After many years of symptoms(low pulse, sensitivity to cold-raynauds, weight gain, thinning hair, dry skin, FATIGUE), doctors finally noticed TSH was high around 5. After these doctors visits, I have been taking simivastin for cholesterol, 50mcg levothyroxine, and 1mg finasteride for about a year. I asked for finasteride as 42 year old male, didn't know if thinning hair might be genetic or thyroid. also diagnosed with fatty liver with high liver enzymes . Since , my TSH is now at 2.95, and liver enzymes better, and hair seems to have stopped thinning, chol.very good. My fatique is restored to about 80%. I had to push but primary physician did hashimotos ab test, and it seemed to not be in range of hashimotos. I also have had low ceruloplasmin for some unexplained reason, but they ruled out wilsons disease as copper is normal.
After consulting a endocrinologist outside of the US while visiting, she recommened shooting for 2.5 TSH and doctor back home agreed to up to 75mcg daily to try and help fatigue. However, this doctor also tested testosterone and it is very low, 132 when range is 280-and up. I guess I'm trying to understand the link. My google searches say TSH lowering should generally increase metabolism and testosterone production, and finasteride if anything should raise testosterone a little.
I'm just trying to ask how much I should push my HMO to search for a pituitary tumor with an MRI or at least escalate me to a specialist. Could that kind of thing cause hypothyroid AND low testosterone?
*I don't think any doctor sees a link, but many of my symptoms started after having a moderate to severe case of exercise associated hyponatremia about 5 years ago in the desert, I mention it because it really screwed with my system for awhile, but salts test since have always been fine) I am in good shape, do lots of cardio, but have persistent fatigue, maybe slightly lower libido, but perf ok.