Is it possible to have a disease or a syndrome without having textbook signs? For years I have been gradually putting on weight around my midsection, fatugued beyond belief, unable to focus with a pretty good amout of short term memory loss, low blood pressure, now I am losing my hair on my head and growing it in other places where a woman should not even have hair, I have peach fuzz facial hair with some wiskers now too!, and bosy aches and joint pain, I have never been able to have children.
I have been tested for thyroid but that was normal. Was also tested for Polycystic Ovarian Syndrome but GYN said I did not have it because my Prolactin and FSH were with normal limits he did not do a LH.
I have now gone to an Endocrinologist and he checked me for acromegaly because I am extremely tall with large hands and feet that seem to have grown over time(I dont know but strang}my labs were pretty much normal but these are some of the results.
Total Testosterone 52
Pro Insulin 32
Cortisole level am 1.1
ACTH 5.0
sex binding globuline 22
my creatine was mid range
Are these result ok? I feel like I am crazy and should be committed somewhere, thats how bad I feel.
Dgrace
If you have insulin resistance, dieting can be very difficult unless you treat the insulin resistance. Usually, oral hypoglycemic medications such as Metformin, are used for this condition. It does help with weight gain and helps control the underlying metabolism problem.
Cushing's syndrome can be very serious if not treated. You should either see an endocrinologist or a reproductive endocrinologist. Either should be able to help you. In addition to testing for Cushing's syndrome, check also for thyroid disease by getting a blood test for TSH and T4 and T3. Once you have eliminated (or included) these medical hormonal problems, it will be much easier to determine the best course of treatment.
Also, given the fact you have osteopenia and have had three stress fractures, it also makes sense to ask your doctor to investigate other conditions such as hyperparathyroid disease and take a careful look at diet and vitamin and calcium intake. Be sure to ask about being treated for the elevated lipids and triglycerides with a medication such as Lipitor to reduce your risk for heart disease.
Machelle M. Seibel, MD