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Doctor insights on: Testo Free Bioavailable Lc Ms Ms

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Glucose serum112 mg/dL,T3 (liothyronine) free 2.5 pg/ml,T4 free 1.14 ng/dl,TSH 2.180 uIU/ml-blood test taken PM-no fasting/no meds told have hypothyroidism-confused?

Taking thyroid med?: Hi. Those thyroid function tests are normal. If you're not taking thyroid hormone, then you're not hypothyroid. I'm sorry for the confusion; no one should have told you you're hypothyroid based on those labs. I would advise against taking desiccated porcine thyroid (Armour). See an endocrinologist if you want expert opinion on thyroid issues; many excellent ones in your area. Your thyroid's normal ...Read more

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My TSH is 4.30 uiu/dl. Free T3 (liothyronine) 4.28 pg. Free T4 1.36 ng. T3 (liothyronine) 186 ng/dl. T4 9.17ug/ dl. Do I have subclinical hypothrodism?

My TSH is 4.30 uiu/dl. Free T3 (liothyronine) 4.28 pg. Free T4 1.36 ng. T3 (liothyronine) 186 ng/dl. T4 9.17ug/ dl. Do I have subclinical hypothrodism?

Hypothyroidism: Maybe. You have enough circulating thyroid now, but your pituitary is working a bit harder than average to allow your level of production to stay normal. I'd simply recheck it in 6-12 months. If you're curious and have more $ than you need, anti-thyroid antibodies can be measured to see if you are slowly losing production capacity due to autoimmune factors. It's very common. ...Read more

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Would standard process adrenal supplements (drenatrophin pmg and adrenal desiccated) affect labs – cmp, tsh, free t3, (liothyronine) free t4?

Would standard process adrenal supplements (drenatrophin pmg and adrenal desiccated) affect  labs – cmp, tsh, free t3, (liothyronine) free t4?

Adrenal supplements: 46F asks about lab effects of adrenal supplements on CMP,TSH,FT3 and Free T4. This has likely never been studied as there is no regulation of adrenal supplements & makers can put anything in them until a bunch gets sick & reported to FDA. I would avoid these unless you need to waste money. I would also avoid a Dr who prescribes them. But need more information. Consult with me. ...Read more

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How could free testosterone measured by equilibrium dialysis (mayo labs) be over 50% more than calculated free testosterone (issam.Ch)? Data (4/26): tt 533, shbg 41, albumin 4.5, cft 9.7, ft 15

How could free testosterone measured by equilibrium dialysis (mayo labs) be over 50% more than calculated free testosterone (issam.Ch)? Data (4/26): tt 533, shbg 41, albumin 4.5, cft 9.7, ft 15

Lab variation: The calculated free t will depend on how accurately the lab measures each component (total t, shbg, albumin) as well as the algorithm used to do the calculation. The free t by dialysis can be more accurate, as it depends on one test being done correctly. However, labs vary enormously in how well and accurately they can do the test. If the levels are normal, don't fret the details. ...Read more

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Person with normal Total T4, T3 (liothyronine) Uptake, FTI, Ultrasensitive TSH but LOW Total T3 (liothyronine) (63.55 ng/dl) = Synthroid dose needs to increase?

Person with 

normal Total T4, T3 (liothyronine) Uptake, FTI, Ultrasensitive TSH 

but 

LOW Total T3 (liothyronine) (63.55 ng/dl) 

= 

Synthroid dose needs to increase?

It's OK: Hi. Your TSH is "normal", but I'd shoot for a value on therapy generally around the 1.0-1.5 range. The total T4, T3 (liothyronine) resin uptake, and FTI are prehistoric tests no one in the thyroid field has used for years. Your body regulates conversion of T4 to T3 (liothyronine), so your T3 (liothyronine) should be just what the body ordered. Your T3 (liothyronine) is close to the normal range; if you repeat it it's likely to be within normal range. ...Read more

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My thyroid numbers: TSH 3.38 mcIU/mL Free T4, 1.06 ng/dL Free T3 2.8 pg/mL Reverse T3 15 ng/dL My son's on synthroid (thyroxine). But are MY numbers optimal?

My thyroid numbers:

TSH 3.38 mcIU/mL
Free T4, 1.06 ng/dL
Free T3 2.8 pg/mL
Reverse T3 15 ng/dL

My son's on synthroid (thyroxine). But are MY numbers  optimal?

Interesting question: Optimal is a interesting question. First it is important to understand where "normal" is derived. "Normal" ranges for each lab is a statistical number that tell where a population of "normal" people results run. So your numbers run within the "normal" (reference) range for most laboratories. Are your results "optimal" is a question that is thus difficult to answer! ...Read more

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25 male. Testosterone deficiency. Any alternative except HRT?Report says Testosterone 2.09 ng /dl(Normal 3.0 to 12.0)

25 male. Testosterone deficiency. Any alternative except HRT?Report says Testosterone 2.09 ng /dl(Normal 3.0 to 12.0)

Double check: testosterone levels fluctuate normally, so to confirm a testosterone deficiency it is very important to test twice, and the test should be done as early in the morning as possible to maximize accuracy. If a repeat test, properly done, confirms a T deficiency then hormone replacement may indeed make you feel better, and there is no alternate way to correct a true testosterone deficiency. ...Read more

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I need blood levels tested for lh, testosterone, estrogen, psa, cortisol, prolactin, free T3 (liothyronine) and free T4 levels. What test should I ask my dr. For?

I need blood levels tested for lh, testosterone, estrogen, psa, cortisol, prolactin, free T3 (liothyronine) and free T4 levels. What test should I ask my dr. For?

Blood tests: Why do you need these tests done? It is rare that one needs to "measure all the hormones". You should not ask your doctor to measure hormones. You should discuss with your doctor what is bothering you, and discuss a plan to diagnose/treat it. If you are this much into hormones, you should be seeing an endocrinologist. ...Read more

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Thyroid nodule: follicular lesion, T4 free is low, T3 (liothyronine) free is low, and TSH 3rd generation is now low. 60 mg of armour thyroid, 50 mcg levothyroid why?

Thyroid nodule: follicular lesion, T4 free is low, T3 (liothyronine) free is low, and TSH 3rd generation is now low. 60 mg of armour thyroid, 50 mcg levothyroid why?

Stop Armour: There is no way to check your levels or keep your thyroid in control in your current regimen. Armour thyroid is ground up pigs. Switch to brand name T4 only and get it regulated. Also, have repeat thyroid biopsy with afirma test and consider surgery to remove nodule depending upon lab and ultrasound. ...Read more

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Smoke/alco free 15 months. New labs show high ldh + lipase; borderline low amylase + globulin. Already ruled out ibd, celiac, mono, hep, hiv, tb, lupus, ra. July ct=normal liver/kidneys/panc. Cancer?

Smoke/alco free 15 months. New labs show high ldh + lipase; borderline low amylase + globulin. Already ruled out ibd, celiac, mono, hep, hiv, tb, lupus, ra. July ct=normal liver/kidneys/panc. Cancer?

MRCP: Looks like you have pancreatitis, but if you have not had alcohol, need mrcp to see if there any pancreatic duct abnormalities. Need more info, were you drinking before and did you have multiple pancreatits before? Mrcp followed by eus would help. Ercp may be needed once acute episode is resolved, or if you find any stricture in the duct. ...Read more

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MGUS iggLambda .19 for 1yr. FLC lambda8.04 stable. Kappa drop<1 from 4.2 no ratio calculable.IGM 27 SPEPGammaGlob .63 Doc not avail SLE tooThoughts?

MGUS iggLambda .19 for 1yr. FLC lambda8.04 stable. Kappa drop<1 from 4.2 no ratio calculable.IGM 27 SPEPGammaGlob .63 Doc not avail SLE tooThoughts?

MGUS: There are multiple issues regarding your health. MGUS is actually the simplest. With spike at a concentration of 0.19 and stable, you are at no immediate risk. The risk of myeloma is about 1%/year, but it does require regular follow-up. See this site for info. http://www.mayoclinic.org/diseases-conditions/mgus/basics/definition/CON-20026422 ...Read more

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My thyroid function test: T3 (liothyronine) 9.692 ng/ml , T4 9.101 ug/dl , TSH 2.767 uiu/ml. Hb alc. 5.4% , serum CRP test <6 mg/l . Any complications?

My thyroid function test: T3 (liothyronine) 9.692 ng/ml , T4 9.101 ug/dl , TSH 2.767 uiu/ml. Hb alc. 5.4%  , serum CRP test <6 mg/l . Any complications?

More info needed: The physician who ordered theses tests is best to advise you. Diabetes test is normal but thyroid needs to be followed.Because the thyroid is a master gland it affects many parts of your body and the physician must evaluate you globally. ...Read more

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TSH =1.40 / T4,free =0.8 / T3 (liothyronine), (liothyronine) free =2.6 WP Thyroid 48.75 mg. Hasimotos. Checking antibodies again next. Why might T3 (liothyronine) and T4 still be low?

TSH =1.40 / T4,free =0.8 / T3 (liothyronine), (liothyronine) free =2.6
WP Thyroid 48.75 mg. Hasimotos. Checking antibodies again next. Why might T3 (liothyronine) and T4 still be low?

Endocrinologist: If you have an underactive thyroid from hashimoto's, the t3 (liothyronine) and t4 should be low and the tsh elevated. An endocrinologist or thyroidologist are best qualified to evaluate,advise and treat you. ...Read more

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Test results: total testosterone = 1, 146 ng/dl, shbg = 99nmol/l, albumin = 5.0 g/dl, free t = 61.7 pg/ml. Free t calculation seems too low. Help?!

Test results: total testosterone = 1, 146 ng/dl, shbg = 99nmol/l, albumin = 5.0 g/dl, free t = 61.7 pg/ml. Free t calculation seems too low. Help?!

Convert units: The number will make more sense if you convert pg/ml to ng/dl (which is how the total testosterone value is given). This is easy; just multiply by 10. So your free t would be 617 ng/dl. ...Read more

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25 years old. Testosterone 420, TSH 4.52, Free T4 1.46, Prolactin 20.3, Cortisol 35.6, Vit D 26. Main symptoms anhedonia, fatigue, odd vision, aches.

25 years old. Testosterone 420, TSH 4.52, Free T4 1.46, Prolactin 20.3, Cortisol 35.6, Vit D 26. Main symptoms anhedonia, fatigue, odd vision, aches.

Anhedonia: Your hormone levels are almost normal, your Prolactin is slightly elevated but I would repeat it again, also for Cortisol the level fluctuates throughout the day, and it's better measured early in the morning. I'm not sure what you mean by odd vision, is it double, blurry, floaters or not able to see in some part of your visual field. Please talk to your provider. Depression is another possibilit ...Read more