Test results - Thoughts please

[helenshubby]

Vit D down on 2000 iu/day

Rest of results below. TSH would be a delight for GP I imagine but the test flagged Helen up as pre diabetic, but this was a non fasting test, and won’t affect cholesterol testing which I reckon is OK. Thoughts please. Interestingly, both my sister (62) and Mum 86 have both been flagged as possibly pre diabetic even this is non fasting. Why are doctors going mad on this?

We could do with some emphasis on Thyroid issues.

Mean cell haemoglobin level (XE2pb) 29.6 pg [27 - 32]


Platelet count - observation (42P..) 241 10^9/L [150 - 410] Information about this test

Neutrophil count (42J..) 1.99 10^9/L [2 - 7] - Below low reference limit 


Haemoglobin concentration (Xa96v) 125 g/L [120 - 150] Information about this test

Haematocrit (X76tb) 0.38 [0.36 - 0.46] Information about this test


Mean cell volume (42A..) 90 fL [83 - 101]


Basophil count (42L..) 0.01 10^9/L [0 - 0.1]


Lymphocyte count (42M..) 1.76 10^9/L [1 - 3]


Monocyte count - observation (42N..) 0.31 10^9/L [0.2 - 1]


Eosinophil count - observation (42K..) 0.14 10^9/L [0.02 - 0.5]


Full blood count (424..) Information about this test


Total white blood count (XaIdY) 4.2 10^9/L [4 - 10] Information about this test


Red blood cell count (426..) 4.23 10^12/L [3.8 - 4.8] Information about this test

Haemoglobin A1c level - IFCC standardised (XaPbt) 42 mmol/mol [< 48] Information about this test

Bone profile Report, Borderline, Communicate Patient.

Bone profile (44Z2.)
Serum calcium level (XE2q3) 2.35 mmol/L Information about this test


Serum albumin level (XE2eA) 43 g/L [35 - 50] Information about this test


Serum adjusted calcium concentration (Xabpk) 2.31 mmol/L [2.2 - 2.6]


Serum inorganic phosphate level (XE2q4) 1.17 mmol/L [0.8 - 1.5] Information about this test

Serum alkaline phosphatase level (XE2px) 105 iu/L [30 - 130] Information about this test

Liver function tests Report, Borderline, Communicate Patient.

Serum bilirubin level (44E..) 11 umol/L [< 21] Information about this test


Serum total protein level (XE2e9) 68 g/L [60 - 80] Information about this test


Serum albumin level (XE2eA) 43 g/L [35 - 50] Information about this test


Serum alkaline phosphatase level (XE2px) 105 iu/L [30 - 130] Information about this test

Serum alanine aminotransferase level (XaLJx) 15 iu/L [< 34] Information about this test

Liver function tests (X77WP) Information about this test


Serum globulin level (XE2eB) 25 g/L [21 - 35]

GGT (Gamma Glutamyl Transferase) Report, Borderline, Communicate Patient.

Serum gamma-glutamyl transferase level (XaES3) 16 iu/L [< 38] Information about this test

Vitamin D Report, Borderline, Communicate Patient.

Serum total 25-hydroxy vitamin D level (Xabo0) 76 nmol/L [50 - 120]

Serum C reactive protein level Report, Borderline, Communicate Patient.

Serum C reactive protein level (XaINL) 2 mg/L [0 - 5] Information about this test

Ferritin Report, Borderline, Communicate Patient.

Serum ferritin level (XE24r) 315 ng/ml [23 - 300] - Above high reference limit Information about this test

Serum lipid levels Report, Borderline, Communicate Patient.

Serum lipid levels (XE2q7) Information about this test

Serum cholesterol level (XE2eD) 6.5 mmol/L [3.6 - 5] - Above high reference limit Information about this test

Serum cholesterol/HDL ratio (XaEUq) 4.9 mmol/mmol Information about this test

Serum non high density lipoprotein cholesterol level (XabE1) 5.16 mmol/L

Serum triglyceride levels (XE2q9) 1.4 mmol/L [0.5 - 1.7] Information about this test

Serum HDL cholesterol level (44P5.) 1.34 mmol/L [> 1.2] Information about this test

Calculated LDL cholesterol level (XaIp4) 4.6 mmol/L [0.4 - 3] - Above high reference limit Information about this test

Thyroid function test Report, Borderline, Communicate Patient.

Serum TSH level (XaELV) 1.36 miu/L [0.35 - 4.94] Information about this test

Serum free T4 level (XaERr) 15.2 pmol/L [9 - 19.1] Information about this test

Thyroid function test (X77Wg) Information about this test

Urea and electrolytes Report, Borderline, Communicate Patient.

Serum sodium level (XE2q0) 142 mmol/L [133 - 146] Information about this test

Serum potassium level (XE2pz) 3.9 mmol/L [3.5 - 5.3] Information about this test

Serum urea level (XM0lt) 7.2 mmol/L [2.5 - 7.8] Information about this test


Urea and electrolytes (X77Wi) Information about this test

Serum creatinine level (XE2q5) 83 umol/L [45 - 84] Information about this test

eGFR using creatinine (CKD-EPI) per 1.73 square metres (XacUK) 65 mL/min


Colloidal Silver has been recommended by a member or two of the forum but one of the sites that sells it says it might affect Levothyroxin absorption.

Have any members with sinus issues who used it had any problems?

[Jaydee1507 Administrator]

We really only need to see the thyroid and vitamin results. The rest just confuses.

So increase to 3,000iu vit d + K2 to raise level to 100-150.

Theres only TSH & FT4, no FT3 so cant tell if she is converting.

TSH is over 1.

How is Helen?

FT4 is only 61% of range so she is ready for next dose increase.

Is she supplementing B12 & folate? Latest test results?

[helenshubby in reply to Jaydee1507]

Unwell. No B12 & Folate, what makes would you recommend & quantities?

Test results (Missed out!)

Serum vitamin B12 level (XE2pf) 348 ng/L [187 - 883] Information about this test Serum folate level (42U5.) 16.8 ng/ml [3.1 - 20.5] Information about this test

[Jaydee1507 Administrator in reply to helenshubby]

Without a blood result quantities are hard to judge. Suggest she gets B12 & folate tested.

B complex suggestions: Slightly cheaper options with inactive B6:

amazon.co.uk/Liposomal-Soft...

Contains B6 as P5P an active form:

bigvits.co.uk/thorne-resear...

healf.com/products/basic-b-...

Explanation about the different forms of B6:

helvella.blogspot.com/p/hel...

B complex comparison spreadsheet:

healthunlocked.com/thyroidu...

[helenshubby in reply to Jaydee1507]

test results are in r5esonse to you

Serum vitamin B12 level (XE2pf) 348 ng/L [187 - 883] Information about this test Serum folate level (42U5.) 16.8 ng/ml [3.1 - 20.5] Information about this test

[Jaydee1507 Administrator in reply to helenshubby]

Her B12 level is actually very low as the range for B12 has a cut off point thats too low.

Low B12 will impact fatigue and a range of other symptoms significantly.

Does she have symptoms of B12 deficiency? The reference range for B12 is very wide and cut off point too low. theb12society.com/signs-and...

If you do then you should discuss this with your doctor for further tests for Pernicious Anaemia.

If not, then start with a methyl B12 sublingual spray or lozenge for a week, then add a good B complex. Once you run out of the separate B12 just continue with the B complex.

cytoplan.co.uk/vitamin-b12-...

amazon.co.uk/Better-You-Boo...

B complex suggestions: Slightly cheaper options with inactive B6:

amazon.co.uk/Liposomal-Soft...

Contains B6 as P5P an active form:

bigvits.co.uk/thorne-resear...

healf.com/products/basic-b-...

Explanation about the different forms of B6:

helvella.blogspot.com/p/hel...

B complex comparison spreadsheet:

healthunlocked.com/thyroidu...

[helvella Administrator Thyroid UK]

There is too much about colloidal silver that means it would take forever to read through it all.

But:

It does have numerous antibacterial properties.

It does have the possibility of causing numerous side effects/adverse reactions including argyria and iron deficiency!

Here is a search to wander through:

europepmc.org/search?query=...

[greygoose]

Her TSH is too high, and her cholesterol is high, so the odds are her FT3 is too low. Funny how they do all those tests and yet leave out the most important one: FT3! Because that is going to affect all the others. And they don't want you to know what that is because you might start asking awkward questions - like: can I have some T3, please?!

Her potassium is also on the low-side - eat more bananas!

[helenshubby in reply to greygoose]

My thoughts entirely when I saw the list ordered. In addition to bananas (we have one for breakfast everyday) and increasing Vit D3, starting Vit B12, K2, & folate, anything else? What sort of B12 and also should it be stopped before testing? Anything else taht should be stopped before testing.

[greygoose]

K2 and magnesium should be taken with vit D. JayDee tells you all you need to know about B12 and Folate. But don't need to stop the B12 before a test but a B complex you do, due to the biotin - just a couple of days. Apart from that, depends what you're testing.

Can't think of anything else you need to know.