First up hello everybody. I'm a 33 year old male from the UK. I went to doctor's with some symptoms and they ordered blood tests which 99% were in range and seem happy at that. I know I need more testing but don't know where to start and what to ask for.
Symptoms:
Low pulse 40bpm
Basal temp. 36.1 degrees Celsius one week, 35.8 next. (96.98F & 96.44F)
Last few years increasingly susceptible to cold
Numbness in fingers/toes in cold, hand seize up
Pins and needles in hands upon waking entire limb if sit/lean on hard surface
Regular chest pains; sharp stabbing in heart region or feels like heart pounding fast. Mainly the sharp pain though
Feel dreadful upon rising, no matter how much sleep
Often need a nap in afternoon
Fatigue, almost crippling at times.
Frequent urination -waking in night desperate for toilet at least once
Brain fog
Low mood, social anxiety
Loss of libido
Erectile dysfunction
Insatiable appetite even if have a massive meal still hungry (prone to massive binges though I've curbed that, or at least the sugar/carb part of, since doctor said might be prediabetic)
Theres other bits and pieces recent and in past too which I'll probably come to shortly. My research has pointed to hypothyroidism, hypogonadism maybe even. Borderline diabetes almost too
Blood test results:
19.08.14
Urea and electrolytes (X77Wi)
Serum sodium level (XE2q0) 141mmo/L (133.0-146.0)
Serum potassium level (XE2pz) 4.7mmo/L (3.5-5.3)
Serum urea level (XM0lt) 6.5mmo/L (2.5-7.8)
Serum creatinine level (XE2q5) 81 umol/L (64.0-110)
GFR calculated abbreviated MDRD (XaK8y) >90 mL/(60.0-200.0)
Plasma glucose level level (XM0ly) 6.2mmo/L (3.0-6.0)
Liver function tests (X77WP)
Serum total protein level (XE2e9) 73g/L (60.0-80.0)
Serum albumin level (XE2eA) 44g/L (33.0-45.0)
Serum globulin level (XE2eB) 29g/L (20.0-34.0)
Serum aminotransferase level (XaLJx) 27U/L (<37.0)
Serum alkaline phosphatase level (XE2px) 41U/L (30.0-130.0)
Serum bilirubin level (44E..) 6umo/L (<21.0)
Full blood count (424..)
Haemoglobin concentration (Xa96v) 150g/L (135.0-169.0)
Total white blood count (XaldY) 5.5 10*9/L (4.5-13.0)
Platelet count - observation (42P..) 204 10*9/L (140.0-400.0)
Red blood count (426..) 4.63 10*12/L (4.25-5.77)
Mean cell volume (42A..) 96.0fL (84.0-99.0)
Haematocrit (X76tb) 0.445 (0.41-0.51)
Mean cell haemoglobin level (XE2pb) 32.5pg (27.5-32.5)
Mean cell haemoglobin concentration (429..) 338g/L (309.0-348.0)
Neutrophil count (42J..) 2.61 10*9/L (2.0-7.5)
Lymphocyte count (42M..) 2.30 10*9/L (0.8-4.0)
Monocyte count - observation (42N..) 0.40 10*9/L (0.2-0.8)
Eosinophil count - observation (42K..) 0.10 10*9/L (0.04-0.4)
Basophil count (42L..) 0.10 10*9/L (00.0-0.2)
Serum lipid levels (XE2q7)
Serum cholesterol level (XE2eD) 5.6mmol/L
Serum triglyceride levels (XE2q9) 1.0mmo/L
Serum HDL cholesterol level (44P5.) 1.9mmol/L
Serum LDL cholesterol level (44P6.) 3.2mmol/L
Total cholesterol:HDL ratio (44PF.) 2.9
Thyroid function (TSH) 1.7 (0.35-4.94)
------------------------
Glucose tolerance test Before glucose drink 5something mmo/L (perhaps 5.5), two hours later 6.6mmo/L
Blood glucose was above range but todays glucose tolerance test seems to be ok. I've gone strictly no sugar low carb though since learning about the possible prediabetes.
Like I say I'll pad this out a bit soon but just wondering what peoples initial thoughts are. I've booked to see GP again this coming Thursday and would like to request deeper testing. Full thyroid panel or as close as NHS will allow along with vit D, vit B12, iron, ferritin, folate etc. Male hormone testing, celiac/gluten intolerance, candida, food allergies? I don't know how far Britains NHS will allow for though.
I've just sent back a 'comprehensive adrenal stress profile' test I paid for privately.
Any observations, advice or pointers greatly appreciated.