Hormonal testing
<p>From: Traumatic Brain Injury, Panhypopituitarism and Hormonal Evaluations as a Standard of Care</p>
<p>Laboratory Evaluation in TBI <a id="null" class="null" href="http://www.nevadaosteopathic.org/attachments/article/33/Clearfield%20Panhypopituitarism%20and%20TBI.pdf">http://www.nevadaosteopathic.org/attachments/article/33/Clearfield%20Panhypopituitarism%20and%20TBI.pdf</a>
• Hormone ranges are based upon pooled data.
• Usually a two standard deviations a randomized mean defines the
range.
• Ranges may be narrow; i.e.
– Post-menopausal Progesterone (0.1-0.8 ng/ml)
• Ranges may be broad; Total Testosterone: 264 to 916 ng/ml.
(New)</p>
<p>Hormone levels should be centered around the median level of its acceptable range. The ideal net effect is that the levels are close to the median of the range</p>
<p><img src="/add6684e-2d79-5ed9-9baa-dd2723195273.png" /></p>
<p><img src="/d919296e-30c9-5689-a46c-e02b5a9b4b8b.png" /></p>
<p><img src="/5f7af688-290a-5cc7-89d5-69a12dd736ec.png" /></p>
<p> </p>
<p><img src="/7b0bd053-f802-58e4-abcc-5999915e2ebb.png" /></p>
<p><img src="/ba66250c-8d46-5700-84d3-10a5b399dba3.png" /></p>
<p><img src="/7dde92a8-7f90-53a2-a562-c17a8c735fa1.png" /></p>
<p><img src="/1404a28a-4d5f-5b55-ab4e-cf84b6c799fe.png" /></p>
<p><img src="/f340c15e-ae70-5115-aba6-a02b4548f54d.png" /></p>
<p><img src="/57645c92-7eb0-5d83-8f60-0db1dbdf373c.png" /></p>
<p><img src="/21b9fdd0-2586-52c8-bf7a-18a978c213f5.png" /></p>
<p><img src="/5e667982-30dc-5de6-a664-bbf20d31bf8e.png" /></p>
<p><img src="/6f5ccb8c-8ddb-51e0-a874-e4351874c7a9.png" /></p>
<p>Calculations
1. free T3/Reverse T3
a. “Normal” = 1.06
b. “Neuro Permissive Environment” > 2.0</p>
<p>
Elevated rT3 due to:
Elevated Cortisol
B12 deficiency
Low Ferritin
Low Iron
Diabetes</p>
<p><img src="/28153524-25fc-5cea-98a0-3373d071b116.png" /></p>
<p><img src="/55be8e48-4080-57dc-bb6e-7c2aa7b5367c.png" /></p>
<p><img src="/5f8b4b84-e0e0-53cc-b618-370dee679685.png" /></p>
<p><img src="/95a29304-5c79-596c-9f82-f583356e1251.png" /></p>
<p><img src="/f25ce52a-43e5-5bf7-8770-af02d666934a.png" /></p>
<p><img src="/d13188dd-1887-5505-bffe-907fd2191031.png" /></p>
<p><img src="/ed3fb247-decd-54a5-a353-b29153cb4de3.png" /></p>
<p> </p>