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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Possible Adrenal Fatigue or Cancer Indicators?
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.
Possible Adrenal Fatigue or Cancer Indicators?
by ChronicFatigue, Oct 02, 2009 02:37PM
What Variations are typical in Adrenal Fatigue?
Do signs look like continuing HYPO (or other "Thyroid Issues"?)
*EXTREME* Fatigue, inability to "handle stress", just "beat down" feeling.
***
Medications:
100mcg of Cytomel
30mg of Adderal XR ( for hyper somnolence/brain fog) take in the a.m.
Cytomel 50mcg when I wake and 50mcg after lunch.
***
***
Temp Testing:.
Day 1:
11:27 am temp 97.5
2:30 pm temp 98.9
8:30 pm temp 97.7
Day 2:
2:36 pm temp 98.8
5:57 pm temp 98.8
Day 3
8:30 am temp 96.7
11:30 am temp 97.7
2:30 pm temp 98.1
*NOTE--All Temps taken with minimal activity (ie. Computer/sitting in chair based work).
**
From June to August I put on 26-lbs---no external reason--ie. not eating more, etc.
***
Cortisol was a 4.4 (2:30pm.)---(scale 8-19 before 4 p.m.).**
**I'm under *EXTREME STRESS* (unemployed, financial problems associated with,. I thought Cortisol is supposed to SKYROCKET during times of "extreme stress"?).
***
***
"Comprehensive Thyroglobulin"
Anti-Thyroglobulin Antibodies is Positive" 1.7 (range > or = 1.0 Positive).
My Thyroglobulin (TG-RIA) is 2.1ng/ml (0-33 scale)
Percent Thyroglobulin Recovery 89% (Range All Ages 85-115).
***
***
FREE Thyroxine
Thyroxine (T-4) Serum 1.1 ug/dl Adults 4.2-13.0
Free Thyroxine 0.50 ug/dl Adults .89-1.76
***
***
Testosterone:
Serum (Total) 343 ng/dl (ref range 350-1050)
Percent free by Dialysis 1.2% (ref range 1.5-3.2)
Free Testosterone, Serum 41 pg/ml (ref range 52-280)
***
***
Metabolic Profile
The "odd" thing is the number were either on the "Low end" or "high end"
(ie. seemed to fall at extremes).
ie.
Sodium--- 139 nmol/L (Ref Range 136-145).
Glucose, Serum---105 mg.dl (Ref Range 74-106)
Creatine--.9mg/dl (Ref Range .9-1.3)
AST (SGOT) is 22 U/L (Ref Range 15-40)
ALT (SGPT) is 51 U/L---- "HIGH" (Ref Range 10-40)
***
***
Calcitonin, ICMA is 14 (REF Range 0-8.4)
***
Do signs look like continuing HYPO (or other "Thyroid Issues"?)
*EXTREME* Fatigue, inability to "handle stress", just "beat down" feeling.
***
Medications:
100mcg of Cytomel
30mg of Adderal XR ( for hyper somnolence/brain fog) take in the a.m.
Cytomel 50mcg when I wake and 50mcg after lunch.
***
***
Temp Testing:.
Day 1:
11:27 am temp 97.5
2:30 pm temp 98.9
8:30 pm temp 97.7
Day 2:
2:36 pm temp 98.8
5:57 pm temp 98.8
Day 3
8:30 am temp 96.7
11:30 am temp 97.7
2:30 pm temp 98.1
*NOTE--All Temps taken with minimal activity (ie. Computer/sitting in chair based work).
**
From June to August I put on 26-lbs---no external reason--ie. not eating more, etc.
***
Cortisol was a 4.4 (2:30pm.)---(scale 8-19 before 4 p.m.).**
**I'm under *EXTREME STRESS* (unemployed, financial problems associated with,. I thought Cortisol is supposed to SKYROCKET during times of "extreme stress"?).
***
***
"Comprehensive Thyroglobulin"
Anti-Thyroglobulin Antibodies is Positive" 1.7 (range > or = 1.0 Positive).
My Thyroglobulin (TG-RIA) is 2.1ng/ml (0-33 scale)
Percent Thyroglobulin Recovery 89% (Range All Ages 85-115).
***
***
FREE Thyroxine
Thyroxine (T-4) Serum 1.1 ug/dl Adults 4.2-13.0
Free Thyroxine 0.50 ug/dl Adults .89-1.76
***
***
Testosterone:
Serum (Total) 343 ng/dl (ref range 350-1050)
Percent free by Dialysis 1.2% (ref range 1.5-3.2)
Free Testosterone, Serum 41 pg/ml (ref range 52-280)
***
***
Metabolic Profile
The "odd" thing is the number were either on the "Low end" or "high end"
(ie. seemed to fall at extremes).
ie.
Sodium--- 139 nmol/L (Ref Range 136-145).
Glucose, Serum---105 mg.dl (Ref Range 74-106)
Creatine--.9mg/dl (Ref Range .9-1.3)
AST (SGOT) is 22 U/L (Ref Range 15-40)
ALT (SGPT) is 51 U/L---- "HIGH" (Ref Range 10-40)
***
***
Calcitonin, ICMA is 14 (REF Range 0-8.4)
***
Doctor's Answer
by Mark Lupo, M.D., Oct 05, 2009 07:24PM
, Oct 05, 2009 07:24PM
I don't support the concept of "adrenal fatigue"
Would see an endocrinologist for an adrenal evaluation.
The 100mcg dose of cytomel is likely excessive and can cause heart-overstimulation and damage.
You need a medical evaluation by an endocrinologist before the treatment becomes worse than the disease.
Would see an endocrinologist for an adrenal evaluation.
The 100mcg dose of cytomel is likely excessive and can cause heart-overstimulation and damage.
You need a medical evaluation by an endocrinologist before the treatment becomes worse than the disease.
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And almost like "clock work"---I'll wake in the middle of the night (not every single night)..but almost----and it will be around 2a.m. (will stay awake for 2-3 hours).
Thus I guess that's related to the Cortisol?!?!