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Suggest Treatment For Low T3 And Low Cortisol

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Posted on Sat, 23 Apr 2022
Question: Low T3 , low free t3, low t3 uptake, low Cortisol, huge reverse t3 inability to lose weight., extremely tired
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Answered by Dr. Mirjeta Guni (1 hour later)
Brief Answer:
About low T3 and low cortisol:

Detailed Answer:

Hello,

The hormonal balance you reported is conistent with secondary hypothyroidism and adrenal insuficiency propably due to a pituitary pathology.
Of course a detailed history and clinical evaluation is needed.
An ACTH stimulation test will be the next step to confirm adrenal insuficiency and cytomel dose should not be increased without correcting cortisol level.
A pituitary MRI will be suggested too.
From your shortly description, this would be the guide to diagnosis.

Will be a pleasure to help you further.
Regards,
Dr. Mirjeta
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2413 Questions

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Suggest Treatment For Low T3 And Low Cortisol

Brief Answer: About low T3 and low cortisol: Detailed Answer: Hello, The hormonal balance you reported is conistent with secondary hypothyroidism and adrenal insuficiency propably due to a pituitary pathology. Of course a detailed history and clinical evaluation is needed. An ACTH stimulation test will be the next step to confirm adrenal insuficiency and cytomel dose should not be increased without correcting cortisol level. A pituitary MRI will be suggested too. From your shortly description, this would be the guide to diagnosis. Will be a pleasure to help you further. Regards, Dr. Mirjeta