Should my abnormal results be addressed?

[Bengal_Mom]

background:
- high BP started at 35y, at 40y still trying to get it to normal (recently increased Lisinopril from 5 to 10mg)
- hypothyroid too, on Levothyroxine (75mcg) with "normal" levels
- recent hair loss that made me ask cardiologist if BP med has side effects(he said no)
- with thyroid issue and now hair loss, he recommended seeing endocrinologist
- blood work shows:

Abnormal Lows
Lymphs                13 (range 14-46)
HDL-P (Total)        27.6 (range >=30.5)

  
Abnormal Highs
Hematocrit                 45.5 (range 34-44)
Neutrophils         82    (range 40-74)
Antithyroglobulin Ab 68    (range 0-40)
LDL-P                 1065 (range <1000 is normal)

Triiodothyronine (T3) 112                        71-180 ng/dL
T4,Free(Direct)         1.32                       0.82-1.77 ng/dL
TSH                         2.020               0.450-4.500 uIU/mL

Vitamin D, 25-Hydroxy 32.4                32.0-100.0 ng/mL

There are about 60 things they tested on me and 6 that were abnormal high/low.  Some things were at the lowest/highest threshold, but not "abnormal". I just felt the Endo. was dismissive about the results. She Rx'd Spirinolactone 50mg for the hair loss.  

Any suggestions would be greatly appreciated.  I've started taking a Centrum Silver multivitamin.

Thank you,








The DR. said everything was good, that my Anti Ab would be high for the rest of my life because I take med. and if I wanted to see my PCP I could. She mentioned that some BP problems come from hormones.

Question:
Are these highs/lows normal?
Should I find a PCP or get a second Endo?

[Mark Lupo, M.D.]

The abnormalities in the labs are not endocrine except the thyroid Ab (meaning you have hashimotos as cause of hypothyroidism).  Probably ok to follow-up with primary MD at this point.

[Bengal_Mom]

Thank you for looking at my numbers.  I will start the PCP search this week.