Adrenal Insufficiency

[GinaMVos]

I would appreciate any advise someone can give me.  I been feeling very ill for the last two plus years. I have asthma copd and this past winter i had pneumonia which was not diagnosis for 2 months.  I am also on Armour for a thyroid condition 30 mg a day, 2 steroid inhalers breo & proventil and crestor 5mg.  I am  exhausted all the time, muscle pain, back pain,  rashes, weight gain and many other issues. I have had test done  on my  lungs, heart, abdomen, esophagus & colon and  all tests results came back fine.  I went to an Endo because of my sympthoms and they saw a  nodule on ultrasound (biopsy came back fine), The Endo ran a Cortisol and ACTH blood test. It was done at 8am and that was the only test he did. My levels were Cortisol 12.2 and ACTH 42. And he didn't see anything wrong with me and told me to go get a second opinion or go to the Mayo or Cleveland Clinic and I live in Louisiana.  Should i have had another blood  test done later in the day to see if my levels are sufficient? And is the  24-hour urinary output test a more accurate test?.  The Cardio doctor had suggested I check into my adrenal gland because of  all the steroid I have been on over the years. I have had asthams for 30 plus year and Copd for the pass 7 year but it is under control.  Thank you

[rumpled]

Your endo should not run one set of tests and proclaim anything as one set should not rule anything in or out. Plus they only looked at a point in time set, not even a stim test.

Did you do the tests while still on the inhalers and all?

[TheLightSeeker]

Hi Gina and welcome to the forum.

I think I identified some potential underlying unresolved issues and some gaps in your case. My complete reply will follow in the next few days after you answer (see below) some of my questions.

Tell me exactly why you`re on crestor, how long where you were off steroids before your cortisol testing, what type of thyroid tests and how often , what were the units of measurement and lab ranges on the results you posted.

There are so many discrepancies.
What is you current weight and what is your height?
Normal diet and preferred foods?

I don't think you should get anything done till you sort out some fundamental
issues and put some realistic perspective in your quest for improvement.

I may have more questions later on.

Looking forward to your reply.

Take care.
Niko