Monday, October 13, 2008

Kim (Kim) , undiagnosed bio

If anyone can help I would be greatly appreciative

symptoms started in 2002 , symptoms were high heart rate, heat intolerance, exercise intolerance, tremors, muscle weakness, anxiety, insomnia my symptoms have now increased thru the years and now include the above, hirstuism, hair loss, osteopenia and only32, muscle weakness, myopathy, joint pain due to cartilage loss, pcos

-I have had thyroid checked repeatedly over last six years and it has always come back normal. Thyroid antibodies have also come back normal. TSI antibodies came back slightly elevated one time, but have since been in the normal range.

-I have a multi nodular thyroid, I had a thyroid scan with uptake and it cam back high normal

-thyroid biopsy-normal

-did not suppress on overnight dexamethasone suppression test (1mg), or 3 day dexamethasone suppression test (4mg)

The results of my test are as follows-

baseline off of Dex.
TSH 1.39
Free T3-3.2
TSI 1.1
Intact pth 27
DHEA sulfate 152.3
Test 67.0
Cortisol 20.8

After 3 day dexa test equal to 4 mg dexa

DHEA sulfate 114.2 (98.8-340.0)
Testosterone 88.4 (14-80)
Free Testosterone 0.77 (0.12-0.66)
Testosterone % Free (ca;c0 0.87 (0.20-0.70)
Cortisol 12.1 (3.1-22.4)
ACTH 26 (9-46)
The results of this test are very puzzling... My testosterone went up while being on dexamethasone and my ACTH remained unchanged and my cortisol did not suppress.

-Had mri of adrenal/pituitary/cat scan of lungs all came back normal

-24 hour urine cortisol always comes back high normal



-Dexa scan shows osteopenia

Thank you,


Email Kim

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