Positve Catecholamines,negative metanephrines 24 hr urine

got the urine Metanephrines back they were:

Total Urine Volume- 1500 (ML)
Normetanephrine,UR- 200 (undefined UG/L)
Normetanephrine,U,24H- 300 (110-1050 UG/24HR)
Metanephrine,UR- 81 (Undefined UG/L)
Metanaphrine,U,24HR-122(35-460 UG/24H

Catecholamines,Fractionated,Plasma were:

Norepinephrine- 1042 High (0-399 PG/ML)
Epinephrine,PL- 10 (0-99 PG/ML)
Dopamine,PL- 137 (0-142 PG/ML)
Catecholamines,TOT,PL- 1189 High (0-642 PG/ML)

TSH- 0.093 Low (0.450-4.50 UIU/ML)  3 weeks ago it was 0.170  3wks before that-1.95
T4Free- 2.10 High 0.61-1.76 NG/DL) 3 weeks before it was 2.34 High
PTH,intact- 22 (15-65 PG/ML)



Endo told me its just stress. I would like to know what your thoughts are about these test,everything I have read on the net about these test say that the plasma is more reliable than the 24 HR urine because you may not be having an episode at that period of time. I had a total Thyroidectomy (with papillary cancer and De Quervain's thyroiditis,difficult surgery and i am having problems with vocal cords and throat) on March 27th.

I talked to my Cardiologist office today and they said i am having Tachycardia and heart changes which he will explain to me next wednesday morning.

I am having so many symptoms right now, heat intolerance,sweats,night sweats,blurred vision,diarrhea,frequent bowel movements,low blood pressure,abdominal pain,headaches,weightloss,side and back pain,clammy skin,feet bone pain,hair loss,chest pain, and a boil.

[Kamal S Saini, MD, MRCP (UK), DM]

Hi,
Your levels are broadly normal, except for raised plasma norepinephrine levels.
Actually, urine levels are checked after a 24 hour collection precisely because values at a particular instant may vary because of many reasons, especially stress. A 24 hour collection tends to average out these fluctuations.
Your current symptoms may actually be related to thyroid hormone levels being out of range. When was your thyroid profile alst checked, and what were the results?
All the best, and God Bless!