so after 5 days of Maprotiline I have a lot of symptoms I have in my story, but keep in mind that I had chronic stress before I take Maprotiline and that is the reason I took it to help the insomnia ( was not a good idea )
I did a blood test :
Cortisol (am) = 623.8 nmol/L normal range ( 171 - 536 ) High
Cortisol (pm) = 562.2 nmol/L normal range ( 64 - 327 ) High
DHEA-S = 208.4 ug/dl normal range ( 211 - 492 ) Low
Progesterone = 0.90 ng/ml normal range ( 0.25 - 0.54 ) High
Vitamin B12 = 2000 pg/ml normal range ( 197 - 771) High
the normal tests
Folate 6.89 ng/ml normal range ( they didn’t put normal range on this one … wtf)
Testosterone = 3.41 ng/ml normal range ( 2.49 - 8.36)
Free Testosterone = 12.2 pg/ml normal range ( 1.0 - 28.28)
E2 (Estradiol) = 29.20 pg/ml normal range ( Men < 50 )
LH = 5.70 mIU/ml normal range ( 1.7 - 8.6)
FSH = 3.43 mIU/ml normal range ( 1.5 - 12.4)
TSH = 3.01 uIU/ml normal range ( 0.27 - 4.2 )
I did another test for dexamethasone suppression test :
Cortisol (am) = 997 nmol/L normal range ( 177 - 580 ) High
Dexamethasone suppression test (1 mg) = 19.3 nmol/L normal range (< 50) Normal
the doctor asked for an mri scan of my brain, I had ct scan before and did mri too they both are normal.
he asked for brain ECG test it is normal too. so he thought I have no problem and prescribed Deanxit a banned medication that contains both Antidepressant and Antipsychotic.
I have seen many gp s, Neurologists, Endocrinologists. they all prescribe SSRI or TCA, they say " you are depressed or stressed but you can’t realize it " but I don’t have depression, anxiety or chronic stress, in fact I have no thought at all, maybe sometimes I feel hopeless after 6 month of suffering from PSSD but it is not that serious and the condition is the reason for hopelessness not the other way around so I refuse to take any antidepressant or antipsychotic.
one neurologist suggested trt, sustanon 250 1 ml once every week but I am not sure if he knows what he is doing.
my questions are :
what is the reason for high cortisol ? how can I find the root cause and treat it ?
can high cortisol to be that severe to cause sexual dysfunction, brain fog and emotional numbness ?