Can someone help me interpret this bloodwork, please? - Mothering Forums

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#1 of 22 Old 05-21-2009, 03:31 PM - Thread Starter
 
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I received a complete metabolic panel because I was having symptoms of thyroid issues and possibly magnesium deficiency. http://www.mothering.com/discussions....php?t=1084635
Anyway, I got the results back today, and my family doctor says that he believes that I am suffering from extreme exhaustion. I didn't have a copy of the bloodwork in front of me when we talked and I am so fatigued that my mind is hazy and it is hard for me to pay attention.

Here is the bloowork (please bear with me):

Glucose, Serum - 101 mg/dL Limits - 65-99 (this is flagged)
BUN - 16 mg/dL Limits - 5-26
Creatinine, Serum - 1.04 mg/dL Limits - 0.57-1.00 (this is flagged)
eGFR - >59 mL/min/1.73 Limits - >59
BUN/Creatinine Ratio - 15 Limits - 8-27
Sodium, Serum - 142 mmol/L Limits - 135-145
Potassium, Serum - 3.8 mmol/L Limits - 3.5-5.2
Chloride, Serum - 105 mmol/L Limits 97-108
Carbon Dioxide, Total - 22 mmol/L Limits - 20-32
Calcium, Serum - 10.2 mg/dL Limits - 8.5-10.6
Protein, Total, Serum - 7.4 g/dL Limits 6.0-8.5
Albumin, Serum - 4.6 g/dL Limits - 3.5-5.5
Globulin, Serum - 2.8 g/dL Limits - 1.5-4.5
A/G Ratio - 1.6 Limits - 1.1-2.5
Bilirubin, Total - 0.3mg/dL Limits - 0.1-1.2
Alkaline Phosphatase, S - 84 IU/L Limits - 25-150
AST (SGOT) - 21 IU/L Limits - 0-40
ALT (SGPT) - 18 IU/L Limits - 0-40
TSH - 4.097 uIU/L Limits - 0.450-4.500
Vitamin B12 - 587 pg/mL Limits - 211-911

He said that my top priority needs to be getting a full 8 hours of sleep and wants me to night wean. Co-sleeping and nursing is the only way I get as much sleep as I do. I have 2 poor sleepers. Is there anything else that jumps out? I am sifting through the info from the other threads, and I would like to have a focus as I don't have a lot of time to research, but I need to get healthy. The doctor also says that my body is hyperstimulated and that is why I am reacting to stress so poorly. Normally he would prescribe an anti-anxiety medication, but he said that really doesn't solve my problem and where I am nursing he doesn't want to do that.

I appreciate any thoughts anyone can provide.

Appalachian mountain woman, radical homemaker, homeschooler, childbirth educator, and doula loving her DH and three powerful little femmes. Deladis 8-4-05, Ivy 4-28-08, and Gweneth 7-21-12 HBA2C! hbac.gif  -  blogging.jpg ribboncesarean.gif

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#2 of 22 Old 05-21-2009, 03:44 PM
 
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Your labs look good to me.

I hope you feel better soon.
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#3 of 22 Old 05-21-2009, 04:48 PM
 
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Given your other symptoms your calcium level actually looks iffy to me. People aren't meant to have calcium levels in the 10's for long and if it is in the 10's your PTH levels (which weren't measured in this lab) would be important to determine whether you might in fact have parathyroid disease.

http://parathyroid.com/diagnosis.htm Take this to your doctor. If you have someone thinking straight that can advocate for you have them study this site and go with you and make sure you get the right tests and they are interpreted right. Unfortunately, doctors often miss parathyroid. People go on and on with elevated levels and doctors blow them off. They often think calciums in the 10's are ok because they are within lab ranges or that if it goes down it's ok. They aren't ok...this site will tell you that. But your number is slightly high and you need a PTH too. I think he should re-run calcium and also run PTH. A normal calcium here or there doesn't mean you are ok as this site will explain. If you look at symptoms your symptoms are in fact consistent with parathyroid disease. Please have someone look over that site carefully. Your health may well depend on it.

Side note: you can have parathyroid disease and hypothyroid issues at the same time. They are unrelated. My sister had both.

I don't know as much about thyroid but it looks to me (in my limited understanding) that you may well have thyroid issues too. That TSH is elevated I believe. I think the new standards are actually lower. But I could be wrong on that. http://thyroid.about.com/od/getteste...altshlevel.htm I think the new recommendation is 3 or below. And you don't have T3 or T4 levels to know exactly what's going on.

Again, you could easily have both issues. I think you might. Make sure this doctor follows up on both of those. Can you get on medicaid or something similar? Because I really think you may need a specialist here.

I think something is certainly wrong. And your doctor's rather careless suggestions given your symptoms is concerning.

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#4 of 22 Old 05-21-2009, 04:59 PM
 
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Yes, that TSH is too high (which would indicate hypothyroidism). The lab ranges are outdated. Anything over 3 should be suspect. Most people feel best when their TSH is between 1 and 2. And you should have Free T4 (and Free T3 although a lot of mainstream docs don't test this) tested because that measures the level of actual thyroid hormone. Those should be in the upper part of the lab range. Can you see an endocrinologist?
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#5 of 22 Old 05-21-2009, 06:01 PM - Thread Starter
 
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Thank you mamas for the help and suggestions.
I don't know what to do. This visit and labs cost me $200 and has tapped me out for the time being. He said if I can't do anything natural to combat my exhaustion and stress... he said he could send me to a dermatologist for the hair loss, but they probably couldn't do anything... then to come back and he'll give me some meds, but he wants to try to avoid them because I'm nursing.
I know there is something going on, or I would have had this problem long ago. I'll have to see what else I can do. He is my best option of doctor here too... treats only as needed and doesn't hassle me about my vaccination beliefs.

Appalachian mountain woman, radical homemaker, homeschooler, childbirth educator, and doula loving her DH and three powerful little femmes. Deladis 8-4-05, Ivy 4-28-08, and Gweneth 7-21-12 HBA2C! hbac.gif  -  blogging.jpg ribboncesarean.gif

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#6 of 22 Old 05-21-2009, 06:29 PM
 
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You said you thought you were magnesium deficient, but there is no magnesium test on there...

Have you checked your poor sleepers for food intolerances? If they have them, you probably have them too.

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#7 of 22 Old 05-21-2009, 07:20 PM
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I agree with lablover.........your TSH is too high according to the new standards (which indicates hypothyroidism)

http://thyroid.about.com/cs/testsfor...a/labs2003.htm

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#8 of 22 Old 05-21-2009, 08:00 PM
 
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A different way to deal with the hypo is vitamin/mineral supps. There's a _long_ list at ithyroid.com, but I think a shorter list is reasonable. If you look at a HFS at a thyroid support product, I think it'll list zinc, selenium, iodine and some Bs. Do you already take some CLO? You may consider some extra D as well, not sure if you've tested recently.

Start with some reading at ithyroid.com on nutrients, but a shorter list is reasonable. There was a little discussion of nutrition and thyroid function (by someone other than me!) in the first Thyroid Thread (the current one that's near the front page is The Thyroid Thread II), it helped me to see that someone else did that approach before I tried it myself. In retrospect, the long list probably wasn't necessary, and you, I think, eat a better diet than I did back then.

Do you eat gluten? May consider cutting it out if you can manage it. It's problematic for a lot of people for different reasons.
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#9 of 22 Old 05-21-2009, 09:59 PM
 
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This is the best article I've ever read written on the subject of Adrenal Fatigue. You might recognize yourself on the first page. http://www.drlam.com/articles/adrenal_fatigue.asp I

I highly suggest anyone considering if they have adrenal fatigue to read it. It has many holistic suggestions. I know SLEEP is a huge key. Come join our 10pm Bedtime Club.

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#10 of 22 Old 05-21-2009, 11:11 PM
 
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Originally Posted by eastkygal View Post
Thank you mamas for the help and suggestions.
I don't know what to do. This visit and labs cost me $200 and has tapped me out for the time being. He said if I can't do anything natural to combat my exhaustion and stress... he said he could send me to a dermatologist for the hair loss, but they probably couldn't do anything... then to come back and he'll give me some meds, but he wants to try to avoid them because I'm nursing.
I know there is something going on, or I would have had this problem long ago. I'll have to see what else I can do. He is my best option of doctor here too... treats only as needed and doesn't hassle me about my vaccination beliefs.
Did you look at the parathyroid site? I believe hair loss is consistent with that. My sister lost tons of hair.

And I think it's probably consistent with hypothyroid too. I really feel you desperately need to see endocronology. There is something (I think highly possibly two somethings) going on that have serious, serious health impacts. Do you qualify for medicaid? Perhaps you can do a hospital that has some type of charity program. Or a church or community program that might help with medical expenses. Or something. You really can't wait.

I'm concerned that in addition to hypothyroid you may have parathyroid issues. Your calcium shouldn't have been a 10. At the very least you need another calcium and PTH level. And that (if you look at the site) knocks literally years off of life span. And it's a tumor (non cancerous) most of the time. You really need to know if you're dealing with that as there is absolutely no supplement or other way to treat it yourself. I would say in terms of health impacts it's more urgent than thyroid.

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#11 of 22 Old 05-21-2009, 11:28 PM - Thread Starter
 
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Originally Posted by sbgrace View Post
Did you look at the parathyroid site? I believe hair loss is consistent with that. My sister lost tons of hair.

And I think it's probably consistent with hypothyroid too. I really feel you desperately need to see endocronology. There is something (I think highly possibly two somethings) going on that have serious, serious health impacts. Do you qualify for medicaid? Perhaps you can do a hospital that has some type of charity program. Or a church or community program that might help with medical expenses. Or something. You really can't wait.

I'm concerned that in addition to hypothyroid you may have parathyroid issues. Your calcium shouldn't have been a 10. At the very least you need another calcium and PTH level. And that (if you look at the site) knocks literally years off of life span. And it's a tumor (non cancerous) most of the time. You really need to know if you're dealing with that as there is absolutely no supplement or other way to treat it yourself. I would say in terms of health impacts it's more urgent than thyroid.
I did look at it. I'm am working through everything now. Thank you for helping me. I'm going to talk to DH and see what his thoughts are. In KY at my age you don't qualify for Medicaid no matter income unless you are pregnant or disabled. I had it, but they took it from me a 8 weeks post partum. I'll have to ask around and look for something else I can do. I agree that this is bigger than exhaustion. It is almost like he wanted to write off the hair loss and send me to a dermatologist for it, but that would have been pointless.
With my family history of problems like this I can't ignore the symptoms and just let them get worse and worse until I'm like my dad and his siblings who are all on synthroid and still dealing with issues that make day to day a struggle to feel good.

Appalachian mountain woman, radical homemaker, homeschooler, childbirth educator, and doula loving her DH and three powerful little femmes. Deladis 8-4-05, Ivy 4-28-08, and Gweneth 7-21-12 HBA2C! hbac.gif  -  blogging.jpg ribboncesarean.gif

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#12 of 22 Old 05-21-2009, 11:42 PM
 
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http://findahealthcenter.hrsa.gov/ See if there are any free/reduced clinics or providers near you. And many communities and churches have programs to help people in situations like this. I'm really worried about you.

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#13 of 22 Old 05-22-2009, 05:44 AM
 
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Try to get Vitamin D tested (there is an at-home test for $65.)

How is your sleep? Are you still in a poly-phasic sleep pattern with the little one? That was a rough spot for me to get over. Personally, sleep issues have been involved in some pretty rough fatigue-related periods in my life. It may not be the cause, but could definitely be a large contributor.

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#14 of 22 Old 05-22-2009, 06:35 AM
 
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Your TSH is too high. FWIW i'm in the UK where up to 10 TSH is considered normal now, but i am treated because i was a 16 once. I feel like utter crap with a TSH over 1. If you test people with NO thyroid problems around 90% will have a TSH of 1. I recommend levothyroxine and i recommend your relatives on synthroid try to get and keep heir TSH at or under 1.
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#15 of 22 Old 05-22-2009, 08:35 AM
 
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It's too bad your doctor couldn't see that you are most likely suffering from extreme exhaustion because you are in a hypothyroid state. I hope you can find a way to get some help.
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#16 of 22 Old 05-22-2009, 11:38 AM - Thread Starter
 
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Thanks for your support and your advice. I found a sliding scale clinic about 45 minutes from me. I have to have all kinds of proof of income and that kind of stuff before I can go see them... and a letter from the medicaid that I don't qualify. It will take me sometime to gather all that. I think I'll take the bloodwork paper and go see them. I think it is only nurse practitioners which my family doc is a PAC instead of a MD. I'm off grid and the healthcare system here is very lacking. To see any kind of specialist I'll have to travel about 3 hours away and stay overnight. But, in a few weeks I'll go for a second opinion and more bloodwork.

I have had a history of bad experiences with doctors (unnecessary c-section, then a necessary c-section from a doc who badmouthed my midwife the whole time he was removing my baby from my womb, then the same doc misplaced a Mirena which made me very sick. He did this eventhough I wasn't completely buying the idea that it was for me. He appealed to DH who in turn made me feel I should get it.) Now, I feel like I've paid this $200 that could have been used for something else and I got a half @#$ed opinion of my problem.
Healthcare in this nation is good in emergency situations, but is so lacking in preventative care. I'm in tears just thinking about it all, and all that I am going to have to do to find the care I need. It's tiring just thinking about it.

In the meantime, I'm going to work on getting sleep, supplement with magnesium, thyroid activator (Nature's Sunshine), hi-lipase enzyme, and continue my prenatal vitamins and probiotics supplements and foods. I already have all of this stuff, so I'll see how it goes over time. In a few weeks I should be able to go to the free clinic.

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#17 of 22 Old 05-22-2009, 11:46 AM
 
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Good. Make sure you take the parathyroid (and new thyroid guidelines) with you to the appointment. Particularly you need parathyroid information as it is likely whoever you see has never seen it or didn't recognize it when they did see it.
FWIW, my sister was also in a really similar situation. She lost medicaid after her pregnancy and then found out about the parathyroid and thyroid issues. She did parathyroid surgery uninsured...the endocronologist worked with her.

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#18 of 22 Old 05-22-2009, 12:28 PM
 
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Originally Posted by A&A View Post
I agree with lablover.........your TSH is too high according to the new standards (which indicates hypothyroidism)

http://thyroid.about.com/cs/testsfor...a/labs2003.htm
:

4 is high. I feel awful if my TSH is higher than 2.5ish. I can feel horribly anxious. I would really look into that more b/f weaning.

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#19 of 22 Old 05-22-2009, 03:45 PM - Thread Starter
 
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This continues to be frustrating. I received a letter from the doctor's office today summarizing my bloodwork. They said my kidney function is high and I should keep my next appointment to discuss it. I have no next appointment, and the doctor didn't even mention it. It was the second thing flagged.

Is this just another symptom of adrenal fatigue and/or thyroid? Does anyone know? My glucose was flagged to and he also didn't mention that, but the letter said my glucose was okay. It's okay higher than the limits??

I'm not going to make another appointment. I think I'll just wait to go to the other clinic.

Appalachian mountain woman, radical homemaker, homeschooler, childbirth educator, and doula loving her DH and three powerful little femmes. Deladis 8-4-05, Ivy 4-28-08, and Gweneth 7-21-12 HBA2C! hbac.gif  -  blogging.jpg ribboncesarean.gif

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#20 of 22 Old 05-22-2009, 05:29 PM
 
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Oh, this sucks. But I would be prepared for the free clinic to give you about the same amount of care though. Especially if you start asking for free T4 and free T3 tests. I finally have a good TSH number and we are tweaking the T3 so I feel the best. BTW, that TSH number is 0.715. And when I was 4.5 and feeling like absolute sh*t, the very smart doctor in a big technology city would not treat me. He did not treat until my TSH was 8 (and I pretty much had to force him to write the scrip for Synthyroid).

My vitamin D was so low, it was the lowest my doc had ever seen. So, in the effort of making sure that is not the issue (since it was not tested) and you probably are not getting out that much, try spending some time in the sun. I can not tell you how much better I feel now that I have more vitamin D flowing in my system.

That is so frustrating. Our medical system sucks so bad. It is shameful honestly.

I hope you find some answers soon. It took me a really long time to find people willing to help me....

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#21 of 22 Old 05-22-2009, 06:20 PM
 
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My suggestion is to give a dated, Written Request for specific lab work, listing your symptoms and reasons (with references even) for the request. I'd direct the request "To Whom It May Concern at xyz Free Clinic" (or MD by name), and tell them to place a copy in your chart (keep a copy yourself). I'd about bet $50 no MD would risk the liability of Refusing your Request.

If so, ask for a written refusal for the specific labs, signed by the MD.


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#22 of 22 Old 05-23-2009, 12:00 AM
 
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Originally Posted by eastkygal View Post
This continues to be frustrating. I received a letter from the doctor's office today summarizing my bloodwork. They said my kidney function is high and I should keep my next appointment to discuss it. I have no next appointment, and the doctor didn't even mention it. It was the second thing flagged.

Is this just another symptom of adrenal fatigue and/or thyroid? Does anyone know? My glucose was flagged to and he also didn't mention that, but the letter said my glucose was okay. It's okay higher than the limits??

I'm not going to make another appointment. I think I'll just wait to go to the other clinic.
Hyperparathyroid puts a lot of stress on the kidneys. In fact in rare cases it can lead to kidney failure. Hyperparathyroid will also cause low vitamin D (which will correct itself without supplements after surgery.

Please don't forget to get a PTH level and another calcium draw. I agree on the hypothyroid but think you may well have parathyroid disease too. http://www.parathyroid.com/parathyroid-symptoms.htm

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