need advice cortisol thyroid: serum Cortisol 19... - Thyroid UK

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need advice cortisol thyroid

chimes profile image
15 Replies

serum Cortisol

197

norm range: 125 to 525

t4 is 14

t3 is 5.6 normal range 4.0 to 6.9

tsh is now 0.006

tpo ab: 10

normal range 0.3 to 35

under super stress for exams

before cortisol was 200.

tsh 4.9 ( 0.2 to 5.0)

t4 was 19

t3 was 8 or 9

so folks help....

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chimes profile image
chimes
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15 Replies
Judithdalston profile image
Judithdalston

So there are two sets of blood results here, before and after exams, is that right? So what dates, are you taking any thyroid 'meds' or any treatment, or even diagnosed with thyroid problems eg Hashimoto's or hypothyroidism?

chimes profile image
chimes in reply to Judithdalston

last test was 3 month ago

...cortisol 200

the 197 and tsh 0 and t4 14 and t3...

was my results last week

was diagnosed with primary hypothyroidism before: autoimmune hypothyroidism and years ago tpo anti bods was 600 2 years ago 0 and was really doing great until bull started to happen....

chimes profile image
chimes in reply to chimes

this is near exam time my cortiso dropped and before i was ok

Judithdalston profile image
Judithdalston in reply to chimes

Ok. So you were diagnosed with Hashimoto's autoimmune antibodies two years ago, and primary hypothyroidism - at the same time? Are you on an thyroid 'meds', any change over 3 months? Still abit confused which test was which: 3 months ago your results were: TSH 4.9, FT4 19, FT3 8 or 9, cortisol 200;

recent test was TSH 0. 006, FT4 14, FT3 5.6 , cortisol 197, TPO 10 - correct? And recent tests while doing exams / stressed? I'm a bit worried you say FT3 was 8 or 9 as it suggests you haven't seen written results...someone(?who) said them for eg over phone...so how accurate are they? Ever had Vit D, B12, folate and ferritin tested, or gone on gluten free diet?

chimes profile image
chimes in reply to Judithdalston

no autoimmune hypothyroidism before and then later when no autoimmune disease so they diagnosed it as primary

ive sen them on paper at docs for the firsr knes

the recent ones over the phone

yes gone gluten free

also had some evil people deliberately gluten attacked me...

chimes profile image
chimes in reply to chimes

just recently.... not good

chimes profile image
chimes in reply to Judithdalston

i look my lunae and know my vits are super low....

so advice welcome :)

chimes profile image
chimes in reply to Judithdalston

on Levo and lio lactose free

levo : 100 mcg and lio 20mcg

Judithdalston profile image
Judithdalston in reply to chimes

Once you have at least one of the autoimmune antibodies raised you are Hashimoto's, even when they then test negative. The vaste majority of primary hypothyroid sufferers are Hashimoto's too. I am sure you know a characteristic of Hashimoto's is fluctuating hormone levels , due to the antibodies attacking the thyroid gland as they mistakenly believe it to be 'alien', thus dead cells along with thyroid hormones are dumped into your blood stream. With every attack , or flare, more of your thyroid is destroyed. You are right about trying a gluten free diet. Same dose of 100 mcg levo and 20 mcg lio for both tests, since when, have you results for pre lio addition? You seem to have had high FT3 , the ratio of FT4 to FT3 should be between 4:1 and 3:1; so who and why have you been prescribed lio? I would have thought you would feel better without FT3, and perhaps more T4/levo. Don't know what 'lunae' are , if you know your vitamins and minerals ie VitD, b12, folate and ferritin are low then that is your priority to fix with supplements- but you need blood tests to tell you how low to make sure you supplement adequately, or even get injections. I don't know why you are worried about cortisol, perhaps someone else will comment ( mine have been nearly 800 level).

chimes profile image
chimes in reply to Judithdalston

lunae: nails: if they are low: you have vit problems

Judithdalston profile image
Judithdalston in reply to chimes

Oh, ok...but I can never remember having lunae and have ridged nails yet vits/ mins always been ok to very good, never low!

chimes profile image
chimes in reply to Judithdalston

was diagnosed as primary in2012 then autoimmune in 2013

lc1973 profile image
lc1973

Hi Chimes

What time of day were you serum cortisol blood tests carried out?

chimes profile image
chimes in reply to lc1973

8 am

lc1973 profile image
lc1973 in reply to chimes

Has your doctor discussed your cortisol level with you as this would appear to be low. I have low morning cortisol levels like you and am about to have further testing to see if my adrenal glands are responding correctly. It is called an ACTH Stimulation test if you look it up on here.

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