Updated Iron levels and most recent insulin and ACTH values- desperate for advice


Kelly Gilmartin
 

All values were updated in case history.  Top line results below:

Buddy's insulin levels were high 99.75 uIU/mL (range 10-40)
Serum Iron was 225 ug/dL 
TIBC 535 ug/dL
Ferritin 244 ng/mL

T4 was 0.630 ug/dL (range 1-3)

I am not sure how hypothyroid is diagnosed? Would I add Thyro-L here or metformin or both? Also, how do I get the iron levels down? 

Thank you, 
--
Kelly Gilmartin/Buddy
Western Massachusetts 
member since 2019
https://ecir.groups.io/g/CaseHistory/files/Kelly%20and%20Apostrophe%20GCH/BuddyCaseHistoryAug2020.pdf

https://ecir.groups.io/g/CaseHistory/album?id=251736

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