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Lab results..How can I possibly Normal? I cant live like this anymore..


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Old 09-25-2008, 10:34 AM   #1
Les3elles
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Unhappy Lab results..How can I possibly Normal? I cant live like this anymore..

So, any help would be appreciated... Internist tells me im normal and should get tested for narcolepsy and tells me hes not seeing me anymore and to go back to my family physician who sent me to him in the first place. I cant function, this is insane!! Who can help me be me again?????

Here are my results... Im up for any interpretation or suggestions... PLZ
Hemoglobin 119 (120-160) g/L
Hematocrit 0.36 (0.35-0.45) L/L
White blood cell count 6.3 (4.0-11.0) xE9/L
Red blood cell count 4.10 (4.00-5.10) xE12/L
MCV 87.3 (80-100) fL
MCH 29.0 (27.5-33.0) pg
RDW 332 (305-360) g/L
Sedimentation Rate (ESR) 45 (up to 20) MM/H *** huh?
Platelet count 297 (150-400) x E9/L
Reticulocyte count 36 (20-100) x E29/L

Absolute: Neuts 3.6 (2.0-7.5)
Lymph 2.0 (1.0-3.5)
Mono 0.4 (0.2-1.0)
Eos 0.3 (0.0-0.5)
Baso 0.0 (0.0-0.2)
INR 1.0 (0.9-1.2)

Vitamin B12 246 (198-615)
RBS FOLATE 1120 >OR= 634

Glucose-random 4.8 (3.6-6.9)
HbAlC 0.050 (0.040-0.060)

Creatinine 73 (50-110)
eGFR 96 > or=90 ml/min/1.73m2

Sodium 140 (135-147)
Potassium 4.5 (3.5-5.2)
Total Bilirubin 4 (UP TO 22)
Alanine Transaminase (ALT) 18 (5-42)
Alkaline phosphatase 63 (40-120)
Creatine Phosphokinase (CK) 67 (20-130)

FREE TRIIODOTHYRONINE 4.8 (3.5-6.5)
THYROTROPIN (sensitive TSH) 3.22 (0.35-5.0)
FREE THYROXINE (FREE T4) 15 (9-23)

FERRITIN 26 (10-291)
FOLLITROPIN 4 IU/L

Any ideas where I should turn now? I KNOW Im not normal!! I am sick! So Whats wrong with me???

Last edited by Les3elles; 09-25-2008 at 10:34 AM.

 
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Old 09-25-2008, 11:17 AM   #2
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Re: Lab results..How can I possibly Normal? I cant live like this anymore..

THYROTROPIN (sensitive TSH) 3.22 (0.35-5.0) This is too high. You are hypothyroid by American Association of Clinical Endocrinologist since levels were changed in 2002 and refined in 2006. You are not insane, you are hypothyroid.

FREE TRIIODOTHYRONINE(FT3) 4.8 (3.5-6.5) You are 43 % of normal here. For a woman still capable of bearing children this is suboptimal in range. You want levels in the 60-80% of normal region. Same for the FT4 levels.
FREE THYROXINE (FREE T4) 15 (9-23) You are 42.8% of normal here. This is also suboptimal.

Have you been tested for Hashimoto's thyroiditis? If not you need to get your TPOAb and TGAb run. This will let you know if it an AI running a muck ravaging your system.

FERRITIN 26 (10-291) THIS IS WAY TOO LOW! YOU NEED TO BE IN THE 70-90 region. Start taking an iron supplement Ferrous Fumerate has the best absorption. This is a sign of an anemia very common in hypothyroid patients. Low ferritin compounds hypothyroid symptoms.

Vitamin B12 246 (198-615) You are at 11.7 % of normal here. you also need to get on a super B complex. Low B12 decreases thyroid function and can cause an migraine and fatigue issues. You need to boost this. If one B vit is low you are at higher risk for the others being low. Adding a supplement with all the B vits is the best coarse of action accoring to my Neuro amd IM.

You can also add Magnesium as well. But you should have your Magnesium levels checked first.

Right now take a deep breath and take action with the OTC Iron and vit B supplementation. Next get an MD to test you for Hashimoto's and ditch that current.... *bites tongue* DUD!

MG
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Old 09-25-2008, 11:26 AM   #3
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Re: Lab results..How can I possibly Normal? I cant live like this anymore..

Thank you!! Thank you for telling me Im not insane! The doctor sure did make me feel it.. My question is why on earth would he tell me Im perfectly healthy and then send me on my way, when according to scales I have several issues that can improve my quality of life? I dont know where to turn, my family doctor will not test me for anything else, she will only test if she sees a red flag, and the specialist will no longer see me.

Will I be able to fix myself with OTC supplements?

Thank you much again!

 
Old 09-25-2008, 11:33 AM   #4
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Re: Lab results..How can I possibly Normal? I cant live like this anymore..

Not if you have Hashimoto's. The supplements will be a patch. Your only solution is to find a new MD that will test you. Go to your GP and ask to be tested for Hashimoto's. Tell her that you were not impressed with MD. X's professionalism. Stress how you are concerned given the anomolies and symptoms that there is something there. Tell them a family member wanted you to rule out Hashimoto's thyroiditis given it can run in families. You should not have to say more. Do not share that is was me a family member of thyroid dysfunctional family here.

An official complaint of muscle cramps and fatigue can get you the Magnesium check. Also make sure to ask your GP her opinion on supplementing your suboptimal vitamin B and Ferritin levels. Tell her you are taking supplements X and value her opinion. LEARN GRASSHOPPER to guide your MD into working with you. Most respond well to flattery and reasoning.

I hope that supplementation helps you. It gave me relief from about 50% of my symptoms. It took synthroid to get rid of most of the others.

MG
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Old 09-25-2008, 05:31 PM   #5
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Re: Lab results..How can I possibly Normal? I cant live like this anymore..

I believe I read somewhere that optimal B12 levels should be above 600. Or maybe it was closer to 800 (I forget). So definitely get that B12 a bit higher.

Besides what MG suggested, I'd also recommend getting your vitamin D levels checked. A large percentage of people are deficient in D.

And getting magnesium levels checked is a decent idea too, but I think serum levels are very unreliable. They'll only tell you if you are severely mag deficient (like near death). There are intracelluar and mag loading tests, but I think those may be difficult to get. If you have a lot of muscle aches/pains/cramps, you could consider trying a little magnesium, and see if it helps.

And definitely get those antibody levels checked. I am beginning to wonder if the people with borderline high TSH values (2.5-4) who have hypo symptoms, tend to have symptoms primarily because of thyroid antibodies. Perhaps in Hashi people there are some hormone fluctations that are difficult to pick up using normal testing or the antibodies cause symptoms by themselves.

 
Old 09-25-2008, 05:42 PM   #6
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Re: Lab results..How can I possibly Normal? I cant live like this anymore..

Thank you. I am definitely making a trip to the supplement, vitamin store tomorrow. I will speak with a professional and explain my symptoms and make sure of the dosage and mixing! If a doctor doesnt take my symptoms and ailments seriously, I must find a way to make a change on my own. I can no longer live with the constant pain, exhaustion and mind fog.
Thank you all again.
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Old 09-25-2008, 06:27 PM   #7
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Re: Lab results..How can I possibly Normal? I cant live like this anymore..

If you have antibodies adding a multivitamin with Selenium is a must. It will decrease your antibody levels.

The vit D level check is a good idea.

My neurologist put me on 400 mg of Magnesium a day. He never even bothered to test me. The B6 and B12 were in need of a boost they helped given me energy. Being low in DHEA can cause fatigue but so can that low ferritin. It will take time but adding iron, a super B complex and magnesium should help with some of your issues. It will not be an instant fix. It can take weeks to months for your metrabolism to come back on line.

In the mean time keep searching for THE MD that will work for you. The more active you get in your care the quicker you will get them to solve your issue. ALSO always feel free to vent, gripe and cry hear. We understand.

MG
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Old 09-25-2008, 06:51 PM   #8
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Re: Lab results..How can I possibly Normal? I cant live like this anymore..

thank you again.... This is probably going to be a pain for you but.. would it be possible for you to suggest the supplements and vitamins i would need according to my results? I am new at this whole vitamin thing and it is quite overwhelming to be honest.. And maybe TMI here, but I am always constipated (maybe once a week) .. will vitamins make that worse? So sorry to keep asking all these questions...
Very appreciative!
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Old 09-25-2008, 06:57 PM   #9
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Re: Lab results..How can I possibly Normal? I cant live like this anymore..

You have gotten great answers so far that covered pretty much everything I would have said.

I look at your thyroid results and think you might benefit from thyroid meds, but you are not at a point where most docs would treat you, as you are discovering the hard way.

ALL of your iron related labs are very low in the normal range. You aren't anemic, accrdong to the lab ranges, but you ARE anemic, and I believe this to be the source of many of your problems. I'll comment on a few that I have experienced:

A few years ago, I was having extreme fatigue and sleep that was far from normal. I would sleep for 24 hours at a time, sometimes, and when I was awake, I was so tired during the day at work, that one day I went to my car to get something and sat down in the drivers seat and fell asleep. It was a hot day and well over 100 degrees in my car when I woke up a few hours later. When I went to my doc, my blood work looked similar to yours--lowish iron, B12, and Ferritin are the main things I recall, though I had let my thyroid levels slip some, too. A sleep study revealed that I was normals except for some Restless Leg Syndrome that woke me occasionally.

FERRITIN 26 (10-291)
At this level hair loss is VERY likely and fatigue is practically inevitable. Do you wake up feeling unrested, or just plain sleep way more than "normal" people? If so, I bet a sleep study would reveal Restless Leg Syndrome. RLS is quite often caused by low Ferritin. A sleep study would reveal the RLS as well as any suspected Sleep Apnea, and might not be a bad idea, but I think you already have your most of your answer, here in your bloodwork.

DEFINITELY get you some iron pills, and when you take your iron, take a small dose of Vitamin C for better absorption, too.

Vitamin B12 246 (198-615) Here's another issue. The B12 also plays a big role in fatigue and also in RLS. Sublingual B12 and/or a B12 shot from your doc might be helpful in getting you on track, too.

Those are a few of the things that helped me. Hopefully this helps you some, too.

NOW, you state that you are constipated often. Iron has a constipating effect, too. What I think you will find helpful, here, is Magnesium Magnesium is vital for proper muscle contraction, including the muscles in your intestinal tract. Be sure you are gettign plenty of magnesium, as you are likely deficient, there. Taking two to three times the amount that is listed on the supplement bottle is not out of the question, in cases of deficiency.
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Last edited by Meep; 09-25-2008 at 07:03 PM.

 
Old 09-26-2008, 06:10 AM   #10
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Re: Lab results..How can I possibly Normal? I cant live like this anymore..

I was told to take 400 mg of Magnesium a day. The also recommended doing this at night to help cut down on the night cramps and pain in the calf charlie horses that would wake me for the fun of it.

Let's talk chemistry! Iron supplementation:
Absorption is most efficient when iron is ingested in its ferrous rather than its ferric form, on an empty stomach. You do not want to take your iron in tandum with thyroid supplementation (When and if you get thyroid supplementation). Certain foods and supplements, such as coffee, tea, milk, eggs, calcium, whole grains, and phosphorus, may inhibit nonheme iron absorption. Take ferrous fumarate and folic acid on an empty stomach, at least 1 hour before or 2 hours after a meal for best absorption results. Most recommend ~30 mg a day. Be aware that it can cause nausea initially. It will also make your stool BLACK! That was almost as disturbing as my son's antibiotics that made his stool blood colored. Ugh! Most prenatal vitamin supplements have 27 mg of ferrous fumarate.

A super B complex should have a listing something like this:
supplement ~~~~~~~~~~~~~~~~~~ Qty ~~~% daily limit
Vitamin B-1 (thiamin diphosphate) 10 mg 667
Vitamin B-2 (riboflavin 5'-phosphate) 10 mg 588
Vitamin B-3 (inositol hexanicotinate) 100 mg 500
Vitamin B-5 (pantethine)~~~~~~~~~~50 mg 500
Vitamin B-6 (pyridoxal 5'-phosphate) 50 mg 500
Vitamin B-12 (methylcobalamin) ~~~200 mcg 3333
Folic Acid (calcium folinate) ~~~~~~400 mcg 100
Biotin (pure crystalline) ~~~~~~~~~~400 mcg 133

Some will have other stuff in it, bet getting a supplement that is 1000 to 3000 the daily limit in B12 and 500-1500% the daily limit in B6, and B2 is the most important. My neurologist has me on 40 mg of B2 a day. In general avoid supplements that are in carbonate or sulfate form. These are not going to absorb as quickly.

I agree with Meep. I think you could benefit from some, but right now the MDS are going to fight you on it. If you find a prenatal vitamin with selenium and ferrous fumarate in it, you should see an increase in your ferritin levels. After 4-6 weeks on a supplement such as this you should get your ferritin levels, b12, and vit D checked again. See where you stand the levels of ferritin should have risen. In the mean time start keeping a symptom log. Check your body temperature, blood pressure, Heart rate and severity of your symptoms morning and night. You will be surprised at what such a log can tell you. Also look into keeping a sleep log. Note how many times you wake at night. The time you go to bed and wake up. Whether you dream... etc. If you search on sleep log you will get many hits and most of them will work out just fine. Keep a diet log and a work out log. If you document everything and have say a nutricionist/physical trainer check off that you are following said plan, the MDs do not have grounds to dismiss POOR metabolic function as you being lazy or eating unwisely. I can not count how many MDs I know jump to the immediate conclusion that someone is over weight because they eat too much and do not exercise enough. *SNORT*

Hope this helps. I am not going to list any specific brands in favor of another. Find a supplement that is MADE IN THE USA, UK, or CANADA. Those that are made Mexico, China and a few other places have been tested positive for higher than reccommended mercury levels on occasion. Better to be safe than sorry. USA made ones have to meet EPA and FDA hazardous metal guidelines and thus are the safest. Mine are made in Atlanta, GA.

MG
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Old 09-26-2008, 06:24 AM   #11
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Re: Lab results..How can I possibly Normal? I cant live like this anymore..

Quote:
Originally Posted by Les3elles View Post
Thank you!! Thank you for telling me Im not insane! The doctor sure did make me feel it.. My question is why on earth would he tell me Im perfectly healthy and then send me on my way, when according to scales I have several issues that can improve my quality of life? I dont know where to turn, my family doctor will not test me for anything else, she will only test if she sees a red flag, and the specialist will no longer see me.

Will I be able to fix myself with OTC supplements?

Thank you much again!
My comment has already been well-said but I'm adding it anyway to let you know we really do care. Your complaint is so common here, and the answer always is to the effect that you're lucky to have found out some incompetency before some emergency may have come up. If there's nobody competent in your town, simply go to another one, despite gas prices. Your health and well-being is worth it.

I second the advice to get antibody testing added to your lab requests. Maybe to get proper respect it's necessary to let them know, in a subtle way of course, that we know about these things and aren't easily intimidated. Maybe they still will not take any steps to improve themselves before the next similar patient but it will not be your fault.

Last edited by Eagle; 09-26-2008 at 06:26 AM.

 
Old 09-29-2008, 07:07 PM   #12
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Re: Lab results..How can I possibly Normal? I cant live like this anymore..

So, I had my appt today.. She spent time reviewing my labs with me and she says everything is normal...Surprise, surprise... I guess Im «depressed» and am now going to start my THIRD anti-depressant... wow I wonder if this one will help (sarcasm) *sigh*
Seriously?? Ugh...
Thanks for all your input ladies!!
Very much appreciated
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Old 09-30-2008, 04:34 AM   #13
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Smile Re: Lab results..How can I possibly Normal? I cant live like this anymore..

Quote:
Originally Posted by Les3elles View Post
So, I had my appt today.. She spent time reviewing my labs with me and she says everything is normal...Surprise, surprise... I guess Im «depressed» and am now going to start my THIRD anti-depressant... wow I wonder if this one will help (sarcasm) *sigh*
Seriously?? Ugh...Thanks for all your input ladies!!Very much appreciated
We have some guys here too. I think Scoot is one. And I forget the name of one who's seeking answers FOR HIS WIFE. You're not saying you're depressed just because of not having found the right compatible doctor yet? It sure takes a while, for most if not all of us!

You do look up known side effects of any prescriptions, right? And there's a harmless herbal at health food stores, St John's Wort, that works for more than 6 mo. for me, if I'm really upset about something. Best wishes.

Last edited by Eagle; 09-30-2008 at 04:36 AM.

 
Old 09-30-2008, 05:27 AM   #14
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Re: Lab results..How can I possibly Normal? I cant live like this anymore..

I am sorry your doctor is not giving you the answers that you are seeking.

I have a feeling that if you add some Selenium, magnesium and iron to your diet, that at leats some of yoru symptoms will start to subside. You may even be able to do it all without meds. Wouldn't that be great? Read my post above, regarding the Iron: PLEASE re-read my post above (link here: [url]http://www.healthboards.com/boards/showpost.php?p=3741340&postcount=9[/url] ).
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