Lab Results - Opinion H/H, Fe, etc

[canthavetoomanytoys]

What can I take away from these results?

LabCorp Serum Results Jan 2010
H/H results lower then labs in past 4-months but have not donated blood

Iron Bind Cap (TIBC) 341 (250-450)
UIBC 168 (150-375)
Iron Serum 173 (40-155)
Iron Sat 51 (40-155)
Ferritin 107 (22-322)
WBC 5.5 (4.0-10.5)
RBC 5.51 (4.10-5.60)
Hemoglobin 17.1 (12.5-17.0)
Hematacrit 49.9 (36.0-50.0)
RDW 16.7 (11.7-15.0)
Creatinine 1.29 (0.76-1.27)

[ptm82379]

What can I take away from these results?

LabCorp Serum Results Jan 2010
H/H results lower then labs in past 4-months but have not donated blood

Iron Bind Cap (TIBC) 341 (250-450)
UIBC 168 (150-375)
Iron Serum 173 (40-155)
Iron Sat 51 (40-155)
Ferritin 107 (22-322)
WBC 5.5 (4.0-10.5)
RBC 5.51 (4.10-5.60)
Hemoglobin 17.1 (12.5-17.0)
Hematacrit 49.9 (36.0-50.0)
RDW 16.7 (11.7-15.0)
Creatinine 1.29 (0.76-1.27)

Keep donating blood.....The procedure where they take two helpings of RBC and put your plasma back might be a consideration

[canthavetoomanytoys]

Keep donating blood.....The procedure where they take two helpings of RBC and put your plasma back might be a consideration

I have not donated blood since my >100 heart rate disqualifies me. I did discuss prescribed blood letting with my doctor if the h/h remain high.

We are increasing Synthroid to treat Hash thyroiditis, now up to 75mcg - will retest and likely increase again. I have read that, paradoxically, hypothyroid may exhibit elevated heart rate symptoms. I am pondering if I am one of the rare cases... time will tell. At 50mcg, TSH has decreased but T4 levels are not very high. Only a symple thyroid panel was done this time:
TSH .649 (my doc wants me always under 2)
T4 6.6 (4.5-12.0)
FTI 2.3 (1.2-4.9)
T3 uptake 35 (24-39)

What about the other selected tests that I noted?

[MarkLA]

If you are on T, your H/H will likely continue to rise and you are at stroke risk.

IMHO, you have to find a way to deal with this. Your physician can order a therapetic phlebotomy if he thinks it is safe. This is not the same thing as donating blood even though the procedure is the same.

I think there are also drug ways to lower RBC, but they looked somewhat hairy when I looked into it.

Good luck!
Mark

[JanSz]

I have not donated blood since my >100 heart rate disqualifies me. I did discuss prescribed blood letting with my doctor if the h/h remain high.

We are increasing Synthroid to treat Hash thyroiditis, now up to 75mcg - will retest and likely increase again. I have read that, paradoxically, hypothyroid may exhibit elevated heart rate symptoms. I am pondering if I am one of the rare cases... time will tell. At 50mcg, TSH has decreased but T4 levels are not very high. Only a symple thyroid panel was done this time:
TSH .649 (my doc wants me always under 2)
T4 6.6 (4.5-12.0)
FTI 2.3 (1.2-4.9)
T3 uptake 35 (24-39)

What about the other selected tests that I noted?

Did your heart rate got higher after you started T4?
How it was before T4?

Have you thoroughly investigated your adrenals,
before commencing with T4?

Describe in details what you did.

...
Do you have everything about your self someplace, post link.

.

[canthavetoomanytoys]

Did your heart rate got higher after you started T4? Heart rate is unchanged on T4, often in 90-110 range, but does drop to about 70 at some points in day. Activity/stress don't seem to have a role with the reduced rate.

How it was before T4?
Same

Have you thoroughly investigated your adrenals, before commencing with T4?
Only DHEAs and morning cortisol :(

I should have been thorough when I posted... just lazy. Here's a recap.
Now 50 YO, 5'9" 162 pounds, low carb/low GI diet but some high GI during the holidays.

Started TRT after 6/09 labs
Present therapy is daily 5gm Testim, 200IU hCG
Libido great, ED much less, energy improved but not optimum, Dx as Hypo with Hash thyroiditis.

1/2010 Labs -
d/c iodine - concerned about possible relationship with hasimotto's
TSH .649 (my doc wants me always under 2)
T4 6.6 (4.5-12.0)
FTI 2.3 (1.2-4.9)
T3 uptake 35 (24-39)
Iron Bind Cap (TIBC) 341 (250-450)
UIBC 168 (150-375)
Iron Serum 173 (40-155)
Iron Sat 51 (40-155)
Ferritin 107 (22-322)
WBC 5.5 (4.0-10.5)
RBC 5.51 (4.10-5.60)
Hemoglobin 17.1 (12.5-17.0)
Hematacrit 49.9 (36.0-50.0)
RDW 16.7 (11.7-15.0)
Creatinine 1.29 (0.76-1.27)
Glucose 91 - could be better
H/H results lower then labs in past 4-months but have not donated blood
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

11/09 Labs -
Tri-Iodine 12.5 mg/day
TSH: 5.9 (.450-4.500 uIU/mL)
T4: 4.0 (4.5-12 ug/dL)
T3 Uptake: 39% (24-39)
Free T4 Index: 1.6 (1.2-4.9)
TPO Ab: 274 (0-34 IU/mL)
Cortisol, serum, morning: 15.5ug/dL (3.1-22.4)
HbA1C: 5.7% (4.8-5.9)

Serum labs were drawn 12-hours post application of one tube (5 g) Testim. Gel was applied in the evenings for three weeks to accommodate the 12-hour T measure and to have a fasting morning draw for lipid assay.

~~~~~~~~~~~~~~~~~~~~~~~~~
9/09 LabCorp
was trialing iodine supplement prior to labs

Testosterone [Free: equilibrium ultrafiltration; total: immunochemiluminometric assay (ICMA)]
T total: 692 ng/dL (r 241-827)
T free: 24.6 ng/dL (r 5-21)
% free: 3.55 (r 1.5-4.2)

Estradiol (non sensitive test) ICMA: 49 pg/ml (r 0-53)
DHEA-S: 475 ug/dL (r 70-310)
IGF-1: 214 ng/dL (r 94-252)
T4 free, direct: 1.16 ng/dL (r 0.93-1.71)
TSH: 3.400 uIU/mL (r.450-4.500)
Hematocrit: 51.4% (r 36.0-50.0)
PSA: 1.5 ng/mL (r 0-4.0)
Vit D 25-Hy: 83.8 ng/mL (r 32-100)
Glucose: 107 mg/dL (r 65-99) [fasting level, previous results and within 4 months were below 100]
sodium: 141, 140 (135-145 mmol/L)
potassium: 4.5, 4.6 (3.5-5.2 mmol/L)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6/09 Labs -
No iodine supplement
TSH: 2.342
Glucose: 97
sodium: 137
potassium: 4.1

[canthavetoomanytoys]

bump :huh:

[josh]

TSH .649 (my doc wants me always under 2)


Hashimotos? Seek full TSH supression, otherwise your gland will still be producing and your body will attack it, causing you to continue to swing.

[asdf]

Started TRT after 6/09 labs
Present therapy is daily 5gm Testim, 200IU hCG
Libido great, ED much less, energy improved but not optimum, Dx as Hypo with Hash thyroiditis.

1/2010 Labs -
d/c iodine -
Glucose 91 - could be better
H/H results lower then labs in past 4-months but have not donated blood

Estradiol (non sensitive test) ICMA: 49 pg/ml (r 0-53)

Glucose: 107 mg/dL (r 65-99) [fasting level, previous results and within 4 months were below 100]


You might consider dropping the dose of HCG by at least half or to EOD/E3D which would help with the high H/H and also the high E2. Your Glucose scores are still high, you should probably take a better look at your diet (hidden sugars or too much fruit, etc.). Hopefully the d/c iodine means discontinued; iodine supplementing with hashimoto's can make things a lot worse.

[canthavetoomanytoys]

Thank you both


You might consider dropping the dose of HCG by at least half or to EOD/E3D which would help with the high H/H and also the high E2. Your Glucose scores are still high, you should probably take a better look at your diet (hidden sugars or too much fruit, etc.). Hopefully the d/c iodine means discontinued; iodine supplementing with hashimoto's can make things a lot worse. Iodine.... I mentioned that had trialed it before recognizing Hashimotos what at the root of my hypothyroid issue. I am not going to even consider Iodine supplements at this point; d/c = discontinued.

Oddly, glucose reading was elevated when I barely had 20 gms of carbs per day... most carbs I had was hard cheese on bunless hamburgers. The most fruit that I have is an occasional (not daily) granny smith apple. I don't really know the reason for the elevated glucose other then to attribute it to high-dose Niacin or conversion from stored fat... lost 40 pounds of fat with a diet mirroring Atkin's induction phase for many months.

Except for the last month I had been very strict with my diet... but I want to loose more weight so the carb restrictions are now in force again... I have been maintaining my weight loss though. Increased T4 dose along with cold/dark days seems to be raising my appetite :mad: Been considering Ctyolean.



Hashimotos? Seek full TSH supression, otherwise your gland will still be producing and your body will attack it, causing you to continue to swing.
That's been my objective but have to carefully move doctor in that direction. He is hesitant to dose T3 but I have him considering it if TPO or RT3 are in play. He definitely does not want to add T3 until he gets T4 to a higher dose level (just moved to 75). My goal is to get T3 to top of range, TPO to bottom, null TSH, and let T4 be what it needs to be... is that the way to go?

Should I do anything regarding iron with h/h at the high end?

[JanSz]

Should I do anything regarding iron with h/h at the high end?

I am working with crazycrew on this problem.
Possibly there is something that you could use.

This and other posts.
http://musclechatroom.com/forum/showpost.php?p=76889&postcount=210

This is in our neighborhood:
http://www.bloodnj.org/hemo01.htm

They describe what they do.
Important, they check your Hg/Hct before taking (or not taking) blood.
Just what you need.


The Blood Center of New Jersey
45 South Grove Street
East Orange, New Jersey 07018
1-800-NJBLOOD
1-973-676-4700

=========
What are the cost?
There is no cost to you regardless of whether or not your blood is used for a patient.
http://www.bloodnj.org/hemo-q&a.htm
================================================== ===================

[canthavetoomanytoys]

I am working with crazycrew on this problem.
Possibly there is something that you could use.

This and other posts.
http://musclechatroom.com/forum/showpost.php?p=76889&postcount=210

This is in our neighborhood:
http://www.bloodnj.org/hemo01.htm

They describe what they do.
Important, they check your Hg/Hct before taking (or not taking) blood.
Just what you need.


Been there, done that, got the gift card. They were enthused when taking my hematocrit. I have been to the blood mobile a few times... they keep rejecting me since my pulse >100. I kept running into the same nurse :mad: They have their rules.... it is a precaution since decreased blood supply can elevate pulse and mine is already elevated. I am hoping that I get to the root cause of the tachycardia.

In the mean time I have spoken to my doctor about what you suggest, Rx for blood letting. He wants to look at this again in three-months. The doctor believes that my h/h is naturaly high... who knows, maybe something to do with my northern Europe ancestry. My father had heart decease which raises my concern. The doctor does not see my TRT program as a major contributer.

HCG dose is closer to monotherapy levels since I am doing so well on this dose with only a Testim dose of one-tube (50mg). Actually, I had great results with 400IU but did not want to risk sustained 400IU dosing, 200 is a compromise. Libido of a 20yo.... only wish my partner was so well tuned.