Thursday, December 18, 2014
I was a bit into a tizzy today.
my gp wanted me to go on 2 different meds after my lab results came in.
my chol was 240
but my hdl was 130 ldl was 114 so I was not concerned and told the nurse this.
then she wants to start me on synthroid for an elevated tsh high normal being 5 mine was 5.6. I don't have any symptoms.
So she is going to have me draw blood again in the morning for t3 and t4.
she was going to start me on 25mcg (a half dose) and have me retested in 2 months.
I told her I was bipolar to remind her and that I run hypomanic...this to her nurse so she spoke with my gp.They will call me the results on friday.
I have already said to myself that I would not start any new meds away from home...so if I have to start synthroid then it will be next year.
Not what I needed to get worked up about today.
These are some findings from other web sites:
Concerning elevated HDL:
"Elevated High-Density Lipoprotein Levels
Elevated high-density lipoprotein (HDL) level is HDL cholesterol > 80 mg/dL (> 2.1 mmol/L).
Primary causes are single or multiple genetic mutations that result in overproduction or decreased clearance of HDL. Secondary causes of high HDL cholesterol include all of the following:
Chronic alcoholism without cirrhosis
Primary biliary cirrhosis
Drugs (eg, corticosteroids, insulin, phenytoin)
The unexpected finding of high HDL cholesterol in patients not taking lipid-lowering drugs should prompt a diagnostic evaluation for a secondary cause with measurements of AST, ALT, and thyroid-stimulating hormone; a negative evaluation suggests a possible primary cause."
Concerning elevated thyroid level:
"The effect of alcohol on the HPT axis is significant and alcohol consumption affects almost all aspects of the functioning of the thyroid gland. Given the comorbidity of mood disorders in alcoholism and the relation of mood disorders with hypothyroidism, these findings open up interesting theoretical possibilities to explain the increased occurrence of mood disorders in alcoholism. Although current studies have mostly looked into the effect of alcohol on the neuro-endocrine axis, such associations are rarely unidirectional. The altered thyroid levels in withdrawal may adversely affect alcohol abstinence by changing the hormonal milieu in the brain, increasing withdrawal dysphoria, and increasing craving. At present, such studies are few and upcoming, but it creates the possibility of understanding and treating alcohol use disorders from a whole new perspective."
alcohol can effect the thyroid and the HDL level of my cholesterol readings.
my psychiatrist wants me to see an endocrinologist. I can't afford to see one. but will have my labs tested when I get back from vacation, I will try really hard to curtail my drinking over the holidays, really I should stop given these findings.