Clearer Results....

I have to go in for more blood work.

 They're mailing me the lab slip. My liver levels were very high, and they think I may have gallstones. So, if my levels come back high again, they're gonna do an ultrasound. ..... mind you, they already stole my gallbladder. 

Also, I might have a weird adult growth hormone deficiency, so I have to go to Swedish at some point and they're gonna put an I've in each arm. One for fluids, the other for injecting me with incilin to severely drop my blood sugar levels. They'll be taking blood over 2 hrs and if the levels don't rise to a certain number, I have this deficiency.  If I have it... I'll have to start taking daily injections into my stomach for 8-12 weeks. Mind you needles terrify me. 

Oh. And they had to up my thyroid medication.

Here are all the levels and what the Doc had to say...

Ref. Range 9/27/2016 12:50 9/27/2016 13:20
SODIUM Latest Ref Range: 134-144 mmol/L 142
POTASSIUM Latest Ref Range: 3.5-5.2 mmol/L 4.2
CHLORIDE Latest Ref Range: 97-108 mmol/L 104
TOTAL CO2 Latest Ref Range: 18-29 mmol/L 24
ANION GAP Latest Ref Range: 5-19 mmol/L 14
UREA NITROGEN Latest Ref Range: 6-20 mg/dL 3 (L)
CREATININE Latest Ref Range: 0.57-1.00 mg/dL 0.73
EGFR Latest Ref Range: >59 mL/min 113.66
EGFR (BLACK) Latest Ref Range: >59 mL/min 131.73
GLUCOSE Latest Ref Range: 65-99 mg/dL 105 (H)
CALCIUM Latest Ref Range: 8.7-10.2 mg/dL 9.5
BILIRUBIN, TOTAL Latest Ref Range: 0.1-1.2 mg/dL  0.7
ALT (GPT) Latest Ref Range: 0-32 U/L 80 (H)
AST(GOT) Latest Ref Range: 0-40 U/L 59 (H)
ALK PTASE Latest Ref Range: 39-117 U/L 94
PROTEIN, TOTAL Latest Ref Range: 6.0-8.5 g/dL 7.1
ALBUMIN, S Latest Ref Range: 3.5-5.5 g/dL 4.4
GLOBULIN Latest Ref Range: 1.5-4.5 g/dL 2.7
A/G RATIO Latest Ref Range: 1.1-2.5  1.6
TSH Latest Ref Range: 0.450-4.500 uIU/mL 4.400
THYROXINE,FREE Latest Ref Range: 0.82-1.77 ng/dL  0.99
FSH,SERUM Latest Ref Range: See Notes mIU/mL 7.2  
PROLACTIN Latest Ref Range: 4.8-23.3 ng/mL 10.56
LH,SERUM Latest Ref Range: See Notes mIU/mL 6.3
CORTISOL Latest Ref Range: See Notes ug/dL 16.0  24.3 (H)
ACTH,INTACT Latest Ref Range: 7.2-63.3 pg/mL 38.3
IGF-1 (ENDO) Latest Ref Range: See Notes ng/mL 61
IGG QUANT Latest Ref Range: 700-1600 mg/dL 1107
IGG 1 Latest Ref Range: 422-1292 mg/dL 515
IGG 2 Latest Ref Range: 117-747 mg/dL 454
IGG 3 Latest Ref Range: 41-129 mg/dL 85
IGG 4 Latest Ref Range: 1-291 mg/dL 70

Amended assessment:
- Electrolytes are within normal limits. Can remain on DDAVP 0.1 mg at night plus 0.05-0.1 mg PRN.
- LFTs show raised AST and ALT, previous Hx of gallstones, recommend rpt LFTs and if AST and ALT still raised, will need US scan of liver and biliary tract.
- Free T4 low normal and TSH high normal, to increase dose of Levothyroxine to 125 mcg a day, script made.  
- Prolactin is within normal limits.
- IgG subclasses all normal.
- IGF-1 is low suggestive of adult GHD, recommend ITT to confirm adult GHD.
- ACTH and cortisol are normal = normal HPA axis. Can remain off Hydrocortisone.