Well, I went to the clinic on Wednesday afternoon, trying to do a walk-in, and unfortunately the doctor I was seeing doesn't work there anymore. His last day was Saturday. So, I had to make an appointment for another doctor there on Friday afternoon. While I was there I went to medical records to get copies of my labs and look at them myself.
Glucose, Serum 74 (65-99)
BUN 13 (6-20)
Creatinine, Serum 0.81 (0.76-1.27)
eGFR If NonAfricn Am 124 ( >59 )
eGFR If Africn Am 143 ( >59 )
BUN/Creatinine Ratio 16 (8-19)
Sodium, Serum 136 (135-145)
Potassium, Serum 3.6 (3.5-5.2)
Chloride, Serum 92 Low (97-108)
Carbon Dioxide, Total 20 (20-32)
Calcium, Serum 9.7 (8.7-10.2)
Protein, Total, Serum 8.8 High (6.0-8.5)
Albumin, Serum 5.2 (3.5-5.5)
Globulin, Total 3.6 (1.5-4.5)
A/G Ratio 1.4 (1.1-2.5)
Bilirubin, Total 0.6 (0.0-1.2)
Alkaline Phosphatase, S 120 (25-150)
AST (SGOT) 30 (0-40)
ALT (SGPT) 41 (0-55)
"Insulin, Free and Total, Serum"
Insulin, Total - Test not performed.
Insulin, Free - Quantity was not sufficient for analysis
Urinalysis Gross Exam
Specific Gravity <=1.005 Abnormal (1.005-1.030)
pH 6.5 (5.0-7.5)
WBC Esterase Negative
Ketones 2+ Abnormal
Urobilinogen, Semi-Qn 0.2 (0.0-1.9)
(My note: Other urine tests were negative/normal)
Cholesterol, Total 275 HIGH (100-199)
Triglycerides 114 (0-149)
HDL Cholesterol 54 ( >39)
According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a negative risk factor for CHD.
VLDL Cholesterol Cal 23 (5-40)
LDL Cholesterol 198 HIGH (0-99)
TSH 2.160 (0.450-4.500)
T4, Free (Direct) 1.79 HIGH (0.82-1.77)
Quantity was not sufficient for analysis.
TEST: 140350 Insulin, Free and Total, Serum
Catecholamine Frac, P
Norepinephine, P1 366 (0-874)
Epinephrine, P1 121 HIGH (0-62)
Dopamine, P1 40 (0-48)
Concentrations of Normetanephrine between 146 and 487 pg/mL, and Metanephrine between 63 and 255 pg/mL are considered indeterminate. Follow-up biochemical testing is recommended when patient levels fall within this indeterminate range. These tests include repeat testing of plasma/urinary fractionated metanephrines and plasma catecholamines.
Unfortunately, my fasting insulin tests, the main ones I wanted to see didn't come in because either the clinic here or the lab doing the analysis messed up. Not enough blood was drawn according to the results. Man that pisses me off. So I'm going to have the doctor order it again tomorrow so I can go in Saturday morning fasting and take it again. It was really hard last time, a lot of anxiety, etc. Hopefully I have an easier time this time.
My aldosterone, according to the results, is within range, but I actually think it's really low. I don't see how it can be "0.0" and still be within range. I also have a low sodium diet, which adds to it.
My TSH is within range, I wonder if it's swinging because it was 4.160 in December. Both numbers where within range, according to the doc, but I disagree. My Free T4 was a little high. Poor conversion maybe? Due to low cortisol? Low selenium? Something else perhaps?
Anyways, I really wish they would have messed up on something other than the serum insulin test. I really want to rule out insulinoma(s). A lot of things make sense with that diagnosis, and removal of those is an instant improvement, but I'd honestly rather not be opened up and cut up. I don't trust the surgeons, especially around here. They botched up simple surgeries of a couple of people I know around here.
Has everyone here with hypoglycemia cleared themselves of insulinomas? Had at least the fasting serum insulin test? It's an expensive test apparently, but this hypoglycemia is a nightmare.
If I come up high insulin, the next step is CT scan, with contrast I believe. I wonder how I'm going to do that because they don't want you to eat like 4-6 hours prior if I remember correctly. Not possible for me. Maybe with a glucose IV, but I fear that having glucose in my veins will kick up so much insulin it'll put me out. Maybe it won't in my veins, but I try to stay far away from the glucose tablets. I've never tried them but have a bad feeling.
My cholesterol is pretty high, but I'm honestly not too worried about that.
I've had some bad problems lately though. My hypoglycemia is worse lately. I think I'm reacting to salmon again. It's felt low all day, and like I'm all full of insulin. Sometimes I feel all insulinated, and today I really feel like that. I hope I'm not becoming like those people who no matter what they eat it stays low and dropping. I'm all suffering at every meal, I can feel my body fighting against some resistance trying to raise the blood sugar.
Been constipated for like 13 days. Finally went something yesterday. I've been doing all these twists and sucking in my stomach, stomach massages. Don't want it to back up out my stomach and be unable to eat. God forbid! Really bloated. Those twists and such seem to be helping a little though.
If you're going back to get more blood work, see if you can get: FT3, RT3, Anti Tpo and TgAb. Your FT4 is above range, you probably have a conversion problem due to the AF and the T4 is going directly to RT3. Checking for antibodies would be good too (anti tpo and tgab).
Yeah, I really think you're right. I noticed that myself and I instantly remembered Buteyko breathing. I got one of his books, the one that shows how to make the DIY device, so I'm going to try to make it and use it, and practice the breathing techniques. I'll make posts about my progess.
How has your progress with it been?
Yeah, those are the exact tests I've been wanting. The doctor I was seeing resisted the suggestion, but I'm going to see a new doctor so I'll request them from him. My appointment was today, right now actually, but I had to skip it. Already too stressed, it's hot outside (101 F) and I'm having pretty bad hydration issues today, didn't sleep well, heart is out of whack racing, have to eat again, dizzy, etc. There have been other times where I skipped appointments because I'm too sick, but I rescheduled for Wednesday, near noon. Looking forward to getting those labs.
I considered that I might have a conversion problem. Forgot about T4 going to RT3, rather than T3. I read somewhere that sometimes it's necessary and a protective mechanism? I'll try to find the reference.
I've wanted antibody tests for a couple of years now. I've had pain ON my thyroid for years. When I hold the swallow position, and touch my thyroid, I can feel these little bumps, some are a little stiff. Painful to touch. Not sharp pain, but a moderate, sometimes strong, dull pain. It doesn't feel enlarged or swollen though, the way I read about people with autoimmune disease having. I also have a broken thyroid cartilage. I believe it happened when I was in Junior High School (bad back story about how it happened), but since then, I've wondered if the crooked cartilage could be putting pressure on the thyroid, aggravating it. What do you think about all I mentioned?
I'm kind of stuck at a CP of 19-20 seconds, which I guess is common.
Still clearing toxins really well. Still having 2-3 bowel movements per day....darker and stickier than they used to be.
The headaches are going away, so I think I'm nearly over the cleansing reaction.
Still needing less sleep to feel resting. My skin feels much better than it used to.
I'm working with a certified Buteyko instructor via Skype. It's nice to have someone to ask questions.
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I think the pain in the thyroid definitely needs to be investigated. The bumps sound like nodules and nodules are often a hashimoto's symptom. Your adrenal fatigue is very probably due to untreated hypothyroidism. If you do have hashimoto's, it would be a good idea to join Stephanie Buist's Iodine yahoo group. She is thyroidless due to thyroid cancer and is a patient as well as friend of one of THE top iodine docs: Dr. David Brownstein.