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Interpreting my lab results - new to thyroid info
Brand new and currently learning more about the thyroid.
Below are my lab results (non fasted)
after having symptoms of sluggish metabolism, constipation/GI issues, low vit D,
low Testosterone, and a tingling sensation in the neck/thyroid area.
If the labs are all normal ranges, might it be a pituitary issue causing the tingling sensation?
Also, what are your opinions on Lugol's iodine supplementation if I don't have Hashi's?
Im 29, male, 150lbs, extremely active for years now.
Thank you for any help in advance!
TSH 2.09 uiu/ml
T3 Free 3.1 pg/ml
T3 Total 100 ng/dl
T3 uptake 32
Reverse T3 16 ng/dl
T4 Free 1.3 ng/dl
T4 total 7.4 ug/dl
Thyroid antibody <10 iu/ml
Thyroxine binding glob 19.1 meg/ml
Testosterone total 356 ng/dl
Vit D 25 Total 40 ng/ml
cortisol total 10.9ug/dl
Below are my lab results (non fasted)
after having symptoms of sluggish metabolism, constipation/GI issues, low vit D,
low Testosterone, and a tingling sensation in the neck/thyroid area.
If the labs are all normal ranges, might it be a pituitary issue causing the tingling sensation?
Also, what are your opinions on Lugol's iodine supplementation if I don't have Hashi's?
Im 29, male, 150lbs, extremely active for years now.
Thank you for any help in advance!
TSH 2.09 uiu/ml
T3 Free 3.1 pg/ml
T3 Total 100 ng/dl
T3 uptake 32
Reverse T3 16 ng/dl
T4 Free 1.3 ng/dl
T4 total 7.4 ug/dl
Thyroid antibody <10 iu/ml
Thyroxine binding glob 19.1 meg/ml
Testosterone total 356 ng/dl
Vit D 25 Total 40 ng/ml
cortisol total 10.9ug/dl
Good point, I will definitely finish out the Rx.
Got some more info today:
The Testosterone is Depo Testosterone and I am getting 200ml (1cc) weekly
The B injection is Methylamine (sp?) B12 and a complex of B's and a multi.
Im guessing thats a different B12 since I don't metabolize B12 ?
The last time I took antibiotics was over a year ago.
POSITIVE on the food allergy test for (in order of severity)
Soy bean
cows milk
corn
wheat
bakers yeast
cane sugar
chicken
tomato
eggs
Just to clarify, this isn't an "allergy" right? is it an intolerance? or just something your system doesn't agree with? Ive heard mixed reviews on the testing.
Got some more info today:
The Testosterone is Depo Testosterone and I am getting 200ml (1cc) weekly
The B injection is Methylamine (sp?) B12 and a complex of B's and a multi.
Im guessing thats a different B12 since I don't metabolize B12 ?
The last time I took antibiotics was over a year ago.
POSITIVE on the food allergy test for (in order of severity)
Soy bean
cows milk
corn
wheat
bakers yeast
cane sugar
chicken
tomato
eggs
Just to clarify, this isn't an "allergy" right? is it an intolerance? or just something your system doesn't agree with? Ive heard mixed reviews on the testing.
At this point, I'm sure it would be best to finish the course of fluconazole. Any damage has already been done, so you might as well reap the benefits as well.
Do you know which allergy test came up positive?
If I were you, I think I'd give B-12 and D levels a bit of time to stabilize. Things thyroid often take some time to respond. Also, before going on meds, I'd want to put that course of fluconazole behind me for a couple of weeks (at least according to some of what I read) and retest thyroid labs to see if that was affecting results.
You haven't recently taken antibiotics, have you?
Very few of us have a baseline level for thyroid hormones since they're not part of any regular blood work. So, we all have to experiment to find out where we feel best. That being said, while your FT3 and FT4 are a little on the low side, I certainly think that anywhere between 40% and 60% of range is "about midrange". However, there's no reason you couldn't request a small trial dose to see if it makes you feel better. I'd just give what you're already doing time to settle out first.
Selenium is a thought. Be sure to follow label directions as selenium can be toxic if the dose is too high. Once again, it's best to test levels first...if they're adequate, more is not going to help. Brazil nuts are the major food source for selenium...one nut provides RDA, so don't chow down!
Do you know which allergy test came up positive?
If I were you, I think I'd give B-12 and D levels a bit of time to stabilize. Things thyroid often take some time to respond. Also, before going on meds, I'd want to put that course of fluconazole behind me for a couple of weeks (at least according to some of what I read) and retest thyroid labs to see if that was affecting results.
You haven't recently taken antibiotics, have you?
Very few of us have a baseline level for thyroid hormones since they're not part of any regular blood work. So, we all have to experiment to find out where we feel best. That being said, while your FT3 and FT4 are a little on the low side, I certainly think that anywhere between 40% and 60% of range is "about midrange". However, there's no reason you couldn't request a small trial dose to see if it makes you feel better. I'd just give what you're already doing time to settle out first.
Selenium is a thought. Be sure to follow label directions as selenium can be toxic if the dose is too high. Once again, it's best to test levels first...if they're adequate, more is not going to help. Brazil nuts are the major food source for selenium...one nut provides RDA, so don't chow down!
@goolara,
I will find out which antibody test was done and let you know.
Another thought, since I'm doing the injectable B12 and VitD, if theres no celiac issue, maybe the answer is to correct the thyroid with a prescription to get the metabolism back to normal.
@flyingfool,
that all makes sense with my years of high intensity activities (competitive motocross in my childhood, and highly competitive martial arts since 14),
the doc was going to prescribe something for the thyroid but wanted to try to correct vitamin deficiencies before doing that which I think was a good decision. I hope the thyroid wasn't overlooked though because the serum levels of thyroid didn't reveal anything.
I will look into the Selenium, thanks!
I will find out which antibody test was done and let you know.
Another thought, since I'm doing the injectable B12 and VitD, if theres no celiac issue, maybe the answer is to correct the thyroid with a prescription to get the metabolism back to normal.
@flyingfool,
that all makes sense with my years of high intensity activities (competitive motocross in my childhood, and highly competitive martial arts since 14),
the doc was going to prescribe something for the thyroid but wanted to try to correct vitamin deficiencies before doing that which I think was a good decision. I hope the thyroid wasn't overlooked though because the serum levels of thyroid didn't reveal anything.
I will look into the Selenium, thanks!
Wow taking Fluconazole doesn't seem like a good idea for me. More than halfway through the prescription already though.
It was prescribed after a Candida blood test revealed too much yeast in my blood. It makes sense because of the years being active in teaching and competitive in Brazilian Jiu-Jitsu and getting Ringworm numerous times over the years.
The overall thing that pushed me to get this bloodwork was just the overall feeling of a slower metabolism coupled with the tingling in the neck. Also the fact that fat gain is still a problem despite my activity level. Of course everyone's diet could always be better, but I'm not eating bad by any means.
The constipation, bloating, gas, and mucus in the stool over the last few years has also been a concern.
Searching for an underlying cause for all of this is my main objective, not just treating the symptoms. Wondering if its underlying undetected Celiac that is affecting everything. Thyroid, Testosterone, and poor absorption of vitamins and minerals.
Or just overworking the body over the years and exhausting the adrenals and effecting the thyroid and testosterone.
On another note, the doc had a food allergy test done (the one where they inject a small % of the food in your arm?). after about 20 of them, a lot came up positive. I've read mixed reviews on the accuracy/dependency of the food allergy test. Thoughts?
It was prescribed after a Candida blood test revealed too much yeast in my blood. It makes sense because of the years being active in teaching and competitive in Brazilian Jiu-Jitsu and getting Ringworm numerous times over the years.
The overall thing that pushed me to get this bloodwork was just the overall feeling of a slower metabolism coupled with the tingling in the neck. Also the fact that fat gain is still a problem despite my activity level. Of course everyone's diet could always be better, but I'm not eating bad by any means.
The constipation, bloating, gas, and mucus in the stool over the last few years has also been a concern.
Searching for an underlying cause for all of this is my main objective, not just treating the symptoms. Wondering if its underlying undetected Celiac that is affecting everything. Thyroid, Testosterone, and poor absorption of vitamins and minerals.
Or just overworking the body over the years and exhausting the adrenals and effecting the thyroid and testosterone.
On another note, the doc had a food allergy test done (the one where they inject a small % of the food in your arm?). after about 20 of them, a lot came up positive. I've read mixed reviews on the accuracy/dependency of the food allergy test. Thoughts?
excessive excercise can also cause issues with the ability to metabolize thyroid at the cellular level. So serum levels of thyroid may not reveal the issue and otherwise appear "normal" yet at the cellular level be starved of thyroid.
What "excessive" or actually in the article it stated "more than moderate excercise" means is still undefined. But since you say you are extremely active that could play a role.
You could also try taking Selenium as this helps convert the T4 into T3. And it is the T3 that is ultimately used at the cellular level. This may not be a dramatic help, but if you are teetering on the edge this may be just enough to help you.
What "excessive" or actually in the article it stated "more than moderate excercise" means is still undefined. But since you say you are extremely active that could play a role.
You could also try taking Selenium as this helps convert the T4 into T3. And it is the T3 that is ultimately used at the cellular level. This may not be a dramatic help, but if you are teetering on the edge this may be just enough to help you.
http://www.ehealthme.com/ds/fluconazole/low+thyroid
Take a look at that regarding fluconazole and thyroid.
The gene mutations...just did a quick google...seem to be a can of worms. The A1298c list of symptoms impressed me. If you consider that many of us believe that CFS is a catch all diagnosis that includes undiagnosed, untreated hypo, the list of symptoms pretty much reads like a list of hypo symptoms (except for autism). It seems to impact the metabolism of the B vitamins in general.
Positive ANA can indicate Hashi's or celiac. You're right that the negative "thyroid antibody" is not consistent with Hashi's. However, there are two antibodies that are markers for Hashi's, TPOab and TGab. Both have to be tested to rule out Hashi's. You only had one tested, and we don't even know which one it is. If they only tested TGab, it's virtually meaningless as most of us by far are TPOab positive.
Heart arrhythmias are pretty common, and most people don't even know they have them. If the cardio told you it was nothing to worry about, and it doesn't bother you, I don't see any reason not to take his advice.
Take a look at that regarding fluconazole and thyroid.
The gene mutations...just did a quick google...seem to be a can of worms. The A1298c list of symptoms impressed me. If you consider that many of us believe that CFS is a catch all diagnosis that includes undiagnosed, untreated hypo, the list of symptoms pretty much reads like a list of hypo symptoms (except for autism). It seems to impact the metabolism of the B vitamins in general.
Positive ANA can indicate Hashi's or celiac. You're right that the negative "thyroid antibody" is not consistent with Hashi's. However, there are two antibodies that are markers for Hashi's, TPOab and TGab. Both have to be tested to rule out Hashi's. You only had one tested, and we don't even know which one it is. If they only tested TGab, it's virtually meaningless as most of us by far are TPOab positive.
Heart arrhythmias are pretty common, and most people don't even know they have them. If the cardio told you it was nothing to worry about, and it doesn't bother you, I don't see any reason not to take his advice.
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