TSH suppressed (0.09)
T4 Normal, but always borderline low
T3 Normal. but always borderline high
Normal CBC w/ differentials
Normal Metabolic panel - some labs have flagged low potassium and low magnesium
Current Dx Subclinical Hyperthyroidism (untreated)
Symptoms: Excessive fatigue, very low libido, malaise, mild vague pain in LRQ.
CT Scans w/ contrast of abdomen and pelvis: Normal - Unremarkable. ****
What is the significance of my markedly low DHEA-S level, given that I don't
have some of those other tests back yet. (tests mentioned above) pending tests
If ---anyone---- who knows anything about low DHEA-S , I could really use ---any-- feedback.
What about your free thyroids - is that what you mean by active thyroid?
Has your weight gone up or down? How is your blood pressure? Your doc has pretty much tested everything I suggest except renin - but got aldosterone which is half of the loop.
Imaging as I said before can be iffy- was your pituitary MRI dynamic? Did a pituitary surgeon review the film? Radiologists can miss them as well as a smaller tumor can fall between the 3mm slices.
My adrenals were enlarged when removed - but showed up as normal both before and after removal on several reports. Yes - even after. I am not the only one either.
I prefer to respond on the forum - otherwise I get way too many PMs - and no information is out there to help anyone else. Being a patient myself I only visit once maybe twice a day since I am busy. Please be patient!
But no Free T3...
Stable weight but no loss I would be more inclined actually to lean toward hypercortisolism than hypocortisolism - given that most with Addison's lose and those with Cushing's are all over the place (cortisol is wild!) but there are no absolutes on either side.
I had low BP with both high and low cortisol. Normally that is a sign only of low. It takes a lot of testing and an expert doctor.
A CT should rule things out - but alas - they can be read wrong. Was the MRI done where you had contrast given while you were in the machine - or were you pulled out? If pulled out, it was not a proper pituitary MRI.
T3 is normal. Dx is subclinical hyperthyroidism (LOW TSH, all else normal, including antibody tests. Only strange fact: Iodine Uptake Scan displayed low uptake at 5.3% which was stated by radiologist as "HYPO" of all things!
Now the abnormality to add to the equation is low Testosterone (FREE AND TOTAL) and profoundly suppressed DHEA-S
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