Feel like we’re missing something, but I don’t know what to think.
Sorry to add to the numerous ‘help me with my results,’ but the two endocrinologists that I have seen have both been very dismissive and I am considering a third opinion. I would appreciate any of your thoughts. Thanks!
Later morning cortisol (9:30): 21.1 mcg/dL
Earlier morning cortisol (6:00): 32.0 mcg/dL
Salivary Cortisol: (normal) 0.015 and 0.049 mcg/dL
24H Urine: (normal)
Free Cortisol/24HR: 29.1 mcg/24 h
Free Cortisol/cr: 22.6 mcg/g creat
Creatinine: 1.29 g/24 h
MRI of brain with and without contrast
(Performed for vision concerns and pituitary pathology, Chat GPT Overview):
- No acute brain abnormality
- No pituitary tumor or pressure on the optic nerves
- Mild benign sinus cysts
Dex suppression:
Dex, serum: 149 (no units given, seems low, based on what I have read for this test)
ACTH: 4.6 pg/mL(no baseline)
Cortisol: 1.2 mcg/mL (suppressed)
Symptoms:
Weight Gain
Abdominal Fat Distribution
Skin Changes: bruise easily, slow healing
Stretch Marks: Wide and purple on the lower abdomen, thighs, breasts, and arms
Acne and skin infections
Extreme Fatigue
Irregular Menstrual Cycles
Mood Changes
Cognitive Problems
Unsure on the moon face and hump: My face is rounder than it used to be, but I also gained weight. I think I have a small hump, but the endo didn’t think so.
ETA that most of my symptoms are cyclic based on an extensive journal I have been keeping for over a year.
Thanks again for any insight that will help me with my consideration of a third opinion.