Doctor insights on:
Causes Of Low Cortisol
Many causes: Any problem in the testosterone pathway from the brain to the pituitary to the testicle can lead to low testosterone levels. Levels decline as you get older, but not to below normal levels. Medication, trauma, alcohol, tobacco, radiation, toxins can all lead to low t levels. Check w/your doctor. ...Read more
Stress can increase tsh, but how high cortisol causes low TSH where as stress causes high cortisol production.?
Cortisol: This is a very complex system. In very basic terms cortisol is produced in response to stress and feeds back inhibiting production of itself (inhibiting crh and acth). Cortisol also inhibits TSH production (as well as growth hormone, estrogen, testosterone and lh production). Thus limiting the response to stress. It is though in chronic stress this feedback mechanism breaks down. ...Read more
Yes: There are lists of common symptoms you can check online, but there are also more subtle things like what you mention. Less tolerance for pain is another. But the best idea is to have lab work and discuss possible supplemental Tx w/ your Dr. There are some risks but if it can help - that's be great! Good luck finding help. ...Read more
Several things: Estrogens are often elevated due to ovarian cysts or can be naturally elevated at midcyle. Fsh elevations are usually due to diminished ovarian reserve, meaning the eggs are becoming depleted, though fsh can also be elevated at midcycle. Tumors can cause these hormones to be elevated but that is very rare. ...Read more
43 yo f, afternoon cortisol high, cortisol suppression test high, CT of adrenal glands normal. Other causes of elevated cortisol?
Possibly: Iron deficiency can cause weakness and fatigue, which can feel like body aches. Other symptoms can be pale skin, dizziness, decreased exercise tolerance and irritability. If you think this describes how you're feeling you can see your physician and they will run blood work to check for you. ...Read moreSee 1 more doctor answer
INPUT-OUTPUT : High levels of potassium can occur due to increased intake of high potassium containing foods, nutritional supplements etc 2. Changes in acid base balance in the body 3. Decreased excretion of the potassium by the kidneys. Most often, it is a combination of 2 or more causes.Very frequently, kidney is always one of the culprits.If you have this problem, please consult md. ...Read more
Varies: Prolactin is elevated naturally in pregnancy and breastfeeding; if neither apply to you and it is markedly elevated, it may be a prolactinoma. See your doctor for further evaluation. Cortisol elevation can be anything that stresses your body. There are disease states with excessive cortisol production, but these are less likely. Again, discuss with your doctor. ...Read more
Many: High bs can lead to glucosuria (spelling of sugar in the urine) and on the long turn if persistent, enodothelial damage (inner wall of the blood vessels). Low bs on the other hand, can trigger a cascade of chemical reactions, namely ketone formation, elevated adrenaline, growth hormone, cortisol and sympathetic nervous system activation. ...Read more
No: Chronic myelogeneous leukemia, promyelocytic leukemia, polycythemia vera and also the hypereosinophilic syndrome can result in elevated levels of B12 mostly from increased production of haptocorrin. In addition, because the liver stores b12, liver diseases such as acute hepatitis, cirrhosis, hepatocellular carcinoma and metastatic liver disease can also cause a rise in serum b12. ...Read more
Thyroid: Cant tell without total thyroid hormone levels. Tsh being low usually implies hyperthyroid ism which may be sub-clinical or asymptomatic. It can cause fast heart rate, skipped beats, shakiness, tremor, weight loss, anxiety, mood swings, irregular menses, sweating, heat intolerance. ...Read more
Can adrenal fatigue cause low grade fever? Are progesterone and estrogen levels related to adrenalin and cortisol?
Dubious diagnosis: "adrenal fatigue" is a pop diagnosis, not an evidence-based one. Since true addison[s isn't a febrile illness, this isn't either. I've wondered if the "subclinical addison's" claims might have something to them, but would urge you not to self-diagnose. The danger of self-diagnosis / treatment is missing another real emotional, situational or physical problem. Your doctor should work your temp up. ...Read moreSee 1 more doctor answer
Is low shbg in males independent of low testosterone? Can both low shbg and low testosterone derive from the same underlying cause?
Sex Hormone Binding: Globulin (SHBG) is a protein derived from the liver. Having a medical condition that causes low SHBG can decrease a patient's Total Testosterone level, but their Free Testosterone (Biologically Active) should remain normal. Patients can have an illness that causes low SHBG that also makes them ill enough to cause decreased Testosterone production. Any illness can decrease LH and Testosterone. ...Read more
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