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Hack my labs please

Discussion in 'Optimal Labs' started by kleinb87, Dec 27, 2012.

  1. kleinb87

    kleinb87 Silver

    I just got all of my labs back from the doctor today. Here is some background information. I have leaky gut. Hormones are out of whack, haven't ovulated for 2 years, and the doctor wants to put me on BHRT, which I'll start next week. Also I have gained 45 pounds in less than 3 months without changing diet & exercise. I'm ready to be optimal and get this excess weight off. I have been eating epi-paleo, doing CT, and taking NAC, Vit. C, Zinc, Curcumin, Resveratrol, Vit. D3, Milk Thistle, and digestive enzymes. All help is greatly appreciated. Any thoughts on exercise? 

    Blood Tests with reference numbers

    FSH: 3.4 mIU/mL (3-133.4)

    LH: 3.9 mIU/mL (1.9-52.3)

    Free T4: 1.0 ng/dL (0.7-1.5)

    TSH: 1.94 uIU/mL (0.35-4.94)

    Free T3: 2.5 pg/mL (1.7-3.7)

    Reverse T3: 17 ng/dL (7-24)

    Thyroid Antibodies: Anti Thyroperoxidase 12.3 IU/ML (0.0-34.9)



    Comprehensive Metabolic Panel

    Sodium 139 MMOL/L (136-145)

    Potassium: 4.7 MMOL/L (3.5-5.1)

    Chloride: 103 MMOL/L (98-110)

    Carbon Dioxide: 22 MMOL/L (18-27)

    Glucose Serum: 95 MG/DL (65-99)

    Urea Nitrogen (BUN): 17 MG/DL (7-19)

    Creatinine: 0.72 MG/DL (0.7-1.2)

    Calcium: 10 MG/DL (8.4-10.5)

    Bilirubin, Total: 0.2 MG/DL (0.2-1.2)

    Protein, Total: 7.3 GM/DL (6-8.3)

    Albumin: 4.2 GM/DL (3.5-5.0)

    Alkaline Phosphatase: 144 U/L (38-126) HIGH

    Alanine Transaminase: 58 U/L (9-52) HIGH

    Aspartate Transaminase: 30 U/L (14-36)

    Insulin: 8 uIU/mL (0-17)

    Magnesium, RBC: 5.0 mg/dL (4-6.4)



    CBC

    White Blood Cells: 5.4 K/CUMM (3.2-11.0)

    Red Blood Cells: 4.95 M/CUMM (3.8-5.2)

    Hemoglobin: 13.1 G/DL (11.6-15.2)

    Hematocrit: 41.4% (34.4-45.6)

    MCV: 83.6 FL (78-100)

    MCH: 26.4 PG (27-31) LOW

    MCHC: 31.6 G/DL (32-36) LOW

    RDW: 14.2% (11.5-14.5)

    Platelet Count: 263 K/CUMM (150-450) 

    MPV: 9.2 FL (6-9.5)

    Neutrophils: 55% (44-74)

    Lymphocytes: 32% (20-50)

    Monocytes: 5% (2-13)

    Eosinophils: 8% (0-7) HIGH

    Basophils: 1% (0-2)

    Absolute Neutrophils: 3 K/CUMM (1.3-6)

    Absolute Lymphocytes: 1.7 K/CUMM (1.5-3.5)

    Absolute Monocytes: 0.2 K/CUMM (0-1)

    Absolute Eosinophils: 0.5 K/CUMM (0-0.7)

    Absolute Basophils: 0.0 K/CUMM (0.0-0.1)

    Vitamin D, 25-Hydroxy

    Vitamin D, 25OH, Total: 70 NG/ML (30-100)

    Vitamin D, 25-OH, D3: 70 NG/ML

    Vitamin D, 25-OH, D2: <4



    Ferritin: 54.2 ng/mL (4.6-204)



    Adrenocortex Stress Profile (saliva)

    7am: 0.28 mcg/dL (0.27-1.18)

    11am: 0.11 mcg/dL (0.1-.41)

    3pm: 0.11 mcg/dL (0.05-0.27)

    10pm: 0.05 mcg/dL (0.03-0.14)

    DHEA 7-9am: 551 pg/mL (71-640)

    DHEA: Cortisol Ratio/10,000: 1,968 (115-1188) HIGH



    Hormone Profile Urine

    Estrone: 5.0 ug/24hr (2-44.6)

    Estradiol: 2.3 ug/24hr (1-45)

    Estriol: 35 ug/24hr (3-130)

    Total Estrogens: 10.7 ug/24hr (7-221)

    Estrogen Quotient: 0.5 ug/24hr (>1.0) LOW Estriol/ (estrone+estradiol)

    2-OH Estrone: 8.8 ug/24hr (3.8-38.1)

    16a-OH Estrone: 0.8 ug/24hr (2.1-7.9)

    2/16a Ratio: 10.9 ug/24hr (1.8-5.5) HIGHr />
    4-OH Estrone: 1.7 ug/24hr (0.8-5.9)

    2-Methoxyestrone: 4.5 ug/24hr (2.2-14.4)

    2-Methoxyestradiol: 0.7 ug/24hr (0.1-2.2)

    Pregnanediol: 295 ug/24hr (1450-6140)

    DHEA: 267 ug/24hr (100-2000)

    Testosterone: 12.1 ug/24hr (5-35)

    5a-Androstanediol: 66.7 ug/24hr (3-35) HIGH

    5b-Androstanediol: 181 ug/24hr (13-180) HIGH

    Androsterone: 3465 ug/24hr (500-3200) HIGH

    Etiocholanolone: 2455 ug/24hr (500-5000)

    Pregannetriol: 707 ug/24hr (100-1500)

    Cortisone (e): 140 ug/24hr (31-209)

    Cortisol (f): 102 ug/24hr (30-170)

    Tetrahydrocortisone (THE): 4828 ug/24hr (1700-4200) HIGH

    Allo-Ttrahydrocortisol (5a-THF): 1559 ug/24hr (400-2100)

    Tetrahydrocortisol (THF): 2184 ug/24hr (900-2600)

    11b-Hydroxyandrosterone 457 ug/24hr (398-1471)

    11b-Hydroxyetiocholanolone: 101 ug/24hr (153-827) LOW

    Aldosterone: 14.6 ug/24hr (6-25)

    Allo-Tetrahydrocorticosterone (5a-THB): 303 ug/24hr (130-600)

    Tetrahydrocorticosterone (THB): 237 ug/24hr (30-240)

    11-Dehydrotetrahydrocorticosterone (THA): 177 ug/24hr (62-293)

    Urinary hGH: 2107 pg/24hr (1085-4722)

    Urinary Thydroid: Free T3: 1456 ng/24hr (470-1750); Free T4: 672 ng/24hr (430-3200)

    Urinary Mineral

    Sodium: 225 mmol/24hr (40-220) HIGH

    Potassium: 71 mmol/24hr (25-150)

    Sodium/Potassium Ratio: 3.1 mmol/24hr (1.2-4.8)



    5-a-Reductase

    Androsterone/Etiocholanolone Ratio: 1.41 (0.4-1.3 (10-90th Percentile))

    Allo-tetrahydrocortisol/tetrahydrocortisol Ratio: 0.71 (0.4-1.0 (10-90th Percentile))

    11-b-hudroxysteroid dehydrogenase I & II

    Cortisol/Cortisone Ratio: 0.73 (0.5-0.9 (10-90th Percentile))

    Tetrahydrocortisol + allo-tetrahydrocortisol/ Tetrahydrocortsione Ratio: 0.78 (0.7-1.3 (10-90th Percentile))



    Spectracell (all values in %)

    B Complex Vitamins

    B1: 104 (>78)

    B2: 58 (>53)

    B3: 87 (>80)

    B6: 65 (>54)

    B12: 20 (>14)

    Folate: 35 (>32)

    Pantothenate: 11 (>7)

    Biotin: 42 (>34)



    Amino Acids

    Serine: 54 (>30)

    Glutamine: 58 (>37)

    Asparagine: 51 (>39)



    Metabolites

    Choline: 27 (>20)

    Inositol: 76 (>58)

    Carnitine: 61 (>46)



    Fatty Acids

    Oleic Acid: 74 (>65)



    Vitamin A: 83 (>70)

    Vitamin K2: 67 (>30)



    Minerals

    Calcium: 51 (>38)

    Manganese: 42 (>50) DEFICIENT

    Zinc: 34 (>37) DEFICIENT

    Copper: 50 (>42)

    Magnesium: 45 (>37)



    Carbohydrate Metabolism

    Glucose-Insulin Interaction: 50 (>38)

    Fructose Sensitivity: 53 (>34)

    Chromium: 54 (>40)



    Antioxidants

    Glutathione: 51 (>42)

    Cysteine: 49 (>41)

    Coenzyme Q-10: 94 (>86)

    Selenium: 83 (>74)

    Vitamin E: 91 (>84)

    Alpha Lipoic Acid: 87 (>81)

    Vitamin C: 58 (>40)



    Spectrox Total Antioxidant Function: 65 (>40)

    Proliferation Index Immunidex: 76 (>40)



    Lipoprotein Particle Profile



    VLDL Particles: 48 nmol/L (<85) 

    Total LDL Particles: 1445 nmol/L (<900) VERY HIGH

    Non-HDL Particles: 1493 nmol/L (<1000) HIGH

    RLP (Remnant Lipoprotein): 152 nmol/L (<150) BORDERLINE HIGH

    Small- Dense LDL III: 443 nmol/L (:love:00) HIGH

    Small-Dense LDL IV: 117 nmol/L (<100) HIGH

    Total HDL Particles: 8759 nmol/L (>7000)

    Large-Buoyant HDL 2b: 2938 nmol/L (>1500)

    Apo B-100: 137 mg/dL (40-100) HIGH

    Lp(a): 5.9 mg/dL (6.0-29.9)

    Metabolic Syndrome Traits: 1 (0) POSSIBLE

    C-Reactive Protein-hs: 4.3 mg/L (3.0) HIGH

    Insulin: 7.9 uIU/mL (4-35) 

    Homocysteine: 7.3 umol/L (<11.0)

    Total Cholesterol: 281 mg/dL (<200) HIGH

    LDL Cholesterol: 190 mg/dL (40-130) VERY HIGH

    HDL Cholesterol: 66 mg/dL (>40)

    Triglycerides: 89  mg/dL (30-150)

    Non HDL Cholesterol: 215 mg/dL (<160) HIGH

    Apolipoprotein A1: 161 mg/dL (115-224) 
     
  2. Destiny

    Destiny New Member

    klein.bobbi@gmail.com said
    I just got all of my labs back from the doctor today. Here is some background information. I have leaky gut. Hormones are out of whack, haven't ovulated for 2 years, and the doctor wants to put me on BHRT, which I'll start next week. Also I have gained 45 pounds in less than 3 months without changing diet & exercise. I'm ready to be optimal and get this excess weight off. I have been eating epi-paleo, doing CT, and taking NAC, Vit. C, Zinc, Curcumin, Resveratrol, Vit. D3, Milk Thistle, and digestive enzymes. All help is greatly appreciated. Any thoughts on exercise? 

    Blood Tests with reference numbers

    FSH: 3.4 mIU/mL (3-133.4)

    LH: 3.9 mIU/mL (1.9-52.3)

    Free T4: 1.0 ng/dL (0.7-1.5)

    TSH: 1.94 uIU/mL (0.35-4.94)

    Free T3: 2.5 pg/mL (1.7-3.7)

    Reverse T3: 17 ng/dL (7-24)

    Thyroid Antibodies: Anti Thyroperoxidase 12.3 IU/ML (0.0-34.9)



    Comprehensive Metabolic Panel

    Sodium 139 MMOL/L (136-145)

    Potassium: 4.7 MMOL/L (3.5-5.1)

    Chloride: 103 MMOL/L (98-110)

    Carbon Dioxide: 22 MMOL/L (18-27)

    Glucose Serum: 95 MG/DL (65-99)

    Urea Nitrogen (BUN): 17 MG/DL (7-19)

    Creatinine: 0.72 MG/DL (0.7-1.2)

    Calcium: 10 MG/DL (8.4-10.5)

    Bilirubin, Total: 0.2 MG/DL (0.2-1.2)

    Protein, Total: 7.3 GM/DL (6-8.3)

    Albumin: 4.2 GM/DL (3.5-5.0)

    Alkaline Phosphatase: 144 U/L (38-126) HIGH

    Alanine Transaminase: 58 U/L (9-52) HIGH

    Aspartate Transaminase: 30 U/L (14-36)

    Insulin: 8 uIU/mL (0-17)

    Magnesium, RBC: 5.0 mg/dL (4-6.4)



    CBC

    White Blood Cells: 5.4 K/CUMM (3.2-11.0)

    Red Blood Cells: 4.95 M/CUMM (3.8-5.2)

    Hemoglobin: 13.1 G/DL (11.6-15.2)

    Hematocrit: 41.4% (34.4-45.6)

    MCV: 83.6 FL (78-100)

    MCH: 26.4 PG (27-31) LOW

    MCHC: 31.6 G/DL (32-36) LOW

    RDW: 14.2% (11.5-14.5)

    Platelet Count: 263 K/CUMM (150-450) 

    MPV: 9.2 FL (6-9.5)

    Neutrophils: 55% (44-74)

    Lymphocytes: 32% (20-50)

    Monocytes: 5% (2-13)

    Eosinophils: 8% (0-7) HIGH

    Basophils: 1% (0-2)

    Absolute Neutrophils: 3 K/CUMM (1.3-6)

    Absolute Lymphocytes: 1.7 K/CUMM (1.5-3.5)

    Absolute Monocytes: 0.2 K/CUMM (0-1)

    Absolute Eosinophils: 0.5 K/CUMM (0-0.7)

    Absolute Basophils: 0.0 K/CUMM (0.0-0.1)

    Vitamin D, 25-Hydroxy

    Vitamin D, 25OH, Total: 70 NG/ML (30-100)

    Vitamin D, 25-OH, D3: 70 NG/ML

    Vitamin D, 25-OH, D2: <4



    Ferritin: 54.2 ng/mL (4.6-204)



    Adrenocortex Stress Profile (saliva)

    7am: 0.28 mcg/dL (0.27-1.18)

    11am: 0.11 mcg/dL (0.1-.41)

    3pm: 0.11 mcg/dL (0.05-0.27)

    10pm: 0.05 mcg/dL (0.03-0.14)

    DHEA 7-9am: 551 pg/mL (71-640)

    DHEA: Cortisol Ratio/10,000: 1,968 (115-1188) HIGH



    Hormone Profile Urine

    Estrone: 5.0 ug/24hr (2-44.6)

    Estradiol: 2.3 ug/24hr (1-45)

    Estriol: 35 ug/24hr (3-130)

    Total Estrogens: 10.7 ug/24hr (7-221)

    Estrogen Quotient: 0.5 ug/24hr (>1.0) LOW Estriol/ (estrone+estradiol)

    2-OH Estrone: 8.8 ug/24hr (3.8-38.1)

    16a-OH Estrone: 0.8 ug/24hr (2.1-7.9)

    2/16a Ratio: 10.9 ug/24hr (1.8-5.5) HIGH

    4-OH Estrone: 1.7 ug/24hr (0.8-5.9)

    2-Methoxyestrone: 4.5 ug/24hr (2.2-14.4)

    2-Methoxyestradiol: 0.7 ug/24hr (0.1-2.2)

    Pregnanediol: 295 ug/24hr (1450-6140)

    DHEA: 267 ug/24hr (100-2000)

    Testosterone: 12.1 ug/24hr (5-35)

    5a-Androstanediol: 66.7 ug/24hr (3-35) HIGH

    5b-Androstanediol: 181 ug/24hr (13-180) HIGH

    Androsterone: 3465 ug/24hr (500-3200) HIGH

    Etiocholanolone: 2455 ug/24hr (500-5000)

    Pregannetriol: 707 ug/24hr (100-1500)

    Cortisone (e): 140 ug/24hr (31-209)

    Cortisol (f): 102 ug/24hr (30-170)

    Tetrahydrocortisone (THE): 4828 ug/24hr (1700-4200) HIGH

    Allo-Ttrahydrocortisol (5a-THF): 1559 ug/24hr (400-2100)

    Tetrahydrocortisol (THF): 2184 ug/24hr (900-2600)

    11b-Hydroxyandrosterone 457 ug/24hr (398-1471)

    11b-Hydroxyetiocholanolone: 101 ug/24hr (153-827) LOW

    Aldosterone: 14.6 ug/24hr (6-25)

    Allo-Tetrahydrocorticosterone (5a-THB): 303 ug/24hr (130-600)

    Tetrahydrocorticosterone (THB): 237 ug/24hr (30-240)

    11-Dehydrotetrahydrocorticosterone (THA): 177 ug/24hr (62-293)

    Urinary hGH: 2107 pg/24hr (1085-4722)

    Urinary Thydroid: Free T3: 1456 ng/24hr (470-1750); Free T4: 672 ng/24hr (430-3200)

    Urinary Mineral

    Sodium: 225 mmol/24hr (40-220) HIGH

    Potassium: 71 mmol/24hr (25-150)

    Sodium/Potassium Ratio: 3.1 mmol/24hr (1.2-4.8)



    5-a-Reductase

    Androsterone/Etiocholanolone Ratio: 1.41 (0.4-1.3 (10-90th Percentile))

    Allo-tetrahydrocortisol/tetrahydrocortisol Ratio: 0.71 (0.4-1.0 (10-90th Percentile))

    11-b-hudroxysteroid dehydrogenase I & II

    Cortisol/Cortisone Ratio: 0.73 (0.5-0.9 (10-90th Percentile))

    Tetrahydrocortisol + allo-tetrahydrocortisol/ Tetrahydrocortsione Ratio: 0.78 (0.7-1.3 (10-90th Percentile))



    Spectracell (all values in %)

    B Complex Vitamins

    B1: 104 (>78)

    B2: 58 (>53)

    B3: 87 (>80)

    B6: 65 (>54)

    B12: 20 (>14)

    Folate: 35 (>32)

    Pantothenate: 11 (>7)

    Biotin: 42 (>34)



    Amino Acids

    Serine: 54 (>30)

    Glutamine: 58 (>37)

    Asparagine: 51 (>39)



    Metabolites

    Choline: 27 (>20)

    Inositol: 76 (>58)

    Carnitine: 61 (>46)



    Fatty Acids

    Oleic Acid: 74 (>65)



    Vitamin A: 83 (>70)

    Vitamin K2: 67 (>30)



    Minerals

    Calcium: 51 (>38)

    Manganese: 42 (>50) DEFICIENT

    Zinc: 34 (>37) DEFICIENT

    Copper: 50 (>42)

    Magnesium: 45 (>37)



    Carbohydrate Metabolism

    Glucose-Insulin Interaction: 50 (>38)

    Fructose Sensitivity: 53 (>34)

    Chromium: 54 (>40)



    Antioxidants

    Glutathione: 51 (>42)

    Cysteine: 49 (>41)

    Coenzyme Q-10: 94 (>86)

    Selenium: 83 (>74)

    Vitamin E: 91 (>84)

    Alpha Lipoic Acid: 87 (>81)

    Vitamin C: 58 (>40)



    Spectrox Total Antioxidant Function: 65 (>40)

    Proliferation Index Immunidex: 76 (>40)



    Lipoprotein Particle Profile



    VLDL Particles: 48 nmol/L (<85) 

    Total LDL Particles: 1445 nmol/L (<900) VERY HIGH

    Non-HDL Particles: 1493 nmol/L (<1000) HIGH

    RLP (Remnant Lipoprotein): 152 nmol/L (<150) BORDERLINE HIGH

    Small- Dense LDL III: 443 nmol/L (:love:00) HIGH

    Small-Dense LDL IV: 117 nmol/L (<100) HIGH

    Total HDL Particles: 8759 nmol/L (>7000)

    Large-Buoyant HDL 2b: 2938 nmol/L (>1500)

    Apo B-100: 137 mg/dL (40-100) HIGH

    Lp(a): 5.9 mg/dL (6.0-29.9)

    Metabolic Syndrome Traits: 1 (0) POSSIBLE

    C-Reactive Protein-hs: 4.3 mg/L (3.0) HIGH

    Insulin: 7.9 uIU/mL (4-35) 

    Homocysteine: 7.3 umol/L (<11.0)

    Total Cholesterol: 281 mg/dL (<200) HIGH

    LDL Cholesterol: 190 mg/dL (40-130) VERY HIGH

    HDL Cholesterol: 66 mg/dL (>40)

    Triglycerides: 89  mg/dL (30-150)

    Non HDL Cholesterol: 215 mg/dL (<160) HIGH

    Apolipoprotein A1: 161 mg/dL (115-224) 





     I think you are hypothyroid, have glucose and cholesterol issues but I am no expert. I was amazed that you got a urine test for hormones. Could you share how you got your doctor to run it? 



    I just read this article on hormones and urine test. You might want to look at it.

    http://ahha.org/BHRT-Article.htm
     
  3. kleinb87

    kleinb87 Silver

    Thanks for your input Destiny! The urinary hormone test is from Meridian Valley Lab. It's the ComprehensivePLUS Hormone Profile with hGH. I am waiting for a few more lab results to come in before I schedule a consult with Dr. Kruse. 



    Oh, one other important piece to mention is that I am 25 yrs old. 



    Bobbi
     
  4. JanSz

    JanSz Gold

    Spectracell test indicates that you are defficient in Manganese & Zinc
    You may want to supplement that.
    Also look at graphical representation of status. Supplement anything that is within yellow (borderline) area or close to it.

    This does not tell me about your iodine status.
    Personally I use ~50mg/day

    1 dropperfull/day=48mg/day
    Lugol's Iodine Family Pack -- 6 (2 fl. oz.) bottles
    hamazon dot com /Lugols-Iodine-Family-Pack-bottles/dp/B001RRP3FW

    ------------------------------------------------------------------------------------
    Blood Tests with reference numbers
    FSH: 3.4 mIU/mL (3-133.4)
    LH: 3.9 mIU/mL (1.9-52.3)

    You are flatlined, and on the bottom.
    May want to check other pituitary hormones and do pituitary MRI.
    -----------------------------------------------------------------------------------------------------------------------------------------
    Going thru my attempt to replicate BodyBioâ„¢ Nutrient Report
    Many low or high items require micronutriet type support and Spectracell says that they are in acceptable range.
    but
    many items are dependent on good levels and profile of fatty acids and phospholipids
    also
    bile salts, coconut oil

    Hopefully you are not eating Fish oils or Kril oils. They can distort fatty acid profile big time. Specially huge amounts of EPA in them are bad. But large amounts of DHA are not so good either.
    Other than eating Epi-Paleo RX, you need good Fatty Acid Analysis.
    For my self, I use
    Essential & Metabolic Fatty Acids Analysis (EMFA) by Genova Diagnostics
    but
    they do not provide upper ranges for EPA & DHA
    so you would newer know if you have to much.
    Doctor Kruse could likely help you with correcting that defficiency in their reporting.
    dr Patricia Kane uses
    Red Blood Cell Fatty Acid test from Kennedy Krieger Laboratory
    If you could arrange for that analysis, you would be better off.

    Low
    MeanCell Hemoglobin (MCH)
    MeanCorpuscular Hemoglobin (MCHC)
    Creatinine
    NeutrophilCount
    Basophil Count
    MonocyteCount
    Hemoglobin(Hgb)
    Bilirubin Total
    CO2
    MeanCorpuscular Volume (MCV)
    White Blood Cell Count

    High
    RDW
    BUN/Creatinine Ratio
    Alkaline Phosphatase
    Glucose
    Calcium
    Cholesterol
    LowDensity Lipids (LDL)
    -----------------------------------------------------------------------------------------------------------------------------------
    serum
    TSH: 1.94 uIU/mL (0.35-4.94)
    Free T4: 1.0 ng/dL (0.7-1.5)
    Free T3: 2.5 pg/mL (1.7-3.7)
    Reverse T3: 17 ng/dL (7-24)
    Thyroid Antibodies: Anti Thyroperoxidase 12.3 IU/ML (0.0-34.9)

    Urinary Thydroid: Free T3: 1456 ng/24hr (470-1750); Free T4: 672 ng/24hr (430-3200)

    In a view of your very low overall urine Steroid hormones, it is not a time to supplement with thyroid hormones, but if you are using them now, do not change dose.
    Overall you have not bad thyroid hormone levels, just likely you are not utilizing them because of poor steroid hormones.

    You have lots of antibodies,
    out with all grains and corn
    but if you are eating EpiPaleo Rx, you are not eating them anyhow.
    ----------------------------------------------------------------------------------------------------------------------------------------
    urine
    Pregnanediol: 295 ug/24hr (1450-6140)------>represents progesterone
    DHEA: 267 ug/24hr (100-2000)

    Adrenocortex Stress Profile (saliva)
    7am: 0.28 mcg/dL (0.27-1.18)
    11am: 0.11 mcg/dL (0.1-.41)
    3pm: 0.11 mcg/dL (0.05-0.27)
    10pm: 0.05 mcg/dL (0.03-0.14)
    DHEA 7-9am: 551 pg/mL (71-640)
    DHEA: Cortisol Ratio/10,000: 1,968 (115-1188) HIGH
    --

    Above and the rest of your results that you have posted shows that you have very low levels of Steroid Hormones.
    You also have very high cholesteol.
    that is
    you are not converting LDL----->pregnenolone.

    One way, that dr Kruse promotes is to keep good levels of vit A, D, K2, and FT3
    they are already not bad in your case, low hanging fruit
    Similarly micronutrients. Zinc is huge, you are missing zinc, (I am using 100mg/day, keep that in mind, oysters have a lots of zinc)
    1/day---NutriCology Zinc Citrate 50 mg 60 Cap
    1/day---MANGANESE 15 MG 100 TABLETS SOURCE NATURALS

    In a first phase I suggest to Optimize Steroid Hormone panel
    but
    just the main areas withouth going into details that would restore menstruation cycle.

    I would prefer monitoring not only urine and saliva
    but also serum

    Pregnenolone
    Progesterone
    Estradiol
    Cortisol (7:30AM)
    DHEA
    DHEAs

    Preferably done at LabCorp, pick the long desriptions from this list:
    1 ------- Pregnenolone, Mass Spectrometry--Test Number: 140707 CPT Code: 84140
    2 ------- 17α-Hydroxypregnenolone by HPLC-MS/MS
    3 ------- 17α-Hydroxyprogesterone by HPLC-MS/MS
    4 ------- Progesterone--Test Number: 004317 CPT Code: 84144
    5 ------- Cortisol, Free, Serum, With CBG (Endocrine Sciences) Test Number: 500440 CPT Code: 82533; 84449
    6 ------- Cortisol, AM & PM Test Number: 104000 CPT Code: 82533(x2) (7:30AM, 12PM)
    7 ------- Corticotropin Releasing Hormone (CRH)
    8 ------- Dehydroepiandrosterone (DHEA) Sulfate--Test Number: 004020 CPT Code: 82627
    9 ------- Dehydroepiandrosterone (DHEA)--Test Number: 004100 CPT Code: 82626
    10 ------- Androstenedione, LCMS--Test Number: 004705 CPT Code: 82157
    11 ------- Testosterone, Total, Serum Test Number: 004226 CPT Code: 84403
    12 ------- Testosterone, Free and Weakly Bound--Test Number: 143255 CPT Code: 84402; 84403
    13 ------- SHBG
    14 ------- Dihydrotestosterone (DHT)--Test Number: 500142 CPT Code: 82651
    15 ------- Androstanediol Glucuronide (Endocrine Sciences) Test Number: 500881 CPT Code: 82154
    16 ------- Estrogens, Total; Test Number: 004549 CPT Code: 82672
    17 ------- Estradiol, Sensitive Test Number: 140244 CPT Code: 82670
    18 ------- Estradiol Free, Equilibrium Dialysis, With Total Estradiol, HPLC/MS-MS (Endocrine Sciences) Test Number: 500649 CPT Code: 82670; 84999
    19 ------- Estrone, Serum Test Number: 004564 CPT Code: 82679
    =======================================

    But if you are able do a whole list.

    So as for recomendation
    Buy dozen bottles of each (to get good price), from:

    herbspro dot com/
    Pregnenolone 150 mg by Nutricology/ Allergy Research Group AS LOW AS $29.80 When you buy 12
    DHEA 50 mg Micronized Lipid Matrix 60 Scored Tabs #72660
    7- Keto DHEA Metabolite 100 mg by Life Extension (buy from Amazon.com)

    eat
    wakeup (1 pregnenolone pill, 1 DHEA pill, one 7KetoDHEA)
    4 hrs latter (1 pregnenolone pill, one 7KetoDHEA)

    2-3 months latter, do blood test.
    Have a script ready, do the blood test on day 3-4 if you would start menstruating.
    ========================================

    To the above add strong items that influence Circadian rhythm as discussed by dr Kruse

    =========================================

    To the above you may want to add
    4/day
    BodyBio PC (Phosphatidylcholine)
    300 SoftGels (900mg)
    bodybio dot com
    On Backorder - Estimated ship date is Jan 14th

    and
    2/day
    Doctor's Best Natural Brain Enhancers (GPC) & (PS)

    ==========================================
     
  5. kleinb87

    kleinb87 Silver

    Thanks JanSz! I have a pituitary MRI on Monday and should know the results by Wednesday. 
     
  6. Destiny

    Destiny New Member

    Thank you, Bobbi, for sharing! Could you let me know how much did you pay? I could not find it on their website.



    Your labs are very comprehensive, I am sure you will have a great consult with Dr. Kruse. It is great that you are doing this so young!

    Let's know how you do!! Good luck!
     
  7. kleinb87

    kleinb87 Silver

    Destiny, I believe it cost $370. Yes, I am young to be going through this, but I had an emergency colon resection 2 years ago (~ 12 inches removed) and have not found a concrete cause and cure since. Some say ischemic colitis, others ulcerative colitis; now, it's time to have an answer and solution. 



    I will keep you updated with all of results from the consult. 
     
  8. JanSz

    JanSz Gold

    Yes, I am young to be going through this, but I had an emergency colon resection 2 years ago (~ 12 inches removed) and have not found a concrete cause and cure since. Some say ischemic colitis, others ulcerative colitis; now, it's time to have an answer and solution. 




    [hr]


    You need good Fatty Acid testing.

    Red Blood Cell Fatty Acid test from Kennedy Krieger Laboratory
    (this is only known laboratory that tests not only
    even carbons fatty acids (normal)
    but also
    odd carbons fatty acids (toxic)
    ---------
    Ask dr Kruse to arrange it for you,
    or call Dr Patricia Kane service to pair you with another doctor who deal with this maters.
    -------------------
    888 320 8338

    http://www.bodybio.com/contact.aspx

    http://www.allthingsmale.com/forum/showthread.php?20061-Dr.-Patricia-Kane
    .................
     
  9. Destiny

    Destiny New Member

    Not easy, Bobbi. I know since my husband had an emergency ileal resection. They took a big part of his small and large intestines due to Crohn's. That was 25 yrs ago and he is doing pretty well now.
     
  10. kleinb87

    kleinb87 Silver

    The last of the test results are in.

    ACTH: 24 pg/ml (6-50)
    MRI Brain with and without contrast: Mucosal thickening sphenoid sinus, bilateral maxillary sinuses, ethmoid air cells and frontal sinus with nasal septal deviation noted.
    Pituitary Study: No expansion of the sella. No areas of decreased signal are seen on dynamic postcontrast imaging to suggest presence of a pituitary microadenoma. No macroadenoma is identified. No mass effect on the optic chiasm. there is no evidence of invasion of cavernous sinus. Cavernous sinus demonstrates symmetric size, signal and enhancement characteristics. Infundibulum appears to be midline. Pituitary gland measures 3mm in craniocaudal thickness which appears to be somewhat smaller than usually seen in a patient of this stated age and sex.

    Consult next week with Dr. Kruse. And hopefully the strings will all be tied together.
     
  11. Jack Kruse

    Jack Kruse Administrator

    Well you wont need brain surgery with a scalpel..........but maybe with out one?
     
  12. kleinb87

    kleinb87 Silver

    Well, that is one sigh of relief...but I feel like new light will be shed this coming week. Brain Surgery a la Kruse style. No scalpels needed.
     

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