I am in Australia, and I'm also hypopituitary (empty sella syndrome), and my labs are much worse than his. To be honest i dont think his labs are that bad at all.
I can attest that reducing stress is critical in regaining better health.
I tried dhea, hydrocortisone, armour etc (i had low thyroid, dhea, and cortisol readings) but in the end those meds did more harm than good to me and I felt terrible on them. What did work was moving to a less stressful environment and focusing on diet and exercise. Granted, I was also on
TRT which I'm sure helped rest my adrenals. I've recently just stopped
TRt though so we'll see how that goes. I'm not expecting miracles I just had to cease it for a while to get hairloss under control until I decide on a path for reducing
DHT conversion.
Sounds like you're on track with the diet, but its the lifestyle which is still a problem with long hours etc.
Has he had blood
test for e2 and
testosterone? And LH + FSH?
He looks like he has reverse T3 - is it possible to use a wilson protocol and take just T3 until the reverse clears, then come off it?