My 14 year old daughter recently had an acth stimulation test. The results were 8.0 mcg/dL cortisol at 11:38 a.m. and 12.2 mcg/dL 60 minutes later at 12:48 p.m. Does this indicate primary or secondary adrenal insufficiency. Her endo seems intent on secondary but can't these results indicate primary? Also, this was done with no fasting , can that make a difference in results? Thanks for any input.
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