Help with bloods please

[Licklemoose]

I used to be on here under mandy72

Help with bloods pleaseBreathless, slow heart rate (dipping as low as 50) dizzy and nausea...... Reason for the blood tests apart from when I was at Dr's heart rate was low 60, ecg and chest xray all good

Full blood count

Haemoglobin concentration 142 g/L [115.0 - 165.0]

Red blood cell count 4.69 10*12/L [3.8 - 5.8]

PCV 0.432 [0.37 - 0.47]

Mean cell volume 92.1 fL [83.0 - 101.0]

Mean cell haemoglobin level 30.3 pg [27.0 - 32.0]

Mean cell haemoglobin concentration 329.0 g/L [288.0 - 352.0]

RDW 12.2

Total white blood count 7.7 10*9/L [4.0 - 10.0]

Neutrophil count 4.69 10*9/L [2.0 - 7.0]

Percentage neutrophil count 60.9

Lymphocyte count 2.22 10*9/L [1.0 - 3.0]

Percentage lymphocyte count 28.8

Monocyte count - observation 0.60 10*9/L [0.2 - 1.0]

Percentage monocyte count 7.8

Eosinophil count - observation 0.13 10*9/L [0.02 - 0.5]

Percentage eosinophil count 1.7

Basophil count 0.06 10*9/L [0.0 - 0.1]

Percentage basophil count 0.8

Platelet count - observation 299 10*9/L [150.0 - 400.0]

Liver function tests

Serum albumin level 43 g/L [35.0 - 52.0]

Serum alkaline phosphatase level 49 u/L [30.0 - 120.0]

Serum alanine aminotransferase level 34 u/L [< 35.0]

Serum total bilirubin level 7 umol/L [5.0 - 21.0]

Serum total protein level 71 g/L [66.0 - 83.0]

Bone profile

Serum calcium level 2.29 mmol/L [2.2 - 2.65]

Serum inorganic phosphate level 1.04 mmol/L [0.81 - 1.45]

ADJUSTED CALCIUM Inappropriate to calculate unless albumin <36 g/L

Urea and electrolytes

Serum sodium level 137 mmol/L [136.0 - 146.0]

Serum potassium level 3.69 mmol/L [3.5 - 5.1]

Serum urea level 3.1 mmol/L [2.8 - 7.2]

Serum follicle stimulating hormone level

Serum follicle stimulating hormone level 45.1 iu/L

FSH COMMENT Interpretive guidance in females:

Mid-Follicular 3.9 - 8.8 IU/L

Mid-Cycle Peak 4.5 - 22.5 IU/L

Mid-Luteal 1.8 - 5.1 IU/L

Postmenopausal 16.7 - 114.6 IU/L

Hormone values vary widely during perimenopause

and are unreliable in assessment of menopausal

status. Please do not repeat.

Serum oestradiol level 56 pmol/L; N.B. New oestradiol method, started 22/08/2018,

restandardised to JCTLM reference method. Results

may vary from previous method. Please contact Dr.

Patel if you wish to discuss

Mean platelet volume 9.9 fL

Nucleated red blood cell count 0.0 /l00 WBCs

Serum cholesterol/HDL ratio

Serum cholesterol level 5.01 mmol/L [3.5 - 5.2]

Serum HDL cholesterol level 0.98 mmol/L [1.7 - 2.2]; Below low reference limit

NON-HDL CHOLESTEROL 4.03 mmol/L

NON- HDL COMMENT In patients with CVD, optimise lipid lowering

therapy with high intensity statin +/- ezetimibe

to reduce non-HDL to below 2.5 mmol/L (see 'NHSE

Summary of National Guidance for Lipid Management

- July 2021

[SlowDragon Administrator]

You need TSH, Ft4, Ft3, vitamin D, folate, ferritin and B12 tested

None of these seem to have been tested

Are you still taking Levothyroxine and T3

How much and which brands

Make sure you test early morning

Last dose levothyroxine 24 hours before test

Day before test split T3 as 3 smaller doses spread through the day with last 1/3rd of daily dose 8-12 hours before test

What vitamin supplements are you taking

[Licklemoose in reply to SlowDragon]

These were done in maySerum ferritin level 111 ug/L [11.0 - 307.0]

SERUM B12 AND FOLATE

Serum vitamin B12 level 683 ng/L [180.0 - 915.0]

Serum folate level 5.0 ug/L [3.1 - 19.9]

SERUM FOLATE COMMENT Please note new reference range due to

restandardisation to World Health Organisation

(WHO)International Standard 03/178

Normal 4.0-19.9

Borderline 3.1-4.0

Low < 3.1

Serum TSH level 1.84 U/mL [0.38 - 5.33]

I'm on 150 thyroxine 20 t3

Looking at my results it seems sodium and potassium are low and reading on it I have all the symptons

I did request vit D be checked but it was refused

[SlowDragon Administrator in reply to Licklemoose]

what vitamin supplements are you taking

Folate’s too low

Are you taking Daily vitamin B complex

Obviously you need to test TSH, Ft4 and FT3 together

Split T3 day before test 10mcg, 5mcg and 5mcg

Last 5mcg dose 8-12 hours before test

Do you normally split T3?

[kiefer]

Could you list all prescription medications you're taking besides T4 and T3?

Are you taking a statin? If so:

"Statin drugs may falsely lower the serum TSH without altering thyroid function. The cause of this phenomenon is not known."

jnm.snmjournals.org/content...

Since doctors almost exclusively use the TSH level to determine thyroid hormone dosing, you're at an even bigger disadvantage if your TSH result is skewed lower.

Common side effects of statins:

headache.

dizziness.

feeling sick.

feeling unusually tired or physically weak.

digestive system problems, such as constipation, diarrhoea, indigestion or farting.

muscle pain.

sleep problems.

low blood platelet count.

[RedApple Administrator]

Licklemoose, in case you hadn't realised, your previous account is still here 'I used to be on here under mandy72' healthunlocked.com/user/man...