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Hormone Problems Message Board


Hormone Problems Board Index


Re: Hormone help!!!
Oct 15, 2012
Well, you have a lot going on here. Glucose is low enough to cause hypoglycemic symptoms. It would be interesting to see a 5 hour glucose tolerance test on you, as your insulin level is actually low, meaning you could have a combination of impaired Glucose tolerance with high blood sugars at times and low sugars at other times. A hemoglobin A1C would be helpful too, another blood test. With FSH and LH and testosterone low, I would look first at the pituitary gland for clues to that. FSH and LH stimulate testosterone production, but they come from pituitary. Your aldosterone is extremely low, which would tend to cause low BP, dehydration and low sodium. That comes from adrenal gland and can be treated with medication. The ironic part is that low aldosterone usually accompanies low cortisols, as seen in Addison's disease. Your cortisol levels are high, more like Cushings. So this is unusual in combination. You appear to be mildly hypothyroid, which can cause fatigue. This can be treated as well. The SHBG being high fits with the low testosterone, as that binding protein binds to testosterone and reduces the amount of hormone available. SHBG (sex hormone binding globulin) is increased in people with low caloric intake, and your weight and body fat % are quite low for a male 5'5" tall. Weight gain may help the testosterone situation.
I think your endo needs to order an MRI of brain focusing on pituitary gland, and possibly an MRI of adrenals. Do you have any history of endocrine disorders in family? The low WBC is interesting and is often seen in autoimmune disease. I would wonder if your thyroid deficiency is caused by Hashimoto's thyroiditis, and antithyroid antibodies done on your blood would be helpful in evaluating that.
All in all, you have a number of endocrine issues to sort out. You have a good start here, and many of these problems can be treated, so you can feel better. You need a very astute endocrinologist to work this up. Please keep us posted on your progress. I would talk to a dietician about a hypoglycemia diet to prevent low blood sugar episodes, which may be causing those shaky spells.
Re: Hormone help!!!
Oct 16, 2012
[QUOTE=ladybud;5072716]Well, you have a lot going on here. Glucose is low enough to cause hypoglycemic symptoms. It would be interesting to see a 5 hour glucose tolerance test on you, as your insulin level is actually low, meaning you could have a combination of impaired Glucose tolerance with high blood sugars at times and low sugars at other times. A hemoglobin A1C would be helpful too, another blood test. With FSH and LH and testosterone low, I would look first at the pituitary gland for clues to that. FSH and LH stimulate testosterone production, but they come from pituitary. Your aldosterone is extremely low, which would tend to cause low BP, dehydration and low sodium. That comes from adrenal gland and can be treated with medication. The ironic part is that low aldosterone usually accompanies low cortisols, as seen in Addison's disease. Your cortisol levels are high, more like Cushings. So this is unusual in combination. You appear to be mildly hypothyroid, which can cause fatigue. This can be treated as well. The SHBG being high fits with the low testosterone, as that binding protein binds to testosterone and reduces the amount of hormone available. SHBG (sex hormone binding globulin) is increased in people with low caloric intake, and your weight and body fat % are quite low for a male 5'5" tall. Weight gain may help the testosterone situation.
I think your endo needs to order an MRI of brain focusing on pituitary gland, and possibly an MRI of adrenals. Do you have any history of endocrine disorders in family? The low WBC is interesting and is often seen in autoimmune disease. I would wonder if your thyroid deficiency is caused by Hashimoto's thyroiditis, and antithyroid antibodies done on your blood would be helpful in evaluating that.
All in all, you have a number of endocrine issues to sort out. You have a good start here, and many of these problems can be treated, so you can feel better. You need a very astute endocrinologist to work this up. Please keep us posted on your progress. I would talk to a dietician about a hypoglycemia diet to prevent low blood sugar episodes, which may be causing those shaky spells.[/QUOTE]





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