Once you get your HRT optimized that covers the life maintenece really
(as you age you may have to make adjustments). Ask him if he knows
about how to stress dose steroid. That is a biggie that many docs
don't know. As you on sex hormone therapy (assuming if you are pan,
then your LH and FSH are low. Whether or not a woman has pituitary
cause sex hormone deficiency, I've seen that they have a terrible time
finding a doc who really knows what he's doing with womens sex
hormones which can be quite complicated.

As far HGH, I don't know why it took so long. Were tests done in the
past?

Being pan, that would mean your vasopressin is deficient, has that
been tested, treated?

How about prolactin?

How are you treating your thyroid? Have you had aldosterone and renin
tested? Those are usually low in hypopit, being low cause salt
wasting. I can help you more if you post your tests and all the
therapies and doses. I can give you an opinion of if I think you are
on a good track or not.

You're welcome,
Chris



--- In Hypopituitary_Support@yahoogroups.com, "Karen" <karennkids@...>
wrote:
>
> I am panhypopit and have been since the age of 13. 32 years later and
> I am still hunting for knowlegable doctors to help me navigate my
> health and future. I am seeing a new Dr. next week. I am wanting to
> know what I should be asking him to learn about life maintenance. What
> should I expect as a woman, pan-hypopit? Just three years ago I
> started on HGH to help with heart disease....why did it take so long
> for Dr's to get me on it? I have be seeing them since I was a
> child...I am afraid that I should be doing something else that no one
> has noticed. I am also really struggling with depression...is this
> common? Any suggestions for this appointment would be welcomed!
> Thanks, Karen
>