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Anyone wanna take a stab at these labs?

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Old 12-31-2012, 09:27 AM   #1
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Question Anyone wanna take a stab at these labs?

So I'm working on collecting my lab records as far back as I can. So far I only have 3 of my labs over the past two years, and as you can see, not all of the same labs were drawn on every occasion (missing ones are indicated with a ?). But, I think it paints an interesting picture. Please notice my TSH the first time, when I was easily and quickly losing baby weight (~4 months post partum) and how it raised up when I started packing on the pounds again (~18 months post partum). Anyways, have fun with this. For some things of interest, I put little ** next to them with comments. I'm waiting on auntie flo to pay me a visit so I can do my LH/FSH again since last time they were not done on cycle day 3.

For a few days I was thinking that maybe this was hyperparathyroidism (check out calcium level in comparison to PTH) but I also see that the phosphorus was high too. So I dunno. Plus, that doesn't explain weight gain and low FT4. So like I said, have fun with this one!!

Sodium: 144, 142, 139 (136-145) **slowly dropping**
Potassium: 4.3, 4.5, 4.2 (3.5-5.1)
Chloride: 104, 104, 103 (98-107)
CO2: 29, 27, 26 (19-30)
Anion Gap: 11, 11, 10 (no ref range)
BUN: 17, 17, 18 (7-19) **consistently on the high end of normal**
Creatine: 0.70, 0.89, 0.92 (0.57-1.11) **slow increase*
Calcium: 10.1, 10.0, 9.9 (8.8-10.3) **consistently high end of normal**
Phosporus: ?, 4.5, ? (2.3-4.5) **only drawn once, in the middle, high end of normal**
Total Protein: 6.8, ?, 7.0 (6.3-8.2)
Albumin: 4.4, 4.3, 4.5 (3.5-5.2)
AST(SGOT): 19 (14-36), ?, 16 (10-41) **note change in reference ranges**
ALT (SGPT): 16 (9-52), ?, 18 (0-55)
Alkaline Phosphatase: 54, ?, 52 (38-126)
Bili Total: 0.2, ?, 0.5 (0.3-1.2)

D 1 25 Dihydroxy: ?, 26, ? (18-72)
Dihydroxy D2: ?, <8, ? **no reference range**
Dihydroxy D3: ?, 26, ? **no reference range**

TSH 3rd Gen: 1.070, 1.87, 1.64 (0.35-4.94)
FT4: ?, ?, 0.7 (0.6-2.5) **low end of normal**
FT3: ?, ?, 2.9 (2.3-4.2)
Intact PTH: ?, 61, ? (12-68) **high end of normal**

WBC: 5.4, ?, 5.7 (4.0-10.0) **consistently on low end of normal**
RBC: 4.33, 4.31, 4.47 (4.10-5.10)
HGB: 13.2, 13.1, 14.0 (12.0-14.7)
HCT: 38.1%, 38.5%, 40.9% (36-45)
MCV: 88.0, 89.3, 91.5 **slow steady increase**
MCH: 30.5, 30.4, 31.3 (26-33)
MCHC: 34.6, 34.0, 34.2 (32-35) **consistently high end of normal**
Platelet: 283, 263, 234 (166-362) **slow steady decrease**
MPV: 9.4, 9.5, 9.7 (9.4-12.4) **consistently low end of normal**
RDW: 13.2%, 13.4%, 12.7% (11.6-14.4)

Gran%: ?, ?, 56.7 (34-71)
Lymph%: ?, ?, 37.1 (19-53)
Mono%: ?, ?, 4.9 (5.0-13) **Low**
Eos%: ?, ?, 1.1 (0-7)
Baso%: ?, ?, 0.2 (0-2)

I know the general philosophy is that someone can have "normal" labs and still be hypo. But there are also some weird things going on which seem to conflict each other. Typical hypo symptoms. My endo is scratching his head and basically running a full pituitary panel.

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Old 01-03-2013, 11:09 AM   #2
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Re: Anyone wanna take a stab at these labs?

Your ft4 levels are WAY to low for a women of childbearing years. Hopefully they were higher than that during pregnancy!

I do not see a thyroid antibody panel run anywhere... Did your endo run one? If not shame on him! Pregnancy is well known for activating Hashimotos and thyroid autoimmune disorders. Early Hashimotos can manifest in swinging for hypot to hyperT.

Low t4 and t3 level strain the adrenals which effect retention of electrolytes like sodium and potassium and calcium...

I am betting Hashimotos personally. If I were you I would firmly request an antibody panel run in addition to and adrenal profile. Your results mirror mine post child 1. I have Hashimotos and Graves' disease that manifested post/during my first pregnancy. It made for pregnancy and postpartum hades. I truly hope you get the care you deserve SOON!

If we learn by our mistakes, I am working on one hell of an education.

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cbc/diff, hypothyroidism

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