Discussions By Condition: Medical Stories

Pituitary issue or just low T?

Posted In: Medical Stories 1 Replies
  • Posted By: Plainmentl
  • August 15, 2011
  • 02:50 PM

Over the past year I have noticed an ever increasing issue with pain and fatigue. It has gotten to the point that I am in constant serious joint/bone pain and sleep more than I am awake. Even when I am awake, it want to be asleep so bad it is very uncomfortable to even stay sitting up. List of present symptoms that are daily:


Constant extreme fatigue
Very little stamina (one trip up the stairs at work and I am toast...it wasn't that way just a few years ago even when I weighed a bunch more than now)
Constant pain in my hands, wrists, elbows, shoulders, feet, ankles, knees and the bones connecting all of them
Headache (feels like sinus but I have clear nasal passages)
forgetful and hard time thinking at times
near zero libido
bowel movement changes from day to day from loose and watery to hard

Recent Labs
Collection Time 9:24am

TSH 2.54 mIU/L (0.40-4.50 mIU/L)
T4 Total 7.0 mcg/dL (4.5-12.0 mcg/dL)
T3 Free 3.4 pg/mL (2.3-4.2 pg/mL)
T3 Uptake 28% (22-35%)

IGF I 63 ng/mL (52-328 ng/mL)
Z Score (Male) -1.6 (-2.0 - +2.0)
Testosterone, Total 71 ng/dL (250-1100 ng/dL)
Testosterone, Free 15.2 pg/mL (35.0-155.0 pg/mL)

FSH 1.8 mIU/mL (1.6-8.0 mIU/mL)
LH <0.2 mIU/mL (1.5-9.3 mIU/mL)
Prolactin 3.4 ng/mL (2.0-18.0 ng/mL)

I have other blood tests from recently that include a metabolic chemistry panel and complete blood cell count if I need to post those, but these are what concern me. The endocrinologist says my pituitary is normal and my only issue is low testosterone. I realize that most of them are in the Normal Range, but also, most of them are at the bottom end of normal...doesn't that say something???

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1 Replies:

  • Have you done a 24 hr urine collection to see if your your neopinephrine levels are OK? If they are 3 x to high you could have a adrenal tumor... They r mostly benign, but they do produce hormones like you are describing
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