Miserable and Debilitated - Do you think I have an Adrenal Issue?
This has truly been a nightmare. I was diagnosed with a subacute thyroiditis (it makes you hyper, normal, hypo, and then 80% supposedly recover within 12-18 months and end up fine - oh, until it comes back!).
I just passed my 18 month mark and truth be told, I kind of feel worse now than I did a year ago. I have severe exercise intolerance. I have been off thyroid meds since 08/26/11 because my doctor put me on a lot of cytomel (15 mg) and I felt like I had a painful electric shock of adrenaline running through my veins. I feel that way whenever I get on even a little T3. Question: Do you know if unrefreshed sleep is a symptom of hypo or adrenal fatigue?
Below are my latest labs. Do you think I need to be on thyroid meds and/or adrenal support? I know you may not rely on saliva testing, but what were your results so I can compare mine? Were your numbers better or worse than mine? By how much?
I am honestly sitting on the couch all day unless I have to be at work or go to the grocery store. This is no way to live. I am really unhappy, debilitated, and worried I will never get my life back. I have not had the ACTH stim test, but I will try to get it. Since I cannot wave a magical wand and quickly get any test you think I need to have before you provide any opinion - If you can provide some useful help and information with the information I provided, I would greatly appreciate it. Please offer any advice you can. Thank you.
12/22/11 TSH 2.25 (Range: 0.40 - 4.50)
Free T4 1.0 (Range: 0.8 - 1.8)
Free T3 3.1 (Range: 2.3 - 4.2)
Thyroid Antibodies (ATA, TPO) NONE
24 HOUR SALIVA TEST RESULTS (Date: 10/30/2011):
DHEA is 485.72 pg/ml **HIGH** (range of 106-300 females)
Cortisol Morning is 16.43 nmol/L **WITHIN RANGE** (range 5.1-40.2; optimal range 18-35)
Cortisol Noon is 4.96 nmol/L **WITHIN RANGE** (range 2.1-15.7; optimal range 6-12)
Cortisol Evening 1.12 nmol/L **LOW** (1.8-12; optimal range 4-8)
Cortisol Night <0.28 nmol/L **LOW** (0.9-9.2; optimal range 2-6)
Cortisol Testing (Date: 11/16/2011):
A.M. Cortisol --- 22.7 HIGH (Range: 4.0-22.0 mcg/dL)
Cortisol, LC/MS/MS, SALIVA --- 0.04 (Range: 10-11 PM: < OR = 0.09)