Suggest Treatment For Fatigue And Mild Muscle Pain
SO MY QUESTIONS ARE:
1. What is the normal ADH level for women?
2. Can a low level cause my symptoms: fatigue, brain fog, muscle pain?
3. What else could cause my symptoms?
I already researched what this is:
What happens if I have too little anti-diuretic hormone?
Low levels of anti-diuretic hormone will cause the kidneys to excrete too much water. Urine volume will increase leading to dehydration and a fall in blood pressure. Low levels of anti-diuretic hormone may indicate damage to the hypothalamus or pituitary gland, or primary polydipsia (compulsive or excessive water drinking). In primary polydipsia, the low level of anti-diuretic hormone represents an effort by the body to get rid of excess water. Diabetes insipidus is a condition where you either make too little anti-diuretic hormone (usually due to a tumour, trauma or inflammation of the pituitary or hypothalamus), or where the kidneys are insensitive to it. Diabetes insipidus is associated with increased thirst and urine production.
ADH
Detailed Answer:
What you have researched on ADH deficiency is correct.
1 Normal ADH level for women is whatever the range your laboratory mentions. Testing methods may vary from lab to lab
2 A low ADH value alone cannot explain your symptoms. It should be used anyway to interpret your symptoms. Because as you have learnt, diabetes insipidus has specific symptoms. It can be tricky to diagnose. And that is why the expertise of an endocrinologist is required who will examine you in person to arrive at or eliminate the possibility of this diagnosis
3 There could be other causes of your complaints.
For one, I see you are taking quite a large amount of vitamin D daily. Such intake can result in dangerously high blood levels of vitamin D. When I see someone like you in my practice I immediately stop the vitamin D and order a blood test for 25 hydroxy vitamin D.
Next, there is no need for iodine in your diet as salt is already fortified with iodine. So unless you absolutely avoid any salt, it is virtually impossible for you to have iodine deficiency.
I also understand you have undergone a whole lot of tests so it is likely your
CBC
CMP
TSH
must have been checked and come back normal.
Please do not worry about a single ADH blood test result abnormality. Have an endocrinologist assess you thoroughly and see if an ADH test is required at all in the first place
Follow up
Detailed Answer:
1 Please get your blood levels for 25 hydroxy vitamin d and vitamin B12 checked.
2 Iodine supplementation is not necessary unless you completely abstain from salt
3 There is no specific vitamin recommended to build immune support
4 I am sorry to note your inexplicable symptoms. But I feel it would be worth trying to stop unnecessary supplements, based on the results of the blood tests mentioned above, and on the basis of what I just advised you regarding iodine/vitamins.
If you consume a balanced diet, you are generally expected to get adequate amounts of vitamins/minerals, except perhaps vitamin D for which sunlight is a good source.
However severely low vitamin D levels are best treated with supplements.
I generally recommend one multivitamin tablet to my patients
I hope you get to the bottom of your medical problems soon