight loss.

I think he is trying to take a small load off, and see if my cortisol production

drops back a bit towards normal, along with some of my symptoms. In other words

trying to confirm the compensatory action of my adrenals, and my being in

overdrive due to that.

Does this make ANY sense? :)

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Yes, and if you can search the archives, we talked about this WAY back. Thyroid

is low, body needs energy, so it secretes adrenaline. That causes your high BP

and heart rate. Weight loss could be from low cortisol, which went low to match

low thyroid. I know your saliva labs weren't quite low, but I think it's the

overall effect that counts. Do you have a gaunt face or are hypoglycemic?

It is counterintuitive, but as your thyroid levels go up, your heart rate should

go down, and your weight come up. Mine did, anyway.

>

> Barb,...another thing that I believe you suggested previously was my adrenals

trying to compensate for my being slightly hypo?

>

> I think this is where he is headed also,...if you did not say this forgive me.

> As you can see I have test results of being slightly hypo, but many of my

symptoms are of being hyper-thyroid, as in hypertension, rapid heart rate,

weight loss.

>

> I think he is trying to take a small load off, and see if my cortisol

production drops back a bit towards normal, along with some of my symptoms. In

other words trying to confirm the compensatory action of my adrenals, and my

being in overdrive due to that.

>

> Does this make ANY sense? :)

>

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They tested you for Hashimoto's, which is the hypo thyroid disease. They did

not test you for Graves' which is the hyper thyroid disease. Your thyroid labs

are low, so not indicative of Graves' anyway.

Gliadin is the protein on wheat/rye/barley that some people react to. Since

ideally this number should be zero, it is worthwhile for you to try and

eliminate all gluten products for a trial period of a few weeks and see how you

do. The holidays, with all the cookies, etc. are not a good time to do this. I

tested the same way, not really in positive range, but not zero either. But I

have zero willpower and love Christmas cookies :)

I would give this doc a chance. Getting thyroid up can fix a lot of things. So

it's good he's not starting you on testosterone yet. As you know, that is a

lifelong therapy, and if there's any chance at all that bringing thyroid up will

fix it, I'd give it that chance.

BTW, both thyroid and B12 are involved in processing estrogen, so you might also

want to consider raising those first before the Arimidex.

Merry Christmas all!

Barb

> >

> > The confusion is in total vs Free T4. You've only reported Free T4 in the

past, and 1.2-1.3 are not bad numbers. Dr. no prefers a total T4, and sure

enough, yours is below the halfway mark of 8 that is his cutoff. Above that he

won't supplement you with thyroid, because he says you make enough and the

problem is downstream in conversion. But yours is below 8, so by that lab, I'd

consider you hypo.

> >

> > Celiac is highly correlated with thyroid autoimmune disease, so I would've

expected positive thyroid antibodies.

> >

> > With that low of a dose of T3, he is trying to supplement your own

production, not replace it, which is good. It may do the trick. Report back in

a month. Yes, I did say FT3 was too low, and rT3 too high, and it is. Total T3

confirms that you're low.

> >

> > Barb

>

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He says I am a unique challenge!LOL

No,.....my face is not gaunt per se, and I actually have the opposite issue with

glucose.

Fasting glucose is slowly creeping up on me. He says this is due to my high

night-time cortisol levels.

I seem to have stabilized at about 176 pounds,.....I am 5'11 " tall.

When I get my episodes of mild sinus tach, it happens just like something was

injected into my body. There is no rhyme or reason for it to happen, so

adrenaline makes sense.

I still have to take some test called a 'Pre-DX' I believe. My mother has been

in that pre-diabetic range for a long time.

Merry Christmas to you also Barb!

>

> Yes, and if you can search the archives, we talked about this WAY back.

Thyroid is low, body needs energy, so it secretes adrenaline. That causes your

high BP and heart rate. Weight loss could be from low cortisol, which went low

to match low thyroid. I know your saliva labs weren't quite low, but I think

it's the overall effect that counts. Do you have a gaunt face or are

hypoglycemic?

>

> It is counterintuitive, but as your thyroid levels go up, your heart rate

should go down, and your weight come up. Mine did, anyway.

>

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I do want to put off TRT until I KNOW I HAVE to have it.

One other thing that comes into play with my B-12 levels is the fact I have

GERD, and I take Nexium on a regular basis. Low B-12 is common in folks on

PPI's.

I try to go on and off, but I have been on the stuff for close to 5 years.

Gastro doc says no problem,...many folks have to live their lives on a PPI.

I am going to try and ween myself off of the stuff slowly. Start out by skipping

one day for a week, and replacing the PPI with an H2 antagonist like Zantac 150

on that day. Repeat with a day added each week or two.

It takes months, as the increased gastrin actually develops more acid pump cells

in the stomach, and when you quit there is a severe 'rebound' effect.

With all of my issues, the only drugs I have taken for years is my Cozaar for

hypertension, and the Nexium. I simply hate drugs, and don't even take things

like Ibuprofen!

Yea,......I know,.....I am strange! LOL

I will check back when I get the actual drugs. Didn't want to turn down the

Arimidex whether I use it or not right away.

>

> They tested you for Hashimoto's, which is the hypo thyroid disease. They did

not test you for Graves' which is the hyper thyroid disease. Your thyroid labs

are low, so not indicative of Graves' anyway.

>

> Gliadin is the protein on wheat/rye/barley that some people react to. Since

ideally this number should be zero, it is worthwhile for you to try and

eliminate all gluten products for a trial period of a few weeks and see how you

do. The holidays, with all the cookies, etc. are not a good time to do this. I

tested the same way, not really in positive range, but not zero either. But I

have zero willpower and love Christmas cookies :)

>

> I would give this doc a chance. Getting thyroid up can fix a lot of things.

So it's good he's not starting you on testosterone yet. As you know, that is a

lifelong therapy, and if there's any chance at all that bringing thyroid up will

fix it, I'd give it that chance.

>

> BTW, both thyroid and B12 are involved in processing estrogen, so you might

also want to consider raising those first before the Arimidex.

>

> Merry Christmas all!

> Barb

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Phil,.....thank you so much for all of your advice as well!

What you said makes me feel better about this.

>

> Marc,

>

> As long as you don't do more then 5 mcgs 2x's a day of T3 to start you will

find it will make you feel better it makes eveyone needing it or not feel

better. So do what your Dr. says then do labs again.

> Co-Moderator

> Phil

>

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Isn't it funny how people we talk to via the internet look nothing like we would

expect when a pic is shown! LOL

I use photo-bucket myself Phil, but really don't want to go through all the

stuff of scanning lab reports,......blocking my personal info, and then

uploading it here.

Just as easy for me to list the stuff that's important.

This site will not allow you to directly load a photo/scan,.....I just tried it.

Simply gives the URL to click on.

Other non-health forums I belong to will post the pic from the image code.

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If you're having panic attacks, you need to follow a low-carb diet. Sometimes

the attack is simply a hypoglycemic episode: heart rate speeds up because

adrenaline is released so that sugar can be supplied to the brain.

> >

> > Yes, and if you can search the archives, we talked about this WAY back.

Thyroid is low, body needs energy, so it secretes adrenaline. That causes your

high BP and heart rate. Weight loss could be from low cortisol, which went low

to match low thyroid. I know your saliva labs weren't quite low, but I think

it's the overall effect that counts. Do you have a gaunt face or are

hypoglycemic?

> >

> > It is counterintuitive, but as your thyroid levels go up, your heart rate

should go down, and your weight come up. Mine did, anyway.

> >

>

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GERD is from hypo, not too much acid. Your stomach is supposed to have acid or

nothing would digest. Your sphincter that holds the stomach contents down is

too loose because you're hypo. Joints like knees get loose and carpal tunnel is

also common in hypos.

The Nexium could be contributing to some of your problems. 20% of thyroid

conversion is done in your gut. You may also just be gluten intolerant because

digestion is suboptimal.

> >

> > They tested you for Hashimoto's, which is the hypo thyroid disease. They

did not test you for Graves' which is the hyper thyroid disease. Your thyroid

labs are low, so not indicative of Graves' anyway.

> >

> > Gliadin is the protein on wheat/rye/barley that some people react to. Since

ideally this number should be zero, it is worthwhile for you to try and

eliminate all gluten products for a trial period of a few weeks and see how you

do. The holidays, with all the cookies, etc. are not a good time to do this. I

tested the same way, not really in positive range, but not zero either. But I

have zero willpower and love Christmas cookies :)

> >

> > I would give this doc a chance. Getting thyroid up can fix a lot of things.

So it's good he's not starting you on testosterone yet. As you know, that is a

lifelong therapy, and if there's any chance at all that bringing thyroid up will

fix it, I'd give it that chance.

> >

> > BTW, both thyroid and B12 are involved in processing estrogen, so you might

also want to consider raising those first before the Arimidex.

> >

> > Merry Christmas all!

> > Barb

>

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I always expected Phil to have full, gray beard, kinda like Santa Claus, ya

know? :)

>

> Isn't it funny how people we talk to via the internet look nothing like we

would expect when a pic is shown! LOL

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No panic attacks here.

I have used my mothers glucose meter at all times of the day and night over the

past year. I eat very few simple carbs BTW.

About the only bread I eat is at lunch, or special occasions.

I eat a lot of low fat meat,.....and a ton of veggies, and fresh fruit with the

occasional 'treat' mixed in like a large pizza from a real NY style place with

extra cheese and lots of meat. That is about every 3 months or so.

Only time mine is high is when arising in the morning with no food for over 8

hours. I have checked the under 140 two hours after a meal as well,......all is

fine and usually well under 140.

This doc says my glucose is being driven by cortisol in the early AM.

I simply get mild sinus tach for no apparent reason. I don't even flip out about

it honestly, kind of used to it at this point.

Cardiologist said it is a totally normal sinus rhythm and is not dangerous short

term.

He still wants to put me on a beta-blocker though,......something named Coreg

now at the lowest dose of 3.125 mg.

Trying to wait and see what happens for now, although Dr. Hall said what the

Cardiologist is trying to do makes sense and will do me no harm at that dose.

Can someone transport me back about a year and a half for Christmas? LOL

>

>

> If you're having panic attacks, you need to follow a low-carb diet. Sometimes

the attack is simply a hypoglycemic episode: heart rate speeds up because

adrenaline is released so that sugar can be supplied to the brain.

>

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You are saying once again what Dr. Hall is saying.

He says I have too little acid, and need to get off the Nexium.

I basically have a war of Docs going on! :))

For me,.....I am all in favor of fewer meds so I am going to try to get off it.

>

> GERD is from hypo, not too much acid. Your stomach is supposed to have acid

or nothing would digest. Your sphincter that holds the stomach contents down is

too loose because you're hypo. Joints like knees get loose and carpal tunnel is

also common in hypos.

>

> The Nexium could be contributing to some of your problems. 20% of thyroid

conversion is done in your gut. You may also just be gluten intolerant because

digestion is suboptimal.

>

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