1

votes

Please hack my labs - hormone issues, post baby female

Answered on August 19, 2014
Created July 19, 2012 at 11:04 PM

I have unusual hormone issues. I have a prolactinoma (so high prolactin levels) and I'm overweight. Been paleo/primal for two years, including all during a very healthy pregnancy at age 49 last year. Was 50 lbs overweight before pregnancy, IVF hormones and meds didn't let my first 6 mo of paleo allow any weight loss. Once I became pregnant, weight came off. Baby was perfectly healthy and I lost 20 lbs DURING pregnancy, meaning after baby, placenta, fluids were out, I was down 40 lbs. immediately started gaining again and breast feeding did not work. Before pregnancy was exercising but now haven't got back into it yet. My diet is no grains, pastured eggs, grass fed meat, pastured chicken, coconut oil and berry smoothies, dark chocolate, raw milk, raw kefir, butter, veggies and a little fruit - stone fruit and berries.

I am on supplemental bio identical estrogen, and synthroid. I get migraines often, from weather changes or if I eat out and there was any MSG, or hormonal changes (which is why I am on estrogen, to keep levels steady, also my estrogen was low.)

Whyyyy did my fat effortlessly drip off while pregnant, and now it's all coming back? If anything my diet was worse because my OB was freaked that I was losing so much weight while pregnant, and I was not sick, so he had me up my calories so I had ice cream all the time in the third trimester. Still lost weight.

So I had all my labs done, and my "natural" doc wants to me visit a cardiologist, you know how it goes, they don't like the high cholesterol. Please please please hack them according to truth and not scare and CYA like she is doing.

Total cholesterol 297

LDL-c direct 136

Hdl-c 120

Triglycerides 62

Non Hal-c calculated 177

Apo B 108

LDL-p 1733

Sdldl 31

%sdLDL 31

Apo A1 218

Hdl-p 40.5

Hdl2 43

Apo B:API A-1 ratio calculated 0.49

Lp(a) mass 8

Myeloperoxidase 391

LO-pla 246

Hs-crp 1.8

Fibrinogen 429

Nt-proBNP 32

Galectin-3 21.0

AsperinWorks (urine) (pg/mg of creatinine) 2634

Insulin 7

Free fatty acid 0.42

Glucose 88

HbA1c 5.5

Estimated average glucose 111.2

25-hydroxy-vitamin D 95

Homocysteine 7

Hs-omega-3 index 8.5

Omega 3 total 11.3%

Alpha linolenic 0.4%

DPA 2.4%

ePA 1.4%

dHA 7.1%

Omega 6 total 32.8%

Arachidonic 16.5%

linoleic 12.4%

Cis-monounsaturated total 14.1%

Saturated total 41.1%

Trans total 0.7%

Any comments, suggestions, anything gratefully welcomed. If anyone thinks I need to see a cardiologist, do you know a paleo friendly one in the L.A. / OC area??

Thanks.

28f280f8d64c7207fd94d158fbe6e070

(218)

on July 22, 2012
at 05:34 AM

Yes, I have dropped my d supplementation since. It took forever and a lot of iu's to get it over 50. At 2000 iu, it was only 24. In summer! Then at 10,000 iu, it was only at 48. So I was on 15,000 and it went up to 90. I try to do 10,000 to 12,000 now. I sleep very well. Good dose of magnesium citrate. I just can't sleep enough ecause of a certain baby. Good thing they are so cute. I am supposed to take bio identical progesterone every couple mo ths to shed my uterine lining. But though that works, it gives me 14 days solid of migraine. I hate it. And prog makes me tired and unhapy

6120c989fd5b69f42a0834b69b87955b

(24553)

on July 20, 2012
at 07:04 AM

I was just coming back to edit my answer to include thyroid, I totally spaced on it earlier. Thyroid function can change pretty drastically during pregnancy and after, meaning that testing it should happen more often than the standard six month or yearly intervals if you are on thyroid medication. If the amount of synthroid you are taking has remained steady, but your weight has changed dramatically, you may have been hyperthyroid during pregnancy, and are now hypothyroid.

28f280f8d64c7207fd94d158fbe6e070

(218)

on July 20, 2012
at 04:13 AM

It is true that I never get 8 hours any more.

28f280f8d64c7207fd94d158fbe6e070

(218)

on July 20, 2012
at 04:12 AM

Wow!! Yes, thanks!

4ef079c57d2140bba4dbf4e30240a645

(4413)

on July 20, 2012
at 12:44 AM

also of note and interest to me is that you are on only bio.id Estrogen replacement. That is very unusual but Im sure there is a reason.

6120c989fd5b69f42a0834b69b87955b

(24553)

on July 19, 2012
at 11:14 PM

Is that more what you were going for? Gotta double space or use bullets, or things lump together on one line.

28f280f8d64c7207fd94d158fbe6e070

(218)

on July 19, 2012
at 11:05 PM

Bummer, I carefully listed each lab on a separate line and this is how it came out! I'm on an iPad. I truly tried to make it easy to read, I am so sorry. Please slog through it as I am desperate to answer these questions.

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4 Answers

1
4ef079c57d2140bba4dbf4e30240a645

on July 20, 2012
at 12:42 AM

Thyroid!?

Its like everything was tested but your thyroid. Why is that I wonder, given you are on thyroid hrt! There most definitely could be a low thyroid contribution here.

What is your Free T3, Free T4 and TSH. Also, its important for anyone with hypo-thyroid to know if they have the autoimmune form of the thyroid disease (Hashimoto's)

6120c989fd5b69f42a0834b69b87955b

(24553)

on July 20, 2012
at 07:04 AM

I was just coming back to edit my answer to include thyroid, I totally spaced on it earlier. Thyroid function can change pretty drastically during pregnancy and after, meaning that testing it should happen more often than the standard six month or yearly intervals if you are on thyroid medication. If the amount of synthroid you are taking has remained steady, but your weight has changed dramatically, you may have been hyperthyroid during pregnancy, and are now hypothyroid.

4ef079c57d2140bba4dbf4e30240a645

(4413)

on July 20, 2012
at 12:44 AM

also of note and interest to me is that you are on only bio.id Estrogen replacement. That is very unusual but Im sure there is a reason.

1
C0237fd9e277fcef496d538beda1f35b

(287)

on July 19, 2012
at 11:30 PM

I'll tell you...I am a firm believer that pregnancy really does things to your body other than make some areas squishier than they used to be. I mean permanently changes your chemistry. I'm not a doctor, and I have not studied this, but have listened to many, many of my female friends and acquaintances talk about how different they are post baby.

1
6120c989fd5b69f42a0834b69b87955b

(24553)

on July 19, 2012
at 11:16 PM

Some people lose weight nursing, some people gain weight, I'm not sure why that is.

The things that come to mind are stress and sleep deprivation. Both of which can cause significant weight gain.

28f280f8d64c7207fd94d158fbe6e070

(218)

on July 20, 2012
at 04:13 AM

It is true that I never get 8 hours any more.

0
Ce41c230e8c2a4295db31aec3ef4b2ab

(32564)

on July 20, 2012
at 07:31 PM

Your D level is slightly on the high end & may be impacting your sleep, which could be impacting your fat loss. Ideal range for hormonal balance is 60-80 ng/ml.

http://drgominak.com/vitamin-d

You may do better on supplemental bioidentical Progesterone instead of estrogen, which is an estrogen precursor (so your body can use it to make estrogen) & Prgesterone is often low post-partum. Progesterone is high in pregnancy.

Read Dr. John Lee's site for more info.

28f280f8d64c7207fd94d158fbe6e070

(218)

on July 22, 2012
at 05:34 AM

Yes, I have dropped my d supplementation since. It took forever and a lot of iu's to get it over 50. At 2000 iu, it was only 24. In summer! Then at 10,000 iu, it was only at 48. So I was on 15,000 and it went up to 90. I try to do 10,000 to 12,000 now. I sleep very well. Good dose of magnesium citrate. I just can't sleep enough ecause of a certain baby. Good thing they are so cute. I am supposed to take bio identical progesterone every couple mo ths to shed my uterine lining. But though that works, it gives me 14 days solid of migraine. I hate it. And prog makes me tired and unhapy

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