r/Hypopituitarism

Can we still have fulfilling life with this illness?

When I was little it was so obvious that something was wrong with because I couldn't interact with other kids, couldn't socialize, couldn't play games, couldn't do sports,had issues with motor skills,it was hard for me to study i had extreme fatigue ever since I was born.But my parents thought I was just a little different or quiet.

Even before the puberty age my life was very different than an average kid.Like I would watch TV all day and would sit at school all the time to a point my nickname was wallflower.

I got diagnosed at 14 due to no puberty. And although things make more sense and I got to understand myself more nothing changed for me still no friends no energy whatsoever.

Now im recovering from shame of being so different and I actually have goals,desires things I want to do but now im 23 and I don't know if the things I want would be achievable with this illness.

Because although modern medicine is very developed this illness still remains understudied.Like your hormones can't function like a healthy person's with the today's medication. And hormones affect everything like psychology,cognitive function, motivation

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u/Consistent-Snow-7421 — 16 hours ago

It's been a tough journey. 40/m with Septo-optic dysplasia (SOD) + panhypopituitarism + Congenital GHD + Hypothyroidism

I am 40 years old now and I'm just starting to go back down this rabbit hole. I just obtained my Childhood medical records in the past two weeks after being under-treated and not properly diagnosed for the last 23 years.

I remember as a kid always being very small. I always looked younger than I was. Mostly blind in my left eye except for peripheral vision. I was in and out of the hospital a lot doing lab work, various tests, etc.

I was diagnosed by All Childrens Hospital at the age of 3 with Congenital Growth Hormone Deficiency Disorder / Septo-optic Dysplasia, panhypopituitarism, hypothyroidism, hypogonadism. I went through all the MRIs and scans which came back clear. From the age of 3 to 17, I am almost certain my Mother was supposed to give me Growth Hormone Injections, but I remember only getting them a handful of times, as she sold them to wrestlers and body builders instead. I also remember taking Thyroid medication, but wasn't consistent. My mother was never consistent. I believe she stopped having me take thyroid medication all together when I was around 11-13 years old. My records show that my bone age was always 1-3 years behind but then it caught up at 17.

At the age of 17 years old, I had a medical emergency. Reported headache, dizziness, pain in neck, etc. I went to the hospital and they re-did all my labs. My IGF-1 level was only 39. My cortisol level was 1. They gave me some IV cortisone and sent me home. They re-confirmed in my medical records all of my previous diagnosis.

Shortly after this, I left my mom (finally) and went off to Arkansas to go to College. I wasn't taking anything, no meds of any kind. I remember going to see a doctor, and I mentioned Thyroid issues when I was a kid since it was mostly all I could remember, he gave me a lab test for TSH, said it was normal, and that I didn't need to take Thyroid medicine.

Fast forward many years later. I was struggling with depression and anxiety, especially after my son was born (Surprisingly I was able to have 1 child, he is 12 now) I go to a new family doctor, he checks my Testosterone, and says I have low T (Low 300s) this is when I was 28 years old. They put me on TRT 100mg every 2 weeks. It did help with my very severe depression and anxiety around that time.

I continue to take TRT supplementation all the way up to the present. I never really change much physically. I notice a slight increase in energy maybe, but nothing substantial. Body wise... I still look like i'm younger than 21, I never really lose visceral baby fat, grow patchy/fuzzy facial hair. I just never feel 'good.' Over the last few years... All of my cardiovascular labs have continued to worsen. Apob is high, cholsterol is high... Eating better, working out 3-4x a week, no matter what, they continue to get worse. Inflammation is high, sore joints, muscles, I still deal with depression and get very easily upset when I'm stressed. It's like my body is in constant fight or flight. They have tried me on different dosages and variations, and I will notice small changes, but never to the point of 'Oh I feel great.' I would also be very sensitive to TRT, so if they bumped me up to let's say 100mg a week, instead of bi-weekly, my total testosterone would shoot way up to 1200-1600 range.

So I had my labs drawn again 2 weeks ago, for the first time in 23 years, I had my IGF level tested. It was 31! Severe growth hormone deficiency. I pulled my childhood medical records and realized that I have been diagnosed with all of these things since the age of 3, and I may have spent the last 23 years under-treated, not being properly tested, and suffering when I may have been able to do something about it. Now I am trying to sort through getting the right specialists to see where everything is at now, and what all I can take to get my life as close to normal as possible. I don't even know what it's like to feel 'good.' I have stopped taking the TRT as of 4 weeks ago just to try and get my body back to a baseline so that I can talk to a specialist and get on the right track across the board.

Should I be taking Cortisol?
Thyroid medication?
Testosterone?
I'm now trying to figure all of this out and it's pretty overwhelming.

I suffer from lots of back pains, achy joints, digestive issues (for the last 15+ years), depression, anxiety... You name it. Just constant fight or flight.

Happy I found this subreddit as it feels good just to vent all this out. 🙏

Picture of Me Currently

u/Bubbly_Sort849 — 4 days ago
▲ 9 r/Hypopituitarism+1 crossposts

Fine tuning 3 hormones (an impossible combination?)

My GP found after a blood test that my testosterone was almost zero and sent me to an endocrinologist. They gave me after an MRI the diagnosis of empty sella syndrome, I was prescribed hormone replacement (cortisol, thyroid hormone and testosterone) at relatively high doses. At first I felt much better, but after a few months severe sleep problems and extreme stress started. Eventually I was sleeping only 2-3 hours per night with constant hyperarousal (an overactive stress system) day and night. After years of this I ended up in a psychiatric hospital for 4 weeks because of suicidal thoughts.
Multiple endocrinologists confirmed I needed to stay on the hormones. After three years in this state I looked deeper into my older blood results myself. I was always on the edge of the max reference limit for HC and lthyroxine. A professor later acknowledged that the doses had been too high. We tapered down, but the sleep issues and stress did not improve right away. The years of dysregulation had taken their toll.
During that time doctors prescribed various sleep medications, often several at once, without real improvement.
Now my stress system is totally out of control. Always waking up with extreem stress, anxiety and restless after 2-3h of sleep, and the stress won’t go down. I can do only small things anymore.. after that I need to rest 😮‍💨😪
Feel always mentally in the ON position but also wired but tiered ☹️

Someone with similar stories

I’m still struggling…

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u/Beginning-Map-3264 — 5 days ago

Figure it out yourself?!?

I was doing pretty good until I have been diagnosed with empty sella due to a MRI SCAN 5 years ago and followed advise for 3 years (5 endocrinologists did all said the same 30mg HC is good, 125ug lthyroxine and 250mg sustanon… even I couldn’t sleep more then 3h even with sleep meds woke up in extreem anxiety, I was totally over stressed, hart palpitations ect ect… long story…

I figured out almost everything myself (doses/timings even what sleep meds would be beter or worse) I never got tailored advice from an endocrinologist or psychiatrist (I visited 8 plus a professor)

What I eventually did was try something first (with help of my GP, he’s really tries). See if things improve. Then discuss it with the specialists …☹️

My situation seems to complex I guess. The endocrinologist send me to the psychiatrist, the psychiatrist send me to the psychologist who send me to a sleep specialist and back again…

They all think it’s all in my head

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u/Beginning-Map-3264 — 5 days ago
▲ 5 r/Hypopituitarism+1 crossposts

Crazy high saliva cortisol

I have a history of brain injury (concussions). Diagnosed with secondary hypogonadism (on TRT). Diagnosed recently with adult GH deficiency. Recently began .2mg of genotropin. At first I had trouble adjusting to it and I felt I was exhibiting some adrenal insufficiency symptoms as part of the GH therapy even though my acth and morning cortisol were within low range. On my own I did a four point saliva test and you can see the results in the graph on the right. My morning level is off the chart literally. About 3x’s the expected high range. The rest of the day is also pretty high and doesn’t land within range until the very end of the day. I’m scheduled to do another ACTH/ morning cortisol in a few days.

Comments? My chronic symptoms are fatigue, apathy and anxiety. It’s been like that for a while.

u/Own-Fix-443 — 8 days ago

GH, hypothyroidism & hypopituitarism

I was diagnosed with growth hormone deficiency at age 4 and have been treated with Genotropin. Later, I was diagnosed with hypopituitarism, including hypothyroidism and hypogonadotropic hypogonadism (my pituitary does not properly signal my ovaries to produce estrogen). For this I take Eltroxin and the Microlite pill as hormone replacement.

Now I am late 20s,each time my bloods are “within range” yet I suffer badly from lethargy, apathy, I have very slow processing speed, brain fog and feeling hungover in the mornings.

I am thinking about also visiting a neuro endocrinologist, I see oxytocin being mentioned here a bit however I am keen to hear from anybody else who also has the same and if anything has any advice on my symptoms

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u/joanna7599 — 10 days ago

Neurosurgeons in Orlando, FL for possible Transsphenoidal Surgery

They saw a 7mm tumor in January on my MRI for a different issue. Based on the initial lab work, my IGF-1 level is mildly elevated (352 on a 53-331 range). My biggest fear is possibly developing hypopituitarism after surgery. I would greatly appreciate it if you could share your experiences and, if you’ve undergone the surgery in Orlando, who is your surgeon? Thank you. 

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u/Little_Eye_7492 — 9 days ago
▲ 6 r/Hypopituitarism+1 crossposts

Symptoms prior to diagnosis?

I was wondering if anyone would be willing to share their symptoms prior to diagnosis of hypopituitarism and what the diagnosostic process was like, what did the labs look like?

A little background as to why I am curious. My 10 year old daughter had a mild hypoxic brain injury at birth. At age 5 she started experiencing excercise induced "crashes" which included all over body weakness, BP drop, body temp drop (96), nausea, vomiting, and headache. Over the last 5 years these episodes have intensified in frequency and duration. She been to the ED countless times and they diagnosis her with "atypical migraine" even though she has documented low BP and body temp, as well as elevated ketones, elevated potassium, low calicum, and when they pull a POC VBG it suggests mild acidosis. Interestingly, her blood glucose is always normal or running slightly high so we dont know why her body makes ketones (not fasting or on keto diet).

Currently she has been in a "crash" for 6 weeks with daily postural headache, low blood pressure, low body temperature, muscle twitches, diarrhea, dizziness, shortness of breath, and horrible fatigue (sleeping 16-18 hours per day). Her orthostatic vital suggest POTS (46 bmp heart rate increase at the 10 minute standing mark) but she is also having a lot of instability in her BP which does quite fit the diagnostic criteria for POTS or Hyper-POTS.

I've pushed for endocrinology referrals and endo did a thorough investigation for T1D ( all labs normal), and checked morning cortisol, free t4, and TSH. She did these labs while experiencing all the symptoms above, horrible stabbing/throbbing headache, BP 85/55, Temp 96.6 Her cortisol was 6.3 which was just inside the 6.2 cut off, leaving me wondering why her body isnt mounting a decent stress response when feeling so poorly. Additionally, her free t4 was .68 and TSH was 1.86 so it seems there is also a failure in the body to trigger TSH to increase due to lowered free t4. The endo looked at these labs said "everything looks normal" and suggested to return to neuro and cardio for treatment of migraine and suspected POTS. I've pushed back wanting further eval on the low-normal labs and have essentially been told that because my daughter has maintained a appropriate growth rate and has not been vomiting (though she does have frequent diarrhea) no further investigation of central AI or central hypothyroidism is warrented. Does this sound correct? We're your cortisol and free t4 labs much lower? Does growth have to be impacted to be diagnosed? TIA!

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u/Kmt424 — 12 days ago

Starting Growth hormone

Hi everyone! I’m 16 and starting growth hormone soon. I’m a little bad with needles so just wondering how is it? I’m sure it will be annoying doing it every day but will I eventually get used to it?

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u/SleepySkyyy — 12 days ago

Am I overreacting?

I know this isn't going to be the typical post for this subreddit, but I don't know where else to talk about it.

To keep it short, this is what just happened to me and I’m not sure if I overreacted...

I’ve had growth hormone deficiency since I was a kid. Between the ages of 8 or 9 (I don’t remember exactly), I started synthetic growth hormone treatment until I was about 17. At that time, they told me I wouldn’t need it anymore and my doctor stopped it.

The next 4 years were pretty bad… and the years after that were even worse. At 26, purely by chance, I ended up with a doctor who actually ordered all the tests no one had bothered to run in years. Turns out the nightmare I’d been living since I was 17 was because I still needed GH. I’ve been back on the injections for the last 20 years.

The whole time I was off treatment, to make a long story short, it wasn’t easy socially. A lot of people distanced themselves from me, and the ones who stayed… honestly, sometimes I wish they hadn’t.

Today I had a fight with my partner. We don’t fight much, and she knows all about this — in pretty good detail. Today I had to do my injection. I wasn’t having a good day because of it. It doesn’t always happen, but today was particularly rough. Between doses, it’s not uncommon for me to have one or two bad days due to the overlap.

I told her that, but she either didn’t want to understand or whatever… She ended up yelling at me about things that happened more than 6 months ago. And eventually sayed I should set up a shared calendar to let her know when I have to do my injection.

I got angry...

Didn’t yell (I never do), I just told her that what she was suggesting was as humiliating as me asking her to set up a calendar to notify me when she’s on her period… and then I went to the bedroom.

Now I’m lying in bed, furious, humiliated, degraded, and hurt. Am I exaggerating? Or what she said was too much? I’m listening...

Sorry for my bad writing. I’m not a native English speaker. I would really appreciate any opinions on the matter

Thank you for reading me.

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u/International_End987 — 13 days ago