Adrenal / Hypo...endocrino
Posted , 4 users are following.
Hi, i just had my visit with an endocrinologist, and i'm..perplex..
First, she've said me that because i don't seem Addison, i don't have a real problem with adrenal.
She want me to do a blood test (cortisol and ACTH) and don't really care about my saliva test (that she said is normal)
And she state that the fact to heal an adrenal problem can't heal hashimoto issue without taking levothyroxine (I think i've read that in some case, when the adrenal represent the hypothyroidism cause, healing adrenal can heal hypo).
Here my results to give you an idea,
0 likes, 3 replies
Roddy999 benjamin23350
Posted
A '9 am cortisol [blood] test' (which is the high point of your daily cycle) will determine if your adrenals [and thus the axis] are working normally - I suspect ihat your endo expects it will be low. This is the baseline.
The ACTH test [again, see Wikipedia] is to simulate the signal hormone that your pituitary SHOULD be sending to your adrenals, telling them to produce cortisol. If there is no change, the problem is your adrenals which suggests Addison's. [You said that she has almost ruled out Addison's but she is right to order a cheap and simple blood test to firmly rule it out]. On the other hand if there is a [normal] adrenal response, then your adrenals are fine and the problem is upstream - far more likely to be your pituitary than your hypothalmus,
If the tests suggest the pituitary then the next stage will be an MRI scan to see what is going on.
If you do need an op on your pituitary, don't read anything about the op that is older than five years because nowadays it really is a minimally invasive and painless procedure.
Finally, levothyroxine is a synthetic copy of the natural thyroxine that your thyroid should produce naturally - but only as much and as little as your pituitary tells to. A lazy pituitary means an inactive thyroid. Which is why healing the cause of hypoadrenal heals the cause of hypothyroid.
hanny32508 benjamin23350
Posted
Perhaps this sheds some light on your problem.
Roddy999 benjamin23350
Posted
Please don't be taken in by quacks ['naturopaths', worse still 'homeopaths'] who have a little knowlege, no humility, and a lot of exploitation. But equally, don't expect your GP to have the same detailed knowledge as a specialist - for example, an average GP will see just one case of pituitary disease in a career. Push for reference to an endocrinologist - it is just unfortunate that loony right ideology has forced GPs into rationing treatments..