Suggest Treatment For Low T3 And Low Cortisol

Posted on Wed, 19 Sep 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 18 Sep 2018 Answered on

Sat, 23 Apr 2022 Last reviewed on

Question : Low T3 , low free t3, low t3 uptake, low Cortisol, huge reverse t3 inability to lose weight., extremely tired

Answered by Dr. Mirjeta Guni (-3 hours later)

Brief Answer:
About low T3 and low cortisol:

Detailed Answer:

Hello,

The hormonal balance you reported is conistent with secondary hypothyroidism and adrenal insuficiency propably due to a pituitary pathology.
Of course a detailed history and clinical evaluation is needed.
An ACTH stimulation test will be the next step to confirm adrenal insuficiency and cytomel dose should not be increased without correcting cortisol level.
A pituitary MRI will be suggested too.
From your shortly description, this would be the guide to diagnosis.

Will be a pleasure to help you further.
Regards,
Dr. Mirjeta

Above answer was peer-reviewed by : Dr. Raju A.T