I think the doctor is going to say you have AI - the magic number being 34.
You would have had to had a concurrent test of CRH to determine source - that being adrenal (primary) or pituitary (secondary). I don't see a single ACTH reading so a source is not possible to say.
ACTH results the week before was 14. Not sure if they ran CRH test or not. I was told the Cortisol test was going to take 1 -2 weeks for the results, but that was posted in 2 days, so not sure if still waiting for additional results or not. Endo has been out of the office, but I will contact her tomorrow.
When I had my ACTH Stimulation test they warned me there might be a tightening sensation in my gut (there was, but it's not as bad as it sounds), and some mild nausea. I think there are other potential side effects, but I didn't have any. They went away within minutes - very brief.
I had a cortisone test done before and my level to start was 50 so the endo sent me for a ACTH test short sint. He then wrote to me and said no need to be seen again. I didn't even know my results of the ACTH. I've been suffering for the last 2 year with fatigue, weAkness, stress, sickness and stomach cramps I've lost 3 jobs over it I've picked up shingles, had pneumonia and I get Ill constant i just want to know whAts wrong there must be something wrong for my levels to be so low In the first place anyone recommend something or tell me what it could be cause the doctors are hopeless!!!
Call the office and ask for a copy of the tests. Once you get a copy, look at them - often docs read them wrong - so you may be able to go to another doctor. Also, you may pass the test even if you are sick but you may fail soon but the doc may just be a numbers guy - so just get a copy from the doc or the lab and find another doctor.
Well, you started in a normal range, and you stayed in normal range. You really should have either dipped or gone up given the stim agent - but you just stayed the course, again, in the normal range. So they are going to call it normal. In fact, by my labs, that is a high reading - so I am not sure what lab you are using.
However, you can be borderline and drop later - so if your doc is smart, he will monitor and re-do the test... but few are smart!
Hi, Was a ACTH stim test with a reference range Adult 4.0-22.0
Thought it was high but the Doc she said it was just fine.
Had other blood work done 6/010 and my cortisol was 5.44 on a scale of 8.7-22 but that blood work was taking at 7.40 PM. showed that to the other doc and he sent me for the stim test and to see this Endo who said it was just fine.
What are the symptoms? There is an entity called cyclical Cushing's - it would cause high and low cortisol - so you would get the worst of both worlds. High cortisol and low cause fatigue (*****!) and have a lot of weird things that cause you to have weird blood pressure issues and glucose issues - but not everyone.
I had it - and I know others that some get super low and some super high and super low. Have you lost a ton of weight, or gained? Have you had any other cortisol, ACTH or any other pituitary testing? Other hormones? Thyroid?
She is running a test for Adrenal function cant remember what it was. this all started after two weeks of the Tx for hep c, Interferon Alpha 2b
That is one bad drug looking for something to cure. And i only did it for two weeks, was fine before.
So your immune function is impaired as well?
Does she think your cortisol is high or low? I ask as some of your symptoms sound like high cortisol rather than low. ACTH is an easily botched test - was the tube chilled? Put in the centrifuge right away? You only had one test for cortisol - blood - what about urine, saliva? They should also test you several times to see you over time.
She said i was just fine? said it was good i started off that high baseline 28.7, 30 minutes later 25.1, 60 minutes later 28.4 ACTH stim test with a reference range Adult 4.0-22.0
Thought if i was normal i would start in that range then go up. Urine comes back fine. Don't know what they did with the blood after they took it. I'm i missing something here, When they give you a ACTH test what is it checking for? no more cortisol testing or saliva.
lab work done at Quest
What I understand is that is my cortisol level being simulated by the cosyntropin they injected in me.
Think I better get another Endo. going to see other doc who sent me to her, I'll see what he says. been complaining about the pain in my back for a year now. didn't know the adrenals were on top of you kidneys. maybe that's why I thought me kidneys where hurting? thinks to think about.
just check labs didn't run urine cortisol test
ACTH is released by the pituitary to tell the adrenals to release cortisol - so a good doctor will test both all the time as both need to working in sync for the body to be correctly. It is a feedback loop - so if the adrenals do not work, ACTH rises to try to force the adrenals to release more or if the pituitary is impaired, both are low as the adrenals don't know any better!
I think they are just judging you on the normal baseline - the test is supposed to cause a rise in cortisol but that did not happen however you were already normal...
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