Guest guest Posted February 26, 2010 Report Share Posted February 26, 2010 Dave it looks to me like you have a Pituitary Problem and you need to do an MRI in this to rule out a tumor it's rare to be cancer. So with that your Estradiol levels on one tube are good 18 it the units are pg/ml. Your TSH is a flag going up when it's over 2 this tells me your brain is asking for more Thyroid hormone but before you jump on this have your Cortisol levels check do a 4x's in a day saliva test you can read about it in this link. Low Cortisol levels will make you feel like crap and you can catch everything going around Flue, Colds, Sinus Infections even Bronchitis every winter. http://livingnetwork.co.za/hormones/adrenal-fatigue/ Also go to this site and read up on Hypopituitary Problems. The guy that did this site is not there anymore but helped me a lot. http://forums.realthyroidhelp.com/viewforum.php?f=12 And get some good Pink Sea Salt and put about 1/2 tsp full in a glass of water first thing in the morning drink it down see if you feel better on this your sodium levels are on the lower side. http://www.evitamins.com/product.asp?pid=5357 Your Testosterone came up some but not much I hope your putting it on right with Testim you put one tube on one side then one tube on the other. Spreading it over your upper arms and shoulders and down your back as far as you can reach then rub it in well. If your levels don't come up switch to shots do them your self starting with 100 mgs / week. Co-Moderator Phil > From: Dave <dcbaden@...> > Subject: Can someone help me with my lab results? > > Date: Friday, February 26, 2010, 2:06 PM > > First let me thank Phil and the rest of the group. > I've been here since > October and have benefited immensely from the wealth of > knowledge found > here. > > > > > I'm hoping that someone can look at my labs and let me know > if they see > any red flags or if my treatment is on track. > > > > > About me: > > I'm 43 y.o. > > For YEARS I was suffering from extreme exhaustion. > Primary problem is > sleep related but in Oct. I went to an Endocrinologist and > here's what > he found (note the low Test and FSH): > > > > > 10/19/09 > > > > > TSH + Free T4 > > TSH 2.86    ref[.450 - 4.5] > > T4, Free (direct) 1.25  ref[.82 - 1.77] > > > > > Test. Free +Weakly Bound > > Test, serum 275  ref[241 – 827] > > Test. % free + weakly bound 18.4   ref[9 – > 46] > > Test free + weakly bound 50.6 ref[20 – 250] > > > > > Thyroid Antibodies > > Thyroid Peroxidase (TPO) a <5 ref[0 -34] > > Antithyroglobulin Ab > > Siemens (DPC) ICMA <20 ref[0 – 40] > > > > > Luteinizing Hormone (LH), S > > LH 2.8  ref(adjusted by age) [1.5 – 9.3] > > > > > FSH, Serum > > FSH 1.2 LOW   ref(adjusted by > age) [1.4 – 18.1] > > > > > Prostate Specific Ag, Serum > > PSA Roche ECLIA 1.2 ref[0 – 4] > > > > > Prolactin > > Prolactin 6.2  ref(age adjusted) [2.1 – > 17.7] > > > > > Triiodothyronine > > Triiodothyronine 2.9 ref[2 – 4.4] > > > > > > > > After getting these results, the doctor put me on Testim 1 > tube per day. > I went back to him on 12/4/09 and here's what he found: > > > > > > > > > > > > > > Comp. Metabolic Panel (14) > > Glucose serum 80  ref[65 – 99] > > BUN 16  ref[5 – 26] > > Creatinine, Serum 1.14 ref[.76 – 1.27] > > eGFR > 59  ref[ > 59] > > > > > BUN/Creatinine Ratio 14 ref[8 – 27] > > Sodium, Serum 139   ref[135 – 145] > > Potassium, Serum 4.0   ref[3.5 – 5.2] > > Chloride, Serum 102   ref[97 – 108] > > CO2 , Total 24   ref[20 – 32] > > Calcium, Serum 9.7   ref[8.5 – 10.6] > > Protein, total, serum 6.4 ref[6.0 – 8.5] > > Albumin, Serum 4.3   ref[3.5 – 5.5] > > Globulin, Total 2.1   ref[1.5 – 4.5] > > A/G Ratio 2.0  ref[1.1 – 2.5] > > Bilirubin, Total .6   ref[.1 – 1.2] > > Alkaline Phosphatase, S 59   ref[25 – > 150] > > AST (SGOT) 23   ref[0 – 40] > > ALT (SGPT) 20   ref[0 – 55] > > > > > Estradiol, Sensitive > > Estradiol, Sensitive 18 ref(age adjusted)[3 – 70] > > > > > > > > Test. Free +Weakly Bound > > Test, serum 356   ref[280 - 800] > > Test. % free + weakly bound 25   ref[9 – > 46] > > Test free + weakly bound 89 ref[40 – 250] > > > > > > > > After these tests, he placed me on 2 tubes of Testim per > day. I've been > doing that since about Jan. and I don't feel a whole lot > better. > > > > > One thing I noticed is that FSH is low as well as sodium > and blood > sugar.   Reading up on hypopituitarism, this > looks like a weak ACTH > deficiency. Any insight into this? > > > > > Thanks in advance, > > Dave > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 26, 2010 Report Share Posted February 26, 2010 Thanks Phil. I didn't know that about TSH. I guess I'd have to find a pretty sharp thyroid Dr. to follow up on that. Probably should start at " go " and find someone to analyze my pituitary. Is there a list of recommended dr.s to do this? Testosterone is doing better since I went to 2 tubes. I don't have any data, but could feel the effects in morning erections, performance, etc. > > > From: Dave <dcbaden@...> > > Subject: Can someone help me with my lab results? > > > > Date: Friday, February 26, 2010, 2:06 PM > > > > First let me thank Phil and the rest of the group. > > I've been here since > > October and have benefited immensely from the wealth of > > knowledge found > > here. > > > > > > > > > > I'm hoping that someone can look at my labs and let me know > > if they see > > any red flags or if my treatment is on track. > > > > > > > > > > About me: > > > > I'm 43 y.o. > > > > For YEARS I was suffering from extreme exhaustion. > > Primary problem is > > sleep related but in Oct. I went to an Endocrinologist and > > here's what > > he found (note the low Test and FSH): > > > > > > > > > > 10/19/09 > > > > > > > > > > TSH + Free T4 > > > > TSH 2.86    ref[.450 - 4.5] > > > > T4, Free (direct) 1.25  ref[.82 - 1.77] > > > > > > > > > > Test. Free +Weakly Bound > > > > Test, serum 275  ref[241 †" 827] > > > > Test. % free + weakly bound 18.4   ref[9 †" > > 46] > > > > Test free + weakly bound 50.6 ref[20 †" 250] > > > > > > > > > > Thyroid Antibodies > > > > Thyroid Peroxidase (TPO) a <5 ref[0 -34] > > > > Antithyroglobulin Ab > > > > Siemens (DPC) ICMA <20 ref[0 †" 40] > > > > > > > > > > Luteinizing Hormone (LH), S > > > > LH 2.8  ref(adjusted by age) [1.5 †" 9.3] > > > > > > > > > > FSH, Serum > > > > FSH 1.2 LOW   ref(adjusted by > > age) [1.4 †" 18.1] > > > > > > > > > > Prostate Specific Ag, Serum > > > > PSA Roche ECLIA 1.2 ref[0 †" 4] > > > > > > > > > > Prolactin > > > > Prolactin 6.2  ref(age adjusted) [2.1 †" > > 17.7] > > > > > > > > > > Triiodothyronine > > > > Triiodothyronine 2.9 ref[2 †" 4.4] > > > > > > > > > > > > > > > > After getting these results, the doctor put me on Testim 1 > > tube per day. > > I went back to him on 12/4/09 and here's what he found: > > > > > > > > > > > > > > > > > > > > > > > > > > > > Comp. Metabolic Panel (14) > > > > Glucose serum 80  ref[65 †" 99] > > > > BUN 16  ref[5 †" 26] > > > > Creatinine, Serum 1.14 ref[.76 †" 1.27] > > > > eGFR > 59  ref[ > 59] > > > > > > > > > > BUN/Creatinine Ratio 14 ref[8 †" 27] > > > > Sodium, Serum 139   ref[135 †" 145] > > > > Potassium, Serum 4.0   ref[3.5 †" 5.2] > > > > Chloride, Serum 102   ref[97 †" 108] > > > > CO2 , Total 24   ref[20 †" 32] > > > > Calcium, Serum 9.7   ref[8.5 †" 10.6] > > > > Protein, total, serum 6.4 ref[6.0 †" 8.5] > > > > Albumin, Serum 4.3   ref[3.5 †" 5.5] > > > > Globulin, Total 2.1   ref[1.5 †" 4.5] > > > > A/G Ratio 2.0  ref[1.1 †" 2.5] > > > > Bilirubin, Total .6   ref[.1 †" 1.2] > > > > Alkaline Phosphatase, S 59   ref[25 †" > > 150] > > > > AST (SGOT) 23   ref[0 †" 40] > > > > ALT (SGPT) 20   ref[0 †" 55] > > > > > > > > > > Estradiol, Sensitive > > > > Estradiol, Sensitive 18 ref(age adjusted)[3 †" 70] > > > > > > > > > > > > > > > > Test. Free +Weakly Bound > > > > Test, serum 356   ref[280 - 800] > > > > Test. % free + weakly bound 25   ref[9 †" > > 46] > > > > Test free + weakly bound 89 ref[40 †" 250] > > > > > > > > > > > > > > > > After these tests, he placed me on 2 tubes of Testim per > > day. I've been > > doing that since about Jan. and I don't feel a whole lot > > better. > > > > > > > > > > One thing I noticed is that FSH is low as well as sodium > > and blood > > sugar.   Reading up on hypopituitarism, this > > looks like a weak ACTH > > deficiency. Any insight into this? > > > > > > > > > > Thanks in advance, > > > > Dave > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 26, 2010 Report Share Posted February 26, 2010 Your all ready on TRT so there is not much that can be done diff. You do know your Testis work and if you add HCG to your TRT your going to feel much better and your testis are going to make a lot of your T. DO Dr.'s like Dr. are good for this problem Endo's and Uro's are not. http://forums.realthyroidhelp.com/viewtopic.php?f=12 & t=15451 My being Hypopituitary has me treating my low Testosterone, Thyroid, Cortisol, Aldosterone, Renine, Ferritin, Iron, Estradiol, Growth Hormone and now Heart so you need a good dam good Dr. Co-Moderator Phil > From: Dave <dcbaden@...> > Subject: Re: Can someone help me with my lab results? > > Date: Friday, February 26, 2010, 4:20 PM > > Thanks Phil. > I didn't know that about TSH. I guess I'd have to > find a pretty sharp thyroid Dr. to follow up on that. > Probably should start at " go " and find someone to analyze my > pituitary. Is there a list of recommended dr.s to do > this? > > Testosterone is doing better since I went to 2 tubes. I > don't have any data, but could feel the effects in morning > erections, performance, etc. > > > > > > > > > From: Dave <dcbaden@...> > > > Subject: Can someone help me with > my lab results? > > > > > > Date: Friday, February 26, 2010, 2:06 PM > > > > > > First let me thank Phil and the rest of the > group. > > > I've been here since > > > October and have benefited immensely from the > wealth of > > > knowledge found > > > here. > > > > > > > > > > > > > > > I'm hoping that someone can look at my labs and > let me know > > > if they see > > > any red flags or if my treatment is on track. > > > > > > > > > > > > > > > About me: > > > > > > I'm 43 y.o. > > > > > > For YEARS I was suffering from extreme > exhaustion. > > > Primary problem is > > > sleep related but in Oct. I went to an > Endocrinologist and > > > here's what > > > he found (note the low Test and FSH): > > > > > > > > > > > > > > > 10/19/09 > > > > > > > > > > > > > > > TSH + Free T4 > > > > > > TSH 2.86    ref[.450 - 4.5] > > > > > > T4, Free (direct) 1.25  ref[.82 - 1.77] > > > > > > > > > > > > > > > Test. Free +Weakly Bound > > > > > > Test, serum 275  ref[241 †" 827] > > > > > > Test. % free + weakly bound 18.4   ref[9 > †" > > > 46] > > > > > > Test free + weakly bound 50.6 ref[20 †" > 250] > > > > > > > > > > > > > > > Thyroid Antibodies > > > > > > Thyroid Peroxidase (TPO) a <5 ref[0 -34] > > > > > > Antithyroglobulin Ab > > > > > > Siemens (DPC) ICMA <20 ref[0 †" 40] > > > > > > > > > > > > > > > Luteinizing Hormone (LH), S > > > > > > LH 2.8  ref(adjusted by age) [1.5 †" > 9.3] > > > > > > > > > > > > > > > FSH, Serum > > > > > > FSH 1.2 LOW   ref(adjusted by > > > age) [1.4 †" 18.1] > > > > > > > > > > > > > > > Prostate Specific Ag, Serum > > > > > > PSA Roche ECLIA 1.2 ref[0 †" 4] > > > > > > > > > > > > > > > Prolactin > > > > > > Prolactin 6.2  ref(age adjusted) [2.1 > †" > > > 17.7] > > > > > > > > > > > > > > > Triiodothyronine > > > > > > Triiodothyronine 2.9 ref[2 †" 4.4] > > > > > > > > > > > > > > > > > > > > > > > > After getting these results, the doctor put me on > Testim 1 > > > tube per day. > > > I went back to him on 12/4/09 and here's what he > found: > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Comp. Metabolic Panel (14) > > > > > > Glucose serum 80  ref[65 †" 99] > > > > > > BUN 16  ref[5 †" 26] > > > > > > Creatinine, Serum 1.14 ref[.76 †" > 1.27] > > > > > > eGFR > 59  ref[ > 59] > > > > > > > > > > > > > > > BUN/Creatinine Ratio 14 ref[8 †" 27] > > > > > > Sodium, Serum 139   ref[135 †" 145] > > > > > > Potassium, Serum 4.0   ref[3.5 †" > 5.2] > > > > > > Chloride, Serum 102   ref[97 †" > 108] > > > > > > CO2 , Total 24   ref[20 †" 32] > > > > > > Calcium, Serum 9.7   ref[8.5 †" > 10.6] > > > > > > Protein, total, serum 6.4 ref[6.0 †" > 8.5] > > > > > > Albumin, Serum 4.3   ref[3.5 †" > 5.5] > > > > > > Globulin, Total 2.1   ref[1.5 †" > 4.5] > > > > > > A/G Ratio 2.0  ref[1.1 †" 2.5] > > > > > > Bilirubin, Total .6   ref[.1 †" > 1.2] > > > > > > Alkaline Phosphatase, S 59   ref[25 > †" > > > 150] > > > > > > AST (SGOT) 23   ref[0 †" 40] > > > > > > ALT (SGPT) 20   ref[0 †" 55] > > > > > > > > > > > > > > > Estradiol, Sensitive > > > > > > Estradiol, Sensitive 18 ref(age adjusted)[3 > †" 70] > > > > > > > > > > > > > > > > > > > > > > > > Test. Free +Weakly Bound > > > > > > Test, serum 356   ref[280 - 800] > > > > > > Test. % free + weakly bound 25   ref[9 > †" > > > 46] > > > > > > Test free + weakly bound 89 ref[40 †" > 250] > > > > > > > > > > > > > > > > > > > > > > > > After these tests, he placed me on 2 tubes of > Testim per > > > day. I've been > > > doing that since about Jan. and I don't feel a > whole lot > > > better. > > > > > > > > > > > > > > > One thing I noticed is that FSH is low as well as > sodium > > > and blood > > > sugar.   Reading up on hypopituitarism, > this > > > looks like a weak ACTH > > > deficiency. Any insight into this? > > > > > > > > > > > > > > > Thanks in advance, > > > > > > Dave > > > > > > > > > > > > [Non-text portions of this message have been > removed] > > > > > > > > > > > > ------------------------------------ > > > > > > Quote Link to comment Share on other sites More sharing options...
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