Doctor insights on:
Blood Results Tsh
Thyroid ultrasound results showed hyperthyroidism but blood tests came back saying hypothyroidism TSH 11.4 antibodies teat also came back high?
Size v function: The ultrasound can only tell you the anatomy of the thyroid whereas the blood tests tell you how it functions. In your case, you have low thyroid function and probably an enlarged thyroid. ...Read more
No: Tsh or thyroid stimulating hormone is only good for assessing thyroid function (either good, overactive or underactive). With that said, during that same blood draw, your blood could potentially be checked for testosterone to determine how much you have. This is best done in the morning. Remember that we really should treat the person (and symptoms), not just a number. Make sure benefit > risk. ...Read more
They do not: All blood tests are usually normal in patients with Essential Hypertension. They can be abnormal in patients with hypertension secondary to renal disease or other causes of hypertension 2/2 identifiable source. However any patient with newly diagnosed hypertension should get all the recommended blood tests to rule out diabetes, renal disease, hyperlipidemia, electrolyte abnormalities. ...Read more
No. For most blood: fasting is not needed & commonly misleading, though promoted. Optimal PSA value <1.0 ng/dL, though called normal up to 4.0 ng/mL. At 1.3 ng/ml (Avodart Trial; most thorough done to date) prostate size, by ultrasound, has doubled young healthy values. If PSA < 1.0, prostate cancer extremely rare. If elevated, consider https://www.accureference.com "Prostate Health Index" test for better guidance. ...Read more
Liver in Trouble: Actually there are no medications that help with liver damage. The only way to get better is to find the cause of the trouble and to remove it from your life. Common reasons for liver inflammation include toxic doses of medications, fatty deposits in obesity, and infections such as hepatitis. ...Read more
24-hr salivary cortisol tests showed dangerously low levels. One-off blood test showed abnormally high levels. Treatment with hc denied. Advice?
I'm puzzled: Please forgive my confusion. Have you had an acth stimulation test? With your history, you are right to be concerned about autoimmune addisonism. If you feel as if you have this, and/or are confused by your labs or have poor rapport with the physician who worked you up, it's time for another opinion. Stay proactive and good luck. ...Read more
What does my lab results mean?
Glucose SerPl QN
Result:54 mg/dL (Low)
Chloride SerPl QN
Result:97 mmol/L (Low)
Result:2-5 /hpf (Abnormal)
Abnormal tests: It is hard to interpret these results without knowing why the test was done and getting a complete history and physical exam. You have have low blood sugar and urine analysis shows Red Blood cells. You surely need further evaluation including blood test ., repeat urine test with culture and may need imaging of your kidneys like ultrasound and /or cat scan and for BloodcSugar more testing as well ...Read more
Go see your doctor: So you got your results. Whoever ordered the test(s) should have interpreted your results for you and offered you a diagnosis eg hypothyroidism & treatment plan, eg start or increase levothyroxine, then plan to recheck labs in 6wks. Communication w/your family doc is imperative. ...Read more
What is the calcium?: Upper normal calcium with high PTH could indicate primary hyperparathyroidism as well. Other possible causes include: low vitamin d, kidney problem or a lab error. You need to sit down with your doctor to look at all values, not just calcium and pth. Good luck. ...Read moreSee 1 more doctor answer
Cbc. Blood test results neutrophils out of range 1 count low and lymphocytes 3 count higher than normal?
Need a little more: Here. Are you saying neut percent and lymph percent slightly off? If that is all no biggie. ...Read more
Is FT4 correct?: Your TSH appears normal. Did you have a typp with the ft4, as a value of 15 is an order of magnitude too high. 1.5 would be normal. Another possibility is that the 15 is a T4 not a ft4. Either way, it's hard to tell but probably normal. Check w/your doctor. ...Read more
It's bullshit: Hi. Nutri Thyroid is utter bullshit, and you're throwing your money away on snake oil. That snake oil does nothing for a healthy thyroid that good old (cheap) iodized salt won't do. And you're making the snake oil peddlers rich. May I suggest you stop throwing that money away, and instead give it to some group that will do some good in the world?! ...Read more
All normal blood work results. Good readings. Slightly elevated white blood count. Cause for concern?
Out of context: There is no valid answer to this question without a medical history, physical exam and the reason the tests were performed. ...Read more
Saliva cortisol tests are abnormally low. Serum cortisol tests are normal. Dr says i don't need an acth stim test due to serum results. Agree?
Yes: If your saliva cortisol tests are low, then you have adrenal insufficiency. Acth stim test will only help determine if the cause is in the adrenal glands, pituitary gland or hypothalamus. Without other hormonal abnormalities or abnormal levels of sodium or potassium, this test is generally not needed and treatment for the adrenal insufficiency can be done. ...Read moreSee 1 more doctor answer
How high?: It's important to know how high the tests were above the normal range (were they clinically significant?). Cortisol is produced by the adrenal glands which is under control by the pituitary. The problem could be either one. Your doctor who ordered the cortisol should be able to tell you the next step of workup. If the tests were indeed very high, you will need more testings before treatment. ...Read moreSee 1 more doctor answer
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