HYPO? or PITUITARY or Something else?

[jenniferk86]

I have been for 10 months now been experiencing extreme fatigue, I can't even drive myself home from work unless I take an energy drink first to keep me awake.  I tried everything to relieve the exhaustion to changing my diet to exercising more, to exercising less.  I can't lose weight even though I'm exercising 5 times a week at an hour and a half (800-900 cals burned)  & eating right foods ( 1800 cals or less per day, 6 small meals per day), depressed, forgetful, exhausted, trouble concentrating, joint pain, low libido, extremely painful cramps, vertigo, moodiness, etc...) .  

I have had a long haul here. I had a grandmal seizure almost a year ago this march. It resulted in a major concussion where I didnt remember anything for 15 min not even my name.  My memory returned to normal and nobody could ever find the cause. I found out I have factor 5 lieden and protein s def. which means my blood clots easier.  so about 2 months after, I began getting so tired I could not drive TO work even after 12 hours of sleep. Tried everything to see if it would help for 2 months. Nothing so I saw a dr. did thyroid tests and a barrage of other tests with everything seemingly normal.  My lipase was high, albumim, mean platelet, but dr.s not concerned.  I have every hypo thyroid symptom out there and my pain is especially bad. I have to take percocets to function. It seems as though the only test I haven't done is hormonal tests.  My thyroid Results were as follows:

TSH 1.0 (.3-3.0)
Free t 4  .8 (.8-2.0)
Free T3   3.25(2.3 to 4.2.)

I was reading and saw that Pituitary can be damaged by head trauma.  And the timing of it all makes sense, but my question is are my labs abnormal enough to warrant testing on my pituitary or should I keep  looking for something else for all my symptoms, I have gained 35 lbs in the past 3 months.  PLEASE HELP ME I DONT KNOW WHAT ELSE TO DO.

[jenniferk86]

I do not currently take any seizure meds.  What else do you think my symptoms could be caused from if not thyroid? possibly pituitary or hormonal?

[Mark Lupo, M.D.]

These appear to be normal thyroid labs with no evidence of a thyroid issue.
It's unlikely thyroid medications would help with this situation.
Some seizure meds contribute to weight gain - discuss this with your neurologist.