My new labs!

[DrMariano2]

So, I do a “backup check” with my first treating specialist for my Hypothyroid-symptoms back since 1997 every now and then. Even if I see Dr. Hertoghe at the moment. Cause Hertoghe is 2 hours away by plane and this doc is close to where I live, so… They are both outstanding hormone docs! I only follow Dr. Hertoghes plan. I just “double check” with the local guy. Anyway, here are my latest labs while on:
2 pumps Testosterone gel 10% daily (2 grams gel, 200 mg testosterone total)35 mg DHEA every other day30 mg HC90 mg ERFA Thyroid (1 & 1/2 grains)
Blood results from 21st of July 2010:http://www.nightrangerweb.net/health/DSCF2809.JPG
I must say I am a bit shocked my S-Testosterone is that low!?!? Last time I checked it, while taking only 1 pump of gel daily, it was twice as high. HMMMMMMMM. Anything else anyone has to add?
I also have NO IDEA how my Sodium can be above the top range when I did NOT take ANY sea salt on the morning I drew the blood. I just had two small cups of water, and my HC, that’s all. Like, WHAT? Lab-error or what? I’ve usually seen LOW-RANGE sodium (136, or 137) while taking 1/2 to 1 tea spoon sea salt daily, and doing the bood draw in the EVENING, so… I just don’t get why Sodium could be so high in the MORNING!?!?!? Did my aldosterone suddenly start working much better or what???

I love Thierre Hertogue MD. I have practically memorized all of his lectures. I love his books, particularly the Hormone Handbook. It is pricey (about $400) but absolutely worth the price. About half the book are excellent references, organized by hormone and subject. He just came out with a new second edition.

He was going to become a psychiatrist. He even was in a psychiatry residency. But there were so many hormonal problems in psychiatric patients that he decided to leave psychiatry and stay in endocrinology to address mental and health problems from the specialty his family is famous for. I told him he should have stayed in psychiatry since I consider endocrinology a subset of the knowledge needed in psychiatry. But it does take a lot of work to do the research and study that he does in modern endocrinology. Creating the Hormone Handbook first edition took nearly 24-hours of work a day for five years.

My upper limit for insulin is 69 pmol/L. Higher levels indicate the presence of insulin resistance.
My lower limit for SHBG in a male adult is 20 nmol/L. Lower levels may indicate the presence of insulin resistance.
The lipid panel should include triglycerides in addition to cholesterol and fractional cholesterol levels. The reason is that this would help determine the presence of and one cause of insulin resistance – suboptimal lipid metabolism.

I’m sure Thierre would tell you that he considers that at a Vitamin B12 level of 405.90 pmol/L, neuron demyelination starts to happen. Thus, this level is where B12 starts to become low. Folic acid artificially raises B12 levels. Thus, the point it is too low and causes neuron demyelination becomes higher as folic acid levels increase.

Electrolytes are usually tightly controlled. When they are out of range, something may be seriously wrong. The most common reason a person’s sodium is high is dehydration. A Blood Urea Nitrogen and Serum Creatinine level would be helpful in determining this. Usually Thierre Hertogue would instruct patients to drink 1 to 1.5 liters of water at least 30-45 minutes before a morning lab test to reduce the risk of dehydration from sleeping all night.

A TSH > 1.0 uIU/mL generally indicates the brain is requesting more thyroid hormone.
My lower limit for Free T4 from a mental health perspective is 15.44 ng/dL
My lower limit for Free T3 from a mental health perspective is 5.08 pmol/L
A Total T4 and Total T3 would be useful in helping determine dosing when taking desiccated thyroid.
Generally Thierre Hertogue would want the total in addition to the free thyroid levels unless one also knows the levels of the binding proteins.

My upper limit for a non-stressed, resting, no previous day exercise morning Cortisol in an adult is 607 nmol/L. If one sees a higher level then the question becomes why is that person under stress?

[Jean]

I known personally Dr Hertoghe. It’s work is fantastic and he give many help for physicians who want to improve hormonal knownledges.

Optimum Hormone function is the key for many people, but sometimes is not enough

But I think he need to improve the physiology of the brain because if hormone is very important for brain function is not enough to improve everybody who have brain dysfunction.

The immun system is important, the cytokines network need more considerations.

[Author]

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