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What are your thoughts??


Update doctor and blood work :

Went to see PCP for diarrea, have two infected cysts; on second round of antibotics (Keflex 500mg x4 daily); excision in August.  Colonoscopy this Tuesday.  Doctor looked at Thyroid test and immediately said reduce T4.  More blood work:

Ferritin range 13-126 ng/ml - my value 27.2

Iron range 37-145 mcg/dl - my value 126

TIBC (total iron) range 250-450 mcg/dl - my value 368

Iron Sat range 20-50% - my value 34

Methylmalonate, serum/plasma range <0.30 umol/L - my value .10

Fasting Cholesterol <200 mg/dl - my value 179

Triglycerides /= 40 mg/dl - my value 53

LDL calc <100 mg/dl - my value 93

Cholesterol/high density Lipoprotein <4.3 - my value 3.4

PCP ran a new TSH (just to see, from same lab and it has risen to .61 in a week and half after reduction to med.

Vit D 25 range is 30-100 - my value 34; after mega dose (value ten 16) for 12 weeks and supplementing 2000 daily, I am surprised that is is still low normal.  It has been 3 years!  And I live in sunny California!

Hemoglobin Alc range 4.8-5.6 - my value 6.1; my glucose fasting has never been over 100.  Currently tested 92.  Confused as this test is run for diabetics as an average range over three months of blood sugar.  Not sure about this one.

My PCP has said if all tests are good  then it would be my conclusion that it is your thyroid.  Endo is wrong.  After August surgery, PCP said she will run new labs.  I will have to take these to ND or a doctor that has experience with T3 addition as PCP is not familiar.  Am following everyone's suggestions as best I can right now; need to get these tests and excisions out of the way.  Thank you in advance for your advice and comments.❤
Best Answer
649848 tn?1534633700
COMMUNITY LEADER
While your iron level is good, your ferritin is quite low in the range.  Ferritin is a storage hormone for iron.  Your level indicates that you don't have much iron in reserve.

Elevated methylmalonate indicates vitamin B12 deficiency.  You should ask for a standard B12 test, if you haven't already had one.  Additionally, do you have results for MCV and RDW on your lab report?  Those are also indicators of vitamin B-12 deficiency.

Cholesterol levels look good, though triglycerides are high. High triglycerides can be caused by obesity/overweight, uncontrolled diabetes, hypothyroidism, eating more calories than you use, or excessive alcohol consumption.  High triglycerides are a marker for metabolic syndrome.

Your Vitamin D is still pathetically low........lol   Looks like you may need another mega dose.  Or simply increase your daily dosage and retest to be sure levels are increasing.  Talk to your doctor about this, as low vitamin D can cause many hypo-like symptoms.

You're right that the A1c test is run for diabetics, but it's also used in conjunction with other tests to diagnose diabetes.  Even though your fasting glucose on that particular test was 92, your A1c indicates that there are times that your blood sugar levels are much higher than normal. You should ask for a Glucose Tolerance Test (GTT).  GTT is a series of glucose tests done at 1 hr intervals, over a period of 3-4 hours, after drinking a very sweet, syrupy liquid.  You should, also, talk to your doctor about getting a blood testing meter and keep track of your levels for a while, just to see what's going on.  Glucose testing meters are quite inexpensive.  While you may not have full fledged diabetes, you could very possibly have insulin resistance, which, typically, leads to type II diabetes. Insulin resistance is also a marker for metabolic syndrome.

TSH is a poor indicator of actual thyroid levels. I read another of your posts showing that FT4 was at the top of the range and FT3 on the floor.
I agree with the consensus that you should be adding a source of T3.

In my opinion, you have more than one thing going on.
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Avatar universal
Sorry computer went wack.......the misplaced sentence, "And yes, I too believe that after colonoscopy, I will increase my iron in taking additional Ferrous Sulfate, and maybe some blackstrap molasses to try and raise the ferritin.  As for raising the D; I currently take 2,000 units daily; how high can I go without toxicity daily?  When I was first tested my level was 16 with 30 being the bottom; after 50,000 units, one tablet weekly for 12 weeks, I. Only came up to 29.  Last tested I was 31 and year later 34.  Very slow process.  I also eat two Brazil Nuts daily for selenium boost.

Last but not least, a doctor who will work with T3 supplement to lift symptoms I am experiencing for hyperthyroid as well.

Thank you so much for answering my post.  Your advice and comments are truly appreciated and always taken to heart.❤
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Avatar universal
Hi Barb, thanks for your response.  Please note the following:

MCV range 81.0-99.0; my value 90.3

RDW range 11.5-14.5; my value 13.6

RBC, Auto range 4.20-5.40; my value 4.31

My PCP said to give me a Vit B shot is fine.  But during this last visit we had so much discussion, we both forgot about it.  My range for Methylmalonate is .10 which does not indicate B-12 deficiency.  As well, the other values you asked about look good.  I have been supplementing B-12, B-6, Folic Acid in addition to a multi vitamin.  My Ferritin is of great concern to me, as well, RBC on the low end.  These test were done after fasting 7 hours.

And yes, I too believe that after colonoscopy, will supplement more i

I had a GTT done a couple of years ago and found I was hypoglycemic.  After 2 hours of drinking thick orange syrup my sugars dropped to 40. I have had several episodes of low blood sugar if I do not eat properly.  Recently had two hugh episodes; one of them being the fasting before blood tests.  It is obvious to my husband that I'm going low as it comes on quickly, with distinct symptoms; groggy, slurred speech, weak as kitten, eyes blurry and glazed over.  I have been to a nutritionist for balancing my proteins and carbs.  Wake at 6:00 for thyroxine; go back to bed and rest/sleep if possible, two hours later I have a whey protein drink; take vitamins.  2 hours later a big breakfast.  When out and about is when I get into trouble......try to carry nuts and snacks but doesn't bring level up fast enuf because I need mostly carbs at that time.  Love my walnut, raisen, carrot muffins (MiMi's Cafe recipe is online) brings me up fast!
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