Dr.Lupo;
I am having a hard getting a definitive diagnosis . My initial visit with an Endroconologist diagnoses me with Hypothyroidism secondary to an anterior pituitary adenoma. She told me to find another Endroconologistbecause her specialty is fertility issues. I went for another opinion with Endrocologist #2 and she said I had Hashimotos. Then 2 years later she told me I did not have Hasimotos "just Hypothyroidism" An MRI aand Lab tests diagnosed the pituitary adenoma by Endoconologist # 1.
I now see a GP and my latest Lab results are:
TSH 0.15
T-4 Total 6.15
Free T-4 0.7
Calcium 11.9
Iron 163
I have gained 20 # since diagnosis 10 years ago but I exercise daily, strength train and eat healthy.
Question really is; I have really poor health Insurance with my work $200.00 max per office visit and $ 500.00 per MONTH deductible so I have to plan my visits and tests carefully. Do I push for Pituitary tests or Thyroid?
I am currently on Synthroid 0.50 and Cytomel 2.5mcg daily. My GP ordered Synthroid 0.75 a week ago bu I cannot get ahold of him to see if I should continue the Cytomel since he did not initially order it so I am taking doses as I have for the past several years. My Endo currently says "Lab fine keep taking same dose" About 6 months ago she dropped Cytomel dose down to 2.5mcg because she said I was "toxic" on T-3.
I have lost alot of hair in the past year and have normal Hypo symptoms fatique, dry cracking skin constipation fluid retention, severe carpal tunnel symtoms and depression/memory loss. I am a 52 year old professional female
I also have Thyroid Nodules and had them biopsied in Dec 2006 .
Can you help with which direction I should take? Thank-you for your time Dr. Lupo