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What Does The Following Blood Test Report Indicate?
Question: just got a growth hormone blood test....didn't fast or anything. result: 0.1 (am 58 year old female). Is this normal? I have many different issues in past ten years (many that occurred within last year) and wanted to find out if they are at all related: rings no longer fit, feet size and half bigger, front two teeth have separated, severe sleep apnea, high blood pressure, high cholesterol, had a parathyroid tumor removed, kidney stones, joint pain, had heart stent put in, Autoimmune Chronic Idiopathic Urticaria, arthritis, severe hot flashes/sweating...
Brief Answer:
Acromegaly
Detailed Answer:
The symptoms and problems you are reporting raise the possibility of Acromegaly, a condition that is caused by GH (Growth Hormone excess).
A random GH is of less value in making the diagnosis. A blood test called IGF1 (Insulin like Growth Factor 1) is more helpful as a screening test. This can be done at any time of the day and does not require fasting.
I have reviewed the attached lab results.
The glucose and liver enzymes are elevated. This requires further evaluation.
Sorry to learn about your bothersome symptoms. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Prolactin
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
TSH (checks your thyroid)
Free T4 (this too checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting and can be done at any time of the day Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Acromegaly
Detailed Answer:
The symptoms and problems you are reporting raise the possibility of Acromegaly, a condition that is caused by GH (Growth Hormone excess).
A random GH is of less value in making the diagnosis. A blood test called IGF1 (Insulin like Growth Factor 1) is more helpful as a screening test. This can be done at any time of the day and does not require fasting.
I have reviewed the attached lab results.
The glucose and liver enzymes are elevated. This requires further evaluation.
Sorry to learn about your bothersome symptoms. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Prolactin
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
TSH (checks your thyroid)
Free T4 (this too checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting and can be done at any time of the day Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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