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Decent labs, but a few anomalies, any thoughts?

Discussion in 'Optimal Labs' started by veelansu, Sep 23, 2013.

  1. veelansu

    veelansu New Member

    I am taking the top 10 supplements as the blog states. I am also on natural thyroid and natural sex hormones. I am going to work with my doctor to get my testosterone down. Should I be doing something else to counteract the other anomalous values? Any additional supplements? or additional test I should request? Thanks for any help provided.

    Cortisol (saliva) 6.7 ng/ml 3.7-9.5 (morning)
    Cortisol (saliva) 2.7 ng/ml 1.2-3.0 (noon)
    Cortisol (saliva) 1.1 ng/ml 0.6-1.9 (evening)
    Cortisol (saliva) 1.0 ng/ml 0.4-1.0 (night)
    Vitamin D, 25-Hydroxy            57.0               ng/mL                   30.0-100.0
    C-Reactive Protein, Cardiac    0.90                mg/L                     0.00-3.00
    Fibrinogen Activity                308                 mg/dL                    193-507 
    [B]Glucose, Serum                    102 HIGH          mg/dL                    65-99 [/B]
    Uric Acid, Serum                   5.4                 mg/dL                     2.5-7.1 
    BUN                                    15                  mg/dL                     6-24 
    [B]Creatinine, Serum                 0.54 LOW         mg/dL                    0.57-1.00 
    BUN/Creatinine Ratio             28    HIGH                                       9-23 [/B]
    Sodium, Serum                    141                 mmol/L                  134-144 
    Potassium, Serum                 3.9                 mmol/L                   3.5-5.2 
    Chloride, Serum                   102                 mmol/L                   97-108
    Carbon Dioxide, Total            20                  mmol/L                    19-28 
    Calcium, Serum                    9.7                 mg/dL                   8.7-10.2 
    Phosphorus, Serum               4.3                 mg/dL                    2.5-4.5 
    Protein, Total, Serum            6.7                 g/dL                     6.0-8.5 
    Albumin, Serum                    4.3                 g/dL                     3.5-5.5 
    Globulin, Total                     2.4                  g/dL                    1.5-4.5
    A/G Ratio                           1.8                                             1.1-2.5
    Bilirubin, Total                      0.5                 mg/dL                   0.0-1.2
    Alkaline Phosphatase, S         70                  IU/L                      42-107 
    LDH                                  127                  IU/L                     0-214
    AST (SGOT)                       28                    IU/L                     0-40
    [B]ALT (SGPT)                        44 HIGH            IU/L                     0-32 [/B]
    GGT                                  16                    IU/L                     0-60 
    Iron, Serum                       105                   ug/dL                  35-155 
    [B]Ferritin, Serum                    164 HIGH           ng/mL                  15-150[/B]
    Cholesterol, Total                197                  mg/dL                   100-199
    Triglycerides                        66                   mg/dL                  0-149
    HDL Cholesterol                   79                    mg/dL                   >39 
    [B]LDL Cholesterol Calc            105 HIGH           mg/dL                    0-99 [/B]
    T. Chol/HDL Ratio                2.5                 ratio units               0.0-4.4 
    [B]TSH                                  <0.006 LOW        uIU/mL               0.450-4.500 [/B]
    Thyroxine (T4)                    8.0                   ug/dL                   4.5-12.0 
    [B]T3 Uptake                         45 HIGH               %                       24-39 [/B]
    Free Thyroxine Index            3.6                                             1.2-4.9 
    [B]Reverse T3, Serum              28.4  HIGH           ng/dL                  9.2-24.1[/B]
    WBC                                  5.8                   x10E3/uL             3.4-10.8
    RBC                                   4.95                 x10E6/uL              3.77-5.28
    Hematocrit                         42.0                     %                     34.0-46.6 
    MCV                                   85                       fL                       79-97 
    MCH                                  28.9                    pg                     26.6-33.0 
    MCHC                                34.0                    g/dL                     31.5-35.7 
    RDW                                  12.9                     %                       12.3-15.4 
    Platelets                             224                  x10E3/uL                155-379 
    Neutrophils                          44                       %                       40-74 
    Lymphs                               46                       %                      14-46 
    Monocytes                           9                        %                       4-12 
    Eos                                     1                        %                       0-5 
    Basos                                  0                        %                       0-3 
    Neutrophils (Absolute)           2.5                  x10E3/uL                 1.4-7.0 
    Lymphs (Absolute)                2.7                  x10E3/uL                0.7-3.1 
    Monocytes(Absolute)            0.5                  x10E3/uL                 0.1-0.9 
    Eos (Absolute)                     0.1                  x10E3/uL                 0.0-0.4 
    Baso (Absolute)                   0.0                  x10E3/uL                  0.0-0.2 
    Immature Granulocytes          0                         %                          0-2 
    Immature Grans (Abs)           0.0                  x10E3/uL                 0.0-0.1 
    Hemoglobin A1c                   5.6                      %                       4.8-5.6 
    Estim. Avg Glu (eAG)             114                    mg/dL               
    [B]Testosterone, Serum             121 HIGH            ng/dL                   8-48[/B] 
    Free Testosterone(Direct)       0.3                   pg/mL                   0.0-2.2 
    DHEA-Sulfate                      180.1                  ug/dL                  35.4-256.0
    Aldosterone                           4.0                   ng/dL                   0.0-30.0 
    Estradiol                             22.0                    pg/mL                  Adult Female:
                                                                                               Follicular phase 12.5 - 166.0
                                                                                               Ovulation phase 85.8 - 498.0
                                                                                               Luteal phase 43.8 - 211.0
                                                                                               Postmenopausal <6.0 - 54.7
                                                                                               1st trimester 215.0 - >4300.0
                                                                                                Girls (1-10 years) 6.0 - 27.0
    Progesterone                       3.6                      ng/mL
                                                                                                 Follicular phase 0.2 - 1.5
                                                                                                 Luteal phase 1.7 - 27.0
                                                                                                 Ovulation phase 0.8 - 3.0
                                                                                                 First trimester 8.8 - 48.6
                                                                                                 Second trimester 12.4 - 75.8
                                                                                                 Third trimester 58.5 - 222.3
                                                                                                  Postmenopausal 0.1 - 0.8
  2. fitness@home

    fitness@home Silver


    I can't commetn on the labs results (there are other's here that are great at that) but I would love to know how you inserted the lab results with that scrolling feature.

  3. veelansu

    veelansu New Member

    If you use the code tags, it does it automatically. Anything between code tags will remain as you typed it. It will not change the tabbing or anything, and if long, will add scrolling. Just hover over all the things in the toolbar and it tells you which one it is.
  4. caroline

    caroline Moderator

    I couldn't do that if my life depended on it.......
  5. Destiny

    Destiny New Member

    I am not an expert but this is what I see. Your cortisol is lowish in the morning and spikes at nighttime - it should go the opposite way. The hs-CRP needs some work. You are dehydrated based on your Bun/c ratio. Your liver is under a stress. Your iron and ferritin is high for a woman, I believe this can indicate inflammation in your body. You are hypothyroid based on your Reverse T3 but you really need more labs - Free T3 and T4 so you can get your ratio with the Reverse T3. Your testosterone is obviously high but I don't know much about hormones. You also need to work on your blood glucose level.
  6. veelansu

    veelansu New Member

    Thanks Destiny for your insight.

    The sex hormones, I am working with a naturopath to fix. It's been an adventure ever since my hysterectomy, let me tell you, so I am not worried about those. I think we almost have it right. Just need to fix the T. The cortisol, ferritin and the thyroid ones worry me. Any suggestions on what I need to do to correct the cortisol issue? How do I get my iron levels under control? I eat a lot of red meat (grass fed now) and dark green veggies, no supplements. I am trying to drink more water, this has always been a challenge for me, but I am getting better. Hopefully this will help my Bun/C ratio. I started taking Milk Thistle for the liver, any other thing I should do to help it destress? Anyone have any suggestions?
  7. Destiny

    Destiny New Member

    I have a spiking night cortisol as well. There is a PS (phosphatidylserine) supplement that is helpful with this issue. I am also mindful of the lights in the evening - wearing the orange glasses. For the iron, you might need to limit the red meat and eat more fish. I also had thyroid issues and normalized my high reverse T3 with Cytomel. Milk Thistle is very good for your liver. It should definitely help. Drinking more water is another plus.
  8. Jack Kruse

    Jack Kruse Administrator

    What I see......is simple.......you got a big field issue.
  9. veelansu

    veelansu New Member

    I work on computers and around racks and racks of electronic equipment 12 hours a day. I'm not surprised. I'm going to need to figure something out without losing my income.
  10. nicld

    nicld Gold

    My testosterone went up when I was taking DHEA. My first blood test said I was low but the saliva test said I was high. I think I was on too much since I was getting horrible acne. I have since stopped and the acne got much better.

    Just my N=1
  11. JanSz

    JanSz Gold

    DHEAs,serum= Total DHEA

    DHEA, saliva=Free DHEA

    DHEA-Sulfate=180.1 ug/dL ( 35.4-256.0)

    Good DHEAs Women 275-400 μg/dL


    Laboratory range indicates your age, different for different labs.
    45−54 yo women(41.2−243.7)

    you want to adjust hormones to 20yo (good) values.

    Check your (insulin, serum fasting), should be in single digits.
    High insulin may cause ovary to produce excessive testosterone (acne)

    Higher DHEA may also raise testosterone (but you rather have good DHEAs and be insulin sensitive)

    Specially in PCOS high insulin will raise testosterone.

    Cortisol (saliva) 6.7 ng/ml 3.7-9.5 (morning)-------------low

    Testosterone, Serum 121 HIGH ng/dL 8-48
    Free Testosterone(Direct) 0.3 pg/mL 0.0-2.2 =====>>LOW

    likely you have very very high SHBG (may correlate with bad thyroid hormones)

    binding globulins may go high together
    check also
    CGB, cortisol binding globulin
    TBG thyroxine binding globulin

    you may actually have decent (Total cortisol) but all bounded

    Post your age and if you are menstruating, on what day was blood drawn for those tests.



    TSH <0.006 LOW
    Reverse T3, Serum 28.4 HIGH ng/dL 9.2-24.1

    You are eating thyroid hormones, likely too much.


    If you can get this two tests, post results.

    Spectracell Comprehensive Nutritional Panel

    Labcorp or Mayo Clinic

    Fatty Acid Profile, Comprehensive (C8-C26), Serum


    Creatinine, Serum 0.54 LOW mg/dL

    Sodium bicarbonate is taken 1 to 2 hours AFTER
    meals to support digestion, and to support the
    2 capsules ( 1000 mg ) 2 times a day (1 Hr after

    Last edited: Sep 25, 2013
  12. nicld

    nicld Gold

    JanSz, so which one is the better measure of DHEA?

    I am going to try to start DHEA again but this time with Twist DHEA cream but just a little. I just could not handle the increase in acne and really did not feel that much better but my thyroid was not working right at the time too.


  13. JanSz

    JanSz Gold

    Post it here.

  14. JanSz

    JanSz Gold

    Get the tests I mentioned, Spectracell & Fatty Acids.

  15. JanSz

    JanSz Gold


    gall bladder out
    size 14 when I got pregnant
    Gave birth to a 10+ pound baby girl who after 3 months found out that there was something genetically wrong with her.
    Right now she is 15 in chronological years but 1 year developmental.
    was morbidly obese (260 pounds)
    started going to the gym before classes. I think this is when the hormones all fell apart
    working out at the gym at least 1 hour 4-5 times a week plus some on the weekends at home and developed a severe case of sacral ileitis in the hips and bursitis in them as well as the knees, pretty sure I tore something in my shoulder doing a bench press and that’s when the bottom dropped out.
    doc finally diagnosed me with celiac and have been wheat free ever since.

    March 2010 I finally got my engineering job but it was 45 minutes one way from our house. But I do really like my job and I am good at it.

    bit insulin resistant

    July 2011 LBM 140, actual weight was 193, height 68 inches.
    2011 had a TSH done and it was 2.5
    my T3 was 2.5, fairly low. I convinced him to let me start Armour in January 2012 and am up to 90 mg per day.
    turned 40
    08-13-2013, 03:39 PM----------I am due to start my next cycle maybe on Friday
    08-20-2013, 11:58 AM---------follicular time of my cycle
    08-31-2013, 01:56 PM--------I am in the second half of the cycle and that seems to be worse for me.
    09-04-2013, 09:43 PM-------I am due to start my cycle on the 9th

    Espousing for moderation or normality is not something to aspire to, it's something to get away from.

    I left my iodine and other half of cytomel on the kitchen table
    09-05-2013, 09:12 PM----------I am on 100 mg/gm Pg 2X a day.
    09-08-2013, 06:12 PM----------Tomorrow the next cycle is suppose to start but I am hoping that with being on Pg, it might wait a bit but either way, doc said to take it to day 28 (tomorrow is 25)

    Last edited: Sep 26, 2013
  16. suzgaray

    suzgaray New Member


    Can I ask where you got your testing done? It looks very comprehensive I bet it was expensive?
  17. JanSz

    JanSz Gold

    It would be a good idea to clarify your insulin status before you start again increasing your DHEA.
    You may also want to check for PCOS.
    Insulin resistance (specially with PCOS)= high testosterone.
    Your TotalTestosterone is high but FreeTestosterone is low.
    Your binding proteins are super high.
    That (the binding proteins) may change if you get thyroid hormones in order,
    but to do that you need to do preparatory work first.
    (Other than 100% of dr Kruses recommendations)
    Get Spectracell and Fatty Acids tested, as I posted above.

    I am not a doctor. I am a man.
    I use mostly serum when testing.

    The article from lef.org that I posted on my post above, quotes serum values.

    See what Johnathan Wright MD says about advantages and disadvantages of various tests,
    he also touches on types of hormonal applications affecting test results.

    Ensure Effective Bio-Identical Hormone Replacement: Select the Right Hormone Test for Your Patient

    Part I: The Advantages and Disadvantages of Saliva, Serum and Urine Tests

    Last edited: Sep 26, 2013
  18. veelansu

    veelansu New Member

    JanSz, thanks for all that. I am 49 y/o and had a total hysterectomy at the age of 36. I have been trying to get my sex hormones and thyroid in balance for as long as I have had to. My free testosterone is always low regardless of how much the doc puts in my hormones. I started taking 7-Keto DHEA once I saw it was low, I'm hoping it helps with my free T. If it doesn't, what could be causing the lack of absorption. I. Taking T with dermal cream.

    For cortisol, I started taking adrenal cortex supplement in the morning and schizandra twice a day. How do I help unbind my cortisol if this is my problem?

    I will talk to my doc about adjusting my hormones to 20 y/o levels

    On the insulin, I'm at a loss. I have not eaten sugar in forever. I've have been low carving on and off for about 10 years. I am now on Leptin reset since August 15 so I don't consume anything that would elevate my insulin. I have no idea what more to do to lower it, there is no diabetes in my family even though they are all overweight. Any suggestions?

    Thanks again for all the current suggestion and to all that are participating in this community. I feel so blessed to be here.
  19. veelansu

    veelansu New Member

    And JanSz, just be careful that you are responding to two different people on this same thread. Me, the original labs and nicld, who was just asking questions regarding her specific items. It may be getting confusing since in some responses to her questions you're still quoting my labs. :).
  20. JanSz

    JanSz Gold

    Yes, it can get confusing, it would be easier if each person used dedicated thread.


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