3 doctors weighed in:

High estrogen. SED rate of 67. Low vitamin D. Low cortisol. What else should be tested? What diagnoses should be explored? Seeing doc soon but curious

3 doctors weighed in
Dr. Ed Friedlander
Pathology
2 doctors agree

In brief: Wrong approach

Sed rate is worthless on a fishing expedition.
You need to address your vitamin D deficiency with diet, supplements and/or sunlight. Low spot cortisol means nothing unless there's a reasonable suspicion for Addison's. If you are cycling, estrogen levels aren't the key. Trusting glucose and other basics are OK. Organic illness, if present, will be revealed on history and physical.

In brief: Wrong approach

Sed rate is worthless on a fishing expedition.
You need to address your vitamin D deficiency with diet, supplements and/or sunlight. Low spot cortisol means nothing unless there's a reasonable suspicion for Addison's. If you are cycling, estrogen levels aren't the key. Trusting glucose and other basics are OK. Organic illness, if present, will be revealed on history and physical.
Dr. Ed Friedlander
Dr. Ed Friedlander
Thank
1 comment
Dr. Dan Fisher
Yep. Labs should be drawn AFTER seeing the patient to confirm hypothesis. Vitamin D levels remain controversial. All agree that lower than 20 ng/ml raises fracture risk but not all agree that it needs to be greater than 30 ng/ml. Reasonable to intervene and recheck at some point.
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