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="/662feda9-a2e0-44fa-bc22-5975bfb5d46d.png" /></p>
<p><img src="/392e81a2-6694-42e4-b4c5-9ebee53e4b42.png" /></p>
<p>Laboratory Evaluation in TBI
• 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="/032f8d27-cf52-4b66-9d2f-30429fd7f391.png" /></p>
<p><img src="/2a3a1d55-87f5-4795-a75d-f9d47c6e6c95.png" /></p>
<p> </p>
<p><img src="/ecd5bbce-660a-4ed9-bfba-9325ba3adfd2.png" /></p>
<p><img src="/77320d7e-e784-4af1-a7a9-44ca51f06e99.png" /></p>
<p><img src="/223aa844-7e34-4f27-a8fa-cb633122f7ed.png" /></p>
<p><img src="/9a008239-9dde-4500-88cb-3cf5858526e1.png" /></p>
<p><img src="/4bbc10c9-8759-450a-ad38-fe99b106e5b6.png" /></p>
<p><img src="/0b3c34c9-d20e-4953-9368-e2c0e45c7f14.png" /></p>
<p><img src="/02dd0452-19fa-402e-8f62-db5f2c717e41.png" /></p>
<p><img src="/a84ed683-ca6a-449e-a6a8-cb9184168e59.png" /></p>
<p><img src="/ceff3082-0fc1-42d5-9be7-fc0c2c80b382.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="/2d0994db-f5e6-4874-8863-08968f3ef95e.png" /></p>
<p><img src="/61f0fde6-ec86-499d-a34e-43ebc59735c4.png" /></p>
<p><img src="/3fecc641-eb38-4840-ae89-503aa761bde8.png" /></p>
<p><img src="/1b782590-6909-46d3-8439-56947a5a9719.png" /></p>
<p><img src="/c6f9d148-5aaf-4bd8-bd29-fa1100f16b6f.png" /></p>
<p><img src="/3fcb3d9f-277e-44c4-b909-0b48d5a133d9.png" /></p>
<p><img src="/389fe160-3722-4b5a-bced-07a20dd51285.png" /></p>
<p> </p>