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ExcelFemale
HRT in Women
Wife's lab results - expert guidance needed?
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<blockquote data-quote="Mustang&amp;" data-source="post: 114584" data-attributes="member: 18837"><p><span style="color: #000000">Dear forum,</span></p><p><span style="color: #000000"></span></p><p><span style="color: #000000"></span></p><p><span style="color: #000000">My wife is on the way to optimize her hormone levels after long period of inaccurate Levythyroxin medication and the possible damage it did (it went on for few years before she learned about the topic and found a doc that would prescribe Armour). Looking for expert thoughts on the results/development and the potential next steps before seeing any docs (and spending more $$$). She could also get some more tests done but would need to know what to look for first?</span></p><p><span style="color: #000000"></span></p><p><span style="color: #000000"></span></p><p><span style="color: #000000">After Jan/18 tests Levythyroxine was changed to Armour 90mg + Progesterone 120mg was added. All the lab tests have been taken at the same time of the cycle and in May/18 progesterone was not taken in the morning before testing but Armour was taken. (wasn't sure if she should take progesterone before labs or not?). </span><span style="color: #000000">Estradiol with ELCIA method and range is from Stop the tyroid maddness site (as is Progesterone). Happy to take your opinions on those.</span></p><p><span style="color: #000000"></span></p><p><span style="color: #000000"></span></p><p><span style="color: #000000">31y female, bodybuilding lifestyle with daily exercise (mainly weightlifting and cardio)</span></p><p><span style="color: #000000"></span></p><p><span style="color: #000000">Our thoughts:</span></p><p><span style="color: #000000">-T3 Free was flagged in May/18 as high but that's OK as I'm on Armour, right?</span></p><p><span style="color: #000000">-T3 Rev unfortunately I have no historical results (bad doctors) but should I be worried of the high-ish number?</span></p><p><span style="color: #000000">-Progesterone should be higher - but is this due to not taking the dose before tests?</span></p><p><span style="color: #000000">-Estradiol could be lower (and support in fat lost?) Would dosing up the Progesterone help? </span></p><p><span style="color: #000000">-TT and Free have both greatly increased but we're thinking there is too little Free T still - could be linked to high Estradiol levels and therefore large amount of the TT being in SHBG (not measured unfortunately) form?</span></p><p><span style="color: #000000"></span></p><p><span style="color: #000000"></span></p><p><span style="color: #000000"> <strong>Nov/17 --Jan/18 --May/18 -- (Range)</strong></span></p><p><span style="color: #000000">Lab: Quest -- Labcorp -- Labcorp ...</span></p><p><span style="color: #000000">TSH: 0.230 -- 0.703 -- 0.718 -- (0.450-4.500 / labcorp)</span></p><p><span style="color: #000000">T4: NA -- NA -- 7.00 -- (4.5-12.0 / labcorp)</span></p><p><span style="color: #000000">T4, Free: 1.00 -- 1.73---1.10- - (0.82-1.77 / labcorp)</span></p><p><span style="color: #000000">T3, Free: NA -- 2.8 -- <strong>4.6 --</strong> (2.0-4.4 / labcorp)</span></p><p><span style="color: #000000">T3 Rev: NA -- NA -- <strong>18.7 -- </strong>(9.2-24.1 /labcorp)</span></p><p><span style="color: #000000">TT: -- NA--29 -- 38 -- (8-48/labcorp)</span></p><p><span style="color: #000000">T, Free: NA -- 1.3 -- <strong><u>2.2 -- </u></strong><u>(</u>0-4.2/labcorp)</span></p><p><span style="color: #000000">DHEA: NA -- 211.5 -- 260.2 -- (84.8-378.0/labcorp)</span></p><p><span style="color: #000000">Estradiol: NA -- 126.8--<strong><u>122.7 </u></strong><u>-- (44-211/Labcorp ; </u>80-100/STTM as optimal) </span></p><p><span style="color: #000000">Progest: NA -- 7.6 -- 7.0 -- (8-10/labcorp)</span></p><p><span style="color: #000000">Estrone, Serum: 77 -- NA -- NA -- (50-114 / Quest)</span></p><p><span style="color: #000000"></span>FSH: 3.4-- NA -- NA -- (1.8-5.1) / Quest mid-Luteal)</p><p>Prolactin: 8.1 -- NA - NA -- (2.3-26.7/quest)</p><p><span style="color: #000000"></span></p><p><span style="color: #000000">Apologies for the formatting! It has three test results + range listed divided by --.</span></p><p><span style="color: #000000"></span></p><p><span style="color: #000000"></span></p><p><span style="color: #000000"></span></p><p><span style="color: #000000">Updated other labs by Quest on Nov/17 (if relevant to the topic in any way)</span></p><p><span style="color: #000000"></span></p><p><span style="color: #000000"></span>Component -- Your Value -- Standard Range</p><p>SODIUM -- 140 mEq/L -- 133-146 mEq/L</p><p>POTASSIUM -- 4.3 mEq/L-- 3.5-5.1 mEq/L</p><p>CHLORIDE -- 102 mEq/L -- 98-109 mEq/L</p><p>BICARBONATE-- 32 mEq/L -- 21-31 mEq/L</p><p>CALCIUM -- 9.8 mg/dL -- 8.3-10.5 mg/dL</p><p>ALBUMIN -- 4.5 g/dL -- 3.5-5.7 g/dL</p><p>BLOOD UREA NITROGEN -- 25 mg/dL -- 2-25 mg/dL</p><p>CREATININE -- 0.97 mg/dL -- 0.60-1.30 mg/dL</p><p>GLUCOSE -- 82 mg/dL -- 65-100 mg/dL</p><p>PROTEIN, TOTAL -- 7.3 g/dL -- 6.4-8.9 g/dL</p><p>ALT (SGPT) -- 32 Unit/L -- 0-52 Unit/L</p><p>ALKALINE PHOSPHATASE-- 62 Unit/L -- 34-104 Unit/L</p><p>AST (SGOT) -- 37 Unit/L -- 0-39 Unit/L</p><p>BILIRUBIN,TOTAL -- 0.5 mg/dL -- 0.0-1.0 mg/dL</p><p>GFR(African American,Est) >60 mL/min/1.73m2 >=60 mL/min/1.73m2</p><p>GFR(non-African Amer,Est) >60 mL/min/1.73m2 >=60 mL/min/1.73m2</p><p></p><p>Component -- Your Value -- Standard Range</p><p>WHITE CELL COUNT -- 5.9 K/UL -- 3.5-10.5 K/UL</p><p>RED CELL COUNT -- 4.58 M/UL -- 3.80-5.20 M/UL</p><p>HEMOGLOBIN -- 14.1 g/dL -- 11.6-15.4 g/dL</p><p>HEMATOCRIT -- 43.6 % -- 34.0-45.0 %</p><p>MCV -- 95 FL -- 80-99 FL</p><p>MCH -- 30.8 pg -- 27.0-34.0 pg</p><p>MCHC -- 32.3 % -- 32.0-35.5 %</p><p>RDW -- 12.9 % -- 11.0-15.0 %</p><p>PLATELET COUNT -- 225 K/UL -- 140-390 K/UL</p><p>DIFF TYPE Auto</p><p>Rflx Morphology No</p><p></p><p>Component Your Value </p><p>CHOLESTEROL 230 mg/dL</p><p>TRIGLYCERIDE 63 mg/dL</p><p>HDL CHOLESTEROL 97 mg/dL</p><p>LDL CHOL (CALC) 120 mg/dL</p><p>Non-HDL Cholesterol 133 mg/dL</p><p></p><p>Component Your Value Standard Range</p><p>SEG 59 %</p><p>LYMPHOCYTES 31 %</p><p>MONOCYTE 8 %</p><p>EOSINOPHIL 2 %</p><p>BASOPHIL 0 %</p><p>ABSOLUTE NEUTROPHILS 3.5 K/UL 1.5-8.0 K/UL</p><p>ABSOLUTE LYMPHOCYTES 1.8 K/UL 1.0-4.0 K/UL</p><p>ABSOLUTE MONOCYTE 0.5 K/UL 0.2-1.0 K/UL</p><p>ABSOLUTE EOSINOPHILS 0.1 K/UL 0.0-0.6 K/UL</p><p>ABSOLUTE BASOPHILS 0.0 K/UL 0.0-0.3 K/UL</p><p></p><p><span style="color: #000000">Thank you!</span></p></blockquote><p></p>
[QUOTE="Mustang&, post: 114584, member: 18837"] [COLOR=#000000][FONT='inherit']Dear forum,[/FONT][/COLOR] [COLOR=#000000][FONT='inherit'] [/FONT][/COLOR] [COLOR=#000000][FONT='inherit']My wife is on the way to optimize her hormone levels after long period of inaccurate Levythyroxin medication and the possible damage it did (it went on for few years before she learned about the topic and found a doc that would prescribe Armour). Looking for expert thoughts on the results/development and the potential next steps before seeing any docs (and spending more $$$). She could also get some more tests done but would need to know what to look for first?[/FONT][/COLOR] [COLOR=#000000][FONT='inherit'] [/FONT][/COLOR] [COLOR=#000000][FONT='inherit']After Jan/18 tests Levythyroxine was changed to Armour 90mg + Progesterone 120mg was added. All the lab tests have been taken at the same time of the cycle and in May/18 progesterone was not taken in the morning before testing but Armour was taken. (wasn't sure if she should take progesterone before labs or not?). [/FONT][/COLOR][COLOR=#000000]Estradiol with ELCIA method and range is from Stop the tyroid maddness site (as is Progesterone). Happy to take your opinions on those.[/COLOR] [COLOR=#000000][FONT='inherit'] [/FONT][/COLOR] [COLOR=#000000][FONT='inherit']31y female, bodybuilding lifestyle with daily exercise (mainly weightlifting and cardio) Our thoughts:[/FONT][/COLOR] [COLOR=#000000][FONT='inherit']-T3 Free was flagged in May/18 as high but that's OK as I'm on Armour, right?[/FONT][/COLOR] [COLOR=#000000][FONT='inherit']-T3 Rev unfortunately I have no historical results (bad doctors) but should I be worried of the high-ish number?[/FONT][/COLOR] [COLOR=#000000][FONT='inherit']-Progesterone should be higher - but is this due to not taking the dose before tests?[/FONT][/COLOR] [COLOR=#000000][FONT='inherit']-Estradiol could be lower (and support in fat lost?) Would dosing up the Progesterone help? [/FONT][/COLOR] [COLOR=#000000][FONT='inherit']-TT and Free have both greatly increased but we're thinking there is too little Free T still - could be linked to high Estradiol levels and therefore large amount of the TT being in SHBG (not measured unfortunately) form?[/FONT][/COLOR] [COLOR=#000000][FONT='inherit'] [/FONT][/COLOR] [COLOR=#000000][FONT='inherit'] [B]Nov/17 --Jan/18 --May/18 -- (Range)[/B][/FONT][/COLOR] [COLOR=#000000][FONT='inherit']Lab: Quest -- Labcorp -- Labcorp ...[/FONT][/COLOR] [COLOR=#000000][FONT='inherit']TSH: 0.230 -- 0.703 -- 0.718 -- (0.450-4.500 / labcorp)[/FONT][/COLOR] [COLOR=#000000][FONT='inherit']T4: NA -- NA -- 7.00 -- (4.5-12.0 / labcorp)[/FONT][/COLOR] [COLOR=#000000][FONT='inherit']T4, Free: 1.00 -- 1.73---1.10- - (0.82-1.77 / labcorp)[/FONT][/COLOR] [COLOR=#000000][FONT='inherit']T3, Free: NA -- 2.8 -- [B]4.6 --[/B] (2.0-4.4 / labcorp)[/FONT][/COLOR] [COLOR=#000000][FONT='inherit']T3 Rev: NA -- NA -- [B]18.7 -- [/B](9.2-24.1 /labcorp)[/FONT][/COLOR] [COLOR=#000000][FONT='inherit']TT: -- NA--29 -- 38 -- (8-48/labcorp)[/FONT][/COLOR] [COLOR=#000000][FONT='inherit']T, Free: NA -- 1.3 -- [B][U]2.2 -- [/U][/B][U]([/U]0-4.2/labcorp)[/FONT][/COLOR] [COLOR=#000000][FONT='inherit']DHEA: NA -- 211.5 -- 260.2 -- (84.8-378.0/labcorp)[/FONT][/COLOR] [COLOR=#000000][FONT='inherit']Estradiol: NA -- 126.8--[B][U]122.7 [/U][/B][U]-- (44-211/Labcorp ; [/U]80-100/STTM as optimal) [/FONT][/COLOR] [COLOR=#000000][FONT='inherit']Progest: NA -- 7.6 -- 7.0 -- (8-10/labcorp)[/FONT][/COLOR] [COLOR=#000000][FONT='inherit']Estrone, Serum: 77 -- NA -- NA -- (50-114 / Quest) [/FONT][/COLOR]FSH: 3.4-- NA -- NA -- (1.8-5.1) / Quest mid-Luteal) Prolactin: 8.1 -- NA - NA -- (2.3-26.7/quest) [COLOR=#000000][FONT='inherit'] Apologies for the formatting! It has three test results + range listed divided by --. Updated other labs by Quest on Nov/17 (if relevant to the topic in any way) [/FONT][/COLOR]Component -- Your Value -- Standard Range SODIUM -- 140 mEq/L -- 133-146 mEq/L POTASSIUM -- 4.3 mEq/L-- 3.5-5.1 mEq/L CHLORIDE -- 102 mEq/L -- 98-109 mEq/L BICARBONATE-- 32 mEq/L -- 21-31 mEq/L CALCIUM -- 9.8 mg/dL -- 8.3-10.5 mg/dL ALBUMIN -- 4.5 g/dL -- 3.5-5.7 g/dL BLOOD UREA NITROGEN -- 25 mg/dL -- 2-25 mg/dL CREATININE -- 0.97 mg/dL -- 0.60-1.30 mg/dL GLUCOSE -- 82 mg/dL -- 65-100 mg/dL PROTEIN, TOTAL -- 7.3 g/dL -- 6.4-8.9 g/dL ALT (SGPT) -- 32 Unit/L -- 0-52 Unit/L ALKALINE PHOSPHATASE-- 62 Unit/L -- 34-104 Unit/L AST (SGOT) -- 37 Unit/L -- 0-39 Unit/L BILIRUBIN,TOTAL -- 0.5 mg/dL -- 0.0-1.0 mg/dL GFR(African American,Est) >60 mL/min/1.73m2 >=60 mL/min/1.73m2 GFR(non-African Amer,Est) >60 mL/min/1.73m2 >=60 mL/min/1.73m2 Component -- Your Value -- Standard Range WHITE CELL COUNT -- 5.9 K/UL -- 3.5-10.5 K/UL RED CELL COUNT -- 4.58 M/UL -- 3.80-5.20 M/UL HEMOGLOBIN -- 14.1 g/dL -- 11.6-15.4 g/dL HEMATOCRIT -- 43.6 % -- 34.0-45.0 % MCV -- 95 FL -- 80-99 FL MCH -- 30.8 pg -- 27.0-34.0 pg MCHC -- 32.3 % -- 32.0-35.5 % RDW -- 12.9 % -- 11.0-15.0 % PLATELET COUNT -- 225 K/UL -- 140-390 K/UL DIFF TYPE Auto Rflx Morphology No Component Your Value CHOLESTEROL 230 mg/dL TRIGLYCERIDE 63 mg/dL HDL CHOLESTEROL 97 mg/dL LDL CHOL (CALC) 120 mg/dL Non-HDL Cholesterol 133 mg/dL Component Your Value Standard Range SEG 59 % LYMPHOCYTES 31 % MONOCYTE 8 % EOSINOPHIL 2 % BASOPHIL 0 % ABSOLUTE NEUTROPHILS 3.5 K/UL 1.5-8.0 K/UL ABSOLUTE LYMPHOCYTES 1.8 K/UL 1.0-4.0 K/UL ABSOLUTE MONOCYTE 0.5 K/UL 0.2-1.0 K/UL ABSOLUTE EOSINOPHILS 0.1 K/UL 0.0-0.6 K/UL ABSOLUTE BASOPHILS 0.0 K/UL 0.0-0.3 K/UL [COLOR=#000000][FONT='inherit']Thank you![/FONT][/COLOR] [/QUOTE]
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ExcelFemale
HRT in Women
Wife's lab results - expert guidance needed?
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