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SPE said:W/regards to your thyroid results, they look similar to mine. I guess we're in the same boat.
Chrisgj2 said:November
Cortisol 20.9 - if A.M looks low. I look for upper 20's to mid 30's in healthy men, very rarely get to see that as healthy people don't get on these groups. If in the after noon before 4 pm than may be ok. 4pm i look for around 15.
Were these test taken while under thyroid treatment?
Free Thyroxine Index - not a valuble test
T3 uptake -not a valuble test.
Free T4 - pretty low of course, in treatment looking to get into the top of the range
Thyroid peroxidase (TPO) <10 could mean 9 or zero. most TPO tests will show all values. Yours is a poor test. If you are at a 9, (but how do you know, you shouldn't have any antibodies), then I would recommend you have this retested in 6 months.
Thyroxine (T4) This is a total T4 and not of much value. I will say that most with hypo, their T4 will be between 7 and 9, your's of course is much lower. Good that you had a free T4,
Triiodothyronine, Free, serum - Would like to see a little bit higher, looks pretty good, but how you feel and symptoms matters much more.
TSH - For healthy men, I look for around 2. Any man I've seen with A TSH of 1.5 or lower before treatment is started was hypothyroid. If .703 is what your TSH was before any kind of treatment then obvious by that alone you are hypo. If this TSH value is gotten after treatment started, then all by itself tells me you are undertreated.
December
COrtisol - If morning, then a terrible number, if 4 pm, then looks ok. 15 I've seen is a very common am number in adrenal insufficiency
Free Thyroxine Index - not worth much
T3 Uptake - not worth much
T4, Free (Direct) - same level as november
Thyroxine (T4) - a total test same level as november
Triiodothyronine, Free, serum - Went down quite a bit from november value
TSH - went from .7 to 1.997, at this point, I'm thinking you were under treatment in november, but after the nov test, your thyroid med was lowered. If under treatment, is obvious you are very undertreated. Make sure your aren't tested sooner than 6 weeks after a dose change.
Can you edit in what thyriod med you were taking and what and when the doses were? Also what were the times of those cortisol tests?
Chrisgj2 said:You have plenty of room to go up on the Armour, 3 to 5 grains is usual. You may have felt good on 2 grains for a while, but as your natural production fell, you probably fell back.
Your am cortisol is not high. My last 10 am cortisol was 20 and stimmed to 24. The range is flawed. I don't know what Phosphytil Serine is, not heard of it. If it does lower cortisol you don't need it in my opinion. What time was the cortisol done in Dec.
I was confusing the bilirubin with Creatinine. I was having a brain scramble I guess. I knew what bilirubin was, mine is rock bottom. I edited it out within 1 min after I sent the post, and I just went back and it's not there. So ignore that comment.
I don't recommend raising Armour yet, for I need to know what time was the dec cortisol done?
Here is a list of hyper symptoms I want you to look at (below). Hyper can sneek up on you. If cortisol is low, T3 can build up to high. On 2 grains, I wouldn't expect your T3 to be that high as long as you have been at that dose, but can go high if cortisol is low. Adrenal insufficiency I suspect in your case. I'll post adrenal insufficiency symptom in the next post since this one is so long.
The hyper symptoms I've experianced are extra morning bathroom trips, eye problems, weakness and fatigue, fast respirations, high bp and fast pulse and foot pain.
Hyperthyroid does not cause an elevated temperature. You feel hotter, you pump out more heat.. but you don't run a fever....
Increased blood pressure
Check respirations, over 20 at rest would be a flag for hyper
Resting heart rate consistently over 100 would also suggest hyper
Increased thirst and appetite with frequent trips to the bathroom to empty 'full loads' (sorry to be graphic, but the trips are needed to empty the system because of the increased intake, these aren't just trips cause you feel like it)
Constant feeling of anxiety, alarm, sense of danger, restless
Excessive perspiration
Easily flushed/blushing
Extremely thin skin over elbows
Muscle twitching
Tongue cramps
Teeth chattering, even when not cold, when stressed or nervous.
Need to move, can't sit quietly
Feeling hot all the time, even when folks around you are cold
Craving strange foods along with the increased appetite
Loss of weight
Insomnia, easily waken
Tendonitis
Muscle Cramping
Periods stop
Palpitations
Heat intolerance
Nervousness
Breathlessness
Increased bowel movements
Light or absent menstrual periods
Fatigue
weakness
Fast heart rate
Trembling hands
Weight loss
Muscle weakness
Warm moist skin
Hair loss
Staring gaze
foot pain
Chrisgj2 said:TSH - For healthy men, I look for around 2. Any man I've seen with A TSH of 1.5 or lower before treatment is started was hypothyroid. If .703 is what your TSH was before any kind of treatment then obvious by that alone you are hypo. If this TSH value is gotten after treatment started, then all by itself tells me you are undertreated.
Chrisgj2 said:for am cortisol, 15 is the most common number I see in adrenal insufficiency (low cortisol). My 10 am was 20 and as bad as I was and as tan as I was, I probably need to be at least 30. Definately, you need to get the ACTH stim test and get ACTH serum at the same time, make sure it's also done. Hopefully you aren't hyper at this time. No raising Armour until you have the test done and of course I recommend you post it here so I can have a look. If your doc won't do it, run to an osteopath. Most docs don't know how to properly interpret the acth stim by the way.
Look over the adrenal insufficiency symptoms carefully. Hair loss on shins and tanning that won't go away or lasts year round are big symptoms along with weakness and fatigue.
Chris
Chrisgj2 said:I probably need to be at least 30.
Vforcer2 said:Chris, here are my most recent labs. Let me know what you think I need to do. It sounds like I need to add some Armour.
November:
Laboratory Results
Test Code Description Result Range Units
012047 A/G Ratio 2.0 1.1-2.5
001081 Albumin, Serum 5.2 3.5-5.5 g/dL
001107 Alkaline Phosphatase, Serum 87 25-150 IU/L
001545 ALT (SGPT) 45 0-55 IU/L
001123 AST (SGOT) 24 0-40 IU/L
015941 Baso (Absolute) 0.0 0.0-0.2 x10E3/uL
015156 Basos 0 0-3 %
001099 Bilirubin, Total 1.6 0.1-1.2 mg/dL
001040 BUN 17 5-26 mg/dL
011577 BUN/Creatinine Ratio 14 8-27
001016 Calcium, Serum 10.2 8.5-10.6 mg/dL
001578 Carbon Dioxide, Total 26 20-32 mmol/L
001206 Chloride, Serum 100 96-109 mmol/L
001065 Cholesterol, Total 205 100-199 mg/dL
012057 Comment SPRCS
004051 Cortisol 20.9 3.1-22.4 ug/dL
001370 Creatinine, Serum 1.2 0.5-1.5 mg/dL
004699 DHEA-Sulfate 224 120-520 ug/dL
500143 Dihydrotestosterone 25.0 ng/dL
015149 Eos 2 0-7 %
015933 Eos (Absolute) 0.1 0.0-0.4 x10E3/uL
144981 Free Testosterone(Direct) 45.8 8.7-25.1 pg/mL
001164 Free Thyroxine Index 2.1 1.2-4.9
001958 GGT 23 0-65 IU/L
012039 Globulin, Total 2.6 1.5-4.5 g/dL
001032 Glucose, Serum 96 65-99 mg/dL
011817 HDL Cholesterol 31 40-59 mg/dL
005058 Hematocrit 53.4 36.0-50.0 %
015180 Hematology Comments:
005041 Hemoglobin 17.7 12.5-17.0 g/dL
004333 Insulin, Fasting 5.7 6.0-27.0 uIU/mL
001339 Iron, Serum 149 40-155 ug/dL
001115 LDH 140 100-250 IU/L
012054 LDL Cholesterol Calc 149 0-99 mg/dL
015123 Lymphs 37 14-46 %
015917 Lymphs (Absolute) 2.4 0.7-4.5 x10E3/uL
015073 MCH 31.3 27.0-34.0 pg
015081 MCHC 33.2 32.0-36.0 g/dL
015065 MCV 94 80-98 fL
015131 Monocytes 6 4-13 %
015925 Monocytes(Absolute) 0.4 0.1-1.0 x10E3/uL
015107 Neutrophils 55 40-74 %
015909 Neutrophils (Absolute) 3.5 1.8-7.8 x10E3/uL
001024 Phosphorus, Serum 3.3 2.5-4.5 mg/dL
015172 Platelets 277 140-415 x10E3/uL
001180 Potassium, Serum 5.1 3.5-5.5 mmol/L
001073 Protein, Total, Serum 7.8 6.0-8.5 g/dL
105007 RDW 12.7 11.7-15.0 %
005033 Red Blood Cell (RBC) Count 5.66 4.10-5.60 x10E6/uL
001198 Sodium, Serum 140 135-148 mmol/L
100065 T. Chol/HDL Ratio 6.6 0.0-5.0 ratio units
001156 T3 Uptake 38 24-39 %
019745 T4,Free(Direct) 0.90 0.61-1.76 ng/dL
004227 Testosterone, Serum 902 241-827 ng/dL
006676 Thyroid Peroxidase (TPO) Ab <10 0-34 IU/mL
001149 Thyroxine (T4) 5.5 4.5-12.0 ug/dL
001172 Triglycerides 127 0-149 mg/dL
010389 Triiodothyronine,Free,Serum 3.5 2.3-4.2 pg/mL
004259 TSH 0.703 0.350-5.500 uIU/mL
001057 Uric Acid, Serum 5.2 2.4-8.2 mg/dL
005025 White Blood Cell(WBC)Count 6.4 4.0-10.5
December
012047 A/G Ratio 2.3 1.1-2.5
001081 Albumin, Serum 5.1 3.5-5.5 g/dL
001107 Alkaline Phosphatase, Serum 73 25-150 IU/L
001545 ALT (SGPT) 29 0-55 IU/L
001123 AST (SGOT) 21 0-40 IU/L
015941 Baso (Absolute) 0.0 0.0-0.2 x10E3/uL
015156 Basos 0 0-3 %
001099 Bilirubin, Total 1.6 0.1-1.2 mg/dL
001040 BUN 22 5-26 mg/dL
011577 BUN/Creatinine Ratio 20 8-27
001016 Calcium, Serum 10.0 8.5-10.6 mg/dL
001578 Carbon Dioxide, Total 21 20-32 mmol/L
001206 Chloride, Serum 100 96-109 mmol/L
001065 Cholesterol, Total 153 100-199 mg/dL
012057 Comment SPRCS
004051 Cortisol 15.8 3.1-22.4 ug/dL
001370 Creatinine, Serum 1.1 0.5-1.5 mg/dL
004699 DHEA-Sulfate 174 120-520 ug/dL
015149 Eos 2 0-7 %
015933 Eos (Absolute) 0.1 0.0-0.4 x10E3/uL
004516 Estradiol 17 0-53 pg/mL
001610 Fibrinogen Activity 280 193-423 mg/dL
144981 Free Testosterone(Direct) 9.3 8.7-25.1 pg/mL
001164 Free Thyroxine Index 2.0 1.2-4.9
001958 GGT 19 0-65 IU/L
012039 Globulin, Total 2.2 1.5-4.5 g/dL
001032 Glucose, Serum 99 65-99 mg/dL
011817 HDL Cholesterol 28 40-59 mg/dL
804503 HDL Cholesterol 29 >=40 mg/dL
804497 HDL-2 (Most Protective) 7 >10 mg/dL
804496 HDL-3 (Less Protective) 22 >30 mg/dL
005058 Hematocrit 49.6 36.0-50.0 %
015180 Hematology Comments:
005041 Hemoglobin 16.8 12.5-17.0 g/dL
804509 IDL 13 <20 mg/dL
010369 Insulin-Like Growth Factor I 290 109-284 ng/mL
001339 Iron, Serum 153 40-155 ug/dL
001115 LDH 146 100-250 IU/L
804502 LDL Cholesterol 97 <130 mg/dL
012054 LDL Cholesterol Calc 100 0-99 mg/dL
804561 LDL Density Pattern A A
004284 LH 4.4 1.5-9.3 mIU/mL
804508 Lp(a) Cholesterol 4 <10 mg/dL
015123 Lymphs 35 14-46 %
015917 Lymphs (Absolute) 2.6 0.7-4.5 x10E3/uL
804581 MaxTime
804577 MaxTimeLower
804579 MaxTimeLowerGate
804578 MaxTimeUpper
804580 MaxTimeUpperGate
015073 MCH 31.8 27.0-34.0 pg
015081 MCHC 33.9 32.0-36.0 g/dL
015065 MCV 94 80-98 fL
015131 Monocytes 7 4-13 %
015925 Monocytes(Absolute) 0.5 0.1-1.0 x10E3/uL
015107 Neutrophils 56 40-74 %
015909 Neutrophils (Absolute) 4.1 1.8-7.8 x10E3/uL
804568 Non HDL Chol. (LDL+VLDL) 122 <160 mg/dL
001024 Phosphorus, Serum 3.5 2.5-4.5 mg/dL
015172 Platelets 293 140-415 x10E3/uL
001180 Potassium, Serum 4.4 3.5-5.5 mmol/L
804569 Probable Metabolic Syndrome No No
010326 Prostate-Specific Ag, Serum 0.4 0.0-4.0 ng/mL
001073 Protein, Total, Serum 7.3 6.0-8.5 g/dL
105007 RDW 12.5 11.7-15.0 %
005033 Red Blood Cell (RBC) Count 5.29 4.10-5.60 x10E6/uL
804571 Remnant Lipoprot.(IDL+VLDL3) 28 <30 mg/dL
082016 Sex Horm Binding Glob, Serum 20 13-71 nmol/L
001198 Sodium, Serum 140 135-148 mmol/L
100065 T. Chol/HDL Ratio 5.5 0.0-5.0 ratio units
001156 T3 Uptake 38 24-39 %
019745 T4,Free(Direct) 0.97 0.61-1.76 ng/dL
004227 Testosterone, Serum 452 241-827 ng/dL
001149 Thyroxine (T4) 5.2 4.5-12.0 ug/dL
804501 Total Cholesterol 150 <200 mg/dL
804504 Total HDL Cholesterol 29 >=40 mg/dL
804576 Total VLDL Cholesterol 24.4 <30 mg/dL
804564 Total VLDL-C 25 <30 mg/dL
804563 Triglycerides 121 <150 mg/dL
001172 Triglycerides 126 0-149 mg/dL
010389 Triiodothyronine,Free,Serum 2.9 2.3-4.2 pg/mL
004259 TSH 1.997 0.350-5.500 uIU/mL
001057 Uric Acid, Serum 6.7 2.4-8.2 mg/dL
804573 VLDL1+2 (Large Buoyant) 9.4 <20 mg/dL
804562 VLDL3 (Small Remnant) 15 <10 mg/dL
005025 White Blood Cell(WBC)Count 7.4 4.0-10.5 x10E3/uL
Chrisgj2 said:Shows me you are still undertreated. 2 grains is just not enough. Can I post thyroid support groups on here so you can get other opinions?
Chris