Adrenal Insufficiency Community
Best cortisol tests?
About This Community:

This patient support community is for discussions relating to Adrenal Insufficiency.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Best cortisol tests?

I'm about to get a cortisol test done and my doctor wants to do a urine test, yet an endocrinologist recommended a cortrosyn stimulation test and another doctor doctor recommended a 24 hour swab test.
Seeing as how I've had these symptoms for 5 years, does it change which one I should take? Or should I be safe and get them all?
Blank
Avatar_f_tn
Get the saliva test, it will show your cortisol levels at 4 diff times of the day.  Cortisol should be highest in morning and slowly declines all day.  A blood test won't show if your cortisol is normal for the whole day.  Some people in early stages of adrenal fatigue have un-normal fluctuations, especially high cortisol at night, which causes insomnia, and a moderate fatigue.   I am in late stage adrenal exhaustion with extreme fatigue and my cortisol is below normal levels all day.
Related Discussions
6 Comments Post a Comment
Blank
Avatar_f_tn
Get the saliva test, it will show your cortisol levels at 4 diff times of the day.  Cortisol should be highest in morning and slowly declines all day.  A blood test won't show if your cortisol is normal for the whole day.  Some people in early stages of adrenal fatigue have un-normal fluctuations, especially high cortisol at night, which causes insomnia, and a moderate fatigue.   I am in late stage adrenal exhaustion with extreme fatigue and my cortisol is below normal levels all day.
Blank
2015481_tn?1328280715
Cool, thank you!
Blank
657231_tn?1390151580
The stim test is the gold standard to diagnose adrenal insufficiency - however that is usually done after a battery of baseline testing which can and should be a number of urine, blood and saliva tests as well as ACTH, antibody and depending on your symptoms, renin/aldosterone and electrolytes.

High cortisol at night is a loss of diurnal rhythm - and is a sign of Cushing's disease, not low cortisol.
Blank
2015481_tn?1328280715
Thanks for the additional info. I've actually had a lot of baseline tests run (T3, T4, etc) and they all came back normal. I have low normal testosterone but everything else seems to be good- except for my symptoms.
Blank
2015481_tn?1328280715
Additionaly, does anyone have info on the cortrosyn stimulation test?
Blank
657231_tn?1390151580
Those are thyroid tests - so that is baseline thyroid. You need more adrenal testing which is another ball of wax so to speak. Plenty of people just have just thyroid or just adrenal issues - they can happen together but it is not a given.

The stim test should be given in the morning, fasting - they take a baseline draw so they have a number where you started. Some offices may take one or two. They usually put in an IV so there is only one stick. Then at a certain interval, they give you the stim agent, then at a certain time later, they take another draw - and depending on the office again, they may do a several timed tests or just one. Usually people only feel flushed with the test but make sure you have someone with you just in case you get sick - not common but it can happen. They can also give you another stim agent as well to try to determine source - as it can be adrenal or pituitary in source.
Blank
Post a Comment
To
MedHelp Health Answers
Recent Activity
363281_tn?1353103243
Blank
SassyLassie commented on I had no idea there w...
Nov 24
Avatar_f_tn
Blank
chocolatey_37 commented on I had no idea there w...
Nov 24
168348_tn?1379360675
Blank
ChitChatNine thinking about Thanksgiving Comment
Nov 21
Top Thyroid Answerers
168348_tn?1379360675
Blank
ChitChatNine
Avatar_m_tn
Blank
gimel
MI
657231_tn?1390151580
Blank
rumpled
Northern, NJ
798555_tn?1292791151
Blank
LazyMoose
MN
Avatar_f_tn
Blank
Guppy70
Fort Collins, CO
1530171_tn?1362547225
Blank
TheLightSeeker
London, ON
Adrenal Insufficiency Community Resources
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
Top Thyroid Answerers
168348_tn?1379360675
Blank
ChitChatNine
Avatar_m_tn
Blank
gimel
MI
657231_tn?1390151580
Blank
rumpled
Northern, NJ
798555_tn?1292791151
Blank
LazyMoose
MN
Avatar_f_tn
Blank
Guppy70
Fort Collins, CO
1530171_tn?1362547225
Blank
TheLightSeeker
London, ON