Hypothyroid... or Low Cortisol and Adrenal Fatigue

[amdiegelman]

Hi -

Is this a popular area of confusion? I went to my PCP today and presented him with a lot of information. List of symptoms, comparisons of blood work and even this article (http://www.hormonerestoration.com/Thyroid.html) to explain my push for a diagnosis of hypothyroidism.

In review my labs are:
TSH: .68 (.50-5.0)
FT3: 1.0 (.8-1.7)
FT4: 2.7 (range 2.3 – 4.2 )

List of symptoms:
WEIGHT GAIN (20lbs in 2 years - and I'm active)
Very brittle nails
Occasional constipation
Shortness in breath during exercise  (noticed Dec 2012, increasing)
Depressed/crying (Began Jan 2012)
Irritability
Decreased libido
Tightness in throat
Lightheaded when I stand up too fast
2 week period of body temp 96.2-97 degrees, with occasional 97.9. – ongoing, see notes
Waking up with thick white coating in mouth
Dry eyes (I do wear contacts, but drier then normal, age?)
Fatigue
Dry skin
Cold hands and feet
Next day effects after a few drinks

AND he believes that these are symptoms of low cortisol and adrenal fatigue rather then Hypo. He also stated he isn't a big fan of the doctor who wrote the article, because he has no evidence to back statements up. So, I have a huge battery of bloodwork to be done tomorrow morning, first thing.

What does the community think here? Any thoughts on how to proceed?

[amdiegelman]

Also:

Anti TPO and Anti Thyro AB Panel

[amdiegelman]

Of course:

Pulmonary, Complete PFT
TSH
Free T4
Free T3
Cortisol, Serum
ACTH/Plasma
Comprehensive MEtabolic Panel W GFR
C-Reactive Protein
Sedimentation Rate
CBC
Ferritin
Iron
Vitamin B12 & Folate
Prealbumin/Serum

[LowT27]

Just out of interest, could you post a list of the quantities being tested in tomorrow morning's bloodwork?

[courtney48]

I think having more labs for comparison will be helpful for  you and your doctor.  If after your next appointment you are dissatisfied with your care, by all means press on in finding a doctor with whom you can work.  Good luck!