“Abnormal blood work?”
I have a history of high cortisol and was diagnosed with hypothyroid in August 2018, it started NP thyroid 120mg but recently switched to Tirosint 50 mcg and Liothyronine 15mcg. I started experiencing symptoms of chronic fatigue for a few months and was diagnosed with bacterial pneumonia in September 2019 followed by Epstein-Barr becoming reactivated shortly thereafter. Took 10 day doxycycline for pneumonia and am currently on lauricidin and lysine for Epstein-Barr. My WBC and RBC have been low for years and the most recent blood test March 13th, 2020 showed these abnormalities:
WBC 2.8 (low for 2 years)
RBC 3.97 (low for 2 years)
MCV 100 (this has been high for 2 years)
MCHC 32 (has been low for 2 years)
Netro abs 1.6
Haptoglobin <30
TSH 0.136
Free T3 2.58
Free T4 0.65
Vit B12 330 (has been consistently decreasing from being 742 1.5 years ago)
My liver ALT has gone from 35 in July 2019 to 65 in most recent lab results and the AST from 24 to 29. I am currently experiencing fatigue, nausea, abdominal bloating/swelling, tremors, brain fog, and dizziness. I exercise 5 days/week and eat very clean and minimal processed foods. I am slightly underweight and find it difficult to gain weight. I am afraid I have a serious condition and am trying to get in to see a hematologist but right now they are not scheduling! Why is my liver inflamed when I'm eating good clean food and don't take any OTC drugs nor drink alcohol caffeine. Also why is my TSH so low in combination with free T3 and T4 low? Should I increase my thyroid meds or perhaps try going off??
WBC 2.8 (low for 2 years)
RBC 3.97 (low for 2 years)
MCV 100 (this has been high for 2 years)
MCHC 32 (has been low for 2 years)
Netro abs 1.6
Haptoglobin <30
TSH 0.136
Free T3 2.58
Free T4 0.65
Vit B12 330 (has been consistently decreasing from being 742 1.5 years ago)
My liver ALT has gone from 35 in July 2019 to 65 in most recent lab results and the AST from 24 to 29. I am currently experiencing fatigue, nausea, abdominal bloating/swelling, tremors, brain fog, and dizziness. I exercise 5 days/week and eat very clean and minimal processed foods. I am slightly underweight and find it difficult to gain weight. I am afraid I have a serious condition and am trying to get in to see a hematologist but right now they are not scheduling! Why is my liver inflamed when I'm eating good clean food and don't take any OTC drugs nor drink alcohol caffeine. Also why is my TSH so low in combination with free T3 and T4 low? Should I increase my thyroid meds or perhaps try going off??
Female | 45 years old
Complaint duration: 2 years
Medications: Tirosint 50mcg, Liothyronine 15mcg
Conditions: Osteopenia, Hypothyroid, Macrocytic anemia
1 Answer
Hematologist-OncologistHematologist-Oncologist
I don't believe you have a serious blood problem, but there are several abnormalities and when you see a hematologist thy may want to do a bone marrow examination. You have minimally abnormal liver functions and I don't believe that is your problem. Although TSH suggests you are getting enough thyroid replacement in spite of slightly low T3 and T4, I would see your primary care physician to discuss this and get their recommendations.
