I am 35 years old. I am a little overweight but not obese. Don't have the energy to exercise or do much of anything. Biggest symptoms are depression, fatigue, heat intolerance, sweating, and memory problems. There are many other smaller symptoms too like dry skin, aches and pains, etc. I've been to a few different doctors this year and so far I don't think any of them have a clue including an Endo I went to. He wanted to start me on clomid for low t but didn't even address my low ferritin. I think he should have done an MRI too just to eliminate any chance of a pituitary tumor but he didn't think it was necesarry. 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 >5.4
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 >5.4
