Adrenal and Fatigue - how were you diagnosed?

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dp1286

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[FONT=&quot]Hi guys[/FONT]

[FONT=&quot]I am certain I have issues with my thyroid and also my adrenal glands[/FONT]

[FONT=&quot]For thyroid I have had TSH and Hashis - both came back normal[/FONT]

[FONT=&quot]Cortisol - ACTH and stimulation test - came back normal[/FONT]

[FONT=&quot]I have all the symptoms weight gain, fatigue, ED etc etc[/FONT]

[FONT=&quot]What further tests should I push on with from here?

[/FONT]
Below is the link to my story - the only clue I have is Low Estrogen can anyone tell me what causes low estrogen in men?

[FONT=&quot]Thanks[/FONT]
[FONT=&quot]Daniel[/FONT]
 
Defy Medical TRT clinic doctor
Hoping I can find some help and support here for what seems like a dead end situation Ive got myself into...
Started taking propecia for hairloss for 5 years (1mg a day)
Came off propecia after noticing a significant drop in sex drive and ED
During these 5 years I go from top performing sportsman to lazy and overweight and unmotivated
I breeze through university but then this new found fatigue causes me to take the easy options in life and walk away from my chosen career path
I also develop severe psoriasis during this period while on propecia
I literally go from top performing alpha male to rock bottom

I have been off propecia 5 years and somehow managing to exist with all these symptoms and just get by
Then after training in the gym for 3 months before a holiday to Las Vegas I crash majorly
(was taking grenade fat burners twice a day for 3 months during this period)

I now
- Find it impossible to get up in the mornings my eyes sting and my body is so weak I can barely stand up without assistance
- Can not remember anything and have no concentration
- Can not play any sport as I am out of breath instantly and my body is so weak
- Can not train in the gym as I am then in pain for upto 7 days
- Have no regular digestive routine and am always constipated
- Never ever have morning wood
- Erections are weak and orgasm is almost non existent
- Testicles / penis have shrunk and always feel like they are trying to go inside
- Severe depression and feel like I have lost my personality

Having been to see a private endo he has done the attached tests and also recently and SST for Cortisol which came back normal
He is at a loss and seems completely unaware of any permanent damage caused by Propecia / Finasteride and says maybe I have ME which I feel is a complete cop out
 
Labs I have had done as follows
Total Protein 71 ( 60-80g/l)
Albumin 48 (35-50g/l)
Total Bilrubin 10 (0-21umol/l)
AST 20 (0-37IU/L)
ALT 28 (10-41IU/L)
Prolactin 190 (86-324mu/L)
Oestradiol 46 LOW (99-192pmol/L)
Testosterone 13.3 (9.9-27.8pmol/L)
VitaminB12 424 (180-2000ng/L)
Serum Folate 9.48 (4.6-18.7ug/L)

P3NP 10.4 HIGH (3.3-9.7ug/L) (Liver test to take methetrexate)
SHGB Normal
Vitamin D 138.9 nmol/L

Serum TSH level 2.58 miU/L
Serum prolactin level 273 (86-324mu/L)

Serum FSH level 9.2 (1.50-12.40IU/L)
Serum LH level 4.9 (1.70-8.60IU/L)

Anti Nuclear antibody Normal
SST test for Cortisol has also come back normal
 
I understand your frustration, and certainly wish you felt better, but the suggestions and discussion we can offer hasn't changed since you posted a week or so ago with the same concerns. Finasteride is a drug that can send a man's health into a tailspin, and you were on it for five years. A doctor who works with men dealing with post-Finasteride issues could be of great help to you? In terms of your lab work, your thyroid hasn't fully been evaluated, you need t3, t4, and rt3 run. DHT is missing. A sleep study is indicated, as is a salivary cortisol panel.
 
Beyond Testosterone Book by Nelson Vergel
I guess what I really want to know is can I still have adrenal fatigue if I have been given normal on the acth stimulation test?

Thanks
 
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