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Suggest Treatment For Sudden Weight Gain After A Pituitary Adenoma Removal Surgery

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Posted on Fri, 29 Jan 2016
Question: I have had a pituitary adenoma removed then gamma knife to prevent growth doing fine now on patch estrogen and taking prometrium for two months all labs normal tsh t4 etc fbs 102 cortisol 12
I'm gaining weight in my thighs and arms and stomach I desperately want to lose this weight I exercise most days any suggestions of supplements? Intermittent fasting? I'm Unable to get used to my body I was 165 now 185
Thank you
doctor
Answered by Dr. Binu Parameswaran Pillai (1 hour later)
Brief Answer:
Apple Cider Vinegar

Detailed Answer:
Good day,
Noted your concern.
Since your cortisol and Thyroid profile are normal, we need to look an alternate cause of weight gain. After starting the Estrogen patch, have you had an Estrogen blood level done?
May I suggest you to do couple of tests.
1) Dexamethasone suppression test ( to rule out cortisol excess. A normal basal cortisol level of 12 doesn't exclude Cushing's and you need a suppression test.
2) Serum Estradiol level.

Apple Cider Vinegar is said to have weight losing property and many of my patients take it with good effect. However, it has an unpleasant smell and can cause stomach upset in few people. Fasting is not recommended. Besides, you need to see a dietician as well.
Regards
Binu

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Binu Parameswaran Pillai (2 days later)
Thank you for your advice ! Your thoughts in sea kelp? I'm hypothyroid current dose levothroid is 100 mcg , thought I would try sea kelp , I do vinegar and lemon water most mornings
Kindly
Jenni
doctor
Answered by Dr. Binu Parameswaran Pillai (13 hours later)
Brief Answer:
Adrenal fatigue symptoms?

Detailed Answer:
Good day,
Glad to know that the dexamethasone suppression test for Cushing's syndrome was negative.
Sea Kelp is said to have metabolism boosting properties and hence may help to improve metabolism and to regulate weight.
What makes you think that your adrenals are compromised? ( what symptoms). Your cortisol levels are good. If you have normal sex drive ( libido), and if your serum sodium and potassium is normal, other hormones secreted by adrenals are likely to be normal.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1439 Questions

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Suggest Treatment For Sudden Weight Gain After A Pituitary Adenoma Removal Surgery

Brief Answer: Apple Cider Vinegar Detailed Answer: Good day, Noted your concern. Since your cortisol and Thyroid profile are normal, we need to look an alternate cause of weight gain. After starting the Estrogen patch, have you had an Estrogen blood level done? May I suggest you to do couple of tests. 1) Dexamethasone suppression test ( to rule out cortisol excess. A normal basal cortisol level of 12 doesn't exclude Cushing's and you need a suppression test. 2) Serum Estradiol level. Apple Cider Vinegar is said to have weight losing property and many of my patients take it with good effect. However, it has an unpleasant smell and can cause stomach upset in few people. Fasting is not recommended. Besides, you need to see a dietician as well. Regards Binu