Top
20
Doctor insights on: Serum Thyroxine Binding Globulin

Share
1

1
Inorgan.Phosphate0.77, serum total protein63, serum globulin14, all slightly low. Norm. Calcium &albumin.Tsh9.25, known hypothyroidism. Further tests?

Inorgan.Phosphate0.77, serum total protein63, serum globulin14, all slightly low. Norm. Calcium &albumin.Tsh9.25, known hypothyroidism. Further tests?

TSH is WAY high!: Must get on a higher dose of synthroid (thyroxine). This can be life threatening, get treated asap, ! other thyroid tests need to be done to know what needs to be done, and to come to a diagnosis. ...Read more

Serum (Definition)

Serum is the component of blood that does not contain cells or clotting factors. It does contain electrolytes an ...Read more


2

2
Blood results: alt/sgpt serum level=40 iu/l, serum alkaline phosphatase=43 iu/l, serum bilirubin level=2 umol/l, serum urea level=2.3 mmol/l. Normal?

Blood results: alt/sgpt serum level=40 iu/l, serum alkaline phosphatase=43 iu/l, serum bilirubin level=2 umol/l, serum urea level=2.3 mmol/l. Normal?

Normal: It is very important to know why these were drawn in what sounds to be an otherwise healthy 19 year old. Did you expect to find something wrong? ...Read more

3

3
Does Effexor (venlafaxine) raise shbg (sex hormone binding gobulin) levels?

Does Effexor (venlafaxine) raise shbg (sex hormone binding gobulin) levels?

Interesting question: I have not found any publications specifically studying this question. Antipsychotics and Prozac (fluoxetine) can affect prolactin, potentially changing sex hormone levels. This may or may not relate to shbg levels, though. I did find one small (20 patients) study online concerning low testosterone levels and antidepressant-induced sexual dysfunction: http://tinyurl.Com/mk84cfr further research needed. ...Read more

4

4
Total protein 8.3, serum albumin 4.2 , serum globulin 3.8, albumin globulin ratio 1.2.. Is this abnormal?

Total protein 8.3, serum albumin 4.2 , serum globulin 3.8, albumin globulin ratio 1.2.. Is this abnormal?

Abnormal labs: It would be helpful that for the labs mentioned above. If you. Can find the normal range or reference range and list it than our answer can be more educated and helpful. The reference range does vary from one lab to another. ...Read more

5

5
Plasma Vitamin D <4.2 ng/mL Serum Vitamin B12 -197 Serum TSH-2.805 Serun Alkaline Phosphatase-356 WBC-3300 MCV-103 MCH-34 Platelet-141k?

Plasma Vitamin D  <4.2 ng/mL
Serum Vitamin B12  -197
Serum TSH-2.805
Serun Alkaline Phosphatase-356
WBC-3300
MCV-103
MCH-34
Platelet-141k?

Need Vits D3 and B12: You are severely deficient in Vitamins D3 and B12. I recommend 10,000 IU of Vit D3 per day, and 1,000 mcg methylcobalamin each day. Your D3 levels should be 60-70 ng/dl. ...Read more

6

6
Serum iron 4umol/L Transferrin IBC 64umol/L Transferrin saturation 6% Serum ferritin assay 62ug/L Am I iron deficient? levels on 2 iron tablets /day

Serum iron 4umol/L
Transferrin IBC 64umol/L
Transferrin saturation 6%
Serum ferritin assay 62ug/L

Am I iron deficient? levels on 2 iron tablets /day

Need to evaluate: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your results are consistent with iron deficiency. Do you have heavy periods? Do you eat a normal diet? Have you been evaluated for celiac disease? If you are not able to absorb oral iron, it may be given intravenously. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, 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. Get HPV vaccine. ...Read more

7

7
Is serum ferritin different from serum iron and/or total iron??

Is serum ferritin different from serum iron and/or total iron??

Yes: All three are related to iron metabolism but have different implications. Low ferritin is a good indication of iron deficiency but normal ferritin level does not rule it out. Iron and iron binding capacity help in differentiation between iron deficiency and anemia of chronic disease. ...Read more

See 1 more doctor answer
8

8
Protein Total Serum 8.7 Globulin Serum 4.20 Albumin/ Globulin Ratio 1.07 ALP 132 Urea/ CreatinineRatio 18.54 rest normal . Any worries here ?

Need more info.: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, there is no immediate concern, however, your globulin level may be higher than normal and you should discuss it with the doctor who ordered the tests. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. 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

9

9
Increased aldolase, complement c3/c4 serum, sed rate, c-react. Protein, beta globulin, monocytes, bun/creatin low mcv-mch, vit d-possible causes?

Increased aldolase,  complement c3/c4 serum, sed rate, c-react. Protein, beta globulin, monocytes, bun/creatin low mcv-mch, vit d-possible causes?

Complicated: When i was doing clinical medicine, these were collectively sort of the flags for sarcoid disease but I am not saying that's the case here. This is because sarcoid is a diagnosis of exclusion so the advice is to rule out other diseases with additional diagnostic tests which can be done by a primary care physician or rheumatologist. ...Read more

10

10
My total bilurubin 0.88 direct bilurubin 0.37 indirect bilurubin is 0.51, serum globulin is 3.27 Are these levels normal?

My total bilurubin 0.88 direct bilurubin 0.37 indirect bilurubin is 0.51, serum globulin is 3.27 Are these levels normal?

See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your globulin level is higher than normal. It can be due to many causes, e.g., chronic infection, inflammatory disorders, liver disease and myeloma. Please discuss the matter with your doctor. ...Read more

11

11
Globulin level: 4.5, Albumin level: 3.9, Total Protein: 8.4, Albumin/Globulin Ratio: 0.9, AST: 68, ALT: 105. What do these levels mean?

Globulin level: 4.5, Albumin level: 3.9, Total Protein: 8.4, Albumin/Globulin Ratio: 0.9, AST: 68, ALT: 105. What do these levels mean?

Need med history: You need to tell us why was this test done. Did you have some complaints? Once we know your symtoms, if any, it is easier to interpret your lab results. Your liver enzymes are slightly high and so is the globulin level which can occur due to liver problems like Hepatitis. Your doctor needs to recheck these labs in another one or two months and find the cause?hepatitis? ...Read more

14

14
What can decrease the serum levels of sex hormone binding globulin?

What can decrease the serum levels of sex hormone binding globulin?

Exercise & fat loss: Sex hormone binding globulin (shbg) is related to estrogen levels which are related to body fat. So the non-drug way to get around this is via exercise & nutrition in order to get rid of excess body fat, esp around your gut. If you can't lower your estrogen levels enough, some physicians (myself included) will attempt an off-label trial of an aromatase inhibitor to stop your body's conversion of t. ...Read more

See 1 more doctor answer
15

15
'serum iron level' 26umol/l. 'saturation of iron binding cap '50%. %iron saturation 52%. 'serum ferritin level' 40ng /ml. What does it all mean.?

'serum iron level' 26umol/l. 'saturation of iron binding cap '50%. %iron saturation 52%. 'serum ferritin level' 40ng /ml. What does it all mean.?

Normal iron status: The serum iron test measures iron in blood. Iron is bound to proteins in blood (mainly transferrin), so the % sat is proportion of iron binding proteins that carry iron. Ferritin is the amount of iron in reserve stores. In iron deficiency, iron and ferritin are low, transferrin is high, and % sat is low. ...Read more

16

16
What causes high globulin, but low globulin albumin ratio?

Liver blood tests: The liver is an amazing organ- it does many things including making proteins your body needs. Albumin is a major protein product of the liver. Chronic illness can cause that to decline- esp. if you're not eating. Globulins are other proteins usually made to fight diseases like infections- perhaps you've been fighting an illness for a few weeks/months that explain this pattern. ...Read more

17

17
Should methimazole be dosed on TSH or ft4, t4, t3, (liothyronine) ft3 levels?

Should methimazole be dosed on TSH or ft4, t4, t3, (liothyronine) ft3  levels?

All of the above: Methimazole is a thionimide that inhibits the formation of thyroid hormone it is important to measure tsh, ft4 ; ft3 (liothyronine) levels to have a better idea of the physiology causing the hyperthyroidism, ie is it subclinical hyperthyroidism, t3 (liothyronine) preferential secretion, or severe thyrotoxicosis. The TSH can be very suppressed with only minimally elevated t4/t3 (liothyronine) which would not need as high a dose. ...Read more

See 1 more doctor answer
18

18
IgA TTG POSITIVE low level of ferritin?

IgA TTG POSITIVE low level of ferritin?

Gluten sensitivity: Typical findings for gluten intolerance with reduced iron absorption and thus the low ferritin. Need to avoid gluten and take some iron supplement (or even shots) ...Read more

19

19
What causes high glucose serum, calcium serum, albumin serum, total cholesterol, LDL cholesterol calc, vitamin b12, but low sed rate westergren?

Means nothing alone: As a pathologist who's devoted a lifetime to lab medicine, my teammates and i are always reminding people that lab results mean nothing whatever in the absence of a history & physical exam. Please don't take this the wrong way, and i appreciate your proactive approach to health. But no one can do anything with this. Ask instead, "could high Albumin out-of-range be from dehydration?" etc. ...Read more

20

20
Cummulative thyroid function test TSH levels?

I'm sorry: But i don't understand your question. What are cummulative thyroid function tests? If there's a problem with your tsh, check w/your doctor. ...Read more

Dr. David Sneid
1,421 doctors shared insights

Thyroxine (Definition)

Thyroxine is a thyroid ...Read more


Dr. Joseph Mathews
616 doctors shared insights

Synthroid (Definition)

Synthroid is a thyroid ...Read more