1. A recent result of a serum cortisol test showed: 288 nmoI/L (250-700).
The reference interval applying to specimens taken 7-9AM.
(My specimen was actually taken 11.45AM, although the Lab result form states that it was taken 2.13PM)
The form further advises:
At this level, adrenal hypofunction cannot be ruled out. Consider steroid therapies (including intra-articular, intra-muscular, inhaled and topical).
Suggest repeat pre-9am Cortisol. If again low, consider short synacthen test if clinically indicated.
Specimens taken outside of the period 7-9am are of limited value because of diurnal variation.
My sleep patterns are terrible..I wake up at 2-3am every morning after 3-4 hours sleep.
2. My B12 result: >1475 pmoI/L (170-600) HH
Folate result: >31.4 nmoI/L (> 8.0)
I have been on Vitamin B12 replacement therapy now for 2-3 years, after a low serum level of 85.
The Lab Report advises: Found in B12 replacement Therapy, in liver disease and in myeloproliferative neoplasms. A blood count is recommended.
Is my high B12 something to be very concerned about?
3. My latest thyroid results, taken at the same time as the above:
FT4: 10.7 pmoI/L (10.0-24.0)
FT3: 4.7 pmoI/L (0.40-4.00)
TSH 2.5 mIU/L (0.40-4.00).
I still have hypothyroid (Hashimotos) symptoms, such as insomnia, carpal tunnel, dry eyes and rhinitis. Any comments would be appreciated.