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What Does This Following Blood Report Indicate?
Posted on
Fri, 24 Feb 2017
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Fri, 24 Feb 2017
Answered on
Fri, 17 Mar 2017
Last reviewed on
Question : Hello I'm 47 years old .English been on Levothyroxine112mcg
for approx. 1 year My labs 6 months ago showed low to no pituitary gland production and no ovary. I recently started the lowest dose estrogen patch bi-weekly. My TSH was called to me today 0.187
what should I expect. I go to my family Dr. next week I'm usually very active and have had trouble with weight gain and difficulty losing for around 8 months still , with fatigue, noted forgetfulness, dry skin , and hair loss.
I'm a nurse and busy Mom.
I need to feel better and not be worried. Help The lab also gave me some other elevated labs
cholesterol-248
Triglycerides-427
HDL-38
TSH-0.187
for approx. 1 year My labs 6 months ago showed low to no pituitary gland production and no ovary. I recently started the lowest dose estrogen patch bi-weekly. My TSH was called to me today 0.187
what should I expect. I go to my family Dr. next week I'm usually very active and have had trouble with weight gain and difficulty losing for around 8 months still , with fatigue, noted forgetfulness, dry skin , and hair loss.
I'm a nurse and busy Mom.
I need to feel better and not be worried. Help The lab also gave me some other elevated labs
cholesterol-248
Triglycerides-427
HDL-38
TSH-0.187
Brief Answer:
Thyroid
Detailed Answer:
Sorry to learn about your bothersome symptoms.
The 'low pituitary' needs further testing because it changes things drastically, in terms of diagnosis and treatment approach.
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 last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies Serum Cortisol at 8 am
FSH
LH
Estradiol
Prolactin
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Thyroid
Detailed Answer:
Sorry to learn about your bothersome symptoms.
The 'low pituitary' needs further testing because it changes things drastically, in terms of diagnosis and treatment approach.
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 last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies Serum Cortisol at 8 am
FSH
LH
Estradiol
Prolactin
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
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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