Tuberculosis test

[KKCAL]

About 8-9 years ,Spine specialist diagnosed Tuberclauses of lower spine, at that time treatment was not started.
Now doctor thinks that he want to rule our Tuberclauses at this stage- keeping in view present symptoms-
Growth hormones deficiency, Micro haematuria, obs sleep apnea,thyroid hypo, diabetics, hypertension,lymph nodes comes and goes ,
What is expected for TB positive?

[KKCAL]

Now Endocrinologist came out with one paper - Approach to testing hormone GH secretion in obese subjects- PMID number 23650336(Pubmed-Indexed for Medline) Author- POPOVIC V.
It said that Endocrinologist should only go for stimulation test in case he/she find from physical examination,clinical and other tests in case she accepts that she will treat in case there is deficiency of GH, you can find this paper, you will better understand language.  

[mkh9]

See last couple of posts.
So these are what I think so far.
1.try to change your diet to the McDougall Diet and see what happens. Read about it anyway.
2. Get the Quantiferon Gold test.
3. regarding hormones. you can get the ferritin test done if too high it can interfere with the testosterone production. TB also affect Testosterone production. Obesity lowers hormones.
4. High FSH and LH can be failure of testicular function. See Urologist?
5. I ran into Sarcoidosis. It can be temporary or Chronic but goes away on its own or sometimes you need treatment. I wouldn't go with  steroids. Sarcoidosis is a chronic inflammatory disease can affect many organs. It can cause swollen lymph nodes and cause parenchyma of the lung, and increases prolactin. Some of the symptoms are dry cough, rashes, fibrosis of lung, heart problems, fatigue, lack of energy, shortness of breath, etc. . I don't know if you have this but you have some of the symptoms.You could see a pulmonologist. I would get the TB skin test first.

It is an idea. I don't know if it is what you have at all. But some of it fits. Let  me know what you think about all of this.

By the way the TSH involved in the pituitary, it is made in the Thyroid but the brain (pituitary) also regulates it. I don't know why that doctor said that the pituitary has nothing to do with it. My doctor told me that my brain had to catch up with my thyroid meds. Duh.
mkh9

[mkh9]

ps. I don't want to say it is a diet as in you are hungry all the time. It is a change I the kinds of food you eat.
mkh9

[mkh9]

See last post.
The diabetes type II, sleep apnea, hypertension, Cholesterol, can all be helped a lot by diet. That is why I think you should try the Mcdougall life style change diet. Dr. McDougall says you can reverse the type II diabetes and atheroschlerosis and cholesterol with his diet. I believe this is so going by our results.  It is worth trying. We have been on the diet for two years now. That would probably eventually get you off the Metformin. But it does take a while. I still think you should get the Quantiferon gold test to rule that out. If it is negative then follow up with the nodule in your lung in about 6 months to see if it has changed. I don't know how many months would be significant time but that is a guess. The next thing is figuring out why the other hormones are off.
mkh9

[mkh9]

I am surprised that she didn't give you much direction at all. I agree that the thyroid controls the TSH level. But she didn't give any reason for the other hormones being off. I mean that is fine that the headache is from low growth hormone. But, what is the cause? Isn't that what you went to her for? The asymmetry can be normal. It stated on the MRI that it was in normal range but there is something going on or you wouldn't have all these problems. Are they going to treat you for the low T? The reason I mentioned the TSH regarding the pituitary is that when all of your hormones are off it points towards a problem with the pituitary not that the TSH is involved in the pituitary in this case. But that's ok. I can look for that article and give it to you to read. It was a PubMed article. Kind of research based but a good source of info. If you are willing to change your diet to a whole plant based no oil no meat you can lose weight. But it is a lifestyle change. Generally, exercise always helps but I think you would still lose weight. If you want to try this I can give you a link. You have to switch from no dairy no meat to whole grains and veggies and no oils. It isn't easy but you get used to it. My husband and I are on this diet. There are lot of people on this diet. You can read their testimonials. There is also a video you can buy or watch on Netflix if you have it called Forks over Knives. The Books is Called the Starch Solution by Dr. McDougall, and his website is www.drmcdougall.com it has free recipes a 10 diet start and a free discussion board etc. We got on this diet because my husband couldn't lose weight and he was 210 and he lost 30 pounds and his cholesterol was 200 and it went down to 160. So, we have done well on it. But anyway. I am going to list all the stuff you told me and write it down and take a look. I don't know if I can help but I'll give it another try or at least try to direct you to someone.
take care,
mkh9

[KKCAL]

Today appointment done with Endocrinologist, she came out with opinion that pituitary is ok and fine, she is not ready to do any of further assessment like dynamic MR or Genetic test,.
She accept that it may have tiny stuff in pituitary but without any decision. She ruled out that obesity/center weight has any link with low growth hormones at all. she is after to reduce weight, confused that how to reduce weight? non tolerance to exercise. I explained to her that in case MRI comes out with no tumor then you should do further testing like ferritin and genetic test,.
She explained that TSH is not hormone of pituitary at all. for low TSH, does such opinion is worth to accept or not.  she told that because I am taking synthyroid ,it is ok. does this can accept.
Only opinion she explained is worth to accept that due to low testosterone ,my prolactin and FSH goes high , for high LH she told she is not worried for this, for cortisol low and DHEAS low she does not have any clue.
She ruled out reason of center headache is of low growth hormones   does this is worth to believe.
Please guide with your knowledge ,I know you can do.
She told that asymmetry of pituitary is normal,