Re: T3 and still hypo and in despair - advice needed please

January 2, 2011

Thank you so much, , I will put it in my letter to my Endo. I

had terrible toxic symptoms and have now stopped T4 and am going T3

only. I knew about my Urea as the consultant at A & E suggested I drink

more water but I didn't see the Creatinine. He told me that all my

other tests were normal but wouldn't give me the ranges. I got the

ranges from other blood tests done at Guy's (I believe the Princess

University Hospital use the same ranges because my tests read

similiarly.

Love

Jacquie

> What jumps out at me from the above are your Urea and Creatinine....

> both are elevated and that indicates that your kidney function might

be

> compromised, which could have the effect of making you feel pretty

awful

> as toxins are building up in your body. Please ask your GP to re-check

> and if necessary investigate your kidney function further.

>

> Best wishes,

>

January 2, 2011

Yesterday, 1st Jan, I decided to go T3 only. I was originally on 50mcg T4 and 20mcg T3 and suffering severe hypothyroidism and perspiring to the point I was totally drenched all the time and sheets needed changing constanty (having no energy, this was an ordeal). I then changed my dose to 25mcg T4 and 30mcg T3. My sweating went away and then after a week returned but not as severe as before. So I then dropped the T4 completely and raised T3 to 42.5mcg. Last night, I ventured out to get a take-away a short walk away (having the flu I've been unable to go out and have no food at home) for the first time since 23 Dec. when I went to A & E at my Endo's request, and felt I could walk much faster on T3, and it actually felt good being out. This morning I woke up at 6.30am (sweating slightly again) and took a dose of 12.5mcg T3 at 7am and after two cups of tea and toast.... it was just after 10am and I couldn't keep my eyes open anymore. I slept right through to 1.30pm and now at 4pm, having taken my 3rd dose out of 4, my eyelids are droopy and I'm wanting to go to sleep again. Is this the flu interacting with the T3 or toxicity from T4. I know I have adrenal issues but am waiting for my appointment with him once he's read my letter with all the attachments from our Files section.What should I do? I'm due to see my Endo on 26 January and he is expecting me to have a thyroid function test before my visit. I have written a long letter to him but am still stuck on the second last paragraph informing him of my change in regime my TFT will be very different to what he was expecting. What should I say? So far: "I have received your letter of 23December, and must bring to your attention that your current treatment is notworking for me. I can no longer put my life on hold, waiting for an improvement on this regime, and waiting for Erfa Thyroid to be approved, and with your current regimen making me increasingly ill. I have been left with no choice but to adjust the T4/T3 dose myself in order to get through the days. Since reducing my dose of T4 to 25mcg and gradually increasing my T3 to 47.5mcg per day, I am no longer continually drenched in perspiration although I do still have hot flashes, and my muscle strength and cognitive functioning has also increased slightly. I am monitoring my pulse, temperature and symptoms during this period. This change in dose is helping me while desperately trying to recover from a dreadful flu virus which I unfortunately caught at A & E."The problem is, I am no longer taking any T4 now. How do I tell him this in my letter? I am also so angy because when I reported my sweating and perspiration he wrote a letter to my medical practice saying:"Ms Falkowski rang to report symptoms of sweating(in my absence my secretary had suggested she go to A & E as per my lastletter but she did not want to). She maybe taking different doses of T3 in addition to T4 to that outlined in my letterof 8th December. I would have real concernswith her taking anymore T3 than detailed in my letter of 8th December and wewill ring to make sure she is aware of this. T3 at the wrong dose can be potentially dangerous and that is why I had arranged> for her to have dosing tests as a day case. The doses we monitored on that day did not seem to affect her adversely and I would therefore recommend she does not takeany more T4 and T3 than that. I wouldcertainly be uncomfortable sanctioning higher doses of T4 and T3 at thispoint. She has an appointment to see mein January 2011 and I hope to speak to her about this then. In the interim it is important that she reportsany worsening symptoms such as palpitations, muscle weakness, sweating, heat intolerance or weight loss urgently." So, he expected me to suffer extreme hypo symptoms until he was able to see me on the 26th and then STILL NOT do anything except 'discuss it with me' . I am also unsure whether to persevere on 42.5mcg T3 only - I know the T4 really makes me ill - but I can't understand the fatique unless it's flu related.... or could it be because I suddenly stopped T4?I also feel terribly deceived because I telephoned the PCT on the 30th and found out that they had no record of his request for Erfa. They gave me a fax number for his secretary to fax the request directly to them but she had no knowledge of it. He told me three months ago that he had requested it and the PCT said that it takes 48 hours to process! I have included this in my letter.One last thing, I stopped taking the pill over 2 months ago and have not menstruated since. Shouldn't tests to be done why this is? And which tests?Any advice appreciated. Thank you for reading! Love> Jacquie

January 3, 2011

Oh dear ....... I think you might have painted yourself into a corner here, Jacquie, and your endo doesn't seem very sympathetic. He is singing from the RCP-hymn sheet, yet without making too much sense – On one hand he "....would certainly be uncomfortable sanctioning higher doses of T4 and T3 at this point...." on the other hand he has not even checked your FT3, and neither your TSH nor your FT4 give the slightest grounds for concern of you being overdosed – so what makes him so "uncomfortable"? - seems a clear case of `RCP-itis' to me.....the fear of going against the "guidelines". I'd rather imagine that if you tell him that you have stopped the T4 altogether, he's likely to get angry and anything you may say to him to justify your decision will fall on deaf ears.

If you tell him that you have upped your T3 and dropped the T4 I would not mind betting that your endo will blame your sweats on the T3 and take it as "proof" that you are overdosing....and it probably will not occur to him to check if the symptoms you are experiencing *might* be less of a result of whatever thyroid medication you are currently taking, but a result of uremic poisoning in conjunction with insufficient thyroid treatment. I emphasize the word `might', because there is no way I could say that with any conviction; but it is a possibility and would explain your symptoms. Your Urea and Creatinine were not terribly high – certainly not high enough to warrant a diagnosis of kidney failure, but when you look at the whole picture of insufficient thyroid treatment and elevated kidney figures, then to my mind uremic poisoning should at least be considered. The symptoms you list – extreme fatigue and sleepiness and missing periods are classic. ( http://www.aakp.org/aakp-library/symptoms-of-uremic-poisoning/ ) I do not know where the sweating comes in, but since reduced kidney function also alters thyroid function and sex hormones, hot flushes and night sweats would not be surprising symptoms – they usually are caused by sex hormone changes .... add to that the high probability of low adrenal reserve, and it could all make sense.

I also feel terribly deceived because I telephoned the PCT on the 30th and found out that they had no record of his request for Erfa. They gave me a fax number for his secretary to fax the request directly to them but she had no knowledge of it. He told me three months ago that he had requested it and the PCT said that it takes 48 hours to process! I have included this in my letter.

Hmmm – why does that not surprise me? Is there any possibility that you could buy Erfa yourself ? It would make your life a lot easier if you could just say to your endo – `look, if I buy Erfa myself, would you be prepared to monitor me?'.... they usually are more agreeable to that, because it lets them off the hook. They can then put in your medical notes `patient insists on Erfa medication, which she buys herself' and then no GMC can touch them..... . The average cost for paying for Erfa yourself would come to about £100 - £ 150 per year all in if you needed say 2 grains or a little more ....

As for your letter.... I don't know how to best handle this, but if it were me – coward that I am - I would rather ask some questions than offer too much detailed information about your current changes in thyroid medication. My slant would be – could my symptoms suggest uremic poisoning, given the elevated kidney parameters and might this be the reason the thyroid medication does not work? – bearing in mind that for instance most of the T4 conversion to T3 happens in the liver ... and liver and kidney work hand in hand.... – just thinking aloud...

All the best, and good luck,

January 3, 2011

I sent this a few hours earlier, but it had not come through.... apologies if it now appears twice.......

Oh dear ....... I think you might have painted yourself into a corner here, Jacquie, and your doctor doesn't seem very sympathetic. He is singing from the RCP-hymn sheet without making too much sense – On one hand he "....would certainly be uncomfortable sanctioning higher doses of T4 and T3 at this point...." on the other hand he has not even checked your FT3, and neither your TSH nor your FT4 give the slightest reason for concern of you being overdosed – so what makes him so "uncomfortable"? - seems a clear case of `RCP-itis' to me.....the fear of going against the "guidelines". I'd rather imagine that if you tell him that you have stopped the T4 altogether, he's likely to get angry and anything you may say to him to justify your thyroid medication will fall on deaf ears.

If you tell him that you have upped your T3 and dropped the T4 I would not mind betting that your GP will blame your sweats on the T3 therapy and take it as "proof" that you are overdosing....and it probably will not occur to him to check if the symptoms you are experiencing *might* be less of a result of whatever thyroid medication you are currently taking, but a result of uremic poisoning in conjunction with insufficient thyroid treatment. I emphasize the word `might', because there is no way I could say that with any conviction; but it is a possibility. Your Urea and Creatinine were not terribly high – certainly not high enough to warrant a diagnosis of kidney failure, but when you look at the whole picture of insufficient thyroid treatment and elevated kidney figures, then to my mind uremic poisoning should at least be considered. The symptoms you list – extreme fatigue and sleepiness and missing periods are classic. ( http://www.aakp.org/aakp-library/symptoms-of-uremic-poisoning/ ) I do not know where the sweating comes in, but since reduced kidney function also alters thyroid function and sex hormones, hot flushes and night sweats would not be surprising symptoms – they usually are caused by sex hormone changes .... add to that the high probability of low adrenal reserve, and it could all make sense.

I also feel terribly deceived because I telephoned the PCT on the 30th and found out that they had no record of his request for Erfa. They gave me a fax number for his secretary to fax the request directly to them but she had no knowledge of it. He told me three months ago that he had requested it and the PCT said that it takes 48 hours to process! I have included this in my letter.

Hmmm – why does that not surprise me? Is there any possibility that you could buy Erfa yourself ? It would make your life a lot easier if you could just say to your endo – `look, if I buy Erfa myself, would you be prepared to monitor me?'.... they usually are more agreeable to that, because it lets them off the hook. They can then put in your medical notes `patient insists on Erfa medication, which she buys herself' and then no GMC can touch them..... The average cost for paying for Erfa yourself would come to about £100 - £ 150 per year all in.... to my mind a small price to pay for the chance to regain full health.

As for your letter.... I don't know how to best handle this, but if it were me – coward that I am - I would rather ask some questions than offer too much detailed information about your current changes in thyroid medication. My slant would be – could my symptoms suggest uremic poisoning, given the elevated kidney parameters and might this be the reason the thyroid medication does not work? – bearing in mind that for instance most of the T4 conversion to T3 happens in the liver ... and liver and kidney work hand in hand.... – just thinking aloud.

All the best and good luck,

February 23, 2011

Hi all and thank you, , for your reply. I wrote to him in depth (5 pages) with plenty of attachments and he was quite upset when he received it. I am currently on 70mcg T3 but brain still not functioning properly and no energy etc. The positives are that I am no longer constantly sweating profusely, no night sweats, sleeping through the night and am able to stay awake during the day even though I am not capable of doing anything. Endo still won't sanction any dose of T3 above 20mcg and doesn't want to be seen as 'condoning' my decision to go off T4 and self medicate. He has therefore ordered tests - blood results attached although still waiting for 24 hour urine Steroid Hormone Profile and 24 hour Cortisol and DHEAS - and wants to refer me to http://bit.ly/ei3Qnf who also happens to be on the committee of http://bit.ly/gYmbON (page 4) for a second opinion. This link shares his views on hypothyroidism http://bit.ly/eetCmE - hence he doesn't believe in T3! What would you do in my position? So far, I have told my new GP (who is hopeless) that I do not want to see this other endo because he does not believe in NDT or T3, and would he write to my endo telling him that I would prefer to see Dr S at Chelsea & Westminster Hospital. He said he would do so but that I must also write to him myself with my reasons. Can anyone email me their experiences with Dr S at Chelsea and Westminster, and if you know if he prescribes high dosages of T3 or choice of NDT with T3? I have tried ringing Dr S' secretary several times, but can't get through.My next appointment with my current endo is in May but his secretary told me he would be calling me once all my tests are back, instead of writing to me, which I'm not happy with as my brain is not functioning properly and I'm still ill.Also, I cannot afford to buy anymore T3 so I have about 2 months worth (which is why I can't increase it) and then I don't know what will happen - I'm so stressed. I know it takes months to see another endo and I haven't even been referred yet. My GP refuses to and says its for my endo to do! I have not had a period in months since stopping the pill (Amenorrhoea) and am unsure if I can still conceive. Is there anything in these blood tests which would tell me that? Will be 47 in March!My blood tests are below for anyone who would be kind enough to interpret them:

BLOOD

TESTS 01.02.11

(STILL

WAITING FOR 24 HR URINE STEROID HORMONE PROFILE & URINE CORTISOL/DHEAS)

NB:

Taking various meds inc Vit B multivitamins and on 60mcg T3 but not for 24

hrs before TSH test

Selenium

Iron

Total Iron Binding Capacity

Iron Saturation

Serum Ferritin

Vitamin B12

Serum folate

Albumin

Alkaline Phosphatase

Not sent for Analysis

22 micromol/L

49 micromol/L

45%

314 ng/mL

515 ng/L

6.9 ng/mL

41 g/L

99u/L

9 to 30

45 to 80

15 to 56

10 to 291

150 to 950

3.2 to 24.0

34 to 48

25 to 114

Fasting Glucose

4.9 mmol/L

3.0 to 6.0

Comments: Provided confirmed on two occasions or

findings confirmed by random glucose and not a known diabetic on treatment. Diabetes

excluded

Cortisol

485 mol/L

Comments: AM sample Cortisol 7 to 9 am

reference range 119 to 618 nmol/L

Hours fasting

13 hours fasting

12 to 14

Free T4

Free T3

TSH

Prolactin

FSH

4.4 mol/L

3.7 pmol/L

<0.01 mu/L

137 miu/L

88.1 iu/L

9.4 to 22.7

3.5 to 6.5

0.35 to 5.50

59 to 619

2.5 to 10.2

Comments: Elevated FSH suggests menopause/perimenopausal

state

FSH Follicular

phase

FSH Mid cycle

FSH Luteal phase

FSH Post

menopause

2.5 – 10.2

3.4 – 33.4

1.5 – 9.1

23 – 116.3

LH

91.1 iu/L

1.9 to 12.5

Comments:

LH Follicular

phase

LH Mid cycle

LH Luteal phase

LH Post

menopause

LH when on oral contraceptive

LH when pregnant

1.9 – 12.5

8.7 – 76.3

0.5 – 16.9

15.9 – 54.0

0.7 – 5.6

Less than 1.5

Oestradiol

586 pmol/L

69 to 2095

Comments:

Oestradiol

reference ranges:

Oestradiol

Follicular phase:

Oestradiol Mid

cycle:

Oestradiol

Luteal phase

Oestradiol Post

menopause

69 – 905

130 – 2095

82 – 940

Less than 163

Testosterone

3.3 nmol/L

0.5 to 2.6

Dehydroepiandrosterone SO4

Has to be sent away for analysis

Specimen

Sent away for analysis

Comments: Sent to QE on 11:2:11 by courier for Zinc

and to St 's by post for DHEAS.

Blood - Reason for Specimen: 2SSP

Hb A1c

IFCC Hb A1c

5.4%

36 mmol/mol

4.0 to 6.0

20 to 42

From 01/06/2009

HbA1c results will be dual reported.

The result will

be expressed as a % and in the new IFCC standardised units of mmol/mol.

After 18 months

only the new IFCC standardised units will be used.

09:00 Serum –Reason for

specimen: 2SSP

Creatinine

Calcium

Adjusted Calcium

Magnesium

Adjusted Magnesium

114 micromol/L

2.49 mmol/L

2.51 mmol/L

0.83 mmol/L

0.79 mmol/L

62 to 98

2.15 to 2.50

0.63 to 1.05

Comments: Adjusted magnesium is magnesium+ ( (31.7 –

Albumin) *0.0042)

Phosphate

Serum Vitamin D

1.44 mmol/L

20.4 mcg/L

Zinc

Has been sent away for analysis

Thank you so much for reading!LoveJacquie

February 23, 2011

Hello Jacquie,

Well, they have been thorough J....- the picture that I can see from your lab results is that you possibly have or have had an inflammation/infection (can't say what or where) because your Creatinine was very slightly elevated (that means your kidneys have been working overtime to eliminate waste products and toxins).

Your 9 am cortisol level looks good (485) ... but that does not mean that you can't have adrenal fatigue. Without seeing a salivary adrenal profile over 24 hours, there is no way of knowing if this cortisol level will last you through the day.

Your sex hormone profile suggests that you are either peri-menopausal or actually full on going through the menopause. Your FSH is pretty high, so I'd guess you are already in the midst of it, but I do not claim to have much knowledge of interpreting sex hormones – I just read the lab comments. You going through the menopause could explain a lot of things, in particular your sweats. This is usually how the menopause starts... with blooming sweats; my own periods stopped at the age of 47 too, btw... and then the hot flushes and cold night sweats started and I felt like I was just about to faint – to begin with the hot flushes were coming and going, then coming on thick and fast, one every hour, day and night – I suffered for 10 long, lonely years. No doctor was able to help – everyone told me that this was `normal' and not an illness. I now know that they were wrong. My thyroid was failing and all my hormones had turned upside down. The stress from nearly expiring every 60 minutes wrecked my adrenals and auto-antibodies were attacking and destroying my thyroid gland. I only got those flushes under control when I was finally diagnosed and treated 10 years later. It would have saved me years of misery if I had known then what I know now.

Your minerals and vitamins –

I think you would benefit from supplementing folic acid and B12. Both are not particularly low, but nearer the upper norm would be better. Your Ferritin is quite high – no idea why - and I would have that checked regularly. Funnily enough I used to have high Ferritin levels too, but they normalized themselves after a couple of years on thyroid meds. I still don't know what had caused the high levels.

Your Magnesium level could be a little higher – nearer the top of the norm would be better. Taking Magnesium Citrate might help with muscle pains.

I am a little concerned about your Vit D level , although there is no ref range with it, and that would be very important to know. Perhaps this lab has a very different range, but I would expect a good D3 level to be around the 100 mark – yours is 20.4 . Since your alkaline phosphatase is relatively high within the ref range I suspect that your Vit D3 levels are indeed much too low, even without knowing the ref range (low D3 can cause high ALP).

Now – your thyroid panel.... well, that is surprising. I know, you have stopped your T4, so I do expect the FT4 to be low – and since you are taking T3, it is perfectly ok that your TSH is suppressed – what I can't understand is why your FT3 is barely in range. When exactly did you take your last dose of T3 before the blood draw? If it had been 24 hours or more, then that would explain the low figure. 70 mcg is not enough as the sole source of thyroid hormone. Your FT4 is practically non-existent, so your body has no reserves to make more T3 and within 24 hours your 70 mcg of T3 are probably all used up. But if you had taken your T3 within a few hours of the blood draw, then where has it disappeared to??

If you want my honest opinion, Jacquie, I think you would make your life more difficult if you wanted to carry on with a T3-only therapy. You would very likely need more than the 70 mcg you are currently taking and you would have to fight with your doctors. It is just possible that many of your current symptoms were not caused by the T4 as you thought (although I hasten to add that I am not a friend of synthetic T4 either), but caused by menopause, general hormone imbalances and possibly D3 deficiency, low-ish B12 and folate as well as a general lack of thyroid hormone. But I must stress that I can only make assumptions on the basis of those lab results and your description of symptoms. In my view a T3-only therapy makes only sense when there is an rT3 problem, and in your case there can't be one, since your FT3 is barely in range and your FT4 is practically non-existent.

If I were in your position, rather than fight with your doctor for getting more T3 prescribed (which he will not do anyway), I would seriously consider buying yourself some NDT – preferably Erfa thyroid, but if this were financially not possible, consider Thiroyd from Thailand ... that is effectively half the price and it is very good. I take that myself. You might also benefit from using Serenity cream. Your sex hormones are obviously in turmoil, so Progesterone would very likely help. I can't comment on your adrenal function other than say that your adrenals are basically working and your morning cortisol looks ok. I would imagine that the reason you are unable to "function" properly is due to your extremely low thyroid levels. You might turn yourself around if you started on NDT.... just guessing, of course, but I think it would be worth a try.

With best wishes,

April 14, 2011

Hi

So sorry to here how much you had to endure on your own. I know the feeling and

truly sympathise.

I've taken some time to respond because I have become increasingly weaker and my

muscles are simply wasting away. I researched buying NDT but I couldn't find

anywhere where I could get only enough to trial myself on them for a month or

so, so I decided to up my T3 to 125mcg which is better for me although I am

still very ill. By the way, the TFT results were on 60mcg T3 only and I hadn't

taken any for 24 hours before the test. My T3 should be higher now that I have

upped my dose to 125mcg T3.

Now, this is where I need you, Sheila, Bob, or anyone who understands my latest

lab results which apparently feature Cushing's. This could explain my terrible

sweating, piercing headaches, ammenoreah (had my first light period in 7 months)

and other symptoms.

The tests were done twice because pathology didn't think the first urine sample

was complete and so i have two very similar reports.

I posted them on the NDT Adrenal Group and the link is:

NaturalThyroidHormonesADRENALS/files/OUR%20\

LABS/Jacquie%20F/

Herewith is another link which I found which seems to verify my results as

Cushing's, although a fresh mind may see it differently.... I'm in overdrive and

very emotional because I so need a diagnosis and this waiting is killing me....

http://joe.endocrinology-journals.org/cgi/content/abstract/24/2/199

If you aren't a member and cannot access NDT link,then please let me know and I

will write them on here.

My endiot has not seen them as he has been on holiday and won't be returning

since after Easter. I left a message for his registrar to call me but...

nothing!!

I have made another appointment some time ago with Dr S at Chelsea & Westminster

for the 16th May. It is a long wait in light of my results and I am truly

nervous. I am hoping that he will also trial me on NDT.

I just want a diagnosis as I have suspected that I have had Cushing's for over

four years now, since a friend in South Africa was diagnosed shortly after I had

stayed with him for a week, and we had exactly the same symptoms. But even

suggesting it has made my GP/endiot think I'm psychotic! (I've read my medical

files!)

I'd be so grateful for any of your views, suggestions and support.

Thank you!

Love

Jacquie

PS: All 5 of my urine free cortisols came back 'normal'.

> If I were in your position, rather than fight with your doctor for

> getting more T3 prescribed (which he will not do anyway), I would

> seriously consider buying yourself some NDT – preferably Erfa

> thyroid, but if this were financially not possible, consider Thiroyd

> from Thailand ... that is effectively half the price and it is very

> good. I take that myself. You might also benefit from using Serenity

> cream. Your sex hormones are obviously in turmoil, so Progesterone would

> very likely help. I can't comment on your adrenal function other

> than say that your adrenals are basically working and your morning

> cortisol looks ok. I would imagine that the reason you are unable to

> " function " properly is due to your extremely low thyroid levels.

> You might turn yourself around if you started on NDT.... just guessing,

> of course, but I think it would be worth a try.

>

> With best wishes,

>

April 15, 2011

From: thyroid treatment

[mailto:thyroid treatment ] On Behalf Of falkowski_uk

Sent: 14 April 2011 17:54

thyroid treatment

Subject: Re: T3 and still hypo and in despair -

advice needed please

Hi

So sorry to here how much you had to endure on your own. I know the feeling and

truly sympathise.

I've taken some time to respond because I have become increasingly weaker and

my muscles are simply wasting away. I researched buying NDT but I couldn't find

anywhere where I could get only enough to trial myself on them for a month or

so, so I decided to up my T3 to 125mcg which is better for me although I am

still very ill. By the way, the TFT results were on 60mcg T3 only and I hadn't

taken any for 24 hours before the test. My T3 should be higher now that I have

upped my dose to 125mcg T3.

Now, this is where I need you, Sheila, Bob, or anyone who understands my latest

lab results which apparently feature Cushing's. This could explain my terrible

sweating, piercing headaches, ammenoreah (had my first light period in 7

months) and other symptoms.

The tests were done twice because pathology didn't think the first urine sample

was complete and so i have two very similar reports.

I posted them on the NDT Adrenal Group and the link is:

NaturalThyroidHormonesADRENALS/files/OUR%20LABS/Jacquie%20F/

Herewith is another link which I found which seems to verify my results as

Cushing's, although a fresh mind may see it differently.... I'm in overdrive

and very emotional because I so need a diagnosis and this waiting is killing

me....

http://joe.endocrinology-journals.org/cgi/content/abstract/24/2/199

If you aren't a member and cannot access NDT link,then please let me know and I

will write them on here.

My endiot has not seen them as he has been on holiday and won't be returning

since after Easter. I left a message for his registrar to call me but...

nothing!!

I have made another appointment some time ago with Dr S at Chelsea &

Westminster for the 16th May. It is a long wait in light of my results and I am

truly nervous. I am hoping that he will also trial me on NDT.

I just want a diagnosis as I have suspected that I have had Cushing's for over

four years now, since a friend in South Africa was diagnosed shortly after I

had stayed with him for a week, and we had exactly the same symptoms. But even