I've had such great advice here in the past, and have just got a set of results that I have no idea how to interpret. So really hope anyone here can shed some light or suggest starting points for me to read up.
I've had thyroid cancer and a total thyroidectomy (the long story in my profile!). Had my final scans in February of 2014, and have been on the train of trying to get medicated since then. Am currently taking Levo: 125mcg plus Liothyronine twice a day, 2 x 20mcg. My TSH, fT4 and fT3 all look 'fine'. But I am still no better, am not working, struggling to dress, wash, prepare food, etc.
I've now been to see Dr Chapman privately. Won't comment on anything more specific to him, but happy to answer in PMs (although I'm a slow replier). Anyway, he looked at a few things - rT3, thyroxine in my wee, and the only thing that came back strange was this adrenal profile, from a 24 hour saliva cortisol test. I'm just about to start taking a bunch of adrenal support medications to help with this.
So here are the results (sorry, I don't know the units, just took these down over the phone):
Morning: 32.8 (12-22)
Mid-day: 5 (5-9)
Afternoon: 3.5 (3-7)
Midnight: 0.6 (1-3)
But what I don't really get is what this signifies. Sounds like this is a situation in danger of causing adrenal exhaustions. But what I really want to know is, could these results explain why I still have huge fatigue? The only explanation I got was that the high Cortisol in the morning is my body trying to overcompensate for the fatigue and get me going in the morning. So this makes me wonder if this is just a SYMPTOM of fatigue and kind of a description of the problem, rather than a reason I'm having problems? Nearly everything I can find online is about low cortisol. And have just spoken to one (fairly rubbish) endo, and an acquaintance who sets up testing, and they all say only low cortisol is a problem and there's no issue with high cortisol.