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Help understanding what treatment is needed for the following test results:iron, total 166 normal, iron binding capacity, 231, low %saturation 72, high ferritin, 22, normal transferrin, 173, low?
No treatment: More information is needed. For example, are you anemic? If you are not anemic, a normal iron, and normal transferrin without an elevated TIBC does not indicate iron deficiency. If you are anemic, then these tests need to be repeated to look for other causes of your anemia. ...Read moreSee 1 more doctor answer
What causes low prolactin levels, MRI scans reported at normal? Also low vit d, low cortisol, high folate (folic acid) level. Now have images of MRI and CT myself.
High level athlete.profound exhaustion after practice...super sleepy/drained.thyroid blood work normal.resting pulse fairly high at 80-85.please help?
Time for : your internist to give you a complete work up. Find out what's going on. ...Read more
I had a spot on adrenal gland, blood work results were high aspartate aminotransferase level, low phosphate level and high platelet mean volume. help.
Test results: You are analyzing your test results and getting panicky. Relax. Talk to your doctor, who is in the best position to connect the dots. A "spot" on the adrenal may be nothing and the other test results may not be significant either. Test results need to be interpreted in the context of your symptoms and physical exam, and how much outside the normal range. ...Read more
Nothing: My guess is the hormones levels were just drawn at the early part of the cycle, which is exactly what you would expect to see at that time. If the hormones were drawn late in the cycle, the result would be the opposite. Probably does not need any treatment at all. ...Read more
I have a +2 tear drop cells in rbc also high rbc and WBC also pos high 180 ana also high esinophyl levels and cortisol level is very minimal abnormall?
Yes: You have an autoimmune disorder and need to see a rheumatologist ...Read more
Recent labs showed high platelets (416), high iron (148), high tibc (475), but a low normal ferritin level (12). Is this iron deficiency?
Suspect so: If the serum iron is in micrograms/dl, then this is not high but within the normal range, as it can be in iron deficiency in which the patient has perhaps taken an iron tablet or eaten steak recently. If the units for TIBC are micrograms/dl, then TIBC is distinctly high and this speaks for iron deficiency in any case. Don't treat iron deficiency without seeking a cause. ...Read more
Low total t3 (liothyronine) 46 and low range TSH and T4? Hypothyroidism? Would it be treated with supplement?
Low tsh: If you only needed thyroid supplement, your tsh would be elevated. Since your tsh is not elevated and your thyroid hormones are low,there could be a problem with your pituitary gland. An endocrinologist is best qualified to evaluate,advise and treat you and more than thyroid supplement may be needed. Appropriate tests will be ordered. ...Read more
Does a very low level TSH hormone mean hypo - or hyperthyroidism? T3 (liothyronine) is normal range, T4 is at the low level borderline.
Low TSH: Generally indicates an excess in thyroid hormone. That may be chronic w/hyperthyroidism -- or temporary w/thyroid inflammation. See you doctor. If you're already on thyroid replacement, the dose is too high. If you're on t3, (liothyronine) get off of it as it can be dangerous and doesn't work well as chronic replacement. Use brand name T4 only. ...Read more
And your question?: I'm not sure what you are asking. Yes, vit d deficiency can cause fatigue. It is easy to correct with 5-8000 iu of d3/day. B12 deficiency can be serious too- try 1000 mcg of sublingual b12/day ; if that does not help try injections. See http://bit.Ly/1fnt3ox ; http://bit.Ly/1607tg3 if fatigue persists after correcting then see a good doc to explore the many other possible causes of fatigue. ...Read more
What might cause high B12 levels? I also had low iron (long-standing anemia) and low vitamin D. CBC was normal except mildly low hemoglobin.
B12 normal range: There is no harm in an elevated B12 level. The normal range is established based on a population study, but the physiology and diet factors that might lead to higher levels than those in the population study are not significant. Don't worry about it in the least. Get follow-up to see that the hemoglobin comes back to normal though. ...Read more
Is there signifance to folate (folic acid) level > 24 ng/ml and a vit B12 level of 343 pg/ml for someone with continuing fatigue? Fyi vit d =38 and ferritin=39.
I had low Hb, Ht, Lym for 4 years; low iron, low T, low insulin, but high folic acid, high SHBG. Have several health problems. Why?
Need for in-person: evalation. The list of issues you mentioned is not amenable to a meaningful opinion in this forum. It would be prudent to see your doctor who has your medical history, can perform a physical examination and order additional tests as needed. ...Read more
I just had some lab work done. What would cause a low serum albumin level, high alpha 1 and 2 and high c-reactive protein and low vit d?
Likely inflammation: Generally, decreased Albumin and increased globulins are seen in inflammatory conditions, acute or chronic. The fever ; high CRP also support this. Of note, other conditions may cause this including cancer, but still, the most likely explanation is infection/inflammation. A low vitamin d level may be caused by inadequate intake, no sun exposure, absorbtion problem, kidney disease, obesity. ...Read more
Is a B12 level of 294 low enough to cause symptoms? Iron studies are being done now. Rdw is high, hemo low and MCH low. 10 brain lesions on MRI and hert palps and dizziness.
Symptoms B12: Level of 294 is borderline low. I would do a confirmation study (mma). If it is elevated -and if your iron is okay- then likely vit B12 deficiency contributes to your anemia. Yes, it can cause some symptoms-like fatigue, numbness, tingling, forgetful etc- but not heart palpitation- unless if your hemoglobin is less than 8-then yes, you could have palpitation and dizziness from it. F/u md. ...Read moreSee 3 more doctor answers
My total testostorone is normal, shbg high (depakote) & free t low. A recent test: dihydrotestosterone-very high why? (psa, prostate, other tests ok)
Okay...?: An isolated high value of a test within the described scenario may not be clinically relevant. In fact, high Dht indicates your bio-active form of testosterone is good, so it's logical not to assert much concern on your daily life. Bottom line is still your energy and ability on how to effectively take on personal and occupational life. If still in doubt, ask doc timely with optional Dht retest. ...Read moreSee 1 more doctor answer
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