What do you make of my terrible labs?

[Guest guest]

These are my results after not taking any meds for more than a month.

When I was taking levo I reached the target TSH and T4 ranges, but

was often dizzy with no improvement over my current state.

Is levo alone enough to fix my condition?

What questions should I ask my doctor? Any other tests I should

order?

Testosterone, Free and Total Testosterone, Serum 396 ng/dL [241-827]

Free Testosterone (Direct) 10.5 pg/mL [6.8-21.5]

IGF-1 Insuline-Like Growth Factor I FSH, Serum FSH 1.9 mIU/mL [1.4-

18.1]

Luteinizing Hormone (LH), S LH 4.8 mIU/mL [1.5-9.3]

Iron, Serum 80 ug/dL [40-155]

Vitamin B12 521 pg/mL [211-911]

Dehydroepiandrosterone (DHEA) 1,891 H ng/dL [107-745]

Prolactin 28.8 H ng/mL [2.1-17.7]

Ferritin, Serum 216 ng/mL [22-322]

Cortisol - AM 23.5 H ug/dL [4.3-22.4]

Thyroglobulin, Quantitative

Thyroglobulin, Qn. 0.8 ng/mL [0.5-55.0]

Antithyroglobulin Ab 159 H IU/mL [0-40]

Siemens (DPC) ICMA Methodology

Thyroxine (T4) Free, Direct, S

T4, Free (Direct) 0.59 L ng/dL [0.6-1.7]

TSH 227.755 H uIU/mL [0.450-4.500]

Triiodothyroxine (T3) 80 L ng/dL [85-205]

Thyroid Peroxidase (TPO) Ab 757 H IU/mL [0-34]

[Guest guest]

Hi,

It looks like your thyroid is under attack from auto-immune

disease.

Antithyroglobulin Ab 159 H IU/mL [0-40]

Thyroid Peroxidase (TPO) Ab 757 H IU/mL [0-34]

For more information on that, just google for

Grave's Disease and Hashimoto's Thyroiditis.

If I'm reading it correctly, you have tested positive

for both. That could be a false positive due to the

extraordinarily high TSH. I've heard of people being

in myxedema coma with TSH values like that.

If your doc isn't doing something about this, you

need to fire them and get another one. In fact,

If you are not feeling well, you need to seek

medical attention NOW!

There's more info below, but I guess it didn't

really register. We don't look at TSH much because

free T4 & free T3 are better indicators for near

normal conditions, but if your TSH is that high,

there is something very wrong and as mentioned

above, I've heard of people slipping into a coma

with TSH values like that.

Here's some info about myxedema coma:

http://tinyurl.com/myxedema-coma

CLINICAL PRESENTATION — The function of

virtually every organ system and the activity

of many metabolic pathways are slowed in

severe hypothyroidism. The hallmarks of

myxedema coma are decreased mental status

and hypothermia, but hypotension, bradycardia,

hyponatremia, hypoglycemia, and hypoventilation

are often present as well. The possibility of a

precipitating infection or other acute illness should

always be considered; it is important to appreciate,

however, that the patient may not have a febrile

response to infection (show table 1).

.......

Since both T3 & T4 are low, you appear to be under dosed.

> T4, Free (Direct) 0.59 L ng/dL [0.6-1.7]

>

> TSH 227.755 H uIU/mL [0.450-4.500]

>

> Triiodothyroxine (T3) 80 L ng/dL [85-205]

Did you doctor have any comments on this? It looks like

you need to be on a higher dose of levo, or a combination

of T4 & T3 products. If your doctor hasn't taken action

with those lab results, you probably want a new doctor.

There can be many causes for the dizziness. Does it happen

when you stand up? It is likely that your adrenals have been

picking up the slack and may be depleted. This can certainly

cause dizziness, especially when standing. Also, blood sugar

issues can cause this.

If you are getting dizzy when you stand up, there is a test

you can do or have the doc do for you. It's called an

orthostatic blood test.

You lay flat of your back for 5 minutes and take your blood

pressure for a baseline. You sit up and take your blood

pressure and wait 5 minutes, then stand up and take your

blood pressure.

Heck, here's an article about it. It is not peer reviewed, but

it does describe it pretty well.

http://en.wikipedia.org/wiki/Orthostatic_hypotension

Got to get busy with the work out. I'll check back later.

-Mike :-)

>

>

> These are my results after not taking any meds for more than a month.

>

> When I was taking levo I reached the target TSH and T4 ranges, but

> was often dizzy with no improvement over my current state.

>

> Is levo alone enough to fix my condition?

>

> What questions should I ask my doctor? Any other tests I should

> order?

>

>

> Testosterone, Free and Total Testosterone, Serum 396 ng/dL [241-827]

>

> Free Testosterone (Direct) 10.5 pg/mL [6.8-21.5]

>

> IGF-1 Insuline-Like Growth Factor I FSH, Serum FSH 1.9 mIU/mL [1.4-

> 18.1]

>

> Luteinizing Hormone (LH), S LH 4.8 mIU/mL [1.5-9.3]

>

> Iron, Serum 80 ug/dL [40-155]

>

> Vitamin B12 521 pg/mL [211-911]

>

> Dehydroepiandrosterone (DHEA) 1,891 H ng/dL [107-745]

>

> Prolactin 28.8 H ng/mL [2.1-17.7]

>

> Ferritin, Serum 216 ng/mL [22-322]

>

> Cortisol - AM 23.5 H ug/dL [4.3-22.4]

>

> Thyroglobulin, Quantitative

> Thyroglobulin, Qn. 0.8 ng/mL [0.5-55.0]

>

> Antithyroglobulin Ab 159 H IU/mL [0-40]

>

> Siemens (DPC) ICMA Methodology

> Thyroxine (T4) Free, Direct, S

> T4, Free (Direct) 0.59 L ng/dL [0.6-1.7]

>

> TSH 227.755 H uIU/mL [0.450-4.500]

>

> Triiodothyroxine (T3) 80 L ng/dL [85-205]

>

> Thyroid Peroxidase (TPO) Ab 757 H IU/mL [0-34]

>