Microsoft word - optimalwerte hormone.doc

Suggested optimal values for an average sized person For tall and large, athletic subjects 10 to 25 % higher plasma values of anabolic hormones such as IGF-, DHEA sulfate, testosterone, dihydrotestosterone, and eventually estradiol and progesterone are probably more appropriate. For smaller and thin persons, the contrary should be true. The same is valid for 24- hour urine, where the urinary hormone levels should positively correlate with the urinary creatinine.(In patients without severe kidney disease) • for a person of average size and body weight with normal( not exessive) activity and diet Possible cause
pathological (young adults
deficiency
if pathologigal consequence if
value →↓↑←± pathological
Nutritional
Ferritine
Vitamin B 12
Folic acid
erythrocytic
Vitamin C
Sodium NA+
Potassium K+
Magnesium
erythrocytic
Zinc 120
Cupper 120 < 90
Selenium 120
Vitamin E
Vitamin A
Vitamin D 25-OH
Uric acid
Hematocrite
Ureum (BUN)
transcortin,
reference
albumin,.
values (& not
borderline
to proteins may appear artificially high; high binding proteins may be caused by oral estrogen intake Cholesterol
118 -180 mg/dl Hypothyroidism Acceptable ENDOCRINE
GH stimulated by
GHRH, insulin, L-
clondine, activity,
.
Somatomedin C
300- 350 (M) < 220
220 - 300 (W) < 180
IGF- BP- 3
TSH 1 > 2
Free T4 1,5 < 1,1
ATG 0 > 50
ATPO (or AMI) 0
TSI (or TBII)
Thyroglobulin <
Goiter; * dessicated thyroid therapy→ ↑ thyroglobulin Calcitonin 8
Phosphorus
Parthormone 25
ACTH 40 < 20 or >80
ACTH-test cortisol
> + 100 %
Cortisol (total) (8h)
Transcortin (CBG)
Free cortisol
Cortisol(total) (16 -
Free cortisol-
afternoon
DHEA-Sulfate
250 -300(W)
DHEA deficiency, DHEA deficiency nephrotic syndrome Androstenedione
Aldosterone
(standing or
secondary to hypocorticism or oral estrogen intake Hemoglobulin A1c
progesterone deficiencies; synthetic ;progestogen Prolactin
Prolactinome; hyper- prolactinemia secondary to hyperthyroidism or stress; may inhibit gonadal function & hormone secretions Estradiol
20 - 25 (M)
(W:21*st day of
menstrual cycle)
Estrone
(W:21stday of cycle)
Progesterone
(W:21st day of cycle)
Progesterone deficiency; (hypothyroidism, estrogen deficiency) 25 - 30 (M)
androgen, GH & cortisol deficiencies Testosterone
6500 -7000(M) < 6000(M)
Free testosterone
Dihydrotestosterone
650 - 700(M) < 500 (M)
Androstandiol
15 - 17 (M)
glucuronide
pregnenolone
24-HOUR URINE
MUSCLE MASS
creatinine
DIET
volume 24
St.Urine
sodium Na+
potassium K+
magnesium
vegetable intake; excess loss (coffee intake),(hypopara-thyroidism(?)) phosphorus
ENDOCRINE TESTS- Urine

GH
6-sulfatoxy-
melatonin
1700-1900

Cortisol
(with urine loss of cortisol):Cushings disease or 17- OH- steroids
(with urine loss of cortisol); Cushings disease or syndrome 17- ketosteroids
Aldosterone
> 20 if
sodium <
pregnandiol
Testosterone
M= men, W= women The suggested optimal and pathological values are only indicative and based on Dr. Hertoghe’s experience. They should always be submitted first to the physician’s own medical expertise and experience and adapted to each patient. These values are not intended to be used as strict dogmatic guidlines. Each patient is different and unique and in fact may need different optimal levels for his hormones than others, although many patients may benefit by having their hormone levels increased to the suggested „optimal“ levels.

Source: http://www.coaching-for-health.net/eisenzentrum/hertoghe.pdf