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Low Dose Dexamethasone Suppression Test

Low Dose Dexamethasone Suppression Test

Hi, I have a question and need some help please. I don't go back in to see the endo for another two weeks but finally after 3 weeks they have given me a copy of my labs. I had the 1mg dexamethasone suppression test and on my labs it does't give an actual value. It just has two columns for in-range and out-of-range and the following is listed in the out-of-range column

cortisol am speciman <2
acth <5

What on earth does that mean. The nurse won't tell me anything over the phone and I'm not sure if that is "normal" or not.
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That test is for Cushing's syndrome.
The ranges for the labs usually do not apply as the ranges are for normal testing and they don't have a range set in the labs, sadly, for post dex but it would be greater than 1.8.

I would however suspect that your level of ACTH is so low that it is lab ERROR -in handling. Was it a chilled tube and did the tech run off to put the tube in a centrifuge or did she put the tube in a bin? If bin - lab handling error!

You suppressed which to a good doctor shows pituitary involvement (possible) but to a bad, they will just use this as a test of exclusion which it is not, and tell you that you are fine which most likely you are not.

I suppressed on all dex tests and had Cushing's and I know tons of people like me. BTW your tests show out of range like you have Addison's.
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