Hi doctor, I was an exogenous cushing's patient due to which I gained lots of weight. I currently weigh 78 kilos and my height is 5.1.5" feet. Later after tapering off the steroids that I was taking my serum cortisol were somewhat normal but an year later I was diagnosed with pcos and couldn't loose much weight. I lost my father and one more family member during this phase and got depressed. Last december I was diagnosed vitamin d deficiency which was -4 mg/dl and even doctors were shocked how can my levels be so severely low. Fatty liver grade 1 and one hemorrhagic cyst in the left ovary. My bp is 140/95 and tsh is 4.8.i was given vitamin d supplements and vitamin d level measured-60 mgdl I stopped taking the supplements thereafter. Now my vitamin d level is 21 mgdl from last 2 months I didn't get any periods. I still weigh 78 kgs my tsh level is -4.8.please give proper consultation for the same. Thanks.
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Dear lybrate-userji greetings! cortisol actually leaches the calcium out of your bones as well makes you gain weight. I would suggest you to seek the advice of an endocrinologist first. High stress also leads to increased corticosteriods that further aggravates your issues. You can also adopt a healthier lifestyle by diets and also some physical activity. Ayurveda also helps to deal with irregular periods and also helps in improving your metabolism. We can also give you advice on your non alcoholic fatty liver condition as well. Please send a dm should you wish to consult me over phone.
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Don't worry and stop thinking too much. Start thyroxine 25ug empty stomach. Get your upt done if it's negative you can take withdrawal. Vitamin d def is seen in 99% female in whom I have got it done, I haven't found any female with normal vitamin d levels till date. Control your blood pressure and do daily exercise it will improve your cycles. Bad phases are there in life of everyone but need to over come it. If you are getting 8-9 episode on menses /year you need not worry but pregnancy will have some issues after marriage so try starting your family at an early age to decrease comorbidities.
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With pcods you will have irregular periods you have to do regular exercise anddiet take treatment for pcods.
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Get an ultrasound done to assess endometrial thickness. If you ovulate, you should get your periods
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Hi don't leave your hope on getting this corrected vitamin d3 deficiency hypothyroidism hypertension and depression obesity everything is interlinked start regularly working out and start reducing the the dosage of steroid as soon as you could find a change. Most people are found with single digit vitamin d3.
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