Lab interpretation please? I am adding my last 3 labs so you can get an idea and contrast from dosages plus numbers.
Labs 02/17/2017 8:30 am Last dose was 12 hours before the lab. I was on 1/2 grain + 1/4 of NDT + 75 mg (levoythyroxine) ...
Testosterone 109 Low 250-827 ng/dL
TSH 0.01 Low 0.40-4.50 mIU/L
FT3 = 2.1 Low 2.3-4.2 pg/mL
FT4 = 1.0 0.8-1.8 ng/dL
FSH= 2.1 1.6-8.0 mIU/mL
LH = 6.0 1.5-9.3 mIU/mL
PROLACTIN= 3.0 2.0-18.0 ng/mL
Labs 11/21/2016 8:45 am my last dose was taking 24 hs before the lab. I was on 1 1/2 grain of NDT + T4 (levothyroxine) 75mg
TSH: 0.0 0.40-4.50 mIU/L
FT4= 1.4 0.8-1.8 ng/dL
FT3= 4.4 2.3-4.2 pg/mL
Vit D= 28 30-100 ng/mL
TESTOSTERONE= 310 250-827 ng/dL
Labs 08/29/2016 9:12 am My last dose was taking 24 hs before the Lab. I was on 1 grain of NDT + 12.5mg T3 + T4 (levothyroxine) 50 mg
TSH: 0.01 0.40-4.50 mIU/L
FT4= 0.9 0.8-1.8 ng/dL
FT3= 3.5 2.3-4.2 pg/mL
Cortisol (bloodwork)= 10.4 mcg/dL
8.10 am 4.6-20.6 mcg/dL
4-6 pm 1.8-13.6 mcg/dL
PROLACTINE: 5.2 2.0-18.0 ng/mL
Notes:
If you notice this time on my last Labs I took the test within 12 hs not 24 hs (ppl say 12 hs is the most accurate test), and my FT3 is low, but my FT4 shows kind of good range.
Questions:
1) Do you think I should raise my current NDT to 1 grain + 1/4 instead of that 1/2 + 1/4? or probably even more to raise my T3? Take into account that when I was on 1 grain and 1/2 ndt my FT3 was hight, even though the lab test was taken 24 hs not 12 hs like this time.. What do you think?
2) Why the FT4 although in range it dropped a bit in despite my same 75 mg levo? Could it be due to the 12 hs factor vs 24 hs from my latter lab tests?
3) I've been showing consistently low testosterone. But now I know it is because my Lyme disease could make hormones trouble. Do you think I still consider a pituitary problem or just fix the lyme first to decide?
Thank you