Apologize for the length. I was diagnosed with Hashi's in 2014. No raised antibodies, but TBG was elevated. Has been well-controlled ever since, following a period of about six months to get the dosage dialed in. I take a custom compounded med containing 85.5 mcg T4 and 9 mcg T3.
Recently been diagnosed with dysautonomia (discussed in a previous post: healthunlocked.com/thyroidu...).
During this process to find an underlying cause for the dysautonomia, pituitary hormones have been tested and some are elevated. PCP says these are only slightly out of range and therefore insignificant.
Prolactin 22 (2-20 ng/mL for post-menopausal) - I've had a complete hysterectomy so assume I fall into the post-menopausal category
DHEA 1221 (102-1185 ng/dL)
Cortisol 32.5 (6.0-23.0 ug/dL)
**Other pituitary hormones like progesterone, testosterone, estrogen, LH, & FSH were in normal range.
Thyroid labs have also been fluctuating recently as well. Here's a sampling and I've had no thyroid med changes during time:
**July 21, 2018**
TSH 3.95 (0.30 - 3.80 uIU/mL)
FT4 1.13 (0.80 - 1.80 ng/dL)
FT3 3.03 (2.30 - 3.80 pg/mL)
**July 3, 2018 / ER visit**
No FT3 measured
**June 23, 2018**
**April 29, 2018**
Does this sound like primary hypothyroidism or secondary hypothyroidism? I've been referred to an endocrinologist next month but want to be prepared to argue my case if needed.