I am a 25-year-old white female and I weigh about 178 lbs. I have been struggling with impressive weight gain, low libido, bloatedness, gassiness, forgetfulness, foggy headedness, reduces reflexes, can’t think as fast, I forget simple things that I normally know or remember, can’t seem to focus, and I seem to be tired no matter how much sleep I get. My anxiety seems to be heightened and I am cold all the time. I also have moodiness as well. I have not had a period in about six months. I have now been having heart palpitations and a very high heart rate. I have a negative pregnancy test and honestly no way I could be pregnant. I feel like such a hypochondriac, but I feel off. I’m never one to complain, but the fatigue and weight gain is getting out of control and the symptoms seem to keep getting worse. This all began right before April when they switched my birth control to a generic brand. Once I began noticing symptoms I told my doctor and he switched me back to the brand I was on before. This seems like the problem is something other than a birth control problem. I have gained almost 30 pounds since my birth control was switched to the generic brand. That is all of the weight I lost plus more from my pregnancy in March. In my pregnancy I also had impressive water weight gain (more than 30 lbs.), high blood pressure, and preeclampsia. I had a c-section in March. I have had my tonsils and adenoids out, sinus surgery, and gallbladder surgery. I have also been diagnosed with GERD and am on protonix for that. I also take Microgestin FE 1/20 (1-20 mg) (75 mg) and concerta (ADHD) (36 mg) 2 a day. I am going to the endocrinologist on Monday and I would like to know what questions to ask. My levels when my last labs were drawn were as follows:
Thyroxine, Total (Total T4)- 11.4 H (4.5-10.9 ug/dL)
Triiodothyronine, Total (Total T3)- 180 (60-181 ng/dL)
Thyroid Stimulating Hormone (TSH)- 2.051 (0.55-4.78 uIU/mL)
White Blood Cell Count- 5.7 (3.6-11.2 K/uL)
Red Blood Cell Count- 4.67 (3.63-4.92 K/uL)
Hemoglobin- 14.6 (11.4-15.0 g/dL)
Hematocrit- 42.0 (33.0-45.0%)
MCV- 90.1 (73.7-95.5 fL)
MCH- 31.2 (24.3-33.2 pg)
MCHC- 34.6 (32.5- 35.8 g/dL)
RDW- 13.0 (12.3-17.0%)
Platelet Count- 237 (159-386 K/uL)
Neutrophil %- 55.3 (43.3-76.6%)
Lymphocyte %- 36.4 (16.0-43.5%)
Monocyte %- 6.0 (4.5-12.5%)
Eosinophil %- 1.7 (0.6-7.9%)
Basophil %- 0.6 (0.2-1.4%)
Neutrophil #- 3.1 (1.8-7.8 K/uL)
Lymphocyte #- 2.1 (1.0-3.0 K/uL)
Monocyte #- 0.3 (0.3-1.0 K/uL)
Eosinophil #- 0.1 (0.0-0.5 K/uL)
Basophil #- 0.0 (0.0-0.1 K/uL)
MPV- 9.0 (7.9-10.8 fL)
Follicle Stimulating Hormone- 8.7 (Menstruating Follicular 2.5-10.2; Midcycle 3.4-33.4
;Luteal 1.5-9.1; Pregnant <0.3; Post-Menopausal 23.0-116.3)
Testosterone, Total- <20 (Ovulating <=73; Postmenopausal =6.5% Diagnostic of diabetes mellitus
Estimated Average Glucose- 90 (68-114)
Beta hCG, Serum Quantitative- <2 (2-4 weeks 39.1-8388; 5-6 weeks 861-88,769; 6-8 weeks 8636-218,085; 8-10 weeks 18,700-244,467; 10-12 weeks 23,143-181,899; 13-27 weeks 6303-97,171; 28-40 weeks 4360-74,883)
Follicle Stimulating Hormone- 6.4 (Menstruating Follicular 2.5-10.2; Midcycle 3.4-33.4
;Luteal 1.5-9.1; Pregnant <0.3; Post-Menopausal 23.0-116.3)
Luteinizing Hormone- 5.8 (Menstruating Follicular 1.9-12.5; Midcycle 8.7-76.3; Luteal 0.5-16.9; Pregnant 60)
Cholesterol, Total- 147 (239 High)
Triglycerides- 97 (499 Very High)
HDL Cholesterol- 52 ( 60 mg/dL: negative risk factor for Coronary Heart Disease)
LDL Cholesterol (calc.)- 76 (189 Very High)
VLDL Cholesterol (calc.)- 19 (<=30 Desirable)
Non-HDL Cholesterol (calc.)- 95 (<160)
Cholesterol/HDL Risk Ratio (calc.)- 2.8 (3.3 Very Low Risk; 3.8 Low Risk; 4.5 Average Risk; 7.0 Moderate Risk; 11.0 High Risk)
LDL/HDL Risk Ratio (calc.)- 1.5 (1.5 1/2 Average Risk; 3.2 Average Risk; 5.0 2X Average Risk; 6.1 3X Average Risk)
White Blood Cell Count- 5.6 (3.6-11.2 K/uL)
Red Blood Cell Count- 4.81 (3.63-4.92 K/uL)
Hemoglobin- 14.7 (11.4-15.0 g/dL)
Hematocrit- 42.5 (33.0-45.0%)
MCV- 88.2 (73.7-95.5 fL)
MCH- 30.4 (24.3-33.2 pg)
MCHC- 34.5 (32.5- 35.8 g/dL)
RDW- 12.2L (12.3-17.0%)
Platelet Count- 228 (159-386 K/uL)
Neutrophil %- 64.2 (43.3-76.6%)
Lymphocyte %- 26.7 (16.0-43.5%)
Monocyte %- 7.6 (4.5-12.5%)
Eosinophil %- 1.1 (0.6-7.9%)
Basophil %- 0.4 (0.2-1.4%)
Neutrophil #- 3.6 (1.8-7.8 K/uL)
Lymphocyte #- 1.5 (1.0-3.0 K/uL)
Monocyte #- 0.4 (0.3-1.0 K/uL)
Eosinophil #- 0.1 (0.0-0.5 K/uL)
Basophil #- 0.0 (0.0-0.1 K/uL)
MPV- 9.1 (7.9-10.8 fL)
Thyroxine, Total (Total T4)- 11.9 H (4.5-10.9 ug/dL)
T3, Uptake- 20 L (23-37%)
Thyroid Stimulating Hormone (TSH)- 3.188 (0.55-4.78 uIU/mL)
I was told that his time my thyroid looked better than last time even though my T3 uptake is low and my T4 is higher than last time and my TSH was higher as well. I just want answers. I need to know what questions to ask to be able to get those answers.