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What Does This Blood Report Indicate?

Posted on Thu, 9 Jun 2016

Question: My last blood test show high calcium high copper high chlorestrol. V low estrogen low vit d low albium v v v high cortisol. . Thyroid and parathyroid normal . Despite 11 thyroid nodules. In last year lost 10 kg have fatigue brain fog blurry vision tinitis insomnia . And just recently been told helebactir pylori. Which cant b treated yet cos i to weak. Omg and i told not to worry .. when told none of these symptoms point to anything in particular. . On 5mg endep to help sleep just turned me into a 24hr zombie. And premarin .3mg to help estrogen levels
..nothing else to b done . Must b. Surely.....

Answered by Dr. Shehzad Topiwala (1 hour later)

Brief Answer:
Hormone tests

Detailed Answer:
Sorry to note your troublesome symptoms.

The abnormal levels of calcium, copper, cholesterol and vitamin D require thorough evaluation further.
The thyroid nodules also merit a detailed assessment.
All these are typical endocrine problems which a qualified endocrinologist will be able to help you with.
You must schedule an appointment an appointment with one for an in-person consultation.
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)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH
Free T4
12 hour Fasting Lipid profile
25 hydroxy Vitamin D

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shehzad Topiwala (36 minutes later)

Have had those tests. Told nothing to do atm. Have had ultra sound on thyroid . 11 nodules 2 being over 2cm. Nad.Thioroid and para thyroid hormones normal. Yet i very symptomatic brain fog and insomnia being the worse.after over a year becoming v anxious and frustrated have been off work this long too.....there must b a name or reason and then a remedy . My endo said i have odd inbalances that dont point to anything in particular. That doesnt help to live life. What can be done for someone with my odd results i am sure i not only one with this.whatever this is. Oh did i mention tthat am cortisol is 710.......as well...

Answered by Dr. Shehzad Topiwala (20 hours later)

Brief Answer:
Follow up

Detailed Answer:
Sometimes a thyroid biopsy is considered. You will need a detailed assessment to figure out a diagnosis. It will not be possible on an online forum to analyze a complex condition like yours.
Cortisol is measured is different units worldwide. Was yours in micromoles or nanomoles per liter or micrograms per deciliter?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shehzad Topiwala (24 hours later)

i think cortisol was in nmols. i was told morning ready should b 200 to 400 mine was 710.... i have now been diagnosed with helibactor pylori. via breath test. i been told dont worry atm . i to weak to have antibiotics and as i have been super sensitive to meds in past esp nexium. told to get stronger how do i get stronger if i have 5his bug. esp when u have severe nsusea daily. what xan i do......

Answered by Dr. Shehzad Topiwala (25 hours later)

Brief Answer:
Second follow up

Detailed Answer:
I see. In that case the units are likely nmol/L. Yes those numbers given to you are about right. This just implies stress in your body which is not considered abnormal.
However if you wish to rule out a condition in which the cortisol remains high without the presence of stress then there are tests for that.
Once the stress settles, you can check with your endocrinologist to test you for Cushings syndrome.

You will need to have your thyroid nodules addressed by an endocrinologist in-person.

Kindly seek prompt medical assistance

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shehzad Topiwala (24 minutes later)

ok seems like stress the cause of lots.. but how do i get rid of the stress i dont even feel like i stressed just symptomatic.????????

Answered by Dr. Shehzad Topiwala (9 hours later)

Brief Answer:
Third follow up

Detailed Answer:
Stress reduction includes relaxation therapies but even medical illnesses are stressful. So you need an extensive evaluation first to rule out major medical issues.

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