blood tests and DXA scan

[Lottyplum]

Following blood tests and a DXA scan I finally have results from the Endo. Re scan it states: T-scores have been reported as -1.3 at the left neck of fear and -1.9 at the lumbar spine. The calculated 10 years probability of a major osteoporotic fracture and that of a hip fracture is below intervention threshold as recommended by NOGG.

Her other bloods including pituitary function tests were normal with the FSH and LH in keeping with a post menopausal state. Her Vit B12, folate, ferritin,HbA1c, urea and electrolytes, Vit D and bone profile were also normal. WBC was a little low being 3.92 but the rest of her full blood count was satisfactory.

Full blood count:

WBC 3.92 (4.00-11.00). 10*9/1

Hgb 131 (115-165) g/L

Platelets 179 (140-440) 10*9/1

RBC. 4.32 (3.8-5.8) 10*12/1

Hct 0.368 (0.370-0.470) Ratio

MCV. 85.2 (82.0-98.0) f1

MCH. 30.3 (27.0-32.0) pg

RDW. 11.8 (11.8-14.0) %

Neutrophils 2.05 (1.60-7.50) 10*9/1

Lymphocytes 1.51 (1.00-4.00) 10*9/1

Monocytes. 0.29 (0.20-1.00) 10*9/1

Eosinophils. 0.05 (0.04-0.44) 10*9/1

Basophils. 0.02 (0.00-0.10) 10*9/1

Uncleared RBC 0.00 (0-0.01) 10*9/1

Total Calcium 2.40. mmo1/L

Inorg Phosphate 1.22 (0.80-1.50) mmo1/L

Alk Phosphatase. 88 (30-130) U/L

Albumin. 45 (35-50) g/L

Adjusted calcium 2.42 (2.20-2.60) mmo1/L

Sodium 141 (133-146) mmo1/L

Potassium 4.6 (3.5-5.3) mmo1/L

Urea 4.9 (2.5-7.8) mmo1/L

Creatinine 53 (45-84) umo1/L

eGFR >90

eGFR comment Estimated GFR calculations are not valid if creatinine is changing in acute disease

HbA1c 34 In known diabetics a result <48 mmo1/mol indicates good glycemic control. For diagnosis HbA1c <42 mmo1/mol is not consistent with DM but patient may still be at high risk. Note that HbA1c measurement is contraindicated in some patients. Contact the Duty Biochemist if further information is required.

Vit B12 519 (200-900) ng/L

Ferritin 141 (12-300) ug/L

Serum Folate 7.4 (3.9-19.8) ug/L

TSH <0.02 (0.35-5.00) mU/L

Free T4 20.5 (11.0-23.0) pmo1/L

Total Vit D. 121 (50-150) nmo1/L

Luteninising Hormone 30.2 Ref. range Follicular Phase 2.4-12.6 IU/L

FSH 78.2 Ref Range: Follicular Phase 2.5-10.2 IU/L Post menopausal >35 IU/L

Prolactin 300 mU/L (<496)

Insulin-Like GF-1 16 (4-23) nmol/L

Cortisol 290 Reference range 166-507 nmol/L (0600h to 1000h);

74-291 nmol/L (1600h-2000h) nmol/L

Any help in interpreting and understanding much of the above would be gratefully received. Endo did ring me not long after the blood tests (which were taken at lunch time after my appointment with her) to say everything ‘normal’, whatever that means! Had to wait for DXA result which came with sheets and sheets of the blood test results. I trust I have copied all the info correctly! Btw, my TSH has been suppressed for years.

Thank you.

[SlowDragon Administrator]

How do you feel

Was test done early morning and last dose levothyroxine 24 hours before test

Do you always get same brand levothyroxine at each prescription

How much levothyroxine or other replacement thyroid hormones are you currently taking

No Ft3 result so it’s meaningless results

cheapest option for just TSH, FT4 and FT3

£29 (via NHS private service ) and 10% off down to £26.10 if go on thyroid uk for code

thyroiduk.org/getting-a-dia...

monitormyhealth.org.uk/

Only do private testing early Monday or Tuesday morning. 

Watch out for postal strikes, probably want to pay for guaranteed 24 hours delivery 

What vitamin supplements are you currently taking

Cortisol possibly low….depending on time of test

[Lottyplum in reply to SlowDragon]

Test was done at lunchtime after my Endo appt and was done 24 hrs after last thyroxine. I’m currently taking 175mg reduced (after 40 yrs on 200mg). Don’t always get same brand of Levothyroxine and it’s difficult as a very large pharmacy attached to medical centre. The first time ever, after asking and asking had FT3 in May this year. It was 3.9. I don’t function well unless FT4 is 22/23. Thyroidectomy 40 yrs ago. Moved house and GP surgery and all gone belly up since then. Suppressed TSH so I must be over medicated. Reduced medication resulted in all the symptoms of under active thyroid. Not Pleasant at all and weight gone up like crazy even though try to get in my 10000 steps each day (used to jog every day). I’m 73. No other health issues. Thank you.

[SlowDragon Administrator in reply to Lottyplum]

First step is to get FULL thyroid levels tested

Test early Monday or Tuesday morning

Watch for post strikes

Monitor My Health Is cheapest and currently on offer

needs using in Jan latest

healthunlocked.com/thyroidu...

Very common to need addition of T3 prescribed as we get older

When adequately treated Ft3 should be at least 50-60% through range

Come back with new post once you get results

Email Thyroid U.K. for list of recommended thyroid specialist endocrinologist and doctors who will prescribe T3 alongside levothyroxine

[e-mail]

Adding T3 almost always reduces TSH, so you need an endocrinologist to over rule GP…..otherwise GP will reduce levothyroxine further