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Thyroid, Pregnenolone, Progesterone, DHEA, etc
Thyroid, DHEA, Pregnenolone, Progesterone, etc
Androgens make hyperthyroid worse?
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<blockquote data-quote="apsjiml" data-source="post: 166611" data-attributes="member: 12831"><p>When you say normal lh and fsh, were these at the top of the range or bottom of the range? lh and fsh in the am are typically in the upper part of the range for a average healthy guy with out any pituitary issues. For someone that has pituitary or hypothalamus issue, they may be in the normal range but typically towards the low end. When I see an elevated shbg the first thing I think of for reasons is low testosterone of course, shbg gene or iron overload. If it were me, I tell everyone to get a full iron panel with saturation and ferritin. If acth is 35 and below, with a lower am cortisol the acth stim is the wrong test for that. For SAI- secondary adrenal insufficiency, one would need a metyrapone stim test or the ITT stim test. If dhea was low as well (especially down to 50 and below) that is usually a part of SAI. If your SAI you need a stim test for growth hormone as well. For a person that has lower acth - to give someone acth -as you do in the acth stim test of course if your body produces adequate cortisol from that stimulation , that tells me that the issue is the pituitary or hypothalamus, not that all is . good. Often times I see SAI people pass the acth stim and fail the others. <a href="https://www.healio.com/endocrinology/adrenal/news/online/%7B65f6ec45-e7a6-45af-aaee-ae9f6d90edf0%7D/acth-testing-may-be-misleading-in-identifying-adrenal-insufficiency" target="_blank">https://www.healio.com/endocrinology/adrenal/news/online/{65f6ec45-e7a6-45af-aaee-ae9f6d90edf0}/acth-testing-may-be-misleading-in-identifying-adrenal-insufficiency</a></p></blockquote><p></p>
[QUOTE="apsjiml, post: 166611, member: 12831"] When you say normal lh and fsh, were these at the top of the range or bottom of the range? lh and fsh in the am are typically in the upper part of the range for a average healthy guy with out any pituitary issues. For someone that has pituitary or hypothalamus issue, they may be in the normal range but typically towards the low end. When I see an elevated shbg the first thing I think of for reasons is low testosterone of course, shbg gene or iron overload. If it were me, I tell everyone to get a full iron panel with saturation and ferritin. If acth is 35 and below, with a lower am cortisol the acth stim is the wrong test for that. For SAI- secondary adrenal insufficiency, one would need a metyrapone stim test or the ITT stim test. If dhea was low as well (especially down to 50 and below) that is usually a part of SAI. If your SAI you need a stim test for growth hormone as well. For a person that has lower acth - to give someone acth -as you do in the acth stim test of course if your body produces adequate cortisol from that stimulation , that tells me that the issue is the pituitary or hypothalamus, not that all is . good. Often times I see SAI people pass the acth stim and fail the others. [URL]https://www.healio.com/endocrinology/adrenal/news/online/%7B65f6ec45-e7a6-45af-aaee-ae9f6d90edf0%7D/acth-testing-may-be-misleading-in-identifying-adrenal-insufficiency[/URL] [/QUOTE]
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Thyroid, Pregnenolone, Progesterone, DHEA, etc
Thyroid, DHEA, Pregnenolone, Progesterone, etc
Androgens make hyperthyroid worse?
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