Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome back again on HCM!

I carefully reviewed all your uploaded test reports and would explain that:

1-Your TSH levels are 3.2, which means that they are slightly elevated. But FT3 and FT4 levels are withing the normal rages, including TPO ab, which means that this finding about TSH is not concerning, and may be related to lab ranges (which may be different from other laboratory ranges. You should know that most of laboratories have this range 0.4 to 4.0 mIU/L.

2- Your estradiol plasma levels are a little low 40, just below the normal ranges. From the other Progesteron/Estradiol ratio is normal, which means that this finding may have no clinical significance.

The palpitations that occur mainly 10 days before your period, may be related to these lower estradiol plasma levels during this stage of the cycle, called luteal phase. FSH levels would give a little more information on this possible imbalance.

Anyway, I don't see anything concerning in your blood lab tests. Besides, you should know that in other laboratories the normal ranges of estradiol levels during this phase vary in a range of 19-164 pg/mL. So relax and don't worry about it.

As your palpitations do not occur during physical activity, this indicate that anxiety is playing an important role in all this clinical scenario. You should know that physical activity can trigger palpitations by activating the sympathetic nervous system, especially in persons susceptible to cardiac arrhythmia.

But in your case, the opposite occurs. This is because during physical activity you feel less anxious compared to staying. This may implicate anxiety as a possible cause underlying your symptoms.

From the other hand anxiety tends to be higher during this phase of the menstrual cycle. It may be part of premenstrual syndrome, which is a common syndrome characterized by mood changes and anxiety a week or so preceding the periods. It is not concerning and up to one third of women experience some of this syndrome symptoms.

Hope you will find this answer helpful!

I remain at your disposal whenever you have any other uncertainties!

Kind regards,

Dr. Iliri

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Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

I carefully reviewed all your uploaded tests and would explain that you have uploaded twice your hormone test results, including HbA1C and blood lipid profile.

The HbA1C and blood lipid profile are withing the normal ranges. There is no sign of diabetes or dyslipidemia. So, there is nothing to worry about!

You are not at an increased cardio-vascular risk.

I would be happy to review your resting ECG and cardiac ultrasound report for another professional opinion if you can upload them.

Hope to have been helpful!

If you have any other uncertainties, please don't hesitate to ask me again!

Best wishes,

Dr. Iliri

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Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

I am glad you find my answers helpful.

Regarding your concern, I would explain that there are different hypothesis which link the presence of h pylori to an increased cardio-vascular risk or to an increased risk for coronary artery disease.

Many studies have shown a correlation between the presence of this bacteria and slightly increased risk for coronary artery disease.

But these studies are not conclusive.

The mechanism is thought to be related to an increase in cholesterol plasma levels (which is not your case).

So, this is not very concerning about your heart.

But, still, I would recommend treatment against this bacteria to help avoid possible ulcers in the future.

Hope to have been helpful!

Wishing all the best and a wonderful Christmas time,

Dr. Iliri

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