Interpreting labs

[maybebaby29]

I just got back from the doctor who said in general, my labs are normal minus the Vitamin D being low. So he's putting me on 5,000 i.u of Vitamin D3 and then for symptoms unithroid. He also said that my right lobe has a small cyst and the left has a cyst with a small microcalcification. He said that it looks like I had a tumor. How can one "have" a tumor?? Either you have one or you don't?

Here are my labs if anyone wants to take a stab if I'm being treated in the general direction. Symptoms: extreme fatigue, thinning hair, hot flashes, infertility (RE said no way is a baby going to happen/refusing even IVF), moodiness, depression (on fluoxitine that they want to up to 30mg). All of this happened after I had my son three years ago. All other docs say I'm fine.

creatine 0.72 (range .59-1.07)
calcium ionized 5.2 (range 4.8 - 5.6)
parathyroid (PTH) intact 48 (range 10-65)

normal parathyroid
hypoparathyroid low
hyperparathyroid ---primary--normal or high (range high)
secondary high (range normal of low)
tertiary high (range high)
non-parathyroid/hypercalcemia low or low normal (range high)

calcium 9.8 (range 8.6-10.2)

vitamin D3 27 (range 30-100)
vitamin D2 <4 (range not established)

phosphate 5.1 (range 2.5-4.5)

TSH 1.49 (range 0.40-4.50)

T4 free 1.0 (range 0.8-1.8)
T3 free 3.1 (2.3-4.2)

antibodies <10 (range <35)

thyroglobulin antibodies <20 (range <20)

thyroglobulin 17.4 (range 2.0-35.0)

[maybebaby29]

Well the high FSH is there---20. But so is the stress. I just don't want to feel so exhausted/tired all the time.

[Red_Star]

Causes of high phosphate levels can be indicative of a kidney disease, bone disease, hypoparathyroidism, healing fractures, acromegaly, rhabdomylosis, excess vitamin D, decrease in magnesium levels, pregnancy.

Hot flashes can be caused by:

Low estrogen
Low progesterone
Low testosterone
Stress hormones and cortisol *
High follicle stimulating hormones (FSH)
High luteinizing hormones (LH)
Thyroid imbalance
Elevated insulin levels
Magnesium deficiency (increases insulin levels)

*Intense exercise or stress is a cause of hot flashes.  There are many types of food that are common triggers, such as spicy foods, caffeine, alcohol, fatty foods or sugar. Tension, anxiety, anger or feeling out of control may cause a hot flash.

[maybebaby29]

thank you. i tried b12 before and really didn't see a difference. and i THINK i was tested for b12 to see if i had celiac back in the spring. that was normal.

[flyingfool]

Most people seem to report feeling symptom free when their Free T4 is at or above mid range AND Free T3 in the UPPER 1/3 of the range.

You tested FT4 1.0  and mid range would be 1.3
You tested FT3 3.1 and upper 1/3 would start at 3.6

So all in all your tests are not too bad. Although a bit lower than the rule of thumb listed above.  So you could consider a starter does of a T4 medication.

You definitely want to increase your D3 levels.  You may also want to have Vit B12 tested as well.

Your symptoms are consistent with Hypo for the most part.  But low levels of Vit D and B12 also is fatigue.  So you may want to start there.