Question: Hi, I am a 35 year old Caucasian woman, who has suffered from Bulimia (recovered 3 years). I do suffer from anxiety and depression. I currently take the following daily meds: 20 mg Prozac, 50 mg topamax (for bulimia), 15 mg of proprananol for facial blushing and .05 mg of ativan as need (usually two a day).
In my early 20’s I was diagnosed with degenerative disk disease, scoliosis, stenosis and two herniated and bulging disks in my lower back. I have not taken medication for these problems but over the past two years I have noticed that the pain has increased. The internist gave me 10mg of flexeril and vicodin which I take on occasion.
Over the past month I have had sudden fatigue and joint pain. Especially in my hands/wrists and feet/ankles. I was sent to the Orthopedist who explained to me this was part of aging.
I called my Internist back because I know there is something wrong with my body. She ordered test s and I received them back but she is on vacation for 2 weeks. Can you give me some insight on my results below?
One additional piece of info, about 4 months I suddenly started getting severe facial flushing. I saw a dermatologist who said it could be rosacea and prescribed Mirvaso cream, which helped a little. To help further my internist gave me a beta blocker to help. Before being prescribed the beta blocker my bp was around 110/70 and is now 99/69 but my flushing is much better.
I am very frustrated and nervous about my health, I would be extremely grateful for any help!!


I apologize, my test results were not included.

Results
Test D Test Result H/L Range Note
Laboratory test finding -C-Reactive Protein Not Yet Available
Laboratory test finding- Vitamin D 25-Hydroxy,Total,Immunoassay Not Yet Available
Laboratory test finding -Rheumatoid Factor Not Yet Available
Ana Choice (TM) SCR W/RFX To Titer Ifa- Not Yet Available

Comprehensive Metabolic
Sodium 136 mmol/L 134-149
Potassium 3.7 mmol/L 3.6-5.5
Chloride 102 mEq/L 94-112
Carbon Dioxide 24 mEq/L 21-32
Glucose 111 mg/dL 70-118
BUN 9 mg/dL Low 10-26
Creatinine 0.7 mg/dL 0.6-1.4
BUN/Creat Ratio 12.9 CALC
Calcium 8.9 mg/dL 8.5-10.5
Total Protein 6.4 g/dL 6.3-8.1
Albumin 4.5 g/dL 3.8-5.5
Globulin 1.9 g/dL
A/G Ratio 2.4 CALC
Alk. Phosphatase 66 U/L 42-128
Alt (SGPT) 101 U/L High 10-40 2
Ast (Sgot) 75 U/L High 9-44 3
Total Bilirubin 0.9 mg/dL 0.2-1.3
GFR Non-African XXXXXXX >60 ml/min/1.73m^ >=60
GFR XXXXXXX XXXXXXX >60 ml/min/1.73m^ >=60
Lipid Profile 10/16/2015 Cholesterol 179 mg/dL 140-200
Triglycerides 121 mg/dL 30-150
HDL Cholesterol 56 mg/dL 35-85
LDL (Calculated) 99 CALC
HDL Risk Factor 3.2 CALC



Complete Blood Count
WBC 8.8 x10^3/UL 4.1-10.9
RBC 4.29 x10^6/UL 4.20-6.30
HGB 14.6 g/dL 12.0-18.0
HCT 43.4 % 37.0-51.0
MCV 101.0 fL High 80.0-97.0
MCH 34.1 pg 26.0-36.0
MCHC 33.8 g/dL 32.0-37.0
RDW 13.3 % 11.5-14.5
PLT 234 x10^3/UL 130-400
MPV 9.3 FL 7.0-11.0
Gran # 6.2 x10^3/UL 2.0-7.8
Lymph# 2.1 x10^3/UL 0.0-6.0
Mono# 0.5 x10^3/UL 0.1-0.6
Gran % 70.1 % 40.0-80.0
Lymph % 24.4 % 13.0-47.0
Mono% 5.5 % 0.0-10.0
Laboratory test finding 10/16/2015 Esr 9 mm/hr 0-20
TSH 0.770 mIU/mL 0.250-5.000
1 RESULTS VERIFIED BY REPEAT ANALYSIS
2 RESULTS VERIFIED BY REPEAT ANALYSIS
3 RESULTS VERIFIED BY REPEAT ANALYSIS