1

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GP says one thing.. Naturopath says the opposite..please hack my blood!

Answered on August 19, 2014
Created February 15, 2013 at 3:48 AM

Hello, 28 year old female here. Dealing with a very confusing situation of hormones.

I have been off birth control for 8months with no period or cycle. Taking Bio-Iden Progesterone the whole time.

My most recent blood work came back with these numbers. I called my Doctor and she said "all good, no concerns here" Then i take the result to my Naturopath/Female Horm. Specialist/Compounding Pharmicist and she says "I cannot believe this is the blood work of a healthy, fit, 28 yr old, if you weren't in front of me I'd think i was looking at a 65 yr old post-menopausal client"

How on Earth can my GP say everything is fine, and my Naturopath says I am so low on my hormones that I am grounds for Ovarian failure and Early onset menopause. Please someone help me understand...

Currently using Bio-Iden. Proges. and Estro gel, 100mg Spironolactone (skin) should i get off? and Metformin should i get off ?

Results from Feb 2013

TSH - 1.76 Estradiol - 55 Testosterone - 0.6 DHEA - 6.4 T4 - 13 Free T 3 - 3.4 Insulin - 33

I am in the process of getting:

CRP - (C Reactive Protein) LH FSH PRL T3 - Reverse - GH ACTH Cortisol

To help further, but what do my hormone levels tell me? I am very very poor sense of well being, feel lethargic, tired, sore all the time. No energy for workouts, over-emotional, weight gain, etc

Background Info: 28, female, fit, Paleo diet for over 2yrs, History of : PCOS (years ago), Eating Disorder(still recovering), pre-puberty excessive exercise.

Any help Would be greatly appreciated!

Thanks

Medium avatar

(20)

on February 25, 2014
at 07:41 AM

6 weeks - me too!

06bf7b92d77f1ac1d8e3dc9d539d8254

(1649)

on February 19, 2013
at 07:20 PM

Oh, gimme a break. While I do think you shouldn't trust just any weirdo herbalist or "healer," there is merit to someone practicing as an ND or Chiro with a bend toward functional medicine. Just like with any person that you go see for professional advice, do your homework. Online research will often point you in the right direction. As long as the person is well-established I think it is worth a shot. I personally found my functional med guy through an article published in the newspaper rating him the best alternative med resource. "Woo," is pretty obvious and not hard to avoid.

59ee717de524f921efb7f2984157339f

(871)

on February 16, 2013
at 05:16 PM

OH Ok thank you I will get the more accurate units and edit.

543a65b3004bf5a51974fbdd60d666bb

(4493)

on February 15, 2013
at 04:24 AM

hi Paleo4ever, to help people respond, you will need to add the Units and Lab Ranges for all those numbers. TSH units are usually mIU/L or μIU/mL, which is the same thing (just in different formats) & your TSH looks good, some say anything below 2.0 is ideal/great

543a65b3004bf5a51974fbdd60d666bb

(4493)

on February 15, 2013
at 04:23 AM

hi Paleo4ever, to help people respond, you will need to add the Units and Lab Ranges for all those numbers. TSH units are usually mIU/L or μIU/mL, which is the same thing (just in different formats) & your TSH looks good, some say anything below 2.0 is ideal.

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9 Answers

3
06bf7b92d77f1ac1d8e3dc9d539d8254

on February 15, 2013
at 03:43 PM

Yah, it happens all the time. Naturopaths/Functional Med docs are looking at the same ranges very differently. The med doc is looking at ranges that are established as "normal," for the entire population.. this means from healthy people to really, really unhealthy people. That is why the ranges are so vast. On the other hand Naturopath's are looking at "functional ranges," that is the range which is the most ideal for a person to be in really great health.

So, the reg doc is like "Oh, okay.. you don't show any glaring issues because you are in range." While the functional doc sees you as on a fast track to disease. Happened to me as well.

I would personally trust the Naturopath for maint. and the reg doc for crisis.

If the ranges are what I think then it looks like your testosterone is pretty damn low.

2
68655ec9711d207d69a63ebf96b37573

on February 15, 2013
at 09:50 PM

Probably hypothalamic amennhorrea. Your thyroid tests will confirm it. Try and get active T3, reverse T3 and T4 tested - active T3 will be low, T4 could be high-ish. Your estradiol is low which is another indicator but it does depend on what day of your cycle it was taken on.

Other symptoms - frequently cold dull skin low energy, lethargic, tired thinning or brittle hair lack of ovulation indicators low or no sex drive, problems getting aroused no weight loss despite low calorie diet

Eat more calories, eat more carbs. I'm talking 150-200cals extra a day and a bare minimum of 60-70g carbs (if not exercising); start with more carbs in this case. You may need 100g of carbs, some ladies do. Unfortunately you might have to gain 5 lbs to get your period back.

I got mine back literally within about 6 weeks after over a year of absence!

Medium avatar

(20)

on February 25, 2014
at 07:41 AM

6 weeks - me too!

2
32652cb696b75182cb121009ee4edea3

(5802)

on February 15, 2013
at 01:21 PM

I can't give you exact advice on the numbers ... however, I will say that MULTIPLE times in my past, a conventional doc will say, "fine!" when a naturopath will say, "whoa!" Why is that?

Conventional docs are looking for pathology .... they can't help you until things get bad enough that they can medicate you or operate on you. They are looking for you to cross a certain threshold. Doesn't matter if you are inching nearer that threshold; until you cross it, you are "fine."

A naturopath is looking for wellness. They want to STOP you from inching toward sickness. So they will try to catch and reverse it a lot earlier. Even if you are only a little bit down the road, they will try to turn you back to total health. If you work with the naturopath, hopefully you will never need that doctor.

1
089dd41b18fbb95ebb5347cded708d98

(5635)

on February 15, 2013
at 03:55 AM

do you know the reference ranges for the tests you had done? most people on here, including myself, wouldn't know what is a good t 3 number unless we google it.

0
3491e51730101b18724dc57c86601173

(8395)

on February 26, 2014
at 02:17 AM

I am not a doctor, but your Testosterone levels indicate you still have PCOS. You may have adrenal and thyroid components as well, I'd trust a naturopath over an MD for that because MD's look at your TSH alone and call it good even when your symptoms clearly indicate otherwise. TSH is just part of the story. And has anyone looked at your insulin levels--that will tell you if you need the Metformin or not. A C-Peptide test can tell how much insulin YOU are producing, I'm guessing it will be high. Metformin is supposed to help by sensitizing the cells to accept the insulin, but a better approach is to reduce the insulin you produce through a non-insulinogenic diet, some (not too much) resistance exercise training, and getting your thyroid and adrenals under good control (through diet, moderate exercise, sleep, etc.).

My question to you is how are you REALLY eating now? Is it still poor caloric intake, do you still fear and avoid fat? Are you still over-exercising? You don't have to tell me, but be honest with yourself and your health care providers. Your numbers make me suspect you are still not eating well or burning off too much energy. Fat is the precursor to the hormones in our body, without adequate dietary fat, we don't function. You can't expect your hormones to work properly without an adequate and STEADY supply of calories and fat and a reduction in the stress you must be carrying as a person in recovery from an eating disorder. We are designed not to reproduce if all is not well with our nutritional intake and output.

Ask for your practitioners, whether MD's or ND's, ask them to support you in finding and reaching your optimal food and nutrition goals, fat intake, and stress reduction (don't expect a whole lot of help from the MD because you can't prescribe a pill for that). Make sure you're getting adequate sleep too. Keep testing and see what happens when you get these things under control. It's a huge challenge with PCOS and an eating disorder to overcome, but you can do it with the right support.

0
3966119f28897cda79dc77838198cec7

(0)

on February 26, 2014
at 01:00 AM

PS about Dr. Tim... he will likely talk about healing your gut as the first step. At the same time, learn to control your parasympathetic nervous system through biofeedback. Next, get your thyroid optimized before messing with other hormones. Finally, work on balancing your hormones. It will take time but he will flat out get to the bottom of what you need. He is the best I know of at this type of work.

0
3966119f28897cda79dc77838198cec7

(0)

on February 26, 2014
at 12:53 AM

Search the web for Dr. Tim Jackson and listen to some of his podcasts. I think it will help you a lot.

0
00f034ed9cdeab04f4a7e72296c3d4d9

(120)

on February 16, 2013
at 01:12 AM

I'd like to make my own suggestion: Start taking Organic Red Maca powder. It really helped my hormone levels, my energy, and my ability to conceive. You can get it in capsules or in raw powder form.

And I would listen to your Naturopathic doctor over your GP, for the reasons that other people have stated.

0
E2db1519690001648433e8109eb2c013

on February 16, 2013
at 12:29 AM

I would be extremely careful about the Naturopath. Naturopathic schools have no national accreditation and ND's lack professional status in most states. Your ND may be highly qualified and professional, or they me be a flake.

For more non-promotional information: http://www.naturowatch.org/

Read 'A Close Look' if nothing else.

06bf7b92d77f1ac1d8e3dc9d539d8254

(1649)

on February 19, 2013
at 07:20 PM

Oh, gimme a break. While I do think you shouldn't trust just any weirdo herbalist or "healer," there is merit to someone practicing as an ND or Chiro with a bend toward functional medicine. Just like with any person that you go see for professional advice, do your homework. Online research will often point you in the right direction. As long as the person is well-established I think it is worth a shot. I personally found my functional med guy through an article published in the newspaper rating him the best alternative med resource. "Woo," is pretty obvious and not hard to avoid.

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