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DocPhilMD, Medical Doctor
Category: Endocrinology
Satisfied Customers: 58334
Experience:  Endocrinology Expert
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I have an under active thyroid for which I take thyroxine and

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I have an under active thyroid for which I take thyroxine and also havevitiligo.Then had a parathyroid gland adenoma removed in June this year. Prior to this surgery I was experiencing extreme tiredness ,muscle weakness and bone pain. Following surgery I was feeling well for approx 6 weeks before I started experiencing muscle weakness and tiredness again.The symptoms have come back but more extreme with exhaustion after minimal effort,racing heart, drowsiness where I can feel my eyelids drooping even when standing, difficulty walking upstairs,bone pain mainly in my shins. I'm unable to work due to the exhaustion and can only walk very short distances before muscle weakness and feeling shaky.I had blood taken for cortisol levels at 9.15 in the morning and the result was 423 but not sure what this was measured in. My recent TFTS showed I was slightly hyperthyroid so have reduced thyroxine by 25 mcg but do not feel better. What do you think is the problem. Thank you
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Customer: replied 3 years ago.
I wish to continue. Thank you
Have electrolytes been checked?
calcium, phosphorus, magnesium? disruptions here are common after parathyroid surgery
Customer: replied 3 years ago.
Yes calcium and electrolytes have been checked and I'm told they are normal. Where do I go from here ? Thank you.
I would get your adrenal gland function tested
Customer: replied 3 years ago.
Can you tell me which adrenal functions /blood tests specifically should be done please ?
8 am cortisol and ACTH
random cortisol
if abnormal, cortisol stimulation test
DocPhilMD, Medical Doctor
Category: Endocrinology
Satisfied Customers: 58334
Experience: Endocrinology Expert
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