hello. I have posted before. I have low cortisol, low dhea, also low ferritin and a few other things. Low t3, low t4, normal TSH ( many results in link below)
An NHS endo who i saw for lipids (they are sky-high too) has said we could try T4 for 6 months.
Should I jump at that chance or try and stimulate the thyroid via the HPA axis? ie is it adrenal insufficiency that needs treating, HPA axis or thyroid or can they work in reciprocal directions
I feel out of my depth so any thoughts gratefully received
other symptoms include feel freezing in cold, white raynauds fingers etc, low energy
Has your adrenal insufficiency been confirmed by your Endo? I had a look at your last post & although your cortisol level was slightly low first thing the others were okay although your night time one was a little high, which sort of suggests that the test wasn't that accurate. Have you had an early morning serum cortisol done? Has your Endo seen these results? If you did have adrenal insufficiency it would need treating as it is a life threatening condition if not treated. If your morning cortisol is low then your Endo should do a short synacthen test to see if your adrenal glands respond to the drug they give. If the Endo is suggesting to trial T4 then I would go with that in the first instance.
Thanks, very helpful, i did not know about the short synacthen test. If the cortisol test was not accurate should I get a dutch test? they seem expensive.
Often vitamins do improve as levothyroxine dose is increased
But it also helps to have optimal vitamin levels, by regularly testing and supplementing, so that levothyroxine dose is able to be increased high enough and fast enough
Being hypothyroid often results in low stomach acid, this leads to poor nutrient absorption and low vitamins as direct result
Out of interest i found this chris kresser article where he suggest that it is the adrenals that should be treated not the thyroid. any thoughts either or anyone before I jump at the endo's offer of T4?
or @jimh111 who answered an early post and suggested central hypo?
eg he says 'Weak adrenals can cause hypothyroid symptoms without any problem in the thyroid gland itself. In such cases, treating the thyroid is both unnecessary and ineffective, and addressing the adrenals themselves is the key to improving thyroid function.'
Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.
Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.
Adrenal (Cortisol) and Thyroid issues
Hypothyroidism and Adrenal Issues
Conversion issues or adrenals. 
Hypothyroid, Low Cortisol & Adrenal Synacthen Stress Test? 
TSH during pregnancy and right level of T4 and T3
