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What Causes Fatigue And Hair Loss?

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Posted on Wed, 1 Oct 2014
Question: hello,

I have hormone tests done recently cause of fatigue and hairloss. Please check my results throughly and suggest. My doctor thinks he has caught the problem but i want to take second opinion before taking any kind of hormonal drugs.
Thanks

Estradiol (saliva) 1pg/ml
progestrone(saliva) 18pg/ml
testostrone (salive) 82pg/ml
DHEAS (saliva) 13.2pg/ml
Cortisol morning (saliva) 6.5ng/ml
Cortisol noon (saliva) . 2.4ng/ml
Cortisol night (saliva) .8ng/ml
PSA blood spot 8.7ng/ml
free t4 blood spot 1.3ng/dl
free t3 blood spot 3.1pg/ml
TSH blood spot 0.4uU/ml
TPO blood spot 20IU/ml

doctor
Answered by Dr. Shehzad Topiwala (41 minutes later)
Brief Answer:
Hormone evaluation

Detailed Answer:
The thyroid tests appear to be normal, although you have not specified the normal ranges. Normal ranges for many hormonal tests vary depending on the method used .

The TPO antibodies also appear normal but again one needs to go by that particular laboratory's reference range.

Regarding the other saliva tests, there are no published medical guidelines rooted in strong evidence that allow proper interpretation. What I am stating here is that current expert guidelines in each of these hormone areas are based upon blood test results.

I have seen such tests sporadically performed by some labs and practitioners but it is unlikely you will find an endocrinologist who will lend any amount of credibility to them.
I am not saying they are unreliable. It is just not standard of care yet to make endocrine decisions on the basis of tests performed in this way.

The only exception is a midnight salivary cortisol which is used to screen for the possibility of a condition called Cushings syndrome. It is a condition resulting from 'steroid' excess. And an abnormal result is when the value exceeds what is expected for a late night saliva sample.

It is possible some of these tests that you have undergo may become more commonly used in the future once their full utility is explored in greater depth.

The PSA is on the higher side. But I am not a urologist so you may wish to discuss it with your primary care doctor first.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Causes Fatigue And Hair Loss?

Brief Answer: Hormone evaluation Detailed Answer: The thyroid tests appear to be normal, although you have not specified the normal ranges. Normal ranges for many hormonal tests vary depending on the method used . The TPO antibodies also appear normal but again one needs to go by that particular laboratory's reference range. Regarding the other saliva tests, there are no published medical guidelines rooted in strong evidence that allow proper interpretation. What I am stating here is that current expert guidelines in each of these hormone areas are based upon blood test results. I have seen such tests sporadically performed by some labs and practitioners but it is unlikely you will find an endocrinologist who will lend any amount of credibility to them. I am not saying they are unreliable. It is just not standard of care yet to make endocrine decisions on the basis of tests performed in this way. The only exception is a midnight salivary cortisol which is used to screen for the possibility of a condition called Cushings syndrome. It is a condition resulting from 'steroid' excess. And an abnormal result is when the value exceeds what is expected for a late night saliva sample. It is possible some of these tests that you have undergo may become more commonly used in the future once their full utility is explored in greater depth. The PSA is on the higher side. But I am not a urologist so you may wish to discuss it with your primary care doctor first.