Guest guest Posted March 7, 2008 Report Share Posted March 7, 2008 Hi. Im new here. Im 34 female from Australia. I have spent every available minute in the last few weeks absorbing all I can from this site (thank you). I am largely self diagnosing from all my research here and on other sites and seek input if what I think is right, and what you think I need to get / do next. Word around says your pretty good at this so i really appreciate it. Right now I am DESPERATE. I seem to be getting worse, the condition seems uncontrollable and I have gained 15kg in 6 months. Not what an bride-to-be wants in the run up to her wedding. I am also wanting to have a baby soon which seems impossible given my hormones. Enough blabbing. Here's my numbers. I have written my conclusions in. Synacthen Stim Test (at 09.10am) ACTH Serum...3.0 (0-12) *25% of Ref Cortisol Baseline.......348 (138-650) *41% of Ref LOW 30 min........ 626 *increased 80% from base 60 min........ 836 *increased 140% from base Conclusion: Low ACTH supportive Cortisol more than doubled from a low baseline BOTH supportive/suggestive DX of Hypopituitary/Secondary Adrenal Insufficiency 170H Progesterone Baseline...... 1.6 30 min........ 4.9 *increased 206% from base 60 min........ 5.8 *increased 263% from base Renin / Aldosterone (Day 1 of Cycle) Aldosterone...<69 L(100-950) *Deficient-below range Renin 6.3 (erect 3.3-41) *8% of Ref LOW Ratio.......................less than 1 (less than 70) Aldosterone (Day 15 of cycle) 260 (100-950) *low 19% of Ref Conclusions: One deficient & one very low Aldosterone result indicating/suggestive of HypoAldosteronism (may need Florinef?) Low Renin BOTH supportive/suggestive DX of Hypopituitary/Secondary AI ---------------------------------------------------------------------- - Cortisol Serum (am fasting)....657 (138-640) *slightly elevated Conclusion: Need to get Salivery Cortisol Profile done before anything significant can be ascertained for Cortisol Thyroid Function Tests TSH................... 0.06 (0.3-4.00) *below range Free T4 13.2 (range 8.0 - 24.0) *low Free T3 4.6 (range 2.5 - 7.2) *low Conclusion: Below range TSH FT3 & FT4 both low Combination of above is supportive/suggestive of Hypopituitary/ Secondary AI/ Secondary Hypothyroid Reverse T3 RT3.................. 509 (range 140-540) *high FT3/ RT3.........0.009 (less than 0.2) *low ratio Conclusion: Low Ratio confirms Reverse T3 Dominance (may need T3) Thyroid Antibodies TGAbs................. 89 (range 0-40) TPOAbs................75 (range (0-35) Conclusion: Hashimoto's Thyroiditis Vitamin B12 454 (145-637) *low 63% of ref Electrolytes Sodium...........142 (135-145) *bit low top of range is better Potassium........4.5 (3.5-5.6) *mid range Conclusion: Possible Salt wasting (due to low Aldo) need to start Salt supping. Hormones (Day 15 of cycle) LH.................. 25.8 (Mid cycle peak range 14-95) FSH..................6.9 (Mid cycle peak range 8-25) Progesterone.....5.3 (Mid luteal phase 9.2-117) *low Oestradiol ........367 (Luteal phase 150-1700) *low Conclusions: Seems low for point in cycle. Possibly need HRT? Androgens (Day 15 of cycle) Testosterone......... 1.5 (0.2-3.0) *low SHBG.................. 118 (30-110) *high FAI.................... 1.3% (0.4-6.0) *low Free Testosterone...3.5 (0.1 - 13.5) *low Androgens Free Testosterone.................3.0 (0.1-13) *low DHEA.................................. 3.0 (2-11) *VERY low Conclusions: Low DHEA Low Testosterone & Free Testosterone SHBG too high driving down your FAI BOTH supportive/suggestive DX of Hypogonadism (low sex hormones)/ Hypopituitary/ Secondary AI Strongly supect need DHEA supplementation & possibly Testosterone Other IGF-1.................... 27 (15-64) Prolactin.............. 217 (85-500) ______________________________________________________________________ I started taking hydrocortisone but broke out in severe acne reaction. Same for when I started taking US equivalent of Armour (started on 1/2 grain). I am also taking an antidepresant which I am trying to wean as it is impacting my adrenals. Any input appreciated. Kind Regards Quote Link to comment Share on other sites More sharing options...
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