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="/29c6c78a-0f8b-45c7-817a-a1e6ffb7f0b9.png" /></p>
<p><img src="/08d1911e-e062-4f2c-a06c-3cf3ca7b99fa.png" /></p>
<p><img src="/c730722e-40db-4467-82c4-d24c18c384ca.png" /></p>
<p> </p>
<p><img src="/9fd73013-25d2-45b8-a8a5-6ded60271b87.png" /></p>
<p><img src="/d6f88b91-9951-4aa1-a33d-b5b296e02606.png" /></p>
<p><img src="/bc4f67aa-006e-40c0-9567-ea23f892be8d.png" /></p>
<p><img src="/904a4ec7-9f96-4985-9802-1597a31f9154.png" /></p>
<p><img src="/3be75414-32c3-4c2d-bfb2-a56c7e856462.png" /></p>
<p><img src="/5c0750e2-ec4c-4a8e-acc6-86f2fba90c17.png" /></p>
<p><img src="/effc7108-8566-4cf4-8338-c1710d653acd.png" /></p>
<p><img src="/9287566c-5ae3-4a32-9391-984e090b4cbe.png" /></p>
<p><img src="/a8138581-c255-4599-a1b1-5d2bda7089c2.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="/aca0341c-740d-48bb-9639-438bb6c09f45.png" /></p>
<p><img src="/6497646c-38f1-41d5-9020-88f778f1c585.png" /></p>
<p><img src="/4062f5e5-9793-43a6-946e-c445b84863de.png" /></p>
<p><img src="/298b9b7f-f236-4607-afa3-2f763e88fcbf.png" /></p>
<p><img src="/65a59745-4604-4c34-ac47-37c05bec016f.png" /></p>
<p><img src="/7cc0eba2-98b5-48cd-8de5-5a7690347492.png" /></p>
<p><img src="/ccbfe81f-e94c-4f7b-be5f-9a8d3603efad.png" /></p>
<p> </p>