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What Do Elevated Neutrophil White Blood Cells Indicate?

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Posted on Fri, 10 May 2024
Question: My last TSH was .44 and my Free T4 was 1.1. I’m feeling absolutely horrible should I be getting treatment?Hi, can I answer your health question? Please type your question here...
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (54 minutes later)
Brief Answer:
TSH and T4 are normal but possible infection or inflammation

Detailed Answer:
Hello and welcome,

I took a look at the lab results you uploaded. Your TSH and free T4 are fine. But your neutrophil white blood cells are elevated which goes with having either an acute infection or some inflammatory state.

Also, your glucose and insulin growth factor are elevated. Was this test done fasting? In addition, your cortisol was on the lower side - and if you are ill, or this was done fasting at 8 am, it should be higher.

So - I would see your doctor to discuss what might be going on in terms of infection or inflammation. And if the test was done fasting, there is a problem with your blood sugar.

In addition, while your Vitamin D level falls within the normal range for this lab's standards, it is best to have it higher - above 50, so you may want to consider supplementation.

I hope this information helps. Please let me know if I can provide further information.
Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh (49 minutes later)
No fasting, tests in afternoon.
Being treated for AI with steroids.
I’m not sick or have any infections.
Was curious on your thoughts of my sex hormones and thyroid. I have every symptom of low thyroid.

Oops. I was taking genotropin for growth hormone deficiency but am on much lower dose now.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (25 minutes later)
Brief Answer:
Thoughts on this

Detailed Answer:
Taking exogenous corticosteroids (as medication) would explain the less than adequate cortisol (although your ACTH is within limits).

Symptoms typical of low thyroid function can also overlap with other things too, including autoimmune disorders (fatigue, etc), and steroids can cause weight gain and many other symptoms. But your thyroid function appears to be solid.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh (15 minutes later)
What about the sex hormones?

I have several hot flashes a day

My neck face and head become soaked in minutes.

I’ve added a statement from another physician into reports, his opinion was different which is very very confusing.
Could u review that and explain further please.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (9 minutes later)
Brief Answer:
Information

Detailed Answer:
I took a look at your FSH, LH, estradiol, and prolactin and they all appear to be normal, not perimenopausal.

I believe you about the hot flashes and am wondering about the genotropin and the steroids. Both have hormonal effects and potential for hot flashes, particularly the genotropin (which can also cause fatigue).

What autoimmune disorder are you taking these for?
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh (13 minutes later)
The hot flashes were why I was sent to endo had them well before the genotropin and steroids.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (1 minute later)
Brief Answer:
Thoughts on this

Detailed Answer:
I'm not sure why the doctor who wrote the letter in the second uploaded attachment thinks you have a thyroid disorder. Is he a board certified endocrinologist? Because his comments are not consistent with standard of care.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3133 Questions

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What Do Elevated Neutrophil White Blood Cells Indicate?

Brief Answer: TSH and T4 are normal but possible infection or inflammation Detailed Answer: Hello and welcome, I took a look at the lab results you uploaded. Your TSH and free T4 are fine. But your neutrophil white blood cells are elevated which goes with having either an acute infection or some inflammatory state. Also, your glucose and insulin growth factor are elevated. Was this test done fasting? In addition, your cortisol was on the lower side - and if you are ill, or this was done fasting at 8 am, it should be higher. So - I would see your doctor to discuss what might be going on in terms of infection or inflammation. And if the test was done fasting, there is a problem with your blood sugar. In addition, while your Vitamin D level falls within the normal range for this lab's standards, it is best to have it higher - above 50, so you may want to consider supplementation. I hope this information helps. Please let me know if I can provide further information. Regards