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What Does This Thyroid Test Report Indicate?
Question: FSH .66
Free T4 0.81
Total T3 1.10
TSH (3rd Generation) 0.60
I have been on 2400mg Gabapentin, 200 mg topamax, 300mg wellbutrin, .3mg estradiol, and 60mg cymbalta I have gained 20 pounds and I haven't changed anything. I eat healthy I can't run like I used to but I do exercise and the scale just rises. I am so frustrated I have never had issues with weight until I was put on these medications. Could any of this contribute to my gaining weight and difficulty losing it?
Free T4 0.81
Total T3 1.10
TSH (3rd Generation) 0.60
I have been on 2400mg Gabapentin, 200 mg topamax, 300mg wellbutrin, .3mg estradiol, and 60mg cymbalta I have gained 20 pounds and I haven't changed anything. I eat healthy I can't run like I used to but I do exercise and the scale just rises. I am so frustrated I have never had issues with weight until I was put on these medications. Could any of this contribute to my gaining weight and difficulty losing it?
Brief Answer:
Weight gain
Detailed Answer:
Sorry to learn about your bothersome weight gain.
None of the medications you have listed are known to have a significant weight gain problem.
The labs you have listed must be interpreted with reference to the normal ranges for that laboratory.
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)
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
There are other uncommon conditions like Cushing's syndrome and Acromegaly that can cause weight gain too.
A blood test called IGF1 and a saliva test called Midnight Salivary Cortisol, are helpful in screening for these problems.
Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Weight gain
Detailed Answer:
Sorry to learn about your bothersome weight gain.
None of the medications you have listed are known to have a significant weight gain problem.
The labs you have listed must be interpreted with reference to the normal ranges for that laboratory.
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)
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
There are other uncommon conditions like Cushing's syndrome and Acromegaly that can cause weight gain too.
A blood test called IGF1 and a saliva test called Midnight Salivary Cortisol, are helpful in screening for these problems.
Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hemoglobin A1c 5.5
Glucose 109 Out of Range
BUN 16
Creatinine 1.17 Out of Range
eGFR - Non-African XXXXXXX 51 Out of Range
Sodium 138
Potassium 4.4
Chloride 105
CO2 25
Calcium 9.6
My doctor said I don't have a need to see an endocrinologist and I have to have a referral to make an appointment with the one that takes tricare even though my policy doesn't require referrals.
these were the other tests done. Should I push to see an endocrinologist or just trust I don't need to see one based on these results?
Thank you.
Glucose 109 Out of Range
BUN 16
Creatinine 1.17 Out of Range
eGFR - Non-African XXXXXXX 51 Out of Range
Sodium 138
Potassium 4.4
Chloride 105
CO2 25
Calcium 9.6
My doctor said I don't have a need to see an endocrinologist and I have to have a referral to make an appointment with the one that takes tricare even though my policy doesn't require referrals.
these were the other tests done. Should I push to see an endocrinologist or just trust I don't need to see one based on these results?
Thank you.
Brief Answer:
Follow up
Detailed Answer:
One needs to ascertain if TSH and Free T4 are in normal ranges for the laboratory in question.
CBC, Liver function tests and 25 hydroxy Vitamin D are missing.
Endocrinologists tend to specialize in weight management so it is good idea to see one soon.
Follow up
Detailed Answer:
One needs to ascertain if TSH and Free T4 are in normal ranges for the laboratory in question.
CBC, Liver function tests and 25 hydroxy Vitamin D are missing.
Endocrinologists tend to specialize in weight management so it is good idea to see one soon.
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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