Re: Adrenal fatigue. LOW CORTISOL AND DHEA

You said you were assaulted and have scars to the face - i am wondering if you received a head injury which has damaged you pituitary stalk/ or functioning of the gland.

Your cortisol levels are very low - even by extreme AF standards.

Was the assault a head injury impact - like a punch?

You don't have to answer and say any details as i just wanted to let you know that many folk who have had a head injury - even from years back - can have dysfunctional pituitary function due to the injury.
Endocrinologists now recognise head injuries make up a larger percentage of hypopituitary than previously realised.

With hypopituitary it's common for some hormones to be high (like prolatin - very common) and for others hormones to be deficient.

Estrogen being low in a male is unusual too, but would account for erectile dysfunction, despite your T levels.
(I know it's generally accepted that T is ALL about libido but MANY people online have talked of no libido, with HIGH T levels, YET also they have low estrogen levels - so IMO, estrogen plays a larger role in libido than is given credit - i'm female, also with very high T levels and very low E2 levels and have no sexual desire AT ALL!)

Have you had a pituitary MRI?
You said you had an MRI but didn't confirm what for.

That would help rule out a pituitary mass which is common, and normally benign, not cancerous - but it causes the hormones to go wacky.
Prolactinomas are one of the most common tumours found and cause high prolatin levels, headaches, blurry vision in some cases.

What is you blood pressure?
Are you peeing a lot more or less than usual? More thirsty or less thirsty than usual?

Like i said, your cortisol levels are never seen in people with *just* common adrenal fatigue.
Very rarely are all 4 readings very low.

I can't believe your doctors are not concerned about that.
No wonder you feel like complete crap!
I expect perhaps your body is really over compensating with adrenaline to keep your system going.
Hence the insomnia.
For severe insomnia i took 250mg phenibut and a heavy dose of chamomile tea when at my worst.
Sometimes the chamomile by itself really packed a punch and sent me drifting off before i knew it...worth a try until you can figure out what's really going on, you'll have to try to treat symptoms.

It sounds like more diagnostics are needed to really know - those cortisol levels are not right at all...i've never seen such low levels on ALL 4 points of the diurnal cycle.
Cortisol is vital for using up carbs, proteins, fats, producing glycogen - and if that's not happening well you'll have a digestion issue, constipation for sure, and i'm sure your metabolism has gone catabolic hence the muscle loss, no energy.

If you haven't already - take your recent cortisol results to an endo - and push for more diagnostics of ACTH pituitary and adrenal function.
Those things NEED ruling out, especially considering you had a head injury.