Doctor insights on:
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.
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
Erectile dysfunction: I see your main concern is erectile dysfunction at age 30. I am going to assume this is actually hemoglobin a1c levels; your blood hemoglobin is measured in different units. Your level is in the reference range and this rules out diabetes as the cause of your erectile dysfunction. Two causes that are often missed by physicians are prolactinoma ; hemochromatosis. Continue the workup, good luck. ...Read more
High TSH: A TSH of 6 is only slightly high. If you feel well, you may not need to do anything. If your TSH continues to rise and your ft4 falls, they your thyroid is probably failing and you should begin taking levothyroxine. Iodine deficiency can cause a goiter and elevated tsh, but i-deficiency is very rare; i is plentiful in our diet in many forms. ...Read more
Is FSH level of 18 considered high if the lab range is (3-17.99) in low T, does that point towards testicular failure?
Close to normal: This value is essentially normal or close to the high end of normal. Check with a urologist or endocrinologist if concerned about testicular function ...Read more
Not dependent : It's related but not dependent. Male or female? If levels are normal, 'increasing it' may be counterproductive and even dangerous. ...Read more
Multiple causes: BUN is a breakdown of ingested protein, but becomes elevated compared to creatine, in cases of increased catabolism (breakdown). Such things as a high protein diet, use of some steroids, some infections, or volume depletion may commonly raise BUN levels. In a hospital setting, tube feeding, tpn, GI bleeding, infections, decreased flow to the kidneys, and use of steroids are frequent contributors. ...Read more
During fluid deprivation test, the ADH (vasopressin) level dropped down to 1/3 of pre test level and below reference values. Is that a sign of diabetes insipidus?
Not necessarily: The most important thing to be following in a water deprivation test is the urine and serum osmolality. If the serum osmolality rises above normal, but the urine osmolality does not rise significantly, you have diabetes insipidus. Measuring ADH (vasopressin) levels can be unreliable. ...Read more
How likely is the rise in total cholesterol level due to high HDL?
My total cholesterol level :4.8, triglyceride:0.6
It was 4.1 in 2013, 4.4 in 2014
Directly dependent: Total Cholesterol is by definition all the cholesterol carried on lipoproteins in your body. So this is HDL-cholesterol + LDL-Cholesterol + Cholesterol carried on other lipoproteins (which we estimate by knowing the Triglyceride level). So if your TC went up 0.7 and your HDL did too, this completely explains the difference. ...Read more
What is serum serotonin level reactive protein? My blood test indicates 15.3 and the normal range is 0-5
A little: It depends on the lab but that is just a bit elevated. Generally a lab test called free T4 is done when this borderline. If the free t 4 is low that would confirm that you are hypothyroid. When the numbers are borderline often down the road they will become frankly abnormal. If there are symptoms such as fatigue and weight gain then i would be more inclined to treat sooner then later. ...Read moreSee 1 more doctor answer
Ten: It is generally accepted that a GFR of 10 or less or a serum creatinine level of 10 or higher to the point at which dialysis is started. However, dialysis is started when all other therapies have or are failing and the only alternative left is dialysis. Why? Because dialysis is a huge life changer for anyone irrespective of age. ...Read moreSee 2 more doctor answers
An ACE INHIBITOR : Try an ACE INHIBITOR such as prendropril or lisinopril. But see a good nephrologist, kidney doctor, for monitoring polycystic kidney disease. Follow up with doctor is key and control blood pressure. People with polycystic kidney disease can also get liver and brain cysts. Therefore please ask doctor for a plan to watch out for those problems as well. ...Read moreSee 1 more doctor answer