Traumatic Brain Injury (TBI) Hormone Lab Panel

According to the work of Dr. Mark L. Gordon, internationally recognized traumatic brain injury specialist, “Traumatic brain injury can be caused by a direct impact, or by acceleration alone. Brain trauma also causes secondary injury, which takes place in the minutes and days following the injury,” he adds. “These processes include alterations in cerebral blood flow and increased pressure within the skull, contributing substantially to damage from the initial injury.”

Dr Gordon explains how  brain trauma may lead to frontal and occipital lobe brain damage resulting in deficiencies of neuroprotective hormones. The cause of this may be directly attributed to bruising, bleeding or ischemic damage and ultimately shrinkage of the hypothalamus and the pituitary gland. The pituitary is referred to as the “master gland” because it functions to influence the entire set of endocrine glands through a feedback loop, in coordination with the hypothalamus.

Veterans and athletes are commonly experiencing head trauma through vibratory, rapid acceleration and concussion type injuries. Such insidious brain injuries are difficult to diagnose. Symptoms include a “host of psychological, physiological, and physical manifestations, including depression, outbursts of anger, anxiety, mood swings, memory loss, inability to concentrate, learning disabilities, sleep deprivation, increased risk for heart attacks, strokes, high blood pressure, diabetes, loss of libido, menstrual irregularities, premature menopause, obesity, loss of lean body mass, muscular weakness, and a number of other medically documented conditions.”

Post-Traumatic Stress Disorder, PTSD is a common diagnosis for those who incidentally suffered head trauma yet find it difficult to cope, or worse, manifest a full range of conditions related to hormone deficiencies.

Hormones have been proven to impart a “neuroprotective” effect on the brain, which improves the ability of the brain to function normally and resolve emotional conflicts often seen in PTSD.

A proper diagnosis of TBI and hormone deficiency as the basis of PTSD and other neuro-endocrine dysfunctions requires a good history, questionnaire and examination along with a proper evaluation of a comprehensive TBI hormone panel. This panel provides a global picture into the condition and balance of the hormones that protect the brain and regulate the endocrine system.

Tests included in this panel:

CPT                    Name:

85025	CBC – Complete Blood Count
303756	Lipid Panel
80053	CMP
83090	Homocysteine, Plasma
120766	HS-CRP
501561	Insulin Free, Total
001453	Hgb A1C
104018	Cortisol AM
004020	DHEA-S
500142	DHT
004515	Estradiol
004564	Estrone, Serum
004275	Growth Hormone
140707	Pregnenolone
004317	Progesterone
004465	Prolactin
500102	SHBG, Free Testosterone
010363	IGF-1 Insulin like growth factor
004226	Testosterone
070104	Reverse T3
006676	TPO
86800	Thyroglobulin Abs
004259	TSH – Thyroid Stimulating Hormone
001149	Thyroxine (T4)
002188	Triiodothryonine (T3)
010389	T3, Free (Triiodothyronine) Serum
019745	T4, Free (Thyroxine)
004598	Ferritin, Serum
84630	Zinc, Plasma
480947	PSA, Total + % Free
004400	ACTH
028480	FSH + LH
82306	Vitamin D, 25-Hydroxy