Can I be fixed? Still a bit of hope…

[DBall]

@hardasnails1973 1968 wrote:

B-12 deficeincy severe – check diet and go see GI specialist for celiac (enterolabs to confirm)
methyl b-12 injections – low thyroid causes low b-12
low cortisol – adrenal insufficency
Low ferritin – goal 125-150 (low thyroid affecting DIT)
low co2 – metabolic alkalosis – potential sleep apnea
high ft4 – thyroid pooling from low cortisol
vitamin d – low (60-70 goal) 10,000 ius of D a day for 8 weeks retest
severe hypoglycemia – chromium, adrenal imbalances low cortisol
low bun – protein malabsorption – celiac
metabolic syndrome – low thyroid primary cause.

Just need to clarify a few things…
Could all of this be celiac?
Could all of this be caused by low thyroid?
Or do you think I have a combination of issues?

Thanks again!

[hardasnails1973]

It can be caused by both so i would explore all options. We are finding celiac and gliaden sensitivity in more and more people these days.

[avast322]

I’m no doctor but I had TT levels of 227 with LH of 1.5. Everyone is different, but most (not all) people with those levels of LH are usually in the normal range in terms of TT.
HAN—Would something non-organic like stress/depression etc. usually cause hypogonadism at the testicular level or the pituitary level?

Also, don’t fall into the trap of “oh, maybe I drank too much Dr. Pepper” or “I did this wrong”…failing to look at the big picture will not only cause you to be too hard on yourself, but you may miss the underlying cause. Cutting out Diet Dr. Pepper won’t cause a miraculous rebound in your symptoms and you will probably just miss out on your favorite beverage. I’m the same way and I hate to see people fall victim to the same trap.

@DBall 1967 wrote:

Well, I can’t wait any longer. I started supplementing today and am open to suggestions of supplements as well as amounts. Thanks for your help!

I am going to pick up some iron later today but here’s what I’ve taken so far:

-5000 MCG Vitamin B12
-1000 MG Vitamin C
-2000 I.U. Vitamin D
-standard multi-vitamin and mineral formula
-I already take prescirption fish oil called Lovaza

What else should I be taking?

Here’s my labs with ranges. If there are multiple results they go from oldest to newest, left to right.

I am going to see a Dr. Mariano in california in a few weeks. Hopefully he will be able to help. I am just sick and tired of being exhausted, unmotivated, etc. Any suggestions, comments would be appreciated.

I bolded items I thought stood out even if some are in range. Some are obviously out of range too.

insulin-Like Growth Factor 198 115-307
LH 7.6 1.5-9.3
FSH 3.5 1.4-18.1
Growth Hormone, Serum <0.1 0.0-6.0
Prolactin 7.0 2.1-17.7
Ferritin, Serum 17 22-322
Cortisol AM 11.6 4.3-22.4
Glucose, Fasting 76 65-99
Glucose, 1 hour 92 65-199
Glucose, 2 hour 66 65-139
Glucose 83 70-110 87 65-99 83 65-99
Uric Acid 5.6 2.4-8.2 7.1 2.4-8.2
BUN 9 7-25 14 5-26 9 5-26
Creatine 1 .5-1.5 1.01 .76-1.27 1.06 .76-1.27
BUN/Creatine Ratio 14 8-27 8 8-27
Calcium 8.8 8.2-10.4 8.9 8.5-10.6 9.1 8.5-10.6
Phospherus 3.1 2.5-4.5 2.8 2.5-4.5
Total Protein 6.5 6.0-8.0 6.7 6-8 6.8 6-8.5 6.1 6-8.5
Albumin 4.7 3.2-5.0 4.8 3.2-5 4.2 3.5-5.5 3.9 3.5-4.5
Total Globulin 2.6 1.5-4.5 2.2 1.5-4.5
A/G Ratio 1.6 1.1-2.5 1.8 1.1-2.5
Total Bilirubin .7 0-1.2 .7 0-1.2 .5 .1-1.2 .3 .1-1.2
Direct Bilirubin .1 0.0-.3 .12 0-.4 .09 0-.4
Indirect Bilirubin .38 .1-.8 .21 .1-.8
Alkaline Phosphatase 67 40-120 62 40-120 119 25-150 106 25-150
LDH 156 100-250 147 100-250
AST (SGOT) 21 3-45 27 3-45 16 0-40 14 0-40
ALT (SGPT) 28 3-45 27 3-45 15 0-55 12 0-55
GGT 22 0-65
Sodium 139 131-145 139 135-145 141 135-145
Potassium 3.8 3.5-5.6 3.9 3.5-5.2 4.2 3.5-5.2
Chloride 105 98-110 103 97-108 104 97-108
CO2 24 22-31 19 20-32 19 20-32
Cholesterol 182 140-200 169 140-200 179 <200 160 100-199
Triglycerides 280 25-150 138 25-150 287 <150 198 0-149
HDL 32 40-60 37 40-60 29 >40
Cholest/HDL Ratio 5.69 2-4.5 4.57 2-4.5
LDL 94 70-130 104 70-130 93 <100
LDL-P 2239 <1000
Small LDL-P 1870 <600
LDL Particle Size 20.1 Pattern A
Large HDL-P .8 >3.9
Large VLDL-P 5.9 <5
TSH, Ultra Sensitive 2.3 .4-5.5 3.497 .45-4.5 2.000 .45-4.5
T4 Free 1.42 .61-1.76 1.31 .61-1.76
T3 Free 4.2 2.3-4.2
Anti-Thyroglobulin Ab <1.0 Negative
Anti-Thyroid Peroxidase Ab 1.6 0-20
Calcitrol 43.3 15.9-55.6
Vitamin D, 25-Hydroxy 25.4 32-100
Vitamin B12 339 211-911
Testosterone, Serum 227 241-827
WBC 5.0 4.3-10.0 6.5 4-10.5 5.3 4-10.5
RBC 5.62 4.5-6 5.91 4.1-5.6 5.91 4.1-5.6
Hemoglobin 16.2 13-18 15.9 12.5-17 15.3 12.5-17
Hematocrit 46.8 39-54 46.3 36-50 45.6 36-50
MCV 83.2 80-100 78 80-98 77 80-98
MCH 28.8 27-34 26.8 27-34 25.9 27-34
MCHC 34.6 32-36 34.3 32-36 33.5 32-36
Red Cell Distribution 11.9 7-16
RDW 14.1 11.7-15 14.4 11.7-15
Platelet Count 212 135-450 258 140-215 277 140-415
Mean Platelet Volume 8.1 6.9-10.9
Absolute Neutrophils 2.9 1.8-7.8
Segmented Neutrophils 53.7 42-71 65 40-74
Absolute Lymphocytes 1.8 .7-4.5
Lymphocytes 35.7 24-44 27 14-46
Absolute Monocytes .4 .1-1.0
Monocytes 7.1 2-12 7 4-13
Absolute Eos .2 0-.4
Eosinophils 3.1 0-8 1 0-7
Absolute Baso 0 0-.2
Basophils 0.4 0-2 0 0-3

Urine
Specific Gravity 1.010 1.005-1.030
pH 6.5 5-7.5
Urine-Color Yellow Yellow
Appearance Clear Clear
WBC Esterase Negative Negative
Protein Negative Neg/Trace
Glucose Negative Negative
Ketones Negative Negative
Occult Blood Negative Negative
Bilirubin Negative Negative
Urobilinogen, Semi-Qn .2 0-1.9
Nitrite, urine Negative Negative
Folate, Serum 14.2 >5

[DBall]

@avast322 2052 wrote:

I’m no doctor but I had TT levels of 227 with LH of 1.5. Everyone is different, but most (not all) people with those levels of LH are usually in the normal range in terms of TT.
HAN—Would something non-organic like stress/depression etc. usually cause hypogonadism at the testicular level or the pituitary level?

Also, don’t fall into the trap of “oh, maybe I drank too much Dr. Pepper” or “I did this wrong”…failing to look at the big picture will not only cause you to be too hard on yourself, but you may miss the underlying cause. Cutting out Diet Dr. Pepper won’t cause a miraculous rebound in your symptoms and you will probably just miss out on your favorite beverage. I’m the same way and I hate to see people fall victim to the same trap.

I think someone mentioned they thought that could mean I am primary low T but I’ve never had any trauma or anything, no lumps, etc.

I go to see Dr. M tomorrow. I can’t wait!!

[DBall]

I saw Dr. Mariano on Friday. I don’t know how much I can say so I’ll be conservative. He mapped out a treatment plan that I am starting on right away. I am going to take some meds that I need but I can change some things too, like my diet. I have already started that, elminating grains and caffeine. I am going to pickup “Nourishing Traditions” soon so I can figure out what else is ok to eat. It’s not going to be easy but I’m so sick of not feeling well that I am willing to tough it out.

Dr. Mariano was very professional and he’s the first doc I’ve ever trusted in any way. He just doesn’t think like all the others. He considers how you feel and how you act which most doctor’s don’t.

[Author]

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