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I have had symptoms of being excessively fatigued, nearly intolerably cold hands/feet in winter, joint pain, complete inability to lose weight despite 1500 calorie diet and working out 5 days per week at the gym, headaches, and more for several years. I have been telling my doctor for years as she gets on to me about my weight and cholesterol that I am TRYING, but nothing is working. I am using the diet and exercise plan she gave me, I have a personal trainer at the gym, I keep food diaries etc. She has tested my thyroid several times (partially) though it always comes back as within the normal lab ranges. Because I still feel horrible and can't lose the weight, I requested a referral to an endocrinologist though she felt this unnecessary. The endocrinologist used the bloodwork my doctor had ordered a month prior and said that due to a mild anemia pattern he would test my iron and thyroid antibodies. He said that given my TSH has steadily rose in the past few years and my free T4 level had fallen, he would put me on a low dose of thyroid medicine for 3 months to see if I improved. When his new bloodwork came back that he ordered, he had his nurse call and say that iron levels and thyroid antibody levels were normal, therefore I had no thyroid problem and did not need to return to his office or any thyroid medication. I was quite upset because he told me prior that he thought I would benefit from a trial of the medicine and then completely dismisses me without being able to discuss the change in our plan! At any rate, he also failed to order an updated free T4 as the one in my chart was from one year ago! I have also never had Free T3 or any of the other tests done. Please help me by looking over my lab results and let me know if this is worth trying to find another endocrinologist or Primary Care Doctor or if you have any other suggestions. Thank you in advance for any help or insight you can provide!
2016- 3.51 (reference range: 0.27-4.20)
2014- 0.75 (Range: 0.65-1.40)
Thyroid Peroxidase Antibodies:
2016- 6.0 (Range: <9)
2016- <1 (Range: < or = to 1)
Iron Tests: (All done last week)
Ferritin- 104 (Range: 13-150)
Iron- 101 (Range: 37-145)
Iron Binding Capacity- 330 (Range: 255-450)
% Saturation- 31 (20-50%)
2015- 17 (Range: 30-100)
2016- 29 (This is with me taking 2000 IU of D3 per day)
Various other Lab results:
2016- Anion Gap- 20 (Range: 12-20)
2015- Anion Gap- 11 (Range 12-20)
2016- RBC- 3.8 (Range: 3.9-5.03)
2015- RBC- 3.99
2014- RBC- 4.10
2016- Hemoglobin- 11.9 (12.0-15.5)
2015- Hemoglobin- 12.4
2014- Hemoglobin- 12.9
2016- Hematocrit- 36 (35-45%)
2015- Sodium- 134 (Range: 136- 145)
2016- Sodium- 137 (Range: 136-145)
I know that is a lot of info, but does it ring a bell for any patterns or anything that you can see? I really don't know if I should try again or accept the endocrinologist' assessment as is. I am tired of being so tired and working on my weight and cholesterol only to have no change at all.
Thank you for your time.
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