Brief Answer: Endocrine Detailed Answer: Sorry to note your symptoms. I see you have quite a few endocrine conditions. 1 Hypothyroidism I see you are on 0.1 mg When were your last TSH and free T4 done? How long have you been on levothyroxine? How sure are you that this diagnosis is correct? Did an endocrinologist make this diagnosis ? Have you ever had anti thyroid antibodies tested, such anti TPO (Thyroid peroxidase and anti Thyroglobulin)? Do you recall the baseline TSH value before you were started on levothyroxine? What is the highest TSH value that you can recall ever, even in on treatment? Answers to the above questions will help us get a good idea if you truly need levothyroxine and if so, whether the dose is correct. 2 Vitamin D deficiency Aim for blood levels of around 30 to 50. I see you are on 5000 IU daily. That is fair as long as you keep the blood levels in the target range by checking periodically 3 Androgen deficiency Latest guidelines have once again discouraged the use of any androgens (male hormones) in women. This includes the DHEA you are on. There are no proven benefits 4 Adrenal insufficiency I noted how you weaned yourself off prednisone. I suggest checking the 8 am serum cortisol levels to ensure your body is making enough adrenal hormone 5 The rest of your conditions are largely neurological and therefore it would make sense to see a neurologist for the same.

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Brief Answer: Follow up Detailed Answer: I have reviewed your lab results. Thank you for sharing I suggest you find a good Internist and an Endocrinologist. Many of the conditions we are dealing with here are fairly complex. Interpreting the laboratory values is appropriate only in the setting of an in-person examination to see what the numbers really mean.

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