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Doctor insights on: High Cortisol And Hypothyroidism

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Hx of hashi's & sjogrens. Had cortisol checked b/c I've had fatigue and it came back high. Could this be due to hypothyroidism somehow still?

Hx of hashi's & sjogrens. Had cortisol checked b/c I've had fatigue and it came back high. Could this be due to hypothyroidism somehow still?

Cortisol: I doubt that your high cortisol is from hypothyroidism - but it is sime enough to test your thyroid with blood tests also. High cortisol can cause thyroid resistance which can mimic hypothyroidism - but the thyroid gland is not the problem. ...Read more

Dr. Su Fairchild
1,203 doctors shared insights

Hypothyroidism (Definition)

The thyroid gland is an endocrine organ located in the front part of the neck. Its role is to make thyroid hormones, which control the way cells use energy. Hyperthyroidism results when the thyroid gland is overactive and too much thyroid hormone is produced, which speeds up metabolism. This results in weight loss, a quick heartbeat, sweating, nervousness, ...Read more


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TSH level: 0, T3/T4 normal, cortisol thru the roof, lymphocytes elevated, BP: 160/100 and waking @ 3am. MD saying it's hypothyroid. I disagree. Help?

TSH level: 0, T3/T4 normal, cortisol thru the roof, lymphocytes elevated,  BP: 160/100 and waking @ 3am. MD saying it's hypothyroid. I disagree. Help?

Cushing syndrome: Cortisol thru the roof is Cushing syndrome until ruled out. Our job is to figure out why this is happening. Taking steroids can do this but shouldn't affect thyroid. I'd be more concerned about pituitary adenoma which can cause both Cushing AND central hypothyroidism (usually low TSH means hyperthyroidism) but in case of space occupying lesion in pituitary, it may put out ACTH in favor of TSH. ...Read more

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Dear sir, how do I should know the symptoms of low cortisol. Because it has same symptoms with hypothyroidism, which I have ?

Dear sir, how do I should know the symptoms of low cortisol. Because it has same symptoms with hypothyroidism, which I have ?

Not the same symptom: Hypothyroidism causes weight gain, swelling, cold intolerance, constipation. Adrenal insufficiency causes weight loss, weakness, dizziness when standing, nausea, loss of appetite. There is actually relatively little overlap in symptoms between the two disorders. ...Read more

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I have hypothyroidism and chronic stress/anxiety. Does low cortisol cause hypothyroidism?

I have hypothyroidism and chronic stress/anxiety. Does low cortisol cause hypothyroidism?

No: Cortisol is made by the adrenal glands whereas hypothyroidism refers to low levels of thyroid hormone from the thyroid gland. Having one does not cause the other. Chronic stress and anxiety also do not cause these disorders. Low cortisol (adrenal insufficiency) is a rare disorder, typically autoimmune related, and must be diagnosed correctly, not simply by a low cortisol level. ...Read more

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My Thyroid panel tests came back normal.Ive a swollen face since puberty plus most of other hypothyroid symptoms. Cortisol,Creatinine in normal range?

My Thyroid panel tests came back normal.Ive a swollen face since puberty plus most of other hypothyroid symptoms. Cortisol,Creatinine in normal range?

Thyroid: Has your doctor ordered an imaging study of your thyroid? If so, and all was OK, thyroid is not an issue for you. If not yet done you should have thyroid imaging done. If all thyroid issues are OK you need to see someone about your swollen face. ...Read more

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Is a deficiency in vitamin d, hight cortisol and prolactin, too much LDL cholesterol a sign of hypothyroid ? Symptoms dry skin, astheny and low libido

Is a deficiency in vitamin d, hight cortisol and prolactin, too much LDL cholesterol a sign of hypothyroid ? Symptoms dry skin, astheny and low libido

Forgive my frankness: Your lack of vitamin d is probably the result of your getting too little in your diet and not getting enough sunlight. A spot cortisol is of little value except as a screen for addison's which i will assume is ruled out. Your high prolactin and low libido in a man with some serious acne like you're being treated for makes me suspect strongly that you have a prolactinoma. ...Read more

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What hormone imbalances can cause excessive face/head sweating? I have underactive thyroid, kidney disease, & low cortisol levels. Can these diseases?

Any of them: Sweating from overactie thyroid. It could also be from hormonal changes with estrogen or testosterone, and with kidney disease you could have an imbalance of those. ...Read more