I am very tired, sluggish, gained 20lbs 6 months,irregular periods, low
sex drive, depressed and unable to concentrate.
Lab results as follows:
TSH 3rd generation 0.94
Free T4 .08 L
ACTH Plasma 10
IGF-1 162
cortisol, free 24hr urine total volume=2500, cortisol, free urine=20.1 creatinine urine 1.58
FSH 7.1
LH 2.2
Prolactin 3.8
estradiol 57
cortisol a.m.(blood i guess) 8.2
I just do not know what to do.