Can anyone point me in the right direction?

[hopalong_too]

I am new to this board but was advised that due to my lab results I should maybe inquire here about the possibility of adrenal issues and/or hyperparathyroidism. This is my life for the past few months:

Hip pain started 11 months ago now.
I started on Thyroid meds in Nov.

Results:
11/19
TSH 1.12 (.34-5.6)
FT3 2.6 (2.3-4.2)
FT4 .68 (.58-1.64)

01/08
TSH 0.03 (.34-5.6)
FT3 3.7 (2.3-4.2) (75%)
FT4 1.02 (.58-1.64) (41%)
TPOab was 24 (0-9) and TGab 16 (<4)

One hypoechoic thyroid nodule 4x4x6m

Vitamin D 21 (32-100) Put on supplements again!
Vitamin D 35 (32-100) I take 50,000IU/week
PTH 27 (12-88)
Calcium 10 (8.5-10.5)
Ionized Calcium 1.35 H (1.17-1.32) NO calcium supplements taken

At my latest Endo visit:
TSH 0.02 (.34-5.6)
FT4 .84 (.58-1.64) 27%
FT3 3.5 (2.3-4.2) 63%

Changed to 50mcg Synthroid and 5mcg Cytomel

3/19
Calcium 10.3 (8.5-10.3)
Potassium 4.1 (3.6-5.1)
Creatinine .7 (.5-1.5)
Chloride 104 (101-111)

04/03
Calcium 5 (8.5-10.2) GEEZ! Maybe a lab error since Ca is ALWAYS at he high end but then the electrolytes went whacky! Doc sent me to the ER!

04/04 (At the ER)
Sodium 137 (135-145) low normal
Chloride 97 (97-108) low normal
Potassium 3.3 (3.5-5.2) LOW
Glucose 117 (60-99) HIGH
Blood Pressure 172/97 (eventually came down)
Calcium 9.7 (8.5-10.2)

B12 324 (211-911) Now 424 with supplements
Folate 16.6 (>5.4)
Ferritin 30

I am not dehydrated and I eat a lot of bananas, avocado, salads etc. and I drink water! No diuretics! Hope this helps!

The only thing I can think that might be contributing is that I am writing final exams and feel the stress! Who wouldn't after being away from school for 30 years! (Doing great though...) I just wish my body would cooperate.

I have two thoughts...
#1 Hyperparathyroid because Calcium tends to be above 10 more than not.
#2 Something with the adrenals and I had no testing for that. Just started on thyroid meds.

Thank you! Hoppy

I woke up this morning to the WORST cramp in my calf that I have had in a LONG time. Finally got it to dissipate but it is still sore!

[mkgbrook]

You know my take on this from the thyroid board. I hope the vets here get back to you with their wisdom soon. Rumpled and many other gooduns roam this board.

MG

[rumpled]

Have you had a dexa scan? Have you had your alkaline phosphatase tested? Does it show you have bone turnover? I am hypoparathyroid so I have had a few of these issues but on the opposite side.... there are endos that specialize in the parathyroid and bone or you need to see a good one that will scan you as well as check all this out. But to be hyperparathyroid, your PTH #s have to be above 88, I think.

I look at your TSH jumping all over and I have to think... pituitary. Mine did that and my docs kept adjusting my meds to the TSH and I got every color (dose) and I felt like crud and it turned out I had two lesions on my pit. They were not TSH secreting ones but the pressure put on my pit wreaked havoc with my hormones.

Are you taking a good D3? Check the label on your D and make sure it is D3 - take at least 1000iu a day or more.

[hopalong_too]

Thanks Rumpled. My alkaline Phosphatase is 52 (38-126). I am on Rx 50,000IU Vitamin D once a week. I haven't had a DEXA scan yet but have asked for one as I failed the drug store wrist one. (I don't think that traveling test is reliable but who knows). My doctor did agree to the DEXA scan so I will ask again as it was forgotten with the calcium debacle. I have had horrible diarrhea and pressure in the chest for the past two days....not sure what is up. My doc is checking my calcium again at the end of the week. I am really feeling like a hypochondriac but I have to keep pushing until I start to feel better. Hoppy

[rumpled]

I hope you get a good DEXA with wrist, spine and hip checked (I think those are the three points). My one doc did a whole body check.
Calcium being off is not a good thing - you really need to keep on top of it so don't think you are a hypochondriac.