Silent Thyroiditis and High DHEA

[NeedSomeHelp123]

Diagnosed with silent thyroiditis 08/01/2010.  

08/26/11 *****Discontinued Thyroid Medication*****

(Range: TSH 0.40 - 4.50 // Free T4 0.8 - 1.8 )

10/06/11 TSH 2.97 -- Free T4 1.0

10/28/11 TSH 1.71

I had a 24 hour saliva test and the results were as follows:

DHEA is 485.72 pg/ml **HIGH** (range of 106-300 females)

Cortisol Morning is 16.43 nmol/L **WITHIN RANGE** (range 5.1-40.2; optimal range 18-35)

Cortisol Noon is 4.96 nmol/L **WITHIN RANGE** (range 2.1-15.7; optimal range 6-12)

Cortisol Evening 1.12 nmol/L **LOW** (1.8-12; optimal range 4-8)

Cortisol Night <0.28 nmol/L **LOW** (0.9-9.2; optimal range 2-6)

Since I have a high DHEA, would you recommend a ACTH Stim test?  Should that be my next step?  Any other thoughts?  I am a female in her twenties.

Thank you!

[Mark Lupo, M.D.]

We don't use salivary testing to evaluate adrenal insufficiency.
Would discuss this with your endocrinologist if there are concerns about the adrenal status.

[NeedSomeHelp123]

The only medication I am on is generic Lamisil (Terbinafine) 200 mg for a nail fungus.  Liver panel came back fine, so will continue on it for the three month duration ending mid-December.