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Minocycline Level Ba
Recent tests showed my 9am plasma cortisol level was high (644 nmo/L ref range 170 - 550nml/L) and 11pm salivary cortisol normal. What can this mean?
Stress: Chronic stress can cause elevated cortisol--although it could also be due to your diabetes. I suggest DHEA (dehydroepiandrosterone), 25 mg in the morning. DHEA should help to normalize your cortisol, and help you handle stress. I also suggest 1,000 mg mastic gum (available on line or from a health food store) for your abdominal distress--may be able to discontinue Rabeprazole. ...Read more
Homocysteine level was 13.5. I have hypothyroidism which i'm on Synthroid (thyroxine) for. I'm folate deficient and B12 level was 292. Should i supplement?
My vitamin B12 level was 292. Is this too low? I was deficient in folate (folic acid) and my homocysteine level was 13.5.
Folate (folic acid) dieficiency: Would be uncommon in an 18 yo. A B12 level between 200 and 400 can be difficult to interpret. Under 200 clearly low and over 400 likely ok. In between is a grey area. ...Read more
Taking Prograf XL, 0.5 mg twice daily. Tacrolimus level <2 ng/ml (ref: 5-20 ng/ml). What can cause my tacrolimus to be below the desired range?
Drug levels: Other medications can affect the level of a medication, and sometimes there is lab error. Speak with your specialist who ordered the lab test to determine if repeat or follow up is necessary ...Read more
Mom's calcium level 13, renal function 50% , pth a bit low. Magnesium/phosphorus normal. Vitamin D 1000MG bid. Bone pain, tired, confused -any Ideas?
Hypercalcemia: Calcium Lvels are VERY HIGH. Need HOSPITALIZATION to bring down Calcium levels specially if she is confused and symptomatic. iPTH can also be checked, Get CT scan of NECK and Chest as well. But bottom line is that HYPERcalcemia at this level must be investigated soon. ...Read moreSee 1 more doctor answer
Vitamin D,1, 25-Dihydroxy 90 pg/mL. Calcium 9.7 mg/dL. PTH 49 pg/mL. hsCRP 0.2 mg/L. Feeling well. No D Hydroxy was done. What would cause the High D?
Total ck, sed rate, ana, ip ace, serum protein panel normal but gamma globulin (.6) cortisol am (30.8)
Hx of low vit d and K.
What could this mean?
Not much-: An important thing to remember is that lab results are not useful unless there is a clinical context. Advice is based on focusing on the patient, not the numbers. Though you mention a history of low vit D and K, did symptoms exist when the labs were drawn? Why were they drawn in the first place? Otherwise, it is best to ask your ordering doctor what the results mean. ...Read more
My homocysteine level was 13.5. Is this too high? My vitamin B12 level was 292 and i was told i'm deficient in folic acid.
Too high: I consider an optimal level to be between 5-7. Consider getting mthfr checked if repleting your B12 does not resolve the problem. You may possibly have an mthfr 677 mutation, or it could be due to B12 deficiency. Also consider getting checked for gluten sensitivity genes. Sometimes gluten sensitivity can cause malabsorption of nutrients. ...Read more
Low vitamin D level (19), High phosphorus level (4.5), High PTH level (70). What could be the cause of this? Serum Calcium level is normal.
My vitamin d level is 37 ng/ml, this is below optimal (50-70 ng/ml), i already take 1000 iu d3/day, what dosage should I take for levels 50-70 ng/ml?
Possibly: Low vit d levels are associated with a wide variety of symptoms and headaches are among them. However, most people with low d don't have daily headaches. Get your levels up (most adults need 5-8000 iu/day of d3 in fall ; winter for optimal levels) but explore other causes such as stress, food sensitivities, magnesium deficiency ; structural imbalances.Consider osteopathy, acupuncture ; homeopathy. ...Read more
Stage iiib colon cancer, starting chemo tues. Vitamin d 25-hydroxy level is 9 ng/ml. Will taking vitamin D3 supplements help? If so, how many iu?
Possibly help.: There is some evidence that vitamin d deficiency is not desirable in patients with colon cancer. The goal should be to achieve a level of 30 ng/ml. Another vitamin d test should be done after taking 50, 000 units twice a week for 2 months. If you are considerably overweight 2-3 times the dose may be necessary. After achieving 30 ng/ml a daily dose of 1-2000 units may maintain this level. ...Read moreSee 1 more doctor answer
How long does l-thyroxin (one 0.75 microgram pill per day) need to lower TSH level? My cd3 bloodwork result for TSH is 6.17 (norm: 0.3-3.5)
Mildly low: Your TSH is only mildly elevated. Your thyroid level (free t4) is likely to still be in the normal range. If you recently gave birth, this could be a temporary problem (post partum thyroiditis), and may not require treatment. Taking 0.75 mg of thyroxine should correct the level within a few weeks (though you may not feel any different). ...Read more
Parathyroid hormone at 170pg/ml, vit d at 8ng/ml, calcium serum 10.2 yesterday and 9.1 today, bone mineral density t-score -1.5.. What does this mean?
Bones, Vit D: This is complex, and a precise answer cannot be given on line. Several thoughts: the PTH is high. But this may not reflect anything wrong with the parathyroid glands. Low vit d will result in a reflex increase in pth, and usually the serum ca stays normal, but there is increased bone resorption. Why is the vit d so low? ...Read moreSee 1 more doctor answer
Ckd anemic patient alk phosphatase went up from 99 to 130 and Intact PTH is abnormal (125). Doctor has me on 5000 iu a day vitamin d3, should I check serum vit D and phosphorus levels? Took 40000 units of procrit but rbc not improving ~3.3, hbg 8.7
On lisonpril -hctz 8 days ago. Have had- diarrhea daily. Chemistry test shows chloride 97 ref range is 98-107. Carbon dioxide 31 ref rang 22-30?
Dehydrated: Obviously the Lisinopril does not agree with you, see your doctor about changing it. You are already taking a diuretic, hctz, (hydrochlorothiazide) and with your diarrhea you are losing even more fluid. This leads to "contraction alkalosis", which is why your co2 is becoming elevated. ...Read more
I took xanax before my bloodwork and tested with a high cortisol level. Doesn't xanax reduce cortisol levels?
No. HPA axis abn.: Must do w/u for Cushing's disease vs syndrome via endocrinologist. Anxiety stemming from endogenous depression also keeps cortisol high. A DST or dexamethasone suppression test, can help to distinguish it all. If not Cushing's, then, antidepressants likely to normalize high levels, avoiding tolerance by Xanax ...Read more
Yes.: Your folate (folic acid) level is fine. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more