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Got a few labs back, still waiting to hear from the doctor and figure this out.

Here are my levels maybe someone can shed some light on them. I dont have the

normal ranges, sorry.

Cortisol 9.6

SED rate 4

Tsh 1.566

T4 1.02

Ferritin 218.9

Any help is much appreciated. Thanks, Shaun.

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Your Cortisol is low do a 4x's in a day Saliva test and your Ferritin is high

have this can mean you have to much Iron.

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Phil

> From: Shaun <shaunskel@...>

> Subject: any insight?

>

> Date: Monday, July 19, 2010, 4:00 PM

> Got a few labs back, still waiting to

> hear from the doctor and figure this out. Here are my levels

> maybe someone can shed some light on them. I dont have the

> normal ranges, sorry.

>

> Cortisol 9.6

> SED rate 4

> Tsh 1.566

> T4 1.02

> Ferritin 218.9

>

> Any help is much appreciated. Thanks, Shaun.

>

>

>

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

>

>

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>Got a few labs back, still waiting to hear from the doctor and figure this out.

>Here are my levels maybe someone can shed some light on them.

>

>Cortisol 9.6 ng/dL

>SED rate 4

>TSH 1.566 uIU/mL

>Free T4 1.02 ug/dL

>Ferritin 218.9 ng/mL

>

>Any help is much appreciated. Thanks, Shaun.

I corrected the labs and added units.

Cortisol < 10 generally means a person is going to have difficulty in generating

energy. The immune system may be in an activated state with significant

production of inflammatory cytokines. Significant stress, i.e., norepinephrine

signaling, infection, autoimmune illness, nutritional deficiencies, and other

factors may contribute to lowered cortisol levels.

SED (erythrocyte sedimentation rate) is a nonspecific marker for inflammation.

It may not show any increase despite significant inflammatory changes in the

person. It is useful in assessing some inflammatory diseases, though not all.

TSH is the signal from the brain to the thyroid glands to produce more thyroid

hormone. The brain is sensing low thyroid hormone levels in the brain

compartment and thus asks for more. Using this as a measure for body

compartment thyroid level is difficult since the brain and body can have two

separate thyroid levels. Assuming there are no metabolic problems or mental or

neurologic illness, then TSH can approximate the body's need for thyroid

hormone.

Free T4 < 1.3 to me is one possible sign that the body compartment's thyroid

level is low. Thus a person can be physically hypothyroid. It is better to

obtain at least a Total T4 and a Free T3 to help determine this. T3 also would

be useful if T4 to T3 conversion is a question.

Ferritin is one way to gauge tissue iron levels as oppose to blood iron levels.

Tissue iron level is important for energy production and metabolism. Enzymes

which have iron as part of their structure (e.g. the Cytochrome enzymes) can't

be made if one is deficient in iron. Generally, I prefer men to have a Ferritin

between 150-200 ng/mL. Other nutritional deficiencies can impair iron

metabolism - for example, trapping iron in the storage Ferritin form, preventing

it from being utilized by the cells. This is where high Ferritin levels do not

necessarily mean Hemochromocytosis as much as impaired iron metabolism.

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