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High Cortisol and Low Testerone- Help Please

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Hi All,

I wrote in December about my Fiancee Alijah's test results. Phil said that the

high Estrogen was causing his low testosterone and to start Arimidex. He's

taking that plus multivitamin and 50mg zinc.

He's lost 20lbs since thanksgiving but still extremly overweight (320 lbs at

6'3 " ). Since on Arimidex the frequency of being " in the mood " has increased and

been able to keep an erection for longer. Still no nighttime or morning

involuntary erections. He still has very bad sleep apnea, fatigue, dry skin, and

brain fog.

We just got his CPAP yesterday to address sleep apnea. We also received his

cortisol test results and I was supprised to see how high they were.

ZRT

8AM 4.3 (3.7-9.5 ng/mL)

12PM 9.5 (1.2-3.0 ng/mL) HIGH

5PM 2.0 (0.6-1.9 ng/mL) HIGH

8PM 2.2 (0.4-1.0 ng/mL) HIGH

Dec (before Arimidex)

Estradiol 41.9 (7.5-42.6 pg/mL) HIGH

Free Test 5.5 (9.3-26.5 pg/mL) LOW

Tot Test 175 (280-800 ng/mL) LOW

Free T4 1.18 (0.82-1.77 ng/mL)

Free T3 3.7 (2.0-4.4 pg/mL)

Questions:

1. How does cortisol tie into the testosterone and estrogen issue?

2. Can he start thyroid meds with high cortisol? I know if cortisol is low you

are supposed to fix that before thyroid meds.

Thanks so much,

Jennie

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