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lab results

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.
bizi
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
Hyperthyroidism
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."

In summary:
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.
bizi
sigh
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Member Comments About This Blog Post
  • CAROL_31649731
    Wonderfully informative blog, Bizi! And good for you, holding you own with your doc. They don't know everything. You know you better than anyone! Like you said, you can get your numbers under control the good-old-fashioned-way, with good food, exercise, and less imbibing. Medication isn't always the answer!
    2312 days ago
  • WHITNEYLD
    Hugs.
    2313 days ago
  • WATERWITCH
    Hey Bizi
    Just saw this and wanted to comment: HDL(the good cholesteral) levels are better if they are above 100.

    And LDL around 114 is not all that bad. I don't think the total # is the whole story even if 240 is considered high and I'm surprised that your doc would think a statin is needed since your HDL is so good.

    Disclaimer: I do not like statins, but hopefully I'm still objective.

    here's a link --
    http://www.mayoclinic.org/dis
    eases-conditions/high-blood-cho
    lesterol/in-depth/cholesterol-l
    evels/art-20048245

    I'd have some further conversations, obviously I'm no doctor and don't know your situation but thought I'd mention this.

    2313 days ago
  • JUST_BRENDA
    emoticon
    You certainly have a lot of things to think about.
    2314 days ago
  • LETSGOPLAY
    If you think that alcohol is causing you problems you should give it up and see how you do. A good three months. You could tell your Doctors that you want to try that. I don't know if you could get tested again after the 3 months but if you can that would be great. Meds serve a good purpose but Statins can play havoc with a liver - so if the liver is already working hard that could cause more trouble. Doctors- good ones are there to help and not to be judgmental. They are doing the best they can it sounds like but still you don't want to have to take meds if you help it.
    Synthroid is also supposed to be hard to take and I think if you can avoid that by abstaining I would. This could be a good thing.
    Keep eating healthy- I know you do that and go back to all that walking!
    - also I am not normally this bossy but I care about you. emoticon

    2314 days ago
  • LOVENHWOODS
    Please take care of yourself... emoticon
    2314 days ago
  • CRACKERS4554
    Not a good thing to hear while on vacation especially if you have plans to really enjoy yourself! Try to be mindful of what the GP and tests are telling you. Hey, a new year is coming...what a great time to set new goals?
    2314 days ago
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