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Blood Chemistry

What blood work panels do you recommend for the initial evaluation?

Dr. Amy Nett: So we do the comprehensive blood panel, which we’re sort of going through all of those markers...

What is being measured for copper and zinc serum?

Dr. Amy Nett: So copper and zinc in the serum, what you’re measuring there is the level of those minerals...

I’m confused on week 37, part 4 teaching on reverse T3, so rT3-to-T3 ratio. So the rT3 ratio. Chris quotes that the optimal ratio should be above 20 if using free T3 and above 10 with total T3. I’m confused because I would think that you would want the ratio to be low rather than high.

Dr. Amy Nett: So the ratio, the way you calculate it is the total T3 or free T3 to reverse...

Homocysteine of 11, TPO, or thyroid peroxidase, antibodies at 245. She has been diagnosed with Hashimoto’s and is on 100 mg of Synthroid. Her thyroid markers are all in the functional ranges. Her vitamin D is low at 29.5, She also has low-normal iron stores, trying to focus on organ meats. Her chief complaints are are fatigue, body aches, weight. She had an ablation. She believes she’s still premenopausal which make sense since the estrogen markers are normal, sort of high normal. Progesterone is low normal. Testosterone is below normal. DHEA is low normal, with DHEA-S in range at the lowest. She has High 5-alpha-reductase activity.

Dr. Amy Nett: Interesting. Because DHEA actually upregulates 5-alpha-reductase activity. So I would’ve expected with low DHEA that she would...

What about 2-methoxy-E1 low but methylation activity is high? I also see the opposite, 2-methoxy-E1 high and methylation low. What do we want to see with these two markers?

Dr. Amy Nett: Okay. So again, what you’re looking for here is not so much the absolute numbers. What you...

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