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Is it possible to be Primary AND Secondary????

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I posted to below on the sister site, then I realized it probably made

more sense to post here:

I've been doing a lot of reading and can't seem sit tight until I can

get into the dr's office. As most here, I too have had symptoms for

YEARS, so I've been trying to figure out what may be going on with all

the symptoms and scattered tests received thus far. Looking into

family history symptoms and my mom having just tested for TPO

antibodies above range, I'm guessing I too probably have a thyroid

problem when looking at my symptoms. Where things get interesting is

that I was in an accident at 2 yrs old (38 now)where my nose was

broken in that area that lines up in front of the pituitary. After

having received feedback from a pituitary patient regarding scores

for prolactin and igf-1, it looks like there may have been some

pituitary damage. (prolactin: 6.1 <2.8-29.2 non-pregnant> and IGF-1:

166 <109-307> if anyone knows about these tests). Apparently pituitary

tests are similar to thyroid in that being " in range " means nothing,

but where you are if you are in range is what's important. Now leading

up to the question: Has anyone heard of someone having primary and

secondary? If so, is treatment any different or are there any

pertinent details about something like that that would be good to know?

Thanks!

Abby

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I suppose it is possible that the adrenals aren't producing cortisol and the

pituitary is not sending messages either. I have wondered this myself

knowing mercury collects in the brain and I am pretty sure I had some

hypothalamus shrinkage from years of less than 3 hours of sleep a day. With

an injury it would make it even more possible. There is so much that

interrupts the feedback loop.

The treatment would be the same but usually in Primary AF the adrenals get

the message but cannot produce enough cortisol for various reasons like

deterioration of the adrenal cortex. In Secondary AF the adrenals can

produce enough cortisol but the pituitary gland isn't sending the messages.

Cheri

-----Original Message-----

Where things get interesting is

that I was in an accident at 2 yrs old (38 now)where my nose was

broken in that area that lines up in front of the pituitary. After

having received feedback from a pituitary patient regarding scores

for prolactin and igf-1, it looks like there may have been some

pituitary damage. (prolactin: 6.1 <2.8-29.2 non-pregnant> and IGF-1:

166 <109-307> if anyone knows about these tests). Apparently pituitary

tests are similar to thyroid in that being " in range " means nothing,

but where you are if you are in range is what's important. Now leading

up to the question: Has anyone heard of someone having primary and

secondary? If so, is treatment any different or are there any

pertinent details about something like that that would be good to know?

Thanks!

Abby

.

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Secondary might be able to lead to primary, as I've read (on the

Internet, beware - but it was on a blog by an 's patient..)

that if the adrenals aren't stimulated enough/for long enough, they

will atrophy.

> in Primary AF the adrenals get the message but cannot produce

> enough cortisol for various reasons like

> deterioration of the adrenal cortex. In Secondary AF the adrenals can

> produce enough cortisol but the pituitary gland isn't sending the

> messages.

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