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Dr. Appt Monday, Any Thoughts? Hypopituitary
Hi everyone!
Newbie here, have a lot of backround info, but this is what I am mostly concerned with. Will post other info when I have more time.
I have a follow up w/ endo. I have been on armour 90mg. for a year. My labs don't look to great and I'm not feeling so well. I'm hypopituitary, empty sella and am so afraid this Dr. is going to slam the armour, she didn't prescribe, the prescribing Dr. can't see me until mid Dec. My concern is I had been on levoxyl 50mcg. for 2 months prior to armour and felt like crap, headache everyday, feet and joint muscle pain, just plain crappy. I believe I went more hypo but the answer was, your labs are normal. I need to convince this endo to do the rest of the tests that justaustin said I need to have done. I still have some deficiencies that I'm working on.
I just need to know what anyone makes of these labs, and what would you do, suggestions welcome. I would like to stay on armour, but reduce some and try adding in synthroid? How might this best be done dosage wise? I'm not sure if my deficiences are causing my problem by not being able to use the hormone or not. I sometimes feel like I'm hyper but I don't think the labs prove it, symptoms seem to be extreme fatigue, out of breath, and hurting all over. Heart rate seems fine, as well as BP, which I'm on meds for.
TSH: .49 (0.35-5.5)
FT4 .80 (0.8-1.8)
FT3 3.5 (2.0-4.4)
Iron 116 (30-158)
Ferritin 8.7 L (10-291)
B12 394 (greater than or equal to 211)
Vitamin D 29.1 (32-100)
Cholesterol, LDL 208; 128 still climbing: HDL 50
I have CBC, chemistry if needed I'll post. Any thoughts would be appreciated!
Deb
Newbie here, have a lot of backround info, but this is what I am mostly concerned with. Will post other info when I have more time.
I have a follow up w/ endo. I have been on armour 90mg. for a year. My labs don't look to great and I'm not feeling so well. I'm hypopituitary, empty sella and am so afraid this Dr. is going to slam the armour, she didn't prescribe, the prescribing Dr. can't see me until mid Dec. My concern is I had been on levoxyl 50mcg. for 2 months prior to armour and felt like crap, headache everyday, feet and joint muscle pain, just plain crappy. I believe I went more hypo but the answer was, your labs are normal. I need to convince this endo to do the rest of the tests that justaustin said I need to have done. I still have some deficiencies that I'm working on.
I just need to know what anyone makes of these labs, and what would you do, suggestions welcome. I would like to stay on armour, but reduce some and try adding in synthroid? How might this best be done dosage wise? I'm not sure if my deficiences are causing my problem by not being able to use the hormone or not. I sometimes feel like I'm hyper but I don't think the labs prove it, symptoms seem to be extreme fatigue, out of breath, and hurting all over. Heart rate seems fine, as well as BP, which I'm on meds for.
TSH: .49 (0.35-5.5)
FT4 .80 (0.8-1.8)
FT3 3.5 (2.0-4.4)
Iron 116 (30-158)
Ferritin 8.7 L (10-291)
B12 394 (greater than or equal to 211)
Vitamin D 29.1 (32-100)
Cholesterol, LDL 208; 128 still climbing: HDL 50
I have CBC, chemistry if needed I'll post. Any thoughts would be appreciated!
Deb
I've just been diagnosed with empty sella and pit. atrophy. Are you on prednisone or cortisone for low cortisol/adrenals due to the pituitary? I think not addressing it can cause problems with thyroid treatment.
Low ferritin symptoms can mimic hypothyroidism. Shortness of breath is also a symptom of low ferritin levels. 93% of patients with ferritin under 50 ng/ml were iron deficient on bone marrow examination. 91% of patients with ferritin over 100 ng/ml were iron replete on bone marrow examination.
Excessively low ferritin as well as low iron can resulting in hyper symptoms when raising desiccated thyroid (armour). Severely low ferritin or iron can be improved quickly with iron injections or IV iron infusion - a few weeks as compared to a few months from iron supplementation.
Your vitamin B12 is low (in Japan and Europe, the lower limit for B12 is between 500 - 550 pg/mL. Optimal B12 is over 800pg/mL). Fatigue is the most common symptom of low vitamin B12 levels.
Vitamin D is insufficient (optimal around 80ng/mL). A major cause of muscle and joint pain is low vitamin D levels.
Headache is the most common presenting symptom of empty sella syndrome occurring in 50 to 80% of patients.
Excessively low ferritin as well as low iron can resulting in hyper symptoms when raising desiccated thyroid (armour). Severely low ferritin or iron can be improved quickly with iron injections or IV iron infusion - a few weeks as compared to a few months from iron supplementation.
Your vitamin B12 is low (in Japan and Europe, the lower limit for B12 is between 500 - 550 pg/mL. Optimal B12 is over 800pg/mL). Fatigue is the most common symptom of low vitamin B12 levels.
Vitamin D is insufficient (optimal around 80ng/mL). A major cause of muscle and joint pain is low vitamin D levels.
Headache is the most common presenting symptom of empty sella syndrome occurring in 50 to 80% of patients.
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