Can you please help me determine if I have a hormonal, pituitary, thyroid, adrenal problem, all of the above or what one it may be? Sorry for the long post in advance! I am a 28 year old male.
Here are the test results I have had;
Results: Ranges:
10/12/05:
TSH: 1.20 0.40 - 5.5 MU/L .80 above lowest normal range/4.30 below highest normal range
2/21/06:
Free T4: 0.91 0.59 - 1.17 ng/dL .32 above lowest normal range/.26 below highest normal range
TSH: 0.94 0.35 - 4.82 uIU/mL .59 above lowest normal range/3.88 below highest normal range
T-4, Total: 6.4 4.5 - 12.0 MCG/DL 1.9 above lowest normal range/5.6 below highest normal range
T-3 Uptake: 34.6 25.0 - 35.0% Uptake 9.6 above lowest normal range/.04 below highest normal range
8/15/06:
TSH: 1.11 .34 - 4.82 uIU/mL .77 above lowest normal range/3.71 below highest normal range
10/12/06:
TSH: 1.20 0.40 - 5.5 MU/L .80 above lowest normal range/4.30 below highest normal range
6/21/07:
T-3, Free: 377 230 - 420 PG/DL 147 above lowest normal range/43 below highest normal range
T3, Reverse: 0.19 0.11 - 0.32 ng/mL .08 above lowest normal range/.13 below highest normal range
Free T4: 0.73 0.71 - 1.85 NG/DL .02 above lowest normal range/1.12 below highest normal range
TSH: 1.39 0.50 - 5.00 uIU/ML .89 above lowest normal range/3.61 below highest normal range
7/17/07:
Here are the saliva test results;
fTSH 57 Normal
fT4 0.25 Normal Normal: 0.17-0.42 ng/dl .08 above lowest normal range/.17 below highest normal range
fT3 0.27 Borderline Low 0.21-0.27
TPO Positive
E2 (Estradiol) 9 Male (20-49 yrs): 1-3 pg/ml, Male (50-85 yrs): 1-5 pg/ml 4 pg/ml higher than normal for that of a man between the ages of 20-85 years old
P1 (Progesterone) 30 Male (adult): 5-95 pg/ml 25 above lowest normal range/65 below highest normal range
TTF (Free Testosterone) 34 Male (20-30 yrs): 60-110 pg/ml 26 below normal range for my age
Cortisol:
7:00-8:00 a.m. 6 Depressed 13-24 nM 7 nM below lowest normal range
11:00-Noon 4 Depressed 5-10 nM 1 nM below lowest normal range
4:00-5:00 p.m. 3 Normal 3-8 nM at the lowest range
11:00-Midnight 5 Elevated 1-4 nM 1 nM above highest range
Cortisol Burden 18 23-42 5 below lowest normal range
DHEA 4 Normal 3-10 ng/ml 1 ng/ml above lowest normal range/6 below highest normal range
My morning Cortisol blood test was 19.3 (Range: 4-22 MCG/DL). 2.7 MCG/DL below highest normal range
Antibodies test was negative.
8/7/07:
TSH: 1.80 0.50 - 5.00 uIU/mL 1.30 above lowest normal range/3.20 below highest normal range
9/12/07:
Free T4: 0.75 0.71 - 1.85 NG/DL .04 above lowest normal range/1.10 below highest normal range
TSH: 1.27 0.50 - 5.00 uIU/ML .77 above lowest normal range/3.73 below highest normal range
1/19/08:
Free T4: 0.66 0.71 - 1.85 NG/DL .05 below lowest normal range/1.19 below highest normal range
TSH: 0.17 0.50 - 5.00 uIU/mL .33 below lowest normal range/4.83 below highest normal range
1/30/08:
TSH: 0.95 Range: 0.50 - 5.00 uIU/mL .45 above lowest normal range/4.05 below highest normal range
Estradiol, Serum <32
Estradiol Reference Ranges:
Male: <=54
It goes on to say no pediatric reference range established.
T-3 Uptake: 40.31 High Range: 25.0 - 35.0% Uptake 15.31 above lowest normal range/5.31 above highest normal range
T-4, Total: 5.7 Range: 4.5 - 12.0 MCG/DL 1.20 above lowest normal range/6.3 below highest normal range
Free Thyroxine Index: 2.30 Range: 1.12 - 4.20 1.18 above lowest normal range/1.90 below highest normal range
T-3, Total: 93 Range 60 - 181 NG/DL 33 above lowest normal range/88 below highest normal range
Testosterone, Total: 393 Range: 241 - 827 NG/DL 152 above lowest normal range/434 below highest normal range.
My renin, plasma activity was 1.9 ng/ml/hr and aldosterone, LC/MS/MS was 13. I don't know how to read any of this stuff or what it means, but here are so more results by blood (which differ from my saliva test;
Thyroid Peroxidase AB <10.0 IU/ML (Reference Ranges <35)
Thyroglobulin AB <20.0 IU/ML (Reference Ranges <20
Vitamin D, 25-OH, LCMSMS (all reference ranges below 20-100)
Vitamin D, 25-OH, Total 34 ng/mL
Vitamin D, 25-OH, D3 34 ng/mL
Vitamin D, 25-OH, D2 <4 ng/mL
It states; 25-OHD3 indicates both endogenous production and supplementation. 25-OHD2 is an indicator of exogenous sources such as diet or supplementation. Therapy is based on measurement of Total 25-OHD, with levels <20>30 ng/mL.