Hello
I have posted before on my daughter but wasn't sure if i had to post there or a new post. Apologies if i have it wrong. You were all helpful last time. Thanks again
After a high cortisol result from Blue Horizon we finally managed to get the doctor to do a 24 Hour urine cortisol test. I have spent a while googling but no wiser. I wondered if anyone here had any input they could give me. She is in range but are these results ok does anyone know? I will attach her previous blood results here too in case they are helpful
Serum cortisol level 230 nmol/L [140.0 - 700.0]
The Doctor generally puts no further action despite knowing that she feels rubbish still. She was diagnosed with unilateral PCOS at Christmas but has normal periods generally. She takes Myo-inositol already. Thinking we need to see someone private as don't seem to be getting anywhere GP wise and was told no referral as results seem ok. She cant sleep well, mood is low, she aches, eats very healthily and exercises four to five times a week but is still gaining weight, on top of other things.
Her HbA1c is 37 mmol/mol [20.0 - 41.0] A few months before this it was 39. GP says no issues, I am worried she is in the top of the range. They did do a fasting bloods this week to see but no results back yet for those. Should we be worried about this level?
Her Serum folate level is now 8.4 ug/L [4.0 - 27.0] after being at 2.2 and then put on prescribed supplementation. This still seems the lower end but maybe takes a while to get back up?
Nhs Results below were the same week (March)as Blue Horizon results attached above and have differences between TSH and B12 levels. Blue horizon ones seem higher on TSH but lower on B12, with ranges around the same.
Serum urea level 6.3 mmol/L [2.5 - 7.8]
Serum sodium level 140 mmol/L [133.0 - 146.0]
Serum potassium level 4.9 mmol/L [3.5 - 5.3]
Serum creatinine level 65 umol/L [45.0 - 84.0]
ACUTE KIDNEY INJURY 0; AKI Stage 0 -report without Alert (6)
ESTIMATED GFR (CKD-EPI) > 90 mL/min/1.73m2;
Bone profile
Serum calcium level 2.44 mmol/L [2.2 - 2.6]
Serum albumin level 41 g/L [35.0 - 50.0]
Serum inorganic phosphate level 1.25 mmol/L [0.8 - 1.5]
Serum alkaline phosphatase level 76 u/L [30.0 - 130.0]
Serum adjusted calcium concentration 2.41 mmol/L [2.2 - 2.6]
Liver function tests
Serum total protein level 73 g/L [60.0 - 80.0]
Serum total bilirubin level 3 umol/L [< 21.0]
Serum alanine aminotransferase level 23 u/L [10.0 - 35.0]
Serum TSH level 1.94 mIU/L [0.27 - 4.2] (1.78mlU/L in november)
Serum C reactive protein level 4 mg/L [< 7.0]
Blood haematinic levels
Serum vitamin B12 level 441 ng/L [130.0 - 800.0]; Samples should not be taken from patients
receiving therapy with high biotin doses
Appreciate this is a lot of info and questions. Just trying to find my way through it all. My head is bursting with all the information i have tried to google.
Many thanks
Karen