Hi I've had some results recently and was just hoping for some advice on a few things that are concerning me.
After the first 2 test results my gp said once my b12, folate and vit d had been treated we could trial levo if still symptomatic. In all honesty I don't really feel much different. However I'm concerned that because my TSH seems to be dropping she might say no. Even though my T3 has also dropped slightly but still looks ok I think?
Anyway I'm 25 and have been struggling with weight gain for a good few years. I've tried dieting and increasing exercise but it just makes me so exhausted I can't function. I do have an active job as a physio. My diet isn't perfect (who's is?) but it's not bad either so I can't understand why my cholesterol is high and it's really worrying me. I'm only 25! I've had a look through here and some say their cholesterol has come down naturally with levo. Could it be caused by my thyroid? Even when my results aren't that bad?
Finally the results flagged that one of my hormones were high and possibly indicative of PCOS. However, it's assumed I have a 28 day cycle which I never have done and was in the luteal phase. My cycle is normally around 34 days but the last 8 months or so I've been really irregular. I had 6 months of having one period every 2 months (with light spotting when I should have had the missed one) then once started vit d supplements they returned to monthly (may be coincidence) but are still irregular (+/-3-4 days), lasting a week with a week of heavy spotting prior.
How do I know what phase I was in or is this just a sign and difficulty with PCOS? I've had a look at the PCOS forum but there isn't much mention of actual results. I know it can be linked to thyroid in some way so hoping someone here may know.
My results are below
DEC 16:
TSH H 5.03 (0.27 - 4.20) mIU/L
Free T4 14.52 (12 - 22) pmol/L
Free T3 5.43 (3.1 - 6.8) pmol/L
JAN 17:
CRP H 11.30 (<5.0 mg/L)
Ferritin H 188.9 (20 - 150 ug/L)
TSH H 4.77 (0.27 - 4.20) mIU/L
T4 Total 77.2 (64.5 - 142.0) nmol/L
Free T4 12.57 (12 - 22) pmol/L
Free T3 4.96 (3.1 - 6.8) pmol/L
Anti-Thyroidperoxidase abs H 80.6 (<34)kU/L
Anti-Thyroglobulin Abs H 565.1 (<115) kU/L
Vitamin D (25 OH) L 20
(Deficient <25 nmol/L Insufficient 25 - 50
Consider reducing dose >175)
Vitamin B12 L 238 (Deficient <140 pmol/L Insufficient 140 - 250 Consider reducing dose >725)
Serum Folate L 8.31 8.83 - 60.8
March 17 (Latest):
HAEMOGLOBIN (G/L) 148 g/L (115.00 - 155.00
)
HCT 0.439 (0.33 - 0.45
)
RED CELL COUNT 4.63 x10^12/L (3.95 - 5.15
)
MCV 95 fl (80.00 - 99.00
)
MCH 31.9 pg (26.00 - 33.50
)
MCHC (G/L) 337 g/L (300.00 - 350.00
)
RDW 13.0 (11.50 - 15.00
)
WHITE CELL COUNT 7.9 x10^9/L (3.00 - 10.00
)
NEUTROPHILS 3.91 x10^9/L (2.00 - 7.50
)
LYMPHOCYTES 3.29 x10^9/L (1.20 - 3.65
)
MONOCYTES 0.47 x10^9/L (0.20 - 1.00
)
EOSINOPHILS 0.16 x10^9/L (0.00 - 0.40
)
BASOPHILS 0.06 x10^9/L (0.00 - 0.10
)
PLATELET COUNT 222 x10^9/L (150.00 - 400.00
)
MPV 9.1 fl (7.00 - 13.00
)
CRP - HIGH SENSITIVITY 0.7 mg/L (0.00 - 5.00
)
SODIUM 138 mmol/L (135.00 - 145.00
)
UREA 4.6 mmol/L (1.70 - 8.30
)
CREATININE 84 umol/L (49.00 - 92.00
)
ALKALINE PHOSPHATASE 50 IU/L (35.00 - 104.00
)
ASPARTATE TRANSFERASE 23.2 IU/L (0.00 - 31.00
)
ALANINE TRANSFERASE 20.5 IU/L (10.00 - 35.00
)
CK 71 IU/L (26.00 - 140.00
)
GAMMA GT 19 IU/L (6.00 - 42.00
)
BILIRUBIN 18.4 umol/L (0.00 - 20.00
)
TOTAL PROTEIN 74.8 g/L (63.00 - 83.00
)
ALBUMIN 44.5 g/L (34.00 - 50.00
)
GLOBULIN 30.3 g/L (19.00 - 35.00)
CALCIUM 2.50 mmol/L (2.20 - 2.60
)
CORRECTED CALCIUM 2.41 mmol/L (2.20 - 2.60
)
URIC ACID 260 umol/L (175.00 - 363.00
)
HBA1C (MMOL/MOL) 31.00 mmol/mol (20.00 - 42.00
)
IRON *29.85 umol/L (6.60 - 26.00
)
T.I.B.C 59.85 umol/L (41.00 - 77.00
)
TRANSFERRIN SATURATION 49.87 % (20.00 - 55.00
)
FERRITIN 74.47 ug/L (13.00 - 150.00
)
TRIGLYCERIDES 1.48 mmol/L )0.00 - 2.30
)
CHOLESTEROL *5.51 mmol/L (0.00 - 4.99
)
HDL CHOLESTEROL *1.16 mmol/L (1.20 - 1.70
)
LDL CHOLESTEROL *3.68 mmol/L (0.00 - 3.00
)
HDL % OF TOTAL 21.05 % (20.00 - 100.00)
THYROID STIMULATING HORMONE *4.64 mIU/L (0.27 - 4.20
)
FREE THYROXINE 14.01 pmol/L (12.00 - 22.00
)
Free T3 4.9 (3.1-6.8)
OVARIAN/GUT ANTIGEN CA125 16.57 KIU/L (0.00 - 35.00
)
FOLLICLE STIM. HORMONE 7.55 IU/L
Ref Range: Follicular 3.5 - 12.5
Ref Range: Mid-cycle 4.7 - 21.5
Ref Range: Luteal 1.7 - 7.7
Ref Range:Post-meno 25.8 - 134.8
LUTEINISING HORMONE * 46.75 IU/L
Ref Range: Follicular 2.4 - 12.6
Ref Range: Mid-cycle 14.0 - 95.6
Ref Range: Luteal 1.0 - 11.4
Ref range: Post-meno 7.7 - 58.5
17-BETA OESTRADIOL 435.6 pmol/L
Ref Range: Follicular 98 - 571
Ref Range: Mid-cycle 177 - 1153
Ref Range: Luteal 122 - 1094
Ref Range: Post-meno < 183
VITAMIN B12 *>1083 pmol/L (140.00 - 724.00
)
FOLATE (SERUM) >19.98 ug/L (3.89 - 26.80
)
25 OH VITAMIN D 81.08 nmol/L (50.00 - 200.00
)
Interpretation of results:
Deficient <25
Insufficient 25 - 49
Normal Range 50 - 200
Consider reducing dose >200
Thank you