Everything You Wanted to Know About hypopituitarism

[@abmg1208]

Can stimulants (like 40 mg vyvanse) cause hypopituitarism?

[@MsFoundIT]

I have history of cushing's disease with surgery done in 2011. I had some similar symptoms in 2016 and 2017, but for the 5-6months, it became more bothersome to the point that i am unsble to go to work, don't feel like going out or doing anything even sleeping or going to bed at bedtime to sleep. I have been wondering if the tumor is back as cushing's or if it's fibromyalgia from or related cushing's or pcos or depression + ___ just me. Finally went to see an endocrinologist today after 3 yrs (didn’t like my last one so stopped going for f/u). My cortisol was drawn mid-day at 1 pm. And I am not sure if that mid-day result (4.7) mean anything because the normal range is shown for morning and evening cortisol level. Does it help to get random mid-day cortisol level to check for cushing's or anything? After seeing my cortisol results today evening, I researched more and now My differential diagnosis includes one more i.e hypopitutarism with GH deficiency. I have most symptoms of GH deficiency. I feel like I need to find the cause of my symptoms soon so that i can get treatment and restart going to work and feeling mentally better and physically more energetic. Anyway, that's how I came to here looking for more info on the topic. I wish I could see you for a provider. Am happy for the patients who have the opportunity to see you as a provider. I did mention to my endocrinologist today about checking my GH since it was high last time when I had Cushings in 2011. But she disregarded it's importance.

[@libraryfiles4470]

MsFoundIT None of my business but if your dr is ignoring your GH and or minimizing it in light of your symptoms, if you are able, time to find a new DR.

[@MsFoundIT]

@@libraryfiles4470 thank you for your suggestion. Just yesterday, my endocrinologist gave my requested lab order for AM cortisol and IGF-1 (I waited till my midnight saliva and 24 hr urine results because I felt hesitant asking for it and for being thought as "micro managing" etc. So I waited a week to get those results. I planned to change providers if these labs were not ordered since I am paying without insurance and it is not worth my time, energy, and money. I was told that my 2 midnight saliva test results were slightly high but my 24 hr urine was within normal, and to add to the confusion, the first visit day's 1 pm draw cortisol was lower than normal. I will be having AM cortisol and IGF -1 next week and then the dexamethasone suppression test. I had to request a MRI too and that is coming up soon. Hope everything goes smoothly and that I get a diagnosis as soon as possible. Again thanks for your reply.

[@libraryfiles4470]

MsFoundIT pituitary.org if you need to find a new Dr, they should be able to help locate one for you.

[@MsFoundIT]

@@libraryfiles4470 thank you very much! for the link I remember a doctor listed on Cushing's foundation and research site from few yrs ago, who is not so local but I will recheck my options in these sites. Thank you again. I appreciate your help and replies.