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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Hyperthyroid And Autoimmune Adrenalities. Prescribed Thyronorm And Hisone. What Does Current Reading Suggest?

i diagonised as hyper thyroid in march 2013 because of hyper thyoroidism then I was obleted on 09.03.13 for radio iodine medicine. after 2 months my my TSH was 122.07, T4 was 2.10 and T3 was 11.78. Advice given tab Thyronorm 50 mcg, then i was asked to cortisol test 8.00am result: 3.06 then cortisol with iv sYNACTHEN TEST 30 Min 7.19 abd 60 min 9.0. and was diagonised as Autoimmune Adrenalities. Advice given tab Hisone 10mg , 1 -1/2 -1/2 , now my present reading is t3-44.08 ng/dl, T46.00 ug/dl and TSH 88.47 MicroIU/ml. please advice what is my condition
Fri, 12 Jul 2013
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Pathologist and Microbiologist,  's  Response
Hello,

This appears to me as Polyendocrine deficiency syndrome involving the Adrenals and the thyroid glands.

Even now your TSH is very high and you may need a dose escalation of thyroxine.

The is adrenal insufficiency or Addison's disease.

All this conditions are due to autoimmune conditions and the treatment is to replace the hormones.

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Diagnosed With Hyperthyroid And Autoimmune Adrenalities. Prescribed Thyronorm And Hisone. What Does Current Reading Suggest?

Hello, This appears to me as Polyendocrine deficiency syndrome involving the Adrenals and the thyroid glands. Even now your TSH is very high and you may need a dose escalation of thyroxine. The is adrenal insufficiency or Addison s disease. All this conditions are due to autoimmune conditions and the treatment is to replace the hormones.