[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.

[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]

@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!

[DBall]

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]

Don’t know if this is a symptom of anything or not but something that has seemed odd to me. I am a full inch shorter than I was 15 years ago. I didn’t check my height for years but when it was checked at couple of different doctors they said I was 5’9″ and I even asked them to double check. I used to be 5’10” in high school and at doctor visits when I was younger. Maybe it’s just a sign of aging? I’m 35 now. Anyone know if this is a symptom or sign of anything?

[DBall]

@hardasnails1973 1777 wrote:

In the past I have dealt with this type of case where the patient’s body had incredible high inflammation with CRP of 52 the highest I have ever seen. When looking back at the person case history and his behavior patterns I notice he drank diet dr pepper as well. When I asked him how much i was expecting may be 2-3 a day, but it was calculated to be 5 gallons a week for over 3 years. When muscle testing him for fish oil he needed 20 pills a day of carlsons brand. I told him to just take 10 untill i get testing back. When testing came back he was so low in EPA and DHA it was barely even measuring in the blood cells. His PLA2 was off the rocker at 2 times the higher limit. This person was on so many different psychomeds it was sad when the root cause of his depression was really excessive inflammation from the diet Dr pepper and asparatame exposure. Even on spectracell it verified low vitamin E, coenyame Q10 and other markers for inflammation. He needed a heavy detox and cut the soda to water, but was un willing to stay the course for proper plan of action. To this day I have not heard from him, but just be aware of how this can impact the psychological well being of a person.

Well, I will start weening myself off of caffeine. I don’t think it’s the root of all my issues but certainly can’t be helping. Hopefully I can get into see Dr. Mariano (as long as I can afford it) in the near future. I feel worse than ever. For some reason, the past few months have been really bad. Don’t know what’s changed so suddenly but I can’t keep this up.

[DBall]

@Geno 1769 wrote:

Please don’t get offended because believe me dude, I would like to help you, as I have searched for help myself for many, many years !! And yes, I have finally had gotten sooooo depressed, tired, and downright fed up with receiving “The minimum/and/or a Ban-Aid” type of treatment for about 13 or so years from various doctor’s from various disciplines, which after doing my own research and study of “My symptoms” and ailments, very similar to yours, and I have complete Health and Prescription Insurance which has paid for at least 20 different doctors, and at least (50 prescription medications !!!!!!) Yes! FIFTY (50) DIFFERENT types of Rx Medications, which either did not help, or made things worse for me ! Well my friend, even though I am on SSI Disability, Medicare-Medi-Cal, Unable to work etc…. 46 yrs old and live on a Government SSI check of$850.00 per month, I found Dr. M, which I am lucky to live in the same county as his office, and I didn’t pay my vehicle registration, skipped a month on my car insurance, didn’t pay my rent for a month etc…. and I used whatever money I could scrape up to go and see Dr. M !!! Guess what, In 1 or 2 office visits with him, I was treated Medically, diagnosed etc… and put on a treatment plan etc… ‘BETTER THAN 20 other Doctors and 13 years or more of searching for “The Proper Medical Treatment” If you are fed up with how you feel about your health Doug, I think it would be worth it to travel to California to see him. It may be an “Out of Pocket” expense, but you must decide yourself what is more important to you!! For me, I felt better just meeting ” A True Physician” in Dr. M. Do your homework Doug, you are worth it! My 2 cents would be, and don’t be offended please, If you need to loose some weight, try to do it! If you drink too much alcohol, cut down, or try to quit, drugs???? Believe me dude, I was ready to give up on “The healthcare system” and I lost faith in alot of Doctor’s that have “Went thru the motions of “Treating Me” etc… Only you can truly decide on “What’s best for you” Good Luck! And “NO” I don’t work for Dr. M nor do I have any kind of deal in promoting him etc… Just trying to help someone out like Doug, who seems to truly want to be helped. Reading thes Forums on the site is a great place to start in educating yourself on health matters.

I agree that I need to drop a few pounds but I am by no means obese. Just a little overweight. I don’t eat the best and don’t get much exercise besides some walking at work. I don’t do drugs though, at all and rarely drink alcohol. I used to smoke but that was over 8 years ago. Besides that, I can’t think of any other influences on my symptoms and labs. I personally feel there are a lot of people that feel a lot better than I do that are in a lot worse shape then me. It just doesn’t seem proportional, if that makes sense?

[DBall]

Ok, I sent an email to inquire about making an appointment. I feel optimistic that I can get things worked out.

I would love to hear what some of you think about my labs and possible causes…

Also, I drink soda several times a day. Could that be the cause of all my problems? I love diet dr.pepper and probably drink 5 or 6 cans a day. Doesn’t seem to keep me up though. I can drink soda before bed and fall right asleep. I am also a meat eater. I’ve had several people look at my labs and ask if I was a vegetarian. Also, I am taking a low dose of a SNRI while a I try to wean off. Haven’t had much luck with anti-depressants.

Take care,
Doug

[DBall]

In the meantime, you can start taking vitamin D at 5000 iu to bring up your levels.

I have the phone number from Phil but I don’t have the email address. Can you give it to me? Thanks!!

I would be more than happy to go to California if I thought it would help me.

[DBall]

@wondering 1736 wrote:

oh yes, you can be helped.

Your Cortisol is low, Ferritin is low, Testosterone is low, Vitamin D3 is low.

Who knows what else is buried in there, but these are biggies. How can a Dr. miss these? amazing.

Where are you from?

I’m glad somebody else feels the same way. I don’t know how none of these ever seem to standout to doctors. Very frustrating. I live in Las Vegas and don’t have much hope of finding a good doc here. Phil recommends Dr. M, so I would just have to drive into California. Dr. M, if you read this, I would love to know what you thinkg. Can’t wait to here advice and suggestions from all of you too.

Thank you!! I finally feel like I’m connecting with people who understand.

Doug

[DBall]

@hardasnails1973 1724 wrote:

Doug,
Welcome to one of the most informational site on the internet. You will learn more here in one week then you will have over past year on other sites. Please feel free to tell us about your issue so we can give our input based upon our own experience and clinically. We encourage to post about your current condition in our hormone section.

Thanks. I already posted in the general health topic forum. Should I repost in the Hormones forum. I would love to get feedback on my symptoms/labs.

Thanks again.

Doug

[Author]

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