Looking for information on my daughters blood work

[Monkeo]

Hi everyone, I’m new to this forum and looking for some advice if possible. My daughter is 19 years old. She was feeling unwell in the early fall 2019. Symptoms were anxiety, night sweats, hand tremors feeling exhausted but couldn’t sleep, irregular periods. She does take Zoloft for depression. We went to the doctors, she increased her dose of Zoloft and it helped a little bit. Had blood drawn definitely thinking her iron or B12 were low. They both came back well into the upper range. Doctor sent her for more blood work as I mentioned to her that thyroid troubles are on both sides of the family.

Blood work Nov 18th 2019

TSH 0.24 (0.32-4.00) mu/l

DHEAS 10.6 (<9.8) umol/l

Estradiol 144 pmol/l ( had test done during follicular stage ref: 77-921 pmol/l

Testosterone 15 (<56 pmol/l)

Had more bloodwork due to low TSH

Nov 27 2019

TSH 0.33

FT4 11 (9-19 pmol/l)

FT3 4.3 (2.6-5.8 pmol/l

Thyroglobulin antibody <10 ref <40 KIU/L

Thyroperoidase antibody <10 ref <35

Erythrocyte sed rate 2 (2-30 mm/hr)

Doc wanted to wait a couple of months to see if things change.

Feb 4 2020

TSH 0.43

FT4 11 (9-19 pmol/l)

FT3 5.1 (2.6-5.8)

FSH 6.4 IU/l (3.0-8 follicular stage)

LH 4.0 IU/l (2.0-12.00 follicular stage)

Doctor said everything is normal but she still doesn’t feel like herself at all. Any advice would be much appreciated!! Thank you!!

[Marz]

Was Ferritin - VitD and Iron tested ?

Have you found Kelly Brogan and her website ? She has quite a bit to say about Zoloft ...

How is your daughters diet - big connection between the gut and depression ...

[Monkeo in reply to Marz]

Hi Marz thank you for the information. Her iron and ferritin were good. Not sure about the VitD. I will check out the post from Kelly. Thank you

[Marz in reply to Monkeo]

How good is good ? I appreciate you are new to to the Forum - but you will soon see that everyone likes the result with the range. Without we are guessing !

How is your daughters diet ?

[Monkeo in reply to Marz]

Thank you, here is some more information.

Iron Plasma 17 umol/l (6-27)

Total iron binding 65umol/l ( 45-77)

Transferrrin saturation 0.26 (0.20-0.50)

Hemoglobin 151 g/L (110-169)

B12 348.0 pmol/l ( >220)

Thank you for your help!!

[Marz in reply to Monkeo]

B12 would be better over 500 to prevent cognitive decline and neurological symptoms. Could it Be B12 - film and book by Sally Pacholok - film on YouTube !

I am not an Iron expert - but the results look OK. Folate ? VitD ?

Diet ? Gut issues ?

[Monkeo in reply to Marz]

No blood work for folate or vit D unfortunately. Her diet is good, she eats pretty healthy. No gut issues. Thank you Marz for the information

[Marz in reply to Monkeo]

So is she supplementing B12 ? Maybe a GOOD B Complex would help the B12 level and provide Folate/B9/Folic Acid. B12 and Folate work together in an important way in the body. If B12 is low then it could suggest that Folate and VitD will also be low ...