instruction: hello doctor I am 26 years old I am diagnosed with hypothyearoid about four years ago I started from 25 mug levothyearoxine and now taking levothyearoxine 75 mug recently I lost pounds which is very bad because I am 6 tall and my weight is 16 pounds I feel weak and dizzy very often I also have irregular heavy periods and symptoms of having too much male hormone too much hair on legs bikini etc severe acne especially a week before expected period since one year my periods cycle became longer before it used to be 28 days and now it is 38 days I am also worried because of low insulin and pretty normal glucose what does it mean may it be because I am on gluten free diet for two years please also look at my sex hormones prolactin looks too high and I am not sure about testosterone
output: hello I just read your query and the detailed information you have mentioned in the attached reports the thyearoid function is good and you must take your medicine regularly as usual do not worry about the insulin levels it is a good thing it means you are perfectly normal your prolactin levels are the ones that you should be worried about as they are the ones causing your irregular periods they need treatment I would suggest that you take tablet cabergoline 25 my orally twice a week for two weeks and then repeat your serum prolactin levels your testosterone levels are within normal limits and perfectly normal as well I hope this helps