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latest blood work, your thoughts?

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Posted 11/15/2016 5:22 PM (GMT 0)
my latest labs, the MCV,MCH T, DHEA have been historically low, never fixed.


1) Low MCV, Low MCH with high RBC. Not sure what's driving this..

2) Hormones (Male)

Low Testosterone (direct), 5.5 (7.2 -24.0)
Lowish DHEA 34 (31-78)
Low FSH, LH
Low Pregnenolone 11 (13 - 208)

ACTH lowish 11.2 (7.2 - 63.3)

4) Tyroid:

T4 normal 1.2 (0.82-1.77)
T3 normal 2.9 (2.0 - 4.4)
Reverse T3 normal but close to high limit 21.2 in (9.2 -24.1)

5) AM Cortisol low 5.9 (6.2-19.4)

my thinking here is Stage III adrenal fatigue, with pregnenolone steal happening. Not sure what's driving the low MCV, low MCH I assume Lyme/chronic infection.

Would welcome your thoughts on these labs with respect to Lyme / Adrenal etc

Caramba!
Posted 11/15/2016 5:33 PM (GMT 0)
So adrenals steal pregnenolone? I did not know that. I'm stage 2 with lower prognenolone ( but not as lowish as you - think 40).
Posted 11/15/2016 6:25 PM (GMT 0)
Actually, with just a low am cortisol result, you don't know where you are with your adrenals. I would highly suggest that you get a 4 point saliva test so you can see what your adrenals are doing all day long. If they are only low in the morning, your treatment would differ from if they were low all day long.

Why haven't you been told to take any DHEA? That alone may have an impact on your health and specifically your adrenals, not to mention other hormones that the adrenals have an impact on.
Posted 11/15/2016 6:46 PM (GMT 0)
Here is the pathway for hormones:

holisticwellnessprotocol.com/hormonal-pathway/

My DHEA was slightly low, along with progesterone...so my LLND wanted me to take Pregnenalone.
I was wondering why he just didn't prescribe the DHEA and progesterone...but I do see from this diagram that they do both come from pregnenalone.

BUT - It says that prolonged stress, takes the pregnanlone away from the DHEA pathway over to the progesterone - to produce more cortisol.
Posted 11/15/2016 6:58 PM (GMT 0)
right preg goes to make cortisol at the expense of the other hormones. my ACTH is lowish which could also be the root cause.

this is my first lab with my LLMD, I'm sure he will prescribe Pregnenolone and/or DHEA
Posted 11/15/2016 7:16 PM (GMT 0)
I had my ACTH tested in the first few months of symptoms (2013) and it was normal.


How does the ACTH play into it?
Posted 11/15/2016 8:48 PM (GMT 0)
Are your thyroid numbers free T3 and FT4. I'm thinking yes. If so, they are a tad low. Most people feel best when they are mid-range.

And your RT3 is high. More than likely due to inflammation. That's why your FT4 is low....it's being converted to RT3.
Posted 11/16/2016 3:34 AM (GMT 0)
well after looking at the pathway pics, LH is a involved in T production and guess what..

"cytocine interleukin-6 inflamation inhibits LH", so that appears to be a link to explaining low T.

drsaulmarcus.com/hormone/naturopathictestosterone.html

so I need to make sure I do the immune remodulation of Buhner to lower the interleukin-6.

What tests can be run to establish if cytokines are high? I found a link to
/www.cyrexlabs.com/CyrexTestsArrays/tabid/136/Default.aspx

I am assuming they are high, and herbs will help reduce them.

Caramba
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