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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Lab Test Report Indicate?

Could you please, please review my labwork? I want to add to please forgive me for such a long post.(I tried to capitalize important) My doctor says that I am in range and I am 100% sure that I am in advanced stage of adrenal fatigue... HOME TESTS PERFORMED: PUPIL DIALATION TEST: eyes only stay constricted for about 2 seconds then dialate BLOOD PRESSURE TEST: top number drops at least 10 up to 14 points upon standing (have it written down) for about 7 months now ____________________________ SERUM CORTISOL (8 a.m.) 10.7 range: 6.2 to 19.4 (only time it was taken) ____________________________ RENIN: 0.55 range: upright: 1.31 - 3.95 supine: 0.15 - 2.33 (I was taking 1/2 tsp of salt daily and in upright position) ____________________________ ALDOSTERONE, SERUM: 1.6 range: 0.0 to 30.0 (was not 1st week of mens)____________________________ LUTEINIZING, HORM S: 2.6 Foll ph: 2.4 - 12.6 Ovl ph: 14.0 - 95.6 Lut ph: 1.0 - 11.4 Postmn: 7.7 - 58.5 (don t know about this but was before cycle started) ?? I am 44 years old _____________________________ FREE T3: 2.6 I also wanted to know if A/F has something to do with extremely elevated LIVER ENZYMES as well as out of range high FERRITIN and TRANSFERRIN? I have all those labs as well as... THYROID PANEL: T4: 15.1 HIGH T3 UPTAKE: 22 LOW THYRXN BND GLOB: 43 HIGH and just about all labs available including EBV (HIGH) CMV (HIGH) (I ve been doing tests for about 10 months) without any diagnosis... Except: IRON OVERLOAD HIGH CHOL HEPATITIS C (I still dont believe this I would also like to add that my sodium is out of range low and my potassium is on the high side (was out of range high once) and whatever IL-2 Receptor Alpha (?) is...it is high (857) and CD4/CD8 ratio (?) its high. Thank you so much in advance for any advice at all you can give me. The Doctors keep telling me its depression fatigue and just getting old! Bologna! I was OLD 2 or 3 years ago but at least I could shower! Now, that s even task for me! Thanks again... Michelle (225) 717-8900 or (225) 698-9898 P.S. Could you possibly include a doctor in Baton Rouge or New Orleans, LA that could help or perhaps just what type of Dr. would study my labs?
Thu, 25 Jun 2015
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Pathologist and Microbiologist 's  Response
Dear Michelle. I understand your concerns. Based on the information given your labs appear in range. However if adrenal dysfunction has to be investigated you must do an ACTH stimulation test or SYNACTHEN test. Here adrenal cortical hormones are evaluated after ACTH is given
This test detects milder forms of adrenal dysfunction also. Please do this test if it has not been done before. Tiredness can be due to various causes . you may also get a blood sugar test and complete blood count done . If all tests are OK you may be suffering from a condition call chronic fatigue syndrome which can occur after a viral illness and last for many months. You may try probiotic supplements and see if that helps you as some studies show its beneficial effect.If there are no medical problems you may also try a long term program of graded aerobic exercises with a motivational instructor. Graded aerobic exercises may help in an overall sense of well-being. However do not exercise if you are dizzy breathless exhausted or in pain. You may also try relaxation programs such as meditation or yoga or taichi according to your personal preferences. Promoting a sense of overall well being is a gradual process and includes a wholesome diet with more of natural food of different varieties fruits and vegetables etc
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What Does This Lab Test Report Indicate?

Dear Michelle. I understand your concerns. Based on the information given your labs appear in range. However if adrenal dysfunction has to be investigated you must do an ACTH stimulation test or SYNACTHEN test. Here adrenal cortical hormones are evaluated after ACTH is given This test detects milder forms of adrenal dysfunction also. Please do this test if it has not been done before. Tiredness can be due to various causes . you may also get a blood sugar test and complete blood count done . If all tests are OK you may be suffering from a condition call chronic fatigue syndrome which can occur after a viral illness and last for many months. You may try probiotic supplements and see if that helps you as some studies show its beneficial effect.If there are no medical problems you may also try a long term program of graded aerobic exercises with a motivational instructor. Graded aerobic exercises may help in an overall sense of well-being. However do not exercise if you are dizzy breathless exhausted or in pain. You may also try relaxation programs such as meditation or yoga or taichi according to your personal preferences. Promoting a sense of overall well being is a gradual process and includes a wholesome diet with more of natural food of different varieties fruits and vegetables etc