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I Am 5.8 High And I Weigh 72 Kg Of

Posted on Wed, 25 Mar 2020

Question: I am 5.8 high and i weigh 72 kg of age 24. I always been slim and skinny all my childhood, 3 years back I was diagnosed of Gynecomastia and since then i had developed fat over my abdomen area and chest but other parts of my body still remain skinny though. I don't drink alcohol nor smoke nor been on any drugs all my life. I look under grown and small compared to people of my age. Other symptoms which i had are day dreaming, not able to concentrate for long, getting tired easily, slight depression, not able to exercise, feeling week and these symptoms are effecting me in daily activities. Recently when I got an MRI of my abdomen for diagnosis of Cushing, it came out that I had 17 cm of fatty liver. The midnight cortisol results and some lab tests were border range, so my doctor suggested to go for low dexamethasone suppresion test. Results are attached.

what does this results mean, do i have cushing or not?
Do I need to take high dex test for further evaluation?
Please suggest...

Lipid Panel:
Total Cholesterol - 209 HDL - 48 Tri-glycerides - 171 TC/HDL ratio - 4.4 Glucose(non fasting) - 92 BMI - 24.8 Body fat% - 24.2

Answered by Dr. Mirjeta Guni (8 hours later)

Brief Answer:
About Cushing syndrome diagnosis,

Detailed Answer:
Hello and thank you for asking!
I have gone carefully through your concern and attached exams.
Low dexametasone suppresion test results negative for Cushing syndrome and cortisol in saliva is normal.
So there is no need for further investigation of Cushing.
I would suggest to check prolactine level if you did not check it and thyroid function.
They may be responsible for gynecomastia.
Please do not hesitate to ask if you have further questions.
Regards,
dr.Mirjeta

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Mirjeta Guni (3 hours later)

But my thyroid also looks fine, report attached. I don't smoke or drink. I have always been under weight since my my childhood. I don't have proper facial hair unlike men from my family. From past two years I went from underweight to overweight and I only eat small quantities, normal meals. Since I was diagnosed with gynecomastia, my abdominal fat also increased and I had so much trouble with lack of concentration and I got the fatty liver from in the last quarter. If its not cushing what could these symptoms be?

Answered by Dr. Mirjeta Guni (13 hours later)

Brief Answer:
Check testosterone:

Detailed Answer:
Hi again,
The symptoms are suggestive for low testosterone levels, a clinical examination and lab exams (testosterone and prolactine) should be done.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Mirjeta Guni (2 days later)

can you please specify what clinical examination i need to go for, and what lab tests i need to get done?

Answered by Dr. Mirjeta Guni (14 hours later)

Brief Answer:
Check prolactine and testosterone;

Detailed Answer:
The clinical examination is performed by a physician and helps us to have a clearer picture of the problems and the lab exams to perform are,
-Prolactine level at 8.00 am
-Testosterone
Best wishes,
Dr.Mirjeta

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. Prasad