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Help analyzing my lab work

sac811

New member
Questions on Blood Work

I don't have insurance but just recently got blood work to keep an eye on things. So I was wondering if some knowledgeable people could take a look at it all and give me some insight and help. Here are my results:


Result Flag Units Reference Interval
CBC With Differential/Platelet

WBC 7.2 x10e3/uL 4.0-10.5
RBC 5.42 x10e6/uL 4.10-5.60
Hemoglobin 15.5 g/dL 12.5-17.0
Hematocrit 47.0 % 36.0-50.0
MCV 87 fL 80-98
MCH 28.6 pg 27.0-34.0
MCHC 33.0 g/dL 21.0-36.0
RDW 14.1 % 11.7-15.0
Platelets 200 x10e3/uL 140-415
Neutrophils 41 % 40-74
Lymphs 48 High % 14-46
Monocytes 7 % 4-13
Eos 4 % 0-7
Basos 0 % 0-3
Neutrophils (absolute) 2.9 x10e3/uL 1.8-7.8
Lymphs (abolute) 3.4 x10e3/uL 0.7-4.5
Monocytes (absolute) 0.5 x10e3/uL 0.1-1.0
Eos (absolute) 0.3 x10e3/uL 0.0-0.4
Baso (absolute) 0.0 x10e3/uL 0.0-0.2
Immature Granulocytes 0 % 0-1
Immature Gras (absolute) 0.0 x10e3/uL 0.0-0.1

Comp. Metabolic Panel (14)

Glucose, Serum 94 mg/dL 65-99
BUN 17 mg/dL 5-26
Creatinine, Serum 1.07 mg/dL 0.76-1.27
eGFR >59 mL/min/1.73 >59
BUN/Creatinine Ratio 16 8-27
Sodium, Serum 142 mmol/L 135-145
Potassium, Serum 4.0 mmol/L 3.5-5.2
Chloride, Serum 102 mmol/L 97-108
Carbon Dioxide, Total 22 mmol/L 20-32
Calcium, Serum 9.6 mg/dL 8.7-10.2
Protein, Total, Serum 7.5 g/dL 6.0-8.5
Albumin, Serum 4.7 g/dL 3.5-5.5
Globulin, Total 2.8 g/dL 1.5-4.5
A/G Ratio 1.7 1.1-2.5
Bilirubin, Total 0.6 mg/dL 0.0-1.2
Alkaline Phosphates, S 108 IU/L 25-150
AST (SGOT) 27 IU/L 0-40
ALT (SGPT) 30 IU/L 0-55

Lipid Panel

Cholesterol, Total 220 High mg/dL 100-199
Triglycerides 60 mg/dL 0-149
HDL Cholesterol 52 mg/dL >39
VLDL Cholesterol Cal 12 mg/dL 5-40
LDL Cholesterol Calc 156 High mg/dL 0-99

Thyroid Panel with TSH

TSH 1.660 uIU/mL 0.450-4.500
Thyroxine (T4) 6.1 ug/dL 4.5-12.0
T3 Uptake 38 % 24-39
Free Thyrosine Index 2.3 1.2-4.9

Testosterone, Free/Tot Equilib

Testosterone, Serum 768 ng/dL 280-800
Testosterone, Free 13.98 ng/dL 5.00-21.00
% Free Testosterone 1.82 % 1.50-4.20

Estradiol

Estradiol 43.6 High pg/mL 7.6-42.6

Prostate Specific Ag, Serum

Prostate Specific Ag, Serum 0.7 ng/mL 0.0-4.0

IGF-1

Insulin-Like Growth Factor I 302 ng/mL 117-329


I would like to hear information on anything that looks suspicious, not just the the ones that are high.

But I definitely want any information on what to do about the high estradiol.

I read that keeping a ratio of HDL/LDL of between 0.3 and 0.4 is good, so am I good with my cholesterol even though it is high because the ratio is good?

Also what does high a lymph count imply? Especially considering the absolute value is not out of range, just the percentage.

I am a 28 year old male, just in case that information is helpful.

Any help would be great, and let me know if I posted this in the wrong section.
 
sac811 said:
I don't have insurance but just recently got blood work to keep an eye on things. So I was wondering if some knowledgeable people could take a look at it all and give me some insight and help. Here are my results:


Result Flag Units Reference Interval
CBC With Differential/Platelet

WBC 7.2 x10e3/uL 4.0-10.5
RBC 5.42 x10e6/uL 4.10-5.60
Hemoglobin 15.5 g/dL 12.5-17.0
Hematocrit 47.0 % 36.0-50.0
MCV 87 fL 80-98
MCH 28.6 pg 27.0-34.0
MCHC 33.0 g/dL 21.0-36.0
RDW 14.1 % 11.7-15.0
Platelets 200 x10e3/uL 140-415
Neutrophils 41 % 40-74
Lymphs 48 High % 14-46
Monocytes 7 % 4-13
Eos 4 % 0-7
Basos 0 % 0-3
Neutrophils (absolute) 2.9 x10e3/uL 1.8-7.8
Lymphs (abolute) 3.4 x10e3/uL 0.7-4.5
Monocytes (absolute) 0.5 x10e3/uL 0.1-1.0
Eos (absolute) 0.3 x10e3/uL 0.0-0.4
Baso (absolute) 0.0 x10e3/uL 0.0-0.2
Immature Granulocytes 0 % 0-1
Immature Gras (absolute) 0.0 x10e3/uL 0.0-0.1

Comp. Metabolic Panel (14)

Glucose, Serum 94 mg/dL 65-99
BUN 17 mg/dL 5-26
Creatinine, Serum 1.07 mg/dL 0.76-1.27
eGFR >59 mL/min/1.73 >59
BUN/Creatinine Ratio 16 8-27
Sodium, Serum 142 mmol/L 135-145
Potassium, Serum 4.0 mmol/L 3.5-5.2
Chloride, Serum 102 mmol/L 97-108
Carbon Dioxide, Total 22 mmol/L 20-32
Calcium, Serum 9.6 mg/dL 8.7-10.2
Protein, Total, Serum 7.5 g/dL 6.0-8.5
Albumin, Serum 4.7 g/dL 3.5-5.5
Globulin, Total 2.8 g/dL 1.5-4.5
A/G Ratio 1.7 1.1-2.5
Bilirubin, Total 0.6 mg/dL 0.0-1.2
Alkaline Phosphates, S 108 IU/L 25-150
AST (SGOT) 27 IU/L 0-40
ALT (SGPT) 30 IU/L 0-55

Lipid Panel

Cholesterol, Total 220 High mg/dL 100-199
Triglycerides 60 mg/dL 0-149
HDL Cholesterol 52 mg/dL >39
VLDL Cholesterol Cal 12 mg/dL 5-40
LDL Cholesterol Calc 156 High mg/dL 0-99

Thyroid Panel with TSH

TSH 1.660 uIU/mL 0.450-4.500
Thyroxine (T4) 6.1 ug/dL 4.5-12.0
T3 Uptake 38 % 24-39
Free Thyrosine Index 2.3 1.2-4.9

Testosterone, Free/Tot Equilib

Testosterone, Serum 768 ng/dL 280-800
Testosterone, Free 13.98 ng/dL 5.00-21.00
% Free Testosterone 1.82 % 1.50-4.20

Estradiol

Estradiol 43.6 High pg/mL 7.6-42.6

Prostate Specific Ag, Serum

Prostate Specific Ag, Serum 0.7 ng/mL 0.0-4.0

IGF-1

Insulin-Like Growth Factor I 302 ng/mL 117-329


I would like to hear information on anything that looks suspicious, not just the the ones that are high.

But I definitely want any information on what to do about the high estradiol.

I read that keeping a ratio of HDL/LDL of between 0.3 and 0.4 is good, so am I good with my cholesterol even though it is high because the ratio is good?

Also what does high a lymph count imply? Especially considering the absolute value is not out of range, just the percentage.

I am a 28 year old male, just in case that information is helpful.

Any help would be great, and let me know if I posted this in the wrong section.
Click to expand...

I would want to look into factors surrounding the thyroid and potentially adrenals to rule these out completely.
The estrodial they ran is not an accurate run and should run the estrodial senistive one (3-70) to confirm this. There may be lifestyle factors, nutritonal imbalances, body weight and composition, toxins which could be contrubuting to the elevated estrodial. All other parameters look fine just adrenals and thyroid need to be full ruled out with deeper testing. Cholesterol is not that elevated, but most cholesterol issues are thyroid related in many clincal cases not requiring statins which are potentially dangerous.
 
The Matrix said:
I would want to look into factors surrounding the thyroid and potentially adrenals to rule these out completely.
The estrodial they ran is not an accurate run and should run the estrodial senistive one (3-70) to confirm this. There may be lifestyle factors, nutritonal imbalances, body weight and composition, toxins which could be contrubuting to the elevated estrodial. All other parameters look fine just adrenals and thyroid need to be full ruled out with deeper testing. Cholesterol is not that elevated, but most cholesterol issues are thyroid related in many clincal cases not requiring statins which are potentially dangerous.
Click to expand...

So do you mean that thyroid and adrenals could be causing the higher estrogen (assuming the less sensitive test they used is accurate)? Or just looking at the thyroid results it looks like something could be wrong there?

I am probably around 20% body fat and do consume a good bit of dairy products
 
sac811 said:
So do you mean that thyroid and adrenals could be causing the higher estrogen (assuming the less sensitive test they used is accurate)? Or just looking at the thyroid results it looks like something could be wrong there?

I am probably around 20% body fat and do consume a good bit of dairy products
Click to expand...

Some times hidden thyroid disorders will inhibit people to lose weight which indirectly will elevated e2 levels. So one needs to look at all the parameters to rule thyroid condition out. There is not enough data to do that here.
 
The Matrix said:
Some times hidden thyroid disorders will inhibit people to lose weight which indirectly will elevated e2 levels. So one needs to look at all the parameters to rule thyroid condition out. There is not enough data to do that here.
Click to expand...

Ok, so what are the specific tests I should look into getting to find out this information?
 
sac811 said:
Ok, so what are the specific tests I should look into getting to find out this information?
Click to expand...

Free t3
free t4
total t4
total t3
reverse t3
tsh 3 rd generation
tpo
tgab
iodine urine spot
Ferritin
vitamin D 25 OH.
 
The Matrix said:
Free t3
free t4
total t4
total t3
reverse t3
tsh 3 rd generation
tpo
tgab
iodine urine spot
Ferritin
vitamin D 25 OH.
Click to expand...

Since I don't have insurance, going through privatemdlabs.com it would cost me ~$600 for all those lab tests.

They do have one that covers most on that list for $199.99 which includes:
Estradiol, Serum
Follicle-Stimulating Hormone (FSH)
Luteinizing Hormone (LH)
Testosterone, Serum
Complete Blood Count w/ Differential
Dehydroepiandrosterone (DHEA) Sulfate
Free thyroxine index (FTI)
T3 uptake (THBR)
Thyroid-stimulating hormone (TSH)
Thyroxine (T4)
Tri-iodothyronine (T3)
Tri-iodothyronine (T3), Free, (FT3) Serum
Thyroxine (T4) Free, Direct (FT4)
Ferritin, Serum
Iron, Serum
Bilirubin, Direct

Is that enough to find out what would be needed? or would I need some or all of the other tests you mentioned? What you recommend as the most necessary?

If it makes any difference one way or the other, I am pretty sure I have an autoimmune disease like fibromyalgia (my tendons always hurt me, especially on my hips which makes sitting down or laying down for more than a few minutes very uncomfortable, it seems to be contact pain in for the most part in the hips. Had a viral infection at around 10 years ago that almost killed me, and ever since then I went from no pain to tendon pain getting worse and worse until it has about leveled off now)some joint pain, but mostly tendon pain. Which seems to be at least partly confirmed from what I have read about having high lymphs and low neutrophils.
 
sac811 said:
Since I don't have insurance, going through privatemdlabs.com it would cost me ~$600 for all those lab tests.

They do have one that covers most on that list for $199.99 which includes:
Estradiol, Serum
Follicle-Stimulating Hormone (FSH)
Luteinizing Hormone (LH)
Testosterone, Serum
Complete Blood Count w/ Differential
Dehydroepiandrosterone (DHEA) Sulfate
Free thyroxine index (FTI)
T3 uptake (THBR)
Thyroid-stimulating hormone (TSH)
Thyroxine (T4)
Tri-iodothyronine (T3)
Tri-iodothyronine (T3), Free, (FT3) Serum
Thyroxine (T4) Free, Direct (FT4)
Ferritin, Serum
Iron, Serum
Bilirubin, Direct

Is that enough to find out what would be needed? or would I need some or all of the other tests you mentioned? What you recommend as the most necessary?

If it makes any difference one way or the other, I am pretty sure I have an autoimmune disease like fibromyalgia (my tendons always hurt me, especially on my hips which makes sitting down or laying down for more than a few minutes very uncomfortable, it seems to be contact pain in for the most part in the hips. Had a viral infection at around 10 years ago that almost killed me, and ever since then I went from no pain to tendon pain getting worse and worse until it has about leveled off now)some joint pain, but mostly tendon pain. Which seems to be at least partly confirmed from what I have read about having high lymphs and low neutrophils.
Click to expand...

Yes with those test i would be able to have a better idea of where you stand. Fibro is just a bull crap medical term for Dr's do not know. I have had a few patients that where Fibro and when the they where evaluated as whole
the real reason was due to nutrients, lifestyle, and also deeply rooted unhidden hormonal imbalances which eluded Dr's. Once these were identifed and correct their symptoms improved dramatically.
 
The Matrix said:
Yes with those test i would be able to have a better idea of where you stand. Fibro is just a bull crap medical term for Dr's do not know. I have had a few patients that where Fibro and when the they where evaluated as whole
the real reason was due to nutrients, lifestyle, and also deeply rooted unhidden hormonal imbalances which eluded Dr's. Once these were identifed and correct their symptoms improved dramatically.
Click to expand...

Well if it will help with determining whatever is causing the pain I mentioned then I'm all for it.
 
The Matrix said:
Yes with those test i would be able to have a better idea of where you stand. Fibro is just a bull crap medical term for Dr's do not know. I have had a few patients that where Fibro and when the they where evaluated as whole
the real reason was due to nutrients, lifestyle, and also deeply rooted unhidden hormonal imbalances which eluded Dr's. Once these were identifed and correct their symptoms improved dramatically.
Click to expand...

Since I got back my blood work from the first post of this thread, I started taking reversitol v.1 and lean extreme. Just started getting back into the gym and cutting to lose fat to hopefully help with the high estrogen.

Anyway, before I get the hormone blood test, we just talked about, done I was wondering should I stop taking these 2 supplements and if so, how long should I stay off them before getting that blood work done?
 
sac811 said:
Since I got back my blood work from the first post of this thread, I started taking reversitol v.1 and lean extreme. Just started getting back into the gym and cutting to lose fat to hopefully help with the high estrogen.

Anyway, before I get the hormone blood test, we just talked about, done I was wondering should I stop taking these 2 supplements and if so, how long should I stay off them before getting that blood work done?
Click to expand...

Anything that can speed up heart rate or any kind of fat burner that is stimulant based, or test booster needs to be stopped about a week prior.
 
The Matrix said:
Yes with those test i would be able to have a better idea of where you stand. Fibro is just a bull crap medical term for Dr's do not know. I have had a few patients that where Fibro and when the they where evaluated as whole
the real reason was due to nutrients, lifestyle, and also deeply rooted unhidden hormonal imbalances which eluded Dr's. Once these were identifed and correct their symptoms improved dramatically.
Click to expand...

Here is the new lab work:

RESULT FLAG UNITS REF. INT.
CBC With Differential/Platelet

WBC 5.3 x10e3/uL 4.0-10.5
RBC 5.3 x10e6/uL 4.10-5.60
Hemoglobin 15.4 g/dL 12.5-17.0
Hematocrit 45.0 % 36.0-50.0
MCV 85 fL 80-98
MCH 29.1 pg 27.0-34.0
MCHC 34.2 g/dL 21.0-36.0
RDW 14.2 % 11.7-15.0
Platelets 201 x10e3/uL 140-415
Neutrophils 39 Low % 40-74
Lymphs 48 High % 14-46
Monocytes 9 % 4-13
Eos 4 % 0-7
Basos 0 % 0-3
Neutrophils (absolute) 2.1 x10e3/uL 1.8-7.8
Lymphs (abolute) 2.6 x10e3/uL 0.7-4.5
Monocytes (absolute) 0.5 x10e3/uL 0.1-1.0
Eos (absolute) 0.2 x10e3/uL 0.0-0.4
Baso (absolute) 0.0 x10e3/uL 0.0-0.2
Immature Granulocytes 0 % 0-1
Immature Gras (absolute) 0.0 x10e3/uL 0.0-0.1


Thyroid Profile II

TSH 1.040 uIU/mL 0.450-4.500
Thyroxine (T4) 7.3 ug/dL 4.5-12.0
T3 Uptake 37 % 24-39
Free Thyrosine Index 2.7 1.2-4.9
Triiodothyronine (T3) 96 ng/dL 71-180

Estradiol

Estradiol 31.4 pg/mL 7.6-42.6

Testosterone

Testosterone, Serum 668 ng/dL 280-800

FSH, Serum

FSH 2.8 mIU/mL 1.5-12.4

Dehydroepioandrosterone Sulfate

DHEA-Sulfate 340.5 ug/dL 160.0-449.0

Thyroxine (T4) Free, Direct, Serum

T4, Free (Direct) 1.38 ng/dL 0.82-1.77

Luteinizing Hormone(LH), Serum

LH 7.4 mIU/mL 1.7-8.6

Iron, Serum

Iron, Serum 118 ug/dL 40-155

Bilirubin, Direct

Bilirubin, Direct 0.14 mg/dL 0.00-0.40

Ferritin, Direct

Ferritin, Direct 40 ng/mL 30-400

Triiodothyronine, Free, Serum (T3)

Triiodothyronine, Free, Serum 3.3 pg/mL 2.0-4.4

I only took reversitol v.1 and lean extreme for about 4-5 days and I was off of it since 11/10/2010 and this labwork was done on 11/18/2010 fyi. And since the first lab work I have cut down on milk to almost none. Does it give you any new helpful information?
 
Reginald said:
is vit. D 25 relate of thyroid issues?

In past I used very much exogenous shynthetic T4 ,T3 cycles ,and now I got a vit. D 25 deficiency,and TSH of mine is a bit more higher than maximum value of range of 4.5 (currently it's 6 ).
I've ever took nothing like thyroid stimulants in order to promote to restore completally after those cycles,u know,so what should i do?

can u suggest me for brands and products to/(for) recover my thyroid ?
I was thinking to Oxy Elite Pro by USP Labs. i read it works. do u think it can solve my thyroid

P.s. sorry my preposition gramma lack knoledge too LOL:lol:
Click to expand...

Yes vitamin D can impact thyroid in some people.
I would look to why thyroid is out of balance and if there are nutrients that may be lacking to make thyroid or is it hormonally induced, or lifestyle invoked.
 
sac811 said:
Here is the new lab work:

RESULT FLAG UNITS REF. INT.
CBC With Differential/Platelet

WBC 5.3 x10e3/uL 4.0-10.5
RBC 5.3 x10e6/uL 4.10-5.60
Hemoglobin 15.4 g/dL 12.5-17.0
Hematocrit 45.0 % 36.0-50.0
MCV 85 fL 80-98
MCH 29.1 pg 27.0-34.0
MCHC 34.2 g/dL 21.0-36.0
RDW 14.2 % 11.7-15.0
Platelets 201 x10e3/uL 140-415
Neutrophils 39 Low % 40-74
Lymphs 48 High % 14-46
Monocytes 9 % 4-13
Eos 4 % 0-7
Basos 0 % 0-3
Neutrophils (absolute) 2.1 x10e3/uL 1.8-7.8
Lymphs (abolute) 2.6 x10e3/uL 0.7-4.5
Monocytes (absolute) 0.5 x10e3/uL 0.1-1.0
Eos (absolute) 0.2 x10e3/uL 0.0-0.4
Baso (absolute) 0.0 x10e3/uL 0.0-0.2
Immature Granulocytes 0 % 0-1
Immature Gras (absolute) 0.0 x10e3/uL 0.0-0.1


Thyroid Profile II

TSH 1.040 uIU/mL 0.450-4.500
Thyroxine (T4) 7.3 ug/dL 4.5-12.0
T3 Uptake 37 % 24-39
Free Thyrosine Index 2.7 1.2-4.9
Triiodothyronine (T3) 96 ng/dL 71-180

Estradiol

Estradiol 31.4 pg/mL 7.6-42.6

Testosterone

Testosterone, Serum 668 ng/dL 280-800

FSH, Serum

FSH 2.8 mIU/mL 1.5-12.4

Dehydroepioandrosterone Sulfate

DHEA-Sulfate 340.5 ug/dL 160.0-449.0

Thyroxine (T4) Free, Direct, Serum

T4, Free (Direct) 1.38 ng/dL 0.82-1.77

Luteinizing Hormone(LH), Serum

LH 7.4 mIU/mL 1.7-8.6

Iron, Serum

Iron, Serum 118 ug/dL 40-155

Bilirubin, Direct

Bilirubin, Direct 0.14 mg/dL 0.00-0.40

Ferritin, Direct

Ferritin, Direct 40 ng/mL 30-400

Triiodothyronine, Free, Serum (T3)

Triiodothyronine, Free, Serum 3.3 pg/mL 2.0-4.4

I only took reversitol v.1 and lean extreme for about 4-5 days and I was off of it since 11/10/2010 and this labwork was done on 11/18/2010 fyi. And since the first lab work I have cut down on milk to almost none. Does it give you any new helpful information?
Click to expand...

With rdw slighly elevated (not out of range but 25% deviation from mid point) is red flagging anemia
Which if you look at your ferritin it is very very low optimal levels are 150 -200 in order for thyroid to proper bind at tissue level.
hormones look incheck testoterone, and e2 look good
Love to see what adrenal are doing with saliva test 24 hour to rule out any imbalances.
lipids, and vitamin D 25 oh is also missing as well

If not giving blood the
Suggestion eat more red meat or liver tabs from beverly international ultra 40 15-20 a day

or 50 mgs of chelated iron with vitamin C 1,000 mgs. for 5 days then increase 75 mgs till you get to 100 then retest after 6 weeks
Are you giving blood ?
 
The Matrix said:
With rdw slighly elevated (not out of range but 25% deviation from mid point) is red flagging anemia
Which if you look at your ferritin it is very very low optimal levels are 150 -200 in order for thyroid to proper bind at tissue level.
hormones look incheck testoterone, and e2 look good
Love to see what adrenal are doing with saliva test 24 hour to rule out any imbalances.
lipids, and vitamin D 25 oh is also missing as well

If not giving blood the
Suggestion eat more red meat or liver tabs from beverly international ultra 40 15-20 a day

or 50 mgs of chelated iron with vitamin C 1,000 mgs. for 5 days then increase 75 mgs till you get to 100 then retest after 6 weeks
Are you giving blood ?
Click to expand...

No, not giving blood. you suggest chelated iron with vitamin c, but my iron itself is within range, or is it still lower than you think is good?

I did have lipids from my first test in the original post at the top if that helps.

Do you think this rdw and ferritin issue would be the cause of my auto immune symptoms? Or is it completely unrelated?
 
sac811 said:
No, not giving blood. you suggest chelated iron with vitamin c, but my iron itself is within range, or is it still lower than you think is good?

I did have lipids from my first test in the original post at the top if that helps.

Do you think this rdw and ferritin issue would be the cause of my auto immune symptoms? Or is it completely unrelated?
Click to expand...

I just make notes on what is out of balance and what markers I see that are inrelationship to other. iron is just what you get from food not what is stored. Ferritin is stored and the most crucial. Ferritin is depleted need to find out if there is possible hemmoraging from ulcer or other factors such as dietary needs. When ferritin is low RDW goes up. Your physcian needs to look into the reason why it is low.
 
The Matrix said:
I just make notes on what is out of balance and what markers I see that are inrelationship to other. iron is just what you get from food not what is stored. Ferritin is stored and the most crucial. Ferritin is depleted need to find out if there is possible hemmoraging from ulcer or other factors such as dietary needs. When ferritin is low RDW goes up. Your physcian needs to look into the reason why it is low.
Click to expand...

So the liver tabs/more red meat would still be a good place to start?
 
If I were to get an adrenal test, what would be the next best test to the 24 hour saliva? Cortisol, Urinary Free (24 Hour) is offered by labcorp but not the saliva
 
Reginald said:
what SHBG mean? it means blood tests?
Click to expand...

Vitamin D can affect igf-1 signaling as well.
When proper levels of testosterone, e2, adrenals, dhea, and thyroid are optimized igf-1 can increase, but may not increase urinary output of growth hormone.

Oral dhea can increase igf- levels and may also increase growth hormones levels as well.
 
The Matrix said:
With rdw slighly elevated (not out of range but 25% deviation from mid point) is red flagging anemia
Which if you look at your ferritin it is very very low optimal levels are 150 -200 in order for thyroid to proper bind at tissue level.
hormones look incheck testoterone, and e2 look good
Love to see what adrenal are doing with saliva test 24 hour to rule out any imbalances.
lipids, and vitamin D 25 oh is also missing as well
Click to expand...

If I were to get an adrenal test, what would be the next best test to the 24 hour saliva? Cortisol, Urinary Free (24 Hour) is offered by labcorp but not the saliva
 
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