Help with test results

[ALLBIZNISS]

I posted a previous thread with the title Andrenal Fatigue, Hypothyroid or both. you can view it below.

http://www.medhelp.org/posts/Adrenal-Insufficiency/Adrenal-FatigueHypothyroid-or-both-/show/1832292?personal_page_id=1914468

I have my test results now and I want some help to see if anything stands out.  I asked him for some test that he didn't order and he ordered a few such as the B-12 and Blood count which was interesting. I have a new MD and he is out till 12/25/12.

Thank you for your help.

[B]Test Date: 12/9/12 @ 10am
[/B]

[B]TSH (THYROID STIMULATING HORMONE)[/B]
       Your result Standard range Units
TSH 2.93         0.10 - 5.50         uIU/mL

[B]FREE T4[/B]
           Your result Standard range Units
Free T4 1.0            0.8 - 1.7         ng/dL

[B]CORTISOL, SERUM[/B]

Component       Your result Standard range Units
Cortisol serum 11.7                        ug/dL
[B]
CORTISOL, TOTAL, AM[/B]
Component               Your result Standard range Units
Cortisol Total morning 12.5            8.0 - 25.0 ug/dL

[B]TESTOSTERONE, TOTAL[/B]
Component             Your result   Standard range Units
Testosterone, TOTAL 447      > 220                 ng/dL

[B] VITAMIN B12[/B]
Component     Your result Standard range Units
Vitamin B12       >1000         > 200                 pg/mL

[B]LIPID PANEL[/B]
Component     Your result Standard range Units
Cholesterol        165                  60 > 60 mL/min
Comment, glomerular filtration rate SEE NOTE


[B]WHITE BLOOD CELL DIFFERENTIAL, AUTOMATED[/B]
Component                           Your result Standard range Units
Neutrophils %, automated count 41                41 - 79 %
Lymphocytes %, automated count 46                13 - 44 %
Monos %, auto                         11                 5 - 14 %
Eosinophils %, automated count 2                   0 - 6 %
Basophils %, automated count 1                   0 - 2 %
Neutrophils auto count                1.7                2.1 - 7.4 K/uL


[B]CBC (COMPLETE BLOOD COUNT) WITHOUT DIFFERENTIAL[/B]
Component                 Your result Standard range Units
WBC COUNT              4.1     3.5 - 12.5 K/uL
Red blood cells count     5.27    4.10 - 5.70 M/uL
Hgb                             14.5 13.0 - 17.0 g/dL
Hematocrit                     43.8 39.0 - 51.           %
MCV                              83 80 - 100            fL
RDW, RBC                    13.5 12.0 - 16.5            %
Platelets count             186 140 - 400          K/uL


[B]HEMOGLOBIN A1C[/B]
Component                             Your result Standard range Units
ESTIMATED AVERAGE GLUCOSE 117              85 - 126 mg/dL
Hgb A1c %                                 5.7              4.6 - 6.0 %

[Barb135]

Many of your symptoms (you listed several of them more than once) are those of hypothyroidism and with your borderline TSH and relatively low FT4, you could be hypo, but they can also be caused by other things, as well.  

You might ask to have a ferritin and iron workup done, as iron anemia can also cause many of those symptoms, as can other vitamin deficiencies. For instance, low magnesium can cause a lot of muscle weakness/sorenes, low vitamin D can cause fatigue, feeling rundown, etc.

You should also ask to have a Free T3 done, as that's the usable thyroid hormone and since your FT4 is quite low in its range, it's possible that your FT3 will be very low, also.  Without adequate FT3, you won't feel well.

[ALLBIZNISS]

I am not currently on any medicine.


My symptoms...

Well for probably the last 5 years or so I have noticed increases in unfavorable symptoms... Some of them are... Increased fatigue no matter how much sleep. Wake up tired. Seem to have energy at night though. If I can workout I feel good during, but crash after. Muscle weakness, ALWAYS cold hands and feet, lower sex drive, trouble losing weight, less concentration, muscle cramps, ringing in ears, digestive issues (can go 2-3 days without BM. Have to take colon cleanse pills to actually "go".), and a slew of other things that I never thought was related.


Long recovery period after any activity
Chronic Low Grade Depression
Often feeling cold
Cold hands and feet
Hard stools
No eyebrows or thinning outer eyebrows
Dry Hair
Dry cracking skin
Nodding off easily
Requires naps in the afternoon
Inability to concentrate or read long periods of time
Forgetfulness
Inability to lose weight
Always gaining weight
NO sex drive
Dry skin or snake skin
Ringing in ears
Lactose Intolerance
Inability to eat in the mornings
Joint pain
Excessive fatigue and exhaustion
Non-refreshing sleep (you get sufficient hours of sleep, but wake fatigued)
Feeling rundown or overwhelmed
Consistent lack of energy
Feeling unrested  
Low stamina
Muscular weakness
Slow to recover from exercise, injury, illness or stress
Poor digestion
Extreme sensitivity to cold
Afternoon “low” from 2 to 4 pm, followed by an energy boost at 6pm
Feeling sleepy at 10pm, but resisting going to sleep
Suffering from mood swings, mild depression
Lightheadedness when getting up from a sitting or lying down position
Decreased sex drive
Frequent sighing

[Barb135]

The only things I see are that your TSH is bordering on the high side (your lab is using an outdated reference range; current recommended range is 0.3-3.0), and your lymphocytes are high, indicating inflammation in some part of your body.

What, if any symptoms do you have?  Are you currently on a thyroid medication?  If so, which one, what dosage and for how long have you been on it?