lots of labs, need some input...

[supmax]

Just got the rest of my results back. Really stuck now. I don’t know what the hell my problem is. I thought it was adrenal fatigue with possible hypothyroidism, but now I haven’t a clue!

Serum Tests-----Results--------Reference Range------------US Units

Progesterone-----<1.0---------0.7 to 4.3 nmol/L-----------<31.44 ng/l
Testosterone------23.2--------Male 9.9 to 27.8 nmol/L-----662.85 ng/dl
Prolactin-----------158---------23 to 340 mIU/ml------------158.00 ng/ml
Total Cholesterol--3.7----------(up to 5.5 mmol/L)
HDL Cholesterol---1.9----------(greater than 1.2 mmol/L)
TC/HDL ratio-------1.9----------(less than 5.0)
Triglycerides-------0.6---------(less than 2.0 mmol/L)-------54.54 mg/dl
LDL-----------------1.5----------(less than 3.0 mmol/L)
LH-------------------2.5---------Male: 3-8 IU/L----------------10.86 mIU/ml......... - Slightly below male range
FSH-----------------3.9----------Male: <8 IU/L
SHGB---------------47-----------Male: 15 to 55 nmol/L
Vitamin B12-------618.3--------128 - 648 pmol/L------------835.54 pg/ml
Ferritin-------------66.6---------Male: 30 - 400 ng/mL
Total PSA----------0.3-----------Age 20-59: <4.0 ng/ml
DHEA's-------------10.38--------Male: Age 25 to 34 yrs: 4.34 to 12.2 umol/L ......... - Within male, age related range
Free T3------------5.5-----------3.0 to 6.2 pmol/L
Free T4------------23.9---------12.0 to 22.0 pmol/L.......... - above normal reference range
TSH----------------1.2-----------0.4 to 4.0 mIU/L--------------1.2 µU/ml
TgAb---------------13.7---------Less than 60 IU/ml
TPO----------------6.8-----------Less than 40 IU/ml
also got my REVERSE T3 result: 0.69 (pmol/ml) with the range of 0.14-0.54 (pmol/ml). That said "HIGH" also.


Tests------------------Results---------Time--------Optimal Range---------Observed Range
SALIVA:
Estradiol (pg/ml)-------0.3-----------morning--------0.8-1.5----------------0.1-3.2
Estrone (pg/ml)--------0.8-----------morning--------1.0-2.5----------------0.5-3.9
Progesterone (ng/ml)—0.022--------morning--------0.070-0.150----------0.030-0.060(?)
Testosterone (pg/ml)—58.2---------morning---------75-95-----------------60-125
DHT (pg/ml)------------9.5----------morning---------20-40-----------------10-50
DHEA (pg/ml)----------752.4--------morning---------250-450--------------100-1200
Cortisol (x4)(ng/ml)---7.3-----------morning---------7am: 7.0-10---------7am: 8.0-15
-------------------------1.5-----------midday----------12pm: 3.0-6.0-------12pm: 3.0-7.0
-------------------------0.4-----------6 pm------------5pm: 2.0-4.0---------5pm: 2.0-4.0
-------------------------0.3-----------10 pm----------10pm: <1.5-----------10pm: <1.5

URINE:

Ephinephrine (µg/gCr)-9.5----------midday----------Day: 8-12-------------Day: 1-15
Norepinephrine (µg/gCr)-49.0-------midday----------Day: 35-50-----------Day: 15-106
Dopamine (µg/gCr)---72.6----------midday----------Day: 110-175---------Day: 50-350
Serotonin (µg/gCr)---114.6---------midday----------Day: 150-200---------Day: 40-275
GABA (umol/gCr)-----2.4-----------midday----------Day: 1.5-4.0----------Day: 1.5-35
Glutamate (umol/gCr)-33.8---------midday----------Day: 10-35------------Day: 5-65
PEA (umol/gCr)-------191.2--------midday----------Day: 175-450---------Day: 140-1200
Histamine (µg/gCr)---17.3---------midday----------Day: 10-20------------Day: 9.0-60
Creatinine (mg/dl)----184.8--------midday----------N/A--------------------N/A

COMMENTS:
Epinephrine-Urine is normal. Dopamine-Urine is low. GABA-Urine is normal. PEA-Urine is normal. Glutamate - Urine is normal. Norepinephrine-Urine is normal. Histamine-Urine is normal. Serotonin-Urine is low.

Also in November had these other tests done:
Blood tests----------------------Results---------------------Observed Range
Sodium-------------------------141 (mmol/L)----------------(135-145)
Potassium----------------------4.0 (mmol/L)-----------------(3.5-5.5)
Chloride------------------------104 (mmol/L)-----------------(90-110)
Creatinine----------------------81 (umol/L)-------------------(60-120)
Glomerular filtration rate-----104 (mL/min)-----------------Normal GFR >90mL/Min
TSH----------------------------1.26 mu/L---------------------(0.10-5.00)
FBC
HB-----------------------------15.0 (g/dL)--------------------(13.0-17.5)
White blood cell count (WBC’s)-3.7 (10*9/L)----------------(4.0-10.0)---LOW
Platelet Count-----------------191 (10*9/L)------------------(150-400)
Red blood cell count (RBC’s)-4.6 (10*12/L)-----------------(4.5-6.3)
Haematocrit-------------------43%----------------------------(40-53)
MCV----------------------------92 (fL)-------------------------(80-99)
MCH----------------------------32 (pg)-------------------------(27-32)
MCHC--------------------------35 (g/dL)-----------------------(30-34)---HIGH
Red blood cell distribution width—11%------------------------(12-16)—LOW
Neutrophil count---------------1.9 (10*9/L)-------------------(2.0-7.0)-LOW
Lymphocyte count-------------1.4 (10*9/L)-------------------(1.0-4.0)
Monocyte count----------------0.3 (10*9/L)-------------------(0.2-1.0)
Eosinophil count---------------0.1 (10*9/L)-------------------(0.1-0.6)
Basophil count-----------------0.0 (10*9/L)-------------------(0.0-0.1)

I've been taking clomid for over 3 weeks, was very emotional at first but seems to be settling down. I will continue with it for a few months i think.

 

[JanSz]

Just got the rest of my results back. Really stuck now. I don’t know what the hell my problem is. I thought it was adrenal fatigue with possible hypothyroidism, but now I haven’t a clue!

Serum Tests-----Results--------Reference Range------------US Units

Progesterone-----<1.0---------0.7 to 4.3 nmol/L-----------<31.44 ng/l
Testosterone------23.2--------Male 9.9 to 27.8 nmol/L-----662.85 ng/dl
Prolactin-----------158---------23 to 340 mIU/ml------------158.00 ng/ml
Total Cholesterol--3.7----------(up to 5.5 mmol/L)
HDL Cholesterol---1.9----------(greater than 1.2 mmol/L)
TC/HDL ratio-------1.9----------(less than 5.0)
Triglycerides-------0.6---------(less than 2.0 mmol/L)-------54.54 mg/dl
LDL-----------------1.5----------(less than 3.0 mmol/L)
LH-------------------2.5---------Male: 3-8 IU/L----------------10.86 mIU/ml......... - Slightly below male range
FSH-----------------3.9----------Male: <8 IU/L
SHGB---------------47-----------Male: 15 to 55 nmol/L
Vitamin B12-------618.3--------128 - 648 pmol/L------------835.54 pg/ml
Ferritin-------------66.6---------Male: 30 - 400 ng/mL
Total PSA----------0.3-----------Age 20-59: <4.0 ng/ml
DHEA's-------------10.38--------Male: Age 25 to 34 yrs: 4.34 to 12.2 umol/L ......... - Within male, age related range
Free T3------------5.5-----------3.0 to 6.2 pmol/L
Free T4------------23.9---------12.0 to 22.0 pmol/L.......... - above normal reference range
TSH----------------1.2-----------0.4 to 4.0 mIU/L--------------1.2 µU/ml
TgAb---------------13.7---------Less than 60 IU/ml
TPO----------------6.8-----------Less than 40 IU/ml
also got my REVERSE T3 result: 0.69 (pmol/ml) with the range of 0.14-0.54 (pmol/ml). That said "HIGH" also.


Tests------------------Results---------Time--------Optimal Range---------Observed Range
SALIVA:[/b]
Estradiol (pg/ml)-------0.3-----------morning--------0.8-1.5----------------0.1-3.2
Estrone (pg/ml)--------0.8-----------morning--------1.0-2.5----------------0.5-3.9
Progesterone (ng/ml)—0.022--------morning--------0.070-0.150----------0.030-0.060(?)
Testosterone (pg/ml)—58.2---------morning---------75-95-----------------60-125
DHT (pg/ml)------------9.5----------morning---------20-40-----------------10-50
DHEA (pg/ml)----------752.4--------morning---------250-450--------------100-1200
Cortisol (x4)(ng/ml)---7.3-----------morning---------7am: 7.0-10---------7am: 8.0-15
-------------------------1.5-----------midday----------12pm: 3.0-6.0-------12pm: 3.0-7.0
-------------------------0.4-----------6 pm------------5pm: 2.0-4.0---------5pm: 2.0-4.0
-------------------------0.3-----------10 pm----------10pm: <1.5-----------10pm: <1.5

URINE:

Ephinephrine (µg/gCr)-9.5----------midday----------Day: 8-12-------------Day: 1-15
Norepinephrine (µg/gCr)-49.0-------midday----------Day: 35-50-----------Day: 15-106
Dopamine (µg/gCr)---72.6----------midday----------Day: 110-175---------Day: 50-350
Serotonin (µg/gCr)---114.6---------midday----------Day: 150-200---------Day: 40-275
GABA (umol/gCr)-----2.4-----------midday----------Day: 1.5-4.0----------Day: 1.5-35
Glutamate (umol/gCr)-33.8---------midday----------Day: 10-35------------Day: 5-65
PEA (umol/gCr)-------191.2--------midday----------Day: 175-450---------Day: 140-1200
Histamine (µg/gCr)---17.3---------midday----------Day: 10-20------------Day: 9.0-60
Creatinine (mg/dl)----184.8--------midday----------N/A--------------------N/A

COMMENTS:
Epinephrine-Urine is normal. Dopamine-Urine is low. GABA-Urine is normal. PEA-Urine is normal. Glutamate - Urine is normal. Norepinephrine-Urine is normal. Histamine-Urine is normal. Serotonin-Urine is low.
Also in November had these other tests done:
Blood tests----------------------Results---------------------Observed Range
Sodium-------------------------141 (mmol/L)----------------(135-145)
Potassium----------------------4.0 (mmol/L)-----------------(3.5-5.5)
Chloride------------------------104 (mmol/L)-----------------(90-110)
Creatinine----------------------81 (umol/L)-------------------(60-120)
Glomerular filtration rate-----104 (mL/min)-----------------Normal GFR >90mL/Min
TSH----------------------------1.26 mu/L---------------------(0.10-5.00)
FBC
HB-----------------------------15.0 (g/dL)--------------------(13.0-17.5)
White blood cell count (WBC’s)-3.7 (10*9/L)----------------(4.0-10.0)---LOW
Platelet Count-----------------191 (10*9/L)------------------(150-400)
Red blood cell count (RBC’s)-4.6 (10*12/L)-----------------(4.5-6.3)
Haematocrit-------------------43%----------------------------(40-53)
MCV----------------------------92 (fL)-------------------------(80-99)
MCH----------------------------32 (pg)-------------------------(27-32)
MCHC--------------------------35 (g/dL)-----------------------(30-34)---HIGH
Red blood cell distribution width—11%------------------------(12-16)—LOW
Neutrophil count---------------1.9 (10*9/L)-------------------(2.0-7.0)-LOW
Lymphocyte count-------------1.4 (10*9/L)-------------------(1.0-4.0)
Monocyte count----------------0.3 (10*9/L)-------------------(0.2-1.0)
Eosinophil count---------------0.1 (10*9/L)-------------------(0.1-0.6)
Basophil count-----------------0.0 (10*9/L)-------------------(0.0-0.1)

I've been taking clomid for over 3 weeks, was very emotional at first but seems to be settling down. I will continue with it for a few months i think.

Stay on 20mg Cortef for a year, then, eventually see if you want to get of off it or change to 30mg/day and stay there.

Your SHBG is very high, you will newer produce enough of natural testosterone.

Do not test neuro transmitters unles you do brain biopsy.

If you are interested in this type of information do Genova Diagnostics

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