5 doctors weighed in:

0.70 level of anti-TPO and very low cortisol. T3 (liothyronine) T4 is normal. What could it be?Can it be the cause of recurring gynaecomastia even after the surgery?

5 doctors weighed in
Dr. Joseph Mathews
Internal Medicine - Endocrinology
3 doctors agree

In brief: Anti-TPO Antibody

Is an antibody produced by your immune system that attacks your thyroid gland and causes hypothyroidism.
Low cortisol is concerning for adrenal insufficiency and you may need a Cosyntropin stimulation test to evaluate. The majority of gynecomastia tends to be idiopathic or related to medications. There are rare instances of tumors producing hormones that cause the findings.

In brief: Anti-TPO Antibody

Is an antibody produced by your immune system that attacks your thyroid gland and causes hypothyroidism.
Low cortisol is concerning for adrenal insufficiency and you may need a Cosyntropin stimulation test to evaluate. The majority of gynecomastia tends to be idiopathic or related to medications. There are rare instances of tumors producing hormones that cause the findings.
Thank
Dr. David Sneid
Internal Medicine - Endocrinology

In brief: The low cortisol

Needs to be evaluated.
You didn't mention a tsh. Have you had pituitary surgery which could make the TSH unreliable? Did you have an elevated prolactin, which can also be treated medically in most cases? You do not give enough information. Check w/your endocrinologist.

In brief: The low cortisol

Needs to be evaluated.
You didn't mention a tsh. Have you had pituitary surgery which could make the TSH unreliable? Did you have an elevated prolactin, which can also be treated medically in most cases? You do not give enough information. Check w/your endocrinologist.
Thank
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