===REPOST FROM THYROID FORUM===
I feel like it will fit best here instead.
+ HBS Ag - negative (as of 26.03.12)
Greetings. In the quest chasing for good health, I bumped into some new unsuspected details…
First I noticed problems a while ago, like 5 years, though they were mild and I didn’t pay much attention. That was time of stupid pharmaceutical experiments with oral AAS, a/b-antagonists, nootropics, other ‘notsoharmless’ substances together with some crazy diets, like being completely fatless and consuming enormous amounts of protein. Dunno what really broke me back then.
Right now I am 25, male, 178 cm (5” 10’), 68 kg (150 pounds). My current health concerns are.
Physiological: low body temp 35.6 to 36.3 Celsius (95.54 to 97.25 Fahrenheit), taken underarm; low resting heart rate 45-50 bpm(down to 33 during night); low body pressure; cold hands and feet; very dry skin; overall yellowish tone of skin; constipation; poor sleep, waking up in the middle of a night; swelling at evening; poor exercise performance; fatigued most of time; facial acne.
Mental: hard to concentrate, easly distracted; apathy; “don't-care / couldn't-care-less” attitude.
All these clearly points at compromised thyroid function. Well, I damn wanted it to be thyroid, because I now know so much about it, possible treatment methods. But not so fast, let’s look at the labs from 14.05.12
It goes like this – “current [reference range] (my comments if any)”. * marked stuff is somewhat out of reference range. rT3 test in not available in my country. If you are not familiar with units I provided, there is a good conversion service: http://dwjay.tripod.com/conversion.html
###Thyroid stuff and other hormones###
T3 free 3.2 pmol/L [2.6 - 5.7]
Т4 free 12.2 pmol/L 9.0 - 22.0
TSH 1.58 mIU/L [0.4 - 4.0]
TGaB 0.5 UI/mL [<18.0]
Anti-TPO 0.3 UI/mL [< 5.6]
ACTH 21 pg/mL [<46]
Renin 6.3 ng/L [2,8-39,9]
Cortisol 632 nmol/L [138 – 635] (taken at ~8:00 am)
Estradiol 42 pmol/L [40 – 161] (highlighted by the lab as CHECKED TWICE)
Testosteron total 11.24 nmol/L [5.76 - 30.43]
SHBG 30 nmol/L [13 – 71]
Free testosterone 38.1 % [14.8 - 95.0] (sucky for an athlete )
Prolactin 411 * mIU/L [73 – 407] (still elevated as appeared on the test month ago)
###Other stuff out of reference range###
Neutrophils total 33 * % [48.0 - 78.0]
Lymphocytes 54 * % [19.0 - 37.0]
So I feel I should drop my thyroid accusations and start digging towards the liver…
My diet is very clean, paleoish. Though I was relying heavily on dairy products (cottage cheese, yogurt, kefir, plain whey powder). I cut them completely last week to see what happens. I do avoid gluten, but not carbs as I eat plenty of starch and fruits. I don’t smoke nor drink alcohol, except very pricey red wine in homeopathic doses once in a while.
I don’t take any prescribed meds, only multivitamin and 10.000-20.000UI of vitD per week.
Exercises 2-4 times a week, mostly HIIT (sprints, bike or kettlebells).
Any tips would be welcome. As I don’t know a lot of liver physiology.
Your total bilirubin is elevated but I am accustomed to seeing bilirubin expressed in mg/dL. When I convert your values from μmol/L to mg/dL your reference ranges seem higher than I generally see. So when I convert them I see a more significant elevation from the ranges that I typically see than your numbers/ranges suggest. Because of this I cannot comment on your bilirubin
Your ALT, AST, GGT, Protein and Albumin do not indicate a liver problem in my opinion. Generally with liver disease I would expect to see out of range values on at least some of these test results. Except for bilirubin everything liver-related looks good.
The values I would discuss with your physician are your low neutrophils and elevated lymphocytes. Has this been addressed by any of the doctors you've seen? I would definitely want to get some answers about your low neutrophils/high lymphocytes.
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