Doctor insights on:
What Does High Thyroid Mean
Anion Gap?: "The anion gap is the difference between primary measured cations (sodium Na+ and potassium K+) and the primary measured anions (chloride Cl- and bicarbonate (sodium bicarbonate) HCO3-) in serum. This test is most commonly performed in patients who present with altered mental status, unknown exposures, acute renal failure, and acute illnesses." (http://emedicine.medscape.com/article/2087291-overview) ...Read more
Thyroid tests: There is not "a" thyroid test, there are many different ones. So it is hard to know what the number "20" means. If 20 is your TSH, that is high, and it suggests your thyroid is underactive. You may have symptoms, which could be fatigue, sleeping a lot, cold, weight gain, and other. ...Read more
Need more info: I'm assuming you had a urine test. A high spot microalbumin in the urine is not meaningful without a spot urine creatinine. The ratio of microalbumin to creatinine can indicate whether or not one has issues with spilling some protein in the urine, an indicator of kidney damage. This can be caused by things such as longstanding hypertension, diabetes, and ischemic kidney changes. ...Read more
Inflammation: Alt is an enzyme produced by the liver. When it is elevated it signifies liver inflammation which can come from multiple causes, the aasld-american association of the study of liver disease considers a normal alt to 19 or less in a woman and 30 or less in a male. Alt numbers higher than this again means there is liver inflammation. ...Read more
Need more info: Hi. Have you been diagnosed with Cushing's? If not, it means nothing. Illness and physiologic stress can drive up ACTH, and ACTH shows diurnal variation. Without knowing the time of day it was drawn and your physiologic circumstances, it means nothing. And yet, the doc who ordered it was considering something, so really don't have enough info to say. Good luck! ...Read more
Low thyroid: Low thyroid, or hypothyroidism refers to a low level of thyroid hormone in the body. Thyroid hormone functions as a metabolic hormone, regulating metabolic functions. Thus, if the thyroid hormone level is low you would have less energy, dry skin, constipation, slower heart rate, swelling, metabolic rate depressed, tendency to gain weight. ...Read moreSee 2 more doctor answers
All results: 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, it would have been helpful to have all the results and actual values of the results. One possibility is deficiency of iron and folic acid and/or B12. ...Read more
More workup: Currently, it points to hyperthyroidism but you need to complete the work up to know for sure. At the very least, i would repeat the TSH along with the free hormones T4 and t3 (liothyronine). If they also point to hyperthyroidism, then proceed further to find the exact cause for this. Tsh alone does not give you a complete picture. ...Read more
Very Little: Once upon a time, we thought that having too little cholesterol could interfere with the formation of hormones like testosterone and estrogen, or alter the membranes surrounding cells. None of that has really borne out, and for heart attack patients we routinely target an LDL of 50-70. Odds are pretty good that you're just lucky and have a good diet and good genes. ...Read more
No, IgE = allergies: A high ige is associated with allergies, parasitic infections and some rarer medical conditions. A slightly high IgA is a nonspecific finding and may not be clinically significant. If it's extremely high, like ten times normal, it could mean a plasma cell abnormality, like multiple myeloma. Autoimmune diseases may also cause IgA to become elevated. Ask an immunologist to evaluate you if concerned. ...Read more
Need proper testing: Probably refers to TSH slightly abnormal. However here is hoe to be sure: check free T3 and reverse t3. Ft3 should be in upper range and rt3 in lower range. If your ratio is off, you may need Armour Thyroid or t3, and synthroid (thyroxine) would be the wrong med for you. ...Read more
See below: The fact that your antibodies are high suggests they are attcking your thyroid if so then you may become hypothyrpoid but you need to be carefully followed so as to see what is to happen. ...Read more
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