Hack My Labs- Female, 30, PCOS - PaleoHacks.com most recent 30 from http://paleohacks.com2013-05-24T08:16:30Zhttp://paleohacks.com/feeds/question/138129http://www.creativecommons.org/licenses/by-nc/2.5/rdfhttp://paleohacks.com/questions/138129/hack-my-labs-female-30-pcosHack My Labs- Female, 30, PCOSEmm2012-07-25T14:52:05Z2013-01-13T02:22:01Z
<p>Female, 30 years old, 208lbs, 5'5''
Disease: PCOS</p>
<p><strong>Fasting Glucose:</strong> 101 H
<strong>Insulin:</strong> 5 uIU/mL
<strong>Hemoglobin A1c:</strong> 5.3 % total of Hgb
<strong>AST:</strong> 32 H
<strong>Cortisol, AM:</strong> <0.5 L
<strong>Testosterone, Total, LC/MS/MS:</strong> 53 H
<strong>Free Testosterone:</strong> 6.3 pg/mL</p>
<p>Waiting for doc to analyze but was curious of your thoughts!</p>
http://paleohacks.com/questions/138129/hack-my-labs-female-30-pcos/138130#138130Answer by Mallory for Hack My Labs- Female, 30, PCOSMallory2012-07-25T15:01:07Z2012-07-25T15:01:07Z<p>how much protein are you eating?</p>
http://paleohacks.com/questions/138129/hack-my-labs-female-30-pcos/138137#138137Answer by Crowlover for Hack My Labs- Female, 30, PCOSCrowlover 2012-07-25T15:17:17Z2012-07-25T16:00:00Z<p>Your fasting Bg is high but that can be from a lc/vlc diet. This happened to me. You might want to monitor it, at home, post-meal: 1 hour post, 2 hours post. On the other hand your A1C is below 5.4 so that is great. </p>
<p>Your Free Testosterone is OK/Good!<br>
<strong>Your AM Cortisol is very VERY LOW for what is optimal</strong>. I personally would be taking 2 Isocort immediately upon waking. You may need more than two. With AM that low you are likely low at 12/noon as well. If this was me, I would do a saliva Adrenal test (four samples throughout the day).</p>
<p>This one is good and affordable (relatively): <a href="http://www.diagnostechs.com/Pages/AdrenalStressIndex.aspx" rel="nofollow">http://www.diagnostechs.com/Pages/AdrenalStressIndex.aspx</a> </p>
<p>Also, have you had your Thyroid checked? Might want to do that since you are more at risk for low thyroid. Check FREE T3 and T4, not just TSH. </p>
<p>Good luck </p>
http://paleohacks.com/questions/138129/hack-my-labs-female-30-pcos/153691#153691Answer by thegiantess for Hack My Labs- Female, 30, PCOSthegiantess2012-10-04T18:27:32Z2012-10-04T18:27:32Z<p>Free Testosterone is super high. I think the top of normal range is 2.2. There are tons of studies linking obesity, PCOS, acne, etc to high free testosterone. Here some examples: </p>
<p><a href="http://aje.oxfordjournals.org/content/153/3/256.full" rel="nofollow">http://aje.oxfordjournals.org/content/153/3/256.full</a></p>
<p><a href="http://www.ncbi.nlm.nih.gov/pubmed/8557155" rel="nofollow">http://www.ncbi.nlm.nih.gov/pubmed/8557155</a></p>
<p>So, absolutely do not let your doc not address the Testosterone issue. I would ask to be referred to an Endo if you're not already.. I think they might be better equipped to connect the dots. </p>
http://paleohacks.com/questions/138129/hack-my-labs-female-30-pcos/161820#161820Answer by Sataran for Hack My Labs- Female, 30, PCOSSataran2012-11-17T18:22:30Z2012-11-17T18:22:30Z<p>Your FBG of 101 is negated by 5.3 A1c and fasting insulin of 5. Ideally, you want A1c to be closer to 5 and insulin to be <5 but nothing to worry. Your glucose metabolism is normal, though probably not idea. But your AST is a bit high at 32. How's your ALT? I'd focus on that and your other liver enzymes. But that's understandable if you are coming off of fatty liver and/or are in the process of losing some weight since going Paleo.</p>