IGF-1 matter in 16 yr old

[m_ob]

I was wondering if low growth hormone can cause significant problems with fatigue and low muscle strenght, or if that is my low testosterone. How important is growth hormone compared to testosterone?
T4 (Free) 1.04 (0.89-1.76)
TSH 1.17 (.35-5.50)
LH 2.2 (1.5-9.3) L
FSH 2.5(1.4-18.1) L
Testosterone 96.7 (241-827) L
Normal CBC and Comp Metabolic
Ferratin 146.9 (22-322)
B-12 571 (211-911)
Folate 24.0 (5.38-19.64)
Hemoglobin 11.9 (13.0-16.0) L
RBC 3.97 (4.70-6.10) L
Hematocrit 34.5 (39-50)
IGF-1- 243 range (257-601) L
IGFBP-3 2.5 (2.5-4.8)ACTH 4:00 p.m 23 (10-60) a.m range
Cortisol 12.2 (4.0-11)
DHEA 500 (250-900)
Estradiol 20 (10-36)
Prolactin 6.3 (2.6-18.1)-Don't think there's a tumor.
Androstendion 82 (44-186)
CBC AND DIFFERENTIAL all normal
WBC Normal
RBC Low L
Iron TIBC 88 (49-167)
Glucose 79 (70-110) Non-fasting
Total Protein 7.1 (6.4-8.2)
Albumin 4.9 (3.7-4.9)
Calcium 9.6 (8.4-10.6)
Alkaline Phosphatase 77 (32-122)
Total Bilirubin 0.2 (0.2-1.2)
ALT 21 (0-55)
AST 23 (12-42)
BUN 26 (8-21)


.
Creatinine 1.0 (0.4-1.3)
Sodium 143 (136-145)
Potassium 4.8 (3.6-5.2)
Chloride 105 (96-108)
CO2 28 (23-33)

[hardasnails1973]

Fixing all other hormones first will correct the igf-1 in many cases.
You are bouncing all over the place.
Focus on lifestyles,
proper nutritional balance
Proper blood tests
Good sleep quality
Good hormone Dr.

If your sleep sucks then this can answer alot of your issues.

[Crazy Crew]

Your probably going to start feeling good to great today and will think that the test is all you need. But trust me when I say in a few weeks you will start to feel like you did yesterday and maybe worse. That's the problem most of us have had because we didn't get proper care to start, just as you are not getting it now. Keep your eye towards getting proper treatments and don't be fooled by the good times over the next few days.

[hardasnails1973]

just noticed you are b-12 deficient as well. I have had people test 7-800 on b-12 and still end up being deficient. To tell you the truth it appears you have some issue with methylation as well as your elevated folate levels are getting trapped due to the low b-12 levels in your tissue. Its called the methyl trap..Which again goes back to thyroid which onces you start treating the adrenals properly it will all come out which is not hidden. As with chinese medicine you will get worse before you get better..

[Crazy Crew]

--------------------------------------------------------------------------------
Is there anything that should be added to this list of tests? Adrinals?


Total Testosterone
Bioavailable Testosterone (sometimes called “Free and Loosely Bound”)
Free Testosterone (if Bio T is not available)
SHBG
DHT
Estradiol (specify by the “Extraction Method” or “Ultra-Sensitive”)
Total Estrogens
LH
FSH
Prolactin
Cortisol
Thyroid Panel (TSH, FT3, FT4)
CBC
Comprehensive Metabolic Panel
Lipid Panel
Homocysteine
PSA (if over 40)
IGF-1 (if HGH therapy is desired)
Fasting Insulin


At the one month point, I follow-up with these assays:
Total Testosterone
Bioavailable Testosterone
Free T and SHBG (if Bio T is not available)
Estradiol (specify by the “Extraction Method” or “Sensitive”)
DHT (if patient is using a transdermal delivery system)
SHBG
FSH (3rd gen "sensitive" assay)
CBC
Lipid Panel
Comprehensive Metabolic Panel
(if ALT/AST from above are elevated, then get a GGT)

[m_ob]

Originally Posted by hardasnails1973

Fixing all other hormones first will correct the igf-1 in many cases.
You are bouncing all over the place.
Focus on lifestyles,
proper nutritional balance
Proper blood tests
Good sleep quality
Good hormone Dr.

If your sleep sucks then this can answer alot of your issues.

okay well should I start to look at this further, will you help me break it down?
Nutrition, I do everything in my power to eat the best things possible here are some foods I incorporate into my diet on a daily basis:
Salmon
Scallops
Shrimp
Tuna
Assparagus
Brocoli (steamed always)
Cabbage
Cauliflower
Brussel sprouts
Lentils every other day
Sweet potatoes
Frozen peas
Apples
Apricots
Bananas
Blueberries
Oats
Quinoa
Lean meat
Eggs
Skim milk
Yogurt
Now for lifestyle and sleep:
8 hours of sleep a night, even on weekends, don't really feel like staying up late so going to bed around eight every night waking up around seven in the morning, going to school and after school work at the YMCA as a life guard, (no major stresses in my life)
As for blood tests, give me some I should run and I'll try them.
I think I'm going to make a post as to which bloods I should run.

[m_ob]

Originally Posted by hardasnails1973

just noticed you are b-12 deficient as well. I have had people test 7-800 on b-12 and still end up being deficient. To tell you the truth it appears you have some issue with methylation as well as your elevated folate levels are getting trapped due to the low b-12 levels in your tissue. Its called the methyl trap..Which again goes back to thyroid which onces you start treating the adrenals properly it will all come out which is not hidden. As with chinese medicine you will get worse before you get better..

B-12 571 (211-911)
Doesn't look deficent to me?

[hardasnails1973]

it would not because you do not understand the biological pathology of why it is.neither do most dr's.
When I have patients testing in the b-12 750 and then running intracellular testing showing they are low. I think experience and clinical documentation rules out a 16 year olds observation. If you are also in the area you are then i highly would suspect iodine deficiency would be highly plausible as this can cause alot of your symptoms you are experiencing. Its called the goiter belt of the USA.

[m_ob]

So what do you have to say about the low levels of fsh lh and gh? that is pituitary, what is causing that then?