blood work from Endo follow up 4-8-13

[75189]

This is my blood work from last week Endo. apt..... im still looking to find a Male Endo in my area that will help me and not just treat me like another number in the office. I will have a full BW Panel test done on my thyroid levels and update when i get results from that.

Tests: (1) Vitamin D , 25 OH (4958)
Vitamin D, 25 OH 32.6 NG/ML 30.0-60.0

Tests: (2) THYROID PEROXIDASE AB (CPT 86376) (100174)
THYROPEROXIDASE (TPO)
[H] 1998.7 IU/ML <35.0

Tests: (3) TIBC (2500)
IRON 53 UG/DL 35-158
TRANSFERRIN 271.1 MG/DL 250.0-380.0
CALC %IRON SAT [L] 14.0 % 20.0-50.0
CALCULATED TIBC 379.5 UG/DL 250.0-450.0

Tests: (4) FERRITIN (2276)
FERRITIN 66.30 NG/ML 7.00-150.00

Tests: (5) COMPLETE BLOOD COUNT W/O DIFF (1041)
WBC TOTAL 7.4 K/CUMM 4.0-11.0
RBC 5.38 M/CUMM 4.10-5.70
Hemoglobin 15.7 G/DL 13.0-17.0
Hematocrit 48.5 % 37.0-49.0
MCV 90 FL 80-100
MCH 29.3 UUG 27.0-34.0
MCHC [L] 32.4 G/DL 33.0-37.0
RDW 13.3 % 11.0-15.0
Platelet Count 234 K/CUMM 130-400


my original post on 4-5-13........Hello my name is bobby, I am 27 years old 6'1 190lbs and have recently had my test levels checked results came back 460 total and 9.2 free.... Regular physician amd endocrinologist both say those are good numbers. I thought free test was more important and 9.2 is low endo. Said they only look at that for obese ppl. but I have many symptoms of low test from what I've read up on. Low libido, muscle fatigue, under active thyroid "which I've been on .75 mg of levolox. For 5 mo now and still is not helping" I'm very much interested in doing TRT to see if it may help, so I'm not exhausted all the time. I also have plenty of exercise 5 times a week 45min to 1 hour " but i have to push myself just to finish and its never been like that only over the last 5 months have i noticed all the changes. I have a well balanced diet and take a multi vitamin every day. Any suggestions?

Test-469 ref range-292-1052

Sex horm bind globulin-37 Ref range-16-94

Free test 9.3. Ref range 4.8-25.0

TSH. 3.352. Ref range. 0.350-4.940

FT4. 0.94. Ref range. 0.70-1.48

Tests: (3) COMPREHENSIVE METABOLIC PANEL W/GFR (9180)
GLUCOSE, Serum 90 MG/DL 65-100
BUN 12.0 MG/DL 8.0-25.0
CREATININE, SERUM 0.9 MG/DL 0.7-1.3
Estimated GFR 108 ML/MIN/1.73 M^2 >60
BUN/CREAT 14
NA 139 MMOL/L 133-146
K 4.2 MMOL/L 3.5-5.3
CL 103 MMOL/L 97-110
CO2 30 MMOL/L 18-30
CALCIUM 9.8 MG/DL 8.5-10.5
TPROT 7.4 G/DL 6.0-8.4
ALBUMIN 4.50 G/DL 2.90-5.00
GLOBULIN, CALC 2.9 2.0-3.8
A/G RATIO 1.6
BILIRUBIN, TOTAL 0.70 MG/DL 0.00-1.30
ALP 63 U/L 30-132
AST (SGOT) 29 U/L 5-35
ALT (SGPT) 39 U/L 7-56

[thisAngelBites]

Hi,

I didn't see your first post, and I am only learning bits and pieces about male hormones and I am sure that thyroid affects males hormones, but I am not familiar with the mechanism, so hopefully one of the very informed men here will help you with this.

I'm hypothyroid, and if my numbers looked like that I would feel as if on death's door. The ranges for TSH vary tremendously from country to country which right there tells you something is wrong (how can people in the US be considered healthy at one amount of TSH but in Aus they are healthy at a lower number?).

Many people feel better with a TSH of approximately 1.0, so I suspect yours is still high. Your higher TSH means your pituitary is trying to get your thyroid to make more T4, but your T4 level is quite low, so it doesn't seem to be responding as it should. It would be worth knowing as well how well your body is converting the T4 that your thyroid is making to the active form of the thyroid hormone, T3, but you need more bloodwork for that.

If at all possible, I would go to the About dot com website and look for hypothyroidism (or you can google Mary Shomon and you will find it) and there is a list of physicians there that are more well versed in thyroid matters and will treat you according to your symptoms and not just look at your blood results and say you are fine based on those (I once had to tell an endocrinologist that if he was treating just my blood instead of all of me, then he would have to get my blood to write him a check, as the rest of me wasn't paying. I had a good laugh but he wasn't quite as amused). But I suspect finding someone who knows what they are doing regarding thyroid will be one of the first steps in your journey. You can take the bloodwork that has been done already so you don't have to duplicate that.

Good luck!

[AnabolicDoc]

This is my blood work from last week Endo. apt..... im still looking to find a Male Endo in my area that will help me and not just treat me like another number in the office. I will have a full BW Panel test done on my thyroid levels and update when i get results from that.

Tests: (1) Vitamin D , 25 OH (4958)
Vitamin D, 25 OH 32.6 NG/ML 30.0-60.0

Tests: (2) THYROID PEROXIDASE AB (CPT 86376) (100174)
THYROPEROXIDASE (TPO)
[H] 1998.7 IU/ML <35.0

Tests: (3) TIBC (2500)
IRON 53 UG/DL 35-158
TRANSFERRIN 271.1 MG/DL 250.0-380.0
CALC %IRON SAT [L] 14.0 % 20.0-50.0
CALCULATED TIBC 379.5 UG/DL 250.0-450.0

Tests: (4) FERRITIN (2276)
FERRITIN 66.30 NG/ML 7.00-150.00

Tests: (5) COMPLETE BLOOD COUNT W/O DIFF (1041)
WBC TOTAL 7.4 K/CUMM 4.0-11.0
RBC 5.38 M/CUMM 4.10-5.70
Hemoglobin 15.7 G/DL 13.0-17.0
Hematocrit 48.5 % 37.0-49.0
MCV 90 FL 80-100
MCH 29.3 UUG 27.0-34.0
MCHC [L] 32.4 G/DL 33.0-37.0
RDW 13.3 % 11.0-15.0
Platelet Count 234 K/CUMM 130-400

my original post on 4-5-13........Hello my name is bobby, I am 27 years old 6'1 190lbs and have recently had my test levels checked results came back 460 total and 9.2 free.... Regular physician amd endocrinologist both say those are good numbers. I thought free test was more important and 9.2 is low endo. Said they only look at that for obese ppl. but I have many symptoms of low test from what I've read up on. Low libido, muscle fatigue, under active thyroid "which I've been on .75 mg of levolox. For 5 mo now and still is not helping" I'm very much interested in doing TRT to see if it may help, so I'm not exhausted all the time. I also have plenty of exercise 5 times a week 45min to 1 hour " but i have to push myself just to finish and its never been like that only over the last 5 months have i noticed all the changes. I have a well balanced diet and take a multi vitamin every day. Any suggestions?

Test-469 ref range-292-1052

Sex horm bind globulin-37 Ref range-16-94

Free test 9.3. Ref range 4.8-25.0

TSH. 3.352. Ref range. 0.350-4.940

FT4. 0.94. Ref range. 0.70-1.48

Tests: (3) COMPREHENSIVE METABOLIC PANEL W/GFR (9180)
GLUCOSE, Serum 90 MG/DL 65-100
BUN 12.0 MG/DL 8.0-25.0
CREATININE, SERUM 0.9 MG/DL 0.7-1.3
Estimated GFR 108 ML/MIN/1.73 M^2 >60
BUN/CREAT 14
NA 139 MMOL/L 133-146
K 4.2 MMOL/L 3.5-5.3
CL 103 MMOL/L 97-110
CO2 30 MMOL/L 18-30
CALCIUM 9.8 MG/DL 8.5-10.5
TPROT 7.4 G/DL 6.0-8.4
ALBUMIN 4.50 G/DL 2.90-5.00
GLOBULIN, CALC 2.9 2.0-3.8
A/G RATIO 1.6
BILIRUBIN, TOTAL 0.70 MG/DL 0.00-1.30
ALP 63 U/L 30-132
AST (SGOT) 29 U/L 5-35
ALT (SGPT) 39 U/L 7-56

You have Hashimito's (autoimmune) thyrioditis - it's very common and it seems that you're in the earlier stages. Also you're on too low of a dose of T4. Most ppl who are hypothyroid feel better when T3 is added. Common brand name is Cytomel known generically as liothyronine. Btw you're in 0.075mg (75mcg) of thyroid hormone, not 0.75. Talk to your doctor and do some research on what i said before setting him in case he/she is reluctant in working with you. Good luck!

[75189]

Thanks for the info! I'm going to see a new doctor ASAP. I will do my reaserch and keep posting my BW Test every time I go. Thanks again

[thisAngelBites]

You have Hashimito's (autoimmune) thyrioditis

I mistakenly read that as 7 iu/ml and dismissed it as being low, I'm glad someone else saw it. That's a lot of antibodies, yes, please do speak to your doc.

Cytomel is great, but there are also natural thyroid meds like Armour or Erfa that are combinations of T4 and T3, and some people do better on those, although others are fine on synthetics. Erfa works really well for me, but of course we're all different. Best of luck.

[AnabolicDoc]

Porcine thyroid preparations can do very well for some people. The reason i don't recommended them in general is bc there are national shortages of Nature Thyroid, NP Thyroid, and Armour Thyroid so they're pretty difficult prescriptions to fill regularly. There's also liotrix which is a combo of synthetic T4 and T3, but that is difficult to find - never looked into why. Docs can also prescribe compounded T3 + T4 (I think only synthetic but not sure) but often insurance doesn't cover compounded prescriptions bc there is no NDI #, which by design most insurance companies claim to need to process prescription payments. Ideally if one gets a prescription for compounded T3 and/or T4 it should be a slow release preparation. I've never heard of Erfa. Is it readily attainable?

[thisAngelBites]

I've never heard of Erfa. Is it readily attainable?

It's a Canadian company, but I think, perhaps (memory failure due to inadequate hormones) made in Belgium?: home_page.jpg

Several years back Armour was reformulated and I was taking the old Armour and doing great. The new Armour didn't work as well for me and my symptoms started returning (this happened to a lot of people), so I experimented with other porcine thyroid: Thiroyd (that's the real spelling!), Naturethroid, Thyroid-s and finally Erfa worked the best for me, like the original Armour.

I order mine from Vanuatu (or did, as I used to be able to get it without prescription), I probably will still get my order there once I get my new scrip, as the prices are good from there. Not had any problems with availability, but then most people will want to get their scrip from a pharmacy in the US, and I honestly don't know if it's readily available like that.

But google it - there are a lot of places that sell it and quite a lot of peeps at Stop the Thyroid Madness use it.

[AnabolicDoc]

In what country do you live? In the US you can only import medications that are FDA approved and not controlled substances. Additionally there must be no therapeutic interchange available. At least, that's the last I read.

[thisAngelBites]

I live in the UK, we can import almost anything if it's for our personal use, although since the Olympics our importation of steroids and HGH is only legal if imported in person (not through the mail/post).

But it seemed like most of the people on the various thyroid groups are in the US, and they seemed to be getting Erfa.

Oh here, found this:
FDA announces Erfa Thyroid from Canada can be ordered with a US Dr's prescription - Thyroid Disorders Message Board - HealthBoards