Prolactin Pool 6.07 (10am)
Then, he ordered a MRI, and found a 3mm tumor in the Pituitary gland. Endo#3 ordered more lab work, but asked me to wait 30 days, because the TSH was elevated. He raised the Levothyroxine to 150mcg.
LAB WORK 5: 1/8/09
TSH 12.11 (still high even with the new dose?)
T4 Free 1.15
Free Testosterone 54.4 PG/ML (expected values: 26.0 - 170)???
FSH 2.46 (1.5-12.4)
LH 2.97 (1.7-8.6)
Cortisol 8am 20.24 UG/DL(6.2-19.4)
Prolactin 13.01 NG/L (4.04-15.2)
Growth Hormone 0.05 UG/L (0.0-10)
ACTH 22.5 PG/ML
- The TSH remains high even taken a higher dose of Levothyroxine
- It seems the Cortisol 8am is a little high. However, when it was taken at 10am seemed to be normal.
- The GM seems low, but within the expected values?
THe T was miserably low as is LH and as you know TSH way too high. You will have to go by T3 and T4 levels to judge if you need my synthroid or not because the tumor could be causing TSH to be too high. You don't give ranges so I can't tell if they are ok or not. Sounds like you need to do something about the tumor. Have you looked into having it removed? From what I have read it is worth going to a hospital that specializes in that. There are only a few of them. Do a search for pituitary disorders and you will find them.
The tumor is likely causing the low LH and low T too by the way. If they can remove it you have some hope of going back to normal.
With a pit tumor, I would look for a good hospital that treats pit tumors. Try university hospitals. It may be the cause of your issues, may not be. But you need a doctor that recognizes that you have some hormone issues.
Thanks for your replies. Currently, I am living in Lima, Peru (S.America), and it seems here doctors don't know much about my condition. It is very frustrating! Today, the doctor went over the lab results I posted here, and he doesn't know what to do...!!! He ordered new lab work. He is the 4th doctor I see, and all have been highly recomended. So... I am kind on my own, and wating for people in this group to guide me. I just would like to know what are the lab tests I need to take again.
I just saw your post when i was searching an answer for my symptoms . It seems like we have so many things common in terms of blood test . I have been complaining my symptoms for 3 years or little more i say , In 2006 they diagnosed me Hypothyroidism due to elevated TPO (AB) and concluded Hashimoto's .I have been taking levoxyl initially they all blame to thyroid for all my symptoms like following
Muscles pain/Muscles weakness
Less energy /fatigue
literally i can't do much physical work even in my backyard and making BBQ.
I changed so far 3 endocrinologist and finally the last one decided to do some hormone test . which came back with following numbers.
With pit tumors it is best not to remove them unless they are so large they are presing on the optic nerve or other major parts of the brain... because even if removed there is over an 90% chance it will grow back. Plus you would still need the meds to controll whatever it was the pit tumor was mesing up.