I Am 5.8 High And I Weigh 73 Kg Of

Posted on Wed, 25 Mar 2020

Question: I am 5.8 high and i weigh 73 kg of age 24. I always been slim and skinny all my childhood, 3 years back I was diagnosed of Gynecomastia and since then i had developed fat over my abdomen area and chest but other parts of my body still remain skinny though. I don't drink alcohol nor smoke nor been on any drugs all my life. I look under grown and small compared to people of my age. Other symptoms which i had are day dreaming, not able to concentrate for long, getting tired easily, slight depression, not able to exercise, feeling week and these symptoms are effecting me in daily activities. Recently when I got an MRI of my abdomen for diagnosis of Cushing, it came out that I had 17 cm of fatty liver. I turned from underweight to overweight in the last two years. The midnight cortisol results and some lab tests were border range, so my doctor suggested to go for low dexamethasone suppresion test. Results are attached.

what does this results mean, do i have cushing or not?

Do I need to take high dex test for further evaluation?

If it's not cushing what could these symptoms be?

Please suggest...

Lipid Panel:

Total Cholesterol - 209 HDL - 48 Tri-glycerides - 171 TC/HDL ratio - 4.4 Glucose(non fasting) - 92 BMI - 24.8 Body fat% - 24.2

Answered by Dr. Dr. Elona (13 hours later)

Brief Answer:
Cushing syndrome can be excluded.

Detailed Answer:
Hi
I have gone through your query and your attached reports.

I can say that your all test results are within the range.Saliva corstisol in the 2 specimes is normal,no mass an adrenals and your cortisol production is normaly supressed by dexamethason administration.This means that Cushing Syndrome can be excluded.

You have normal metabolic and endocrine function,considering all your test results.
The healthy range of body fat for men is typically defined as 8-19%.
This means that you have a lot of body fat ,borderline BMI for overweight and borderline high lipid panel.

In my opinion,more physical activities in fresh air,and a proper diet can resolve your problem.

Hope this is helpful.
Let me know if i can assist you further

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Elona (40 hours later)

I am having very less diet and trying physical activities like gym for an hour or two, but the fat gets accumulating around my abdomen and butt areas but remaining of the body remains thin also my I had gynecomastia and concentration problems. I am day dreaming too much these days. If this is not cushing can these symptoms any other issues like growth hormone deficiency or any....

Answered by Dr. Dr. Elona (7 hours later)

Brief Answer:
You are a healthy boy.

Detailed Answer:
Hi again

Your GH and IGF1 test results are normal.
These results exclude growth hormone deficiency.

Your symptoms can be suggestive of hyopthyroidism or hypogonadism,but both these diagnosis can be excluded with your normal thyroid panel and sex hormone test results.

As i said earlier,you are a healthy person because all your test results are within the range.
Insist with a balanced and healthy diet,and start with outdoor physical activities.This will give you more choices for enjoyable exercise, which is likely to keep you motivated.

Hope this is helpful.
Regards.

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. Vaishalee Punj