After several months of changing doctors, I finally found one who seems to know more about this.
I've been diagnosed with Hashimoto Thiroiditis (hypothyrodism) years ago. I was taking Levothyroxine 125
SYMPTOMS: Depression, anxiety, low sexual drive, tiredness, obesity, poor memory, etc.
LAB WORK 1: 8/7/08
Total Testosterone 168 ng/dL (240-950)
Free Testosterone 6.4 ng/dL (9-30)
HDL Cholesterol 28
LDL Cholesterol 160
(*This doctor recommended me to see an endo)
LAB WORK 2: 8/18/08
The endocrinologist#1 ordered this lab work:
Free Testosterone 6.4
*Endoc#1 said the values are normal. He gave me testosterone shot because I insisted. He said I didn-t have ANYTHING wrong.
*I went to a endo#2: He said all was in my mind. No lab work ordered.
*After a shot of testosterone, I waited several weeks, and I got new lab work done by myself.
LAB WORK 3: 10/31/08
Total Testosterone 109
Free Testosterone 4.51
Cortisol 10am 10.9
I WENT TO A NEW ENDO (#3), AND ORDERED:
LAB WORK 4: 11/25/08
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?