Immunology appointment

[Piko75]

I see an immunologist about my ongoing symptoms and that I could have an autoimmune disease
I'm not sure what they are going to do
I have already been given a diagnosis of adrenal insufficiency
My symptoms are at the bottom

Staying up late at night
Tired in daylight hours
fingers and toes going numb, stiff and white in the cold
dizziness upon standing
weight fluctuating
cycles fluctuating
knee pain upon bending it, I am too young to have arthritis and I am not overweight
pale skin
dark circles under eyes

[TheLightSeeker]

You should know that healthy thyroid function is dependent on adequate iron levels.
It can become a vicious cycle because, being hypothyroid can result in a lowered production of stomach acid which in turn leads to the malabsorption of iron.
Ferritin levels along with other iron status findings should be followed up to establish trends, since some subclinical levels are definitely NOT normal for certain certain people and also when down trending, it is a sign of an upcoming deficiency, which may be difficult to correct before any serious consequences develop.
Don't go by the conventional technical explanations and definitions.
All these are just statistical calculations, leaving a sizable number of patients in limbo. Don't be one of those Piko.

Your thyroid function must be checked by doing Free T3, Free T4 and
Reverse T3, specially in secondary or type 2 hypothyroidism (thyroid resistance). The standard serum tests cannot detect this.

Your cortisol, if only AM, is not indicative of its circadian function (24 hour)
and in my opinion it is low if it's AM cortisol.
AM should be the highest, gradually declining throughout the day, with your night cortisol the lowest.
You need a 4x cortisol saliva functional adrenal test. look into it!

Try MSM  powder for your joints (2 x daily 1/2 teaspoon) , a trial of raw salt to help with your hypotension-take your BP regularly- breathe through the nose to increase
NO (nitric oxide) production which has vasodilating properties to help with circulation.
To improve collagen production great for joint health, gelatin 5gr per 1/4 cup of water daily for a month and then 6 months off, is an old traditional remedy.
You may also have some additional hormonal  dysregulation.
I don't have enough information to tell more about your cycles fluctuating.
Could be estrogen dominance, OAT (ovarian-adrenal-thyroid) axis imbalance or other.  Conventional medicine does not deal with this very well.

Best,
Niko

[Piko75]

Thank you

I have hypothyroid, still waiting on results for that
Doctor says my ferritin is in range but low and because my complete blood count is normal that doesn't make me iron deficient
Cortisol was normal at 280 (140-700) and that was basal
I will look at others but don't know of any functional doctors in my area
I have been to one and she was not helpful

[TheLightSeeker]

Look into:
Cortisol dysregulation, Reynaud's disease, orthostatic hypotension,
secondary hypothyroid with primary adrenal fatigue, oh and
low iron status
See a holistic or functional medicine doctor to help you with these.

Best wishes,
Niko