suggestion please

[laurice81]

RESULTS                  REF RANGE

coritsol, free, 24 hour urine                                        

total volume                                     250                       ml  
cortisol, free, urine                         23.5                         mcg/24 h

cortisol,free.urine                         71.1      H                      mcg/g creat

                                        REFERENCE RANGE
                                              ADUTS  3.1-42.3

creatinine, urine                               0.33     L                           g/24 h

[TheLightSeeker]

Yeah, your cortisol to creatinine ratio is high because of the low urine creatinine levels, which usually is not a big concern from what I understand, compared to high levels of urine creatinine.

Perhaps a blood test may be helpful?

A high consumption of water would show low creatinine levels as the
larger fluid volume automatically lowers the creatinine concentration.

Is your doctor trying to rule out Cushing's/hypercorticism or something else?

Sorry, I made you re-post your results, I should have looked again and paid more attention. Nw I looked at them again and they make more sense, however it's good for anyone else who reads them as well.

Best wishes.
Niko

[laurice81]

TOTAL VOLUME
250 mL
  
CORTISOL, FREE, URINE
23.5 mcg/24 h
  
CORTISOL, FREE, URINE
71.1 mcg/g creat
  
CREATININE, URINE
0.33 g/24 h

[laurice81]

the doc was checking my 24 hr cortisol
the ratio cortisol is high due to the creatinine  bieng low
and my endo doc doesn't understand why!

[TheLightSeeker]

Hey laurice81.

I think you should go back to your results and take your time to
post them correctly.

There are 2 lines indicating 2 different readings for free cortisol, urine.
The second line indicates  "mcg/g creat", which should be for creatine

The lab reference range is in between free cortisol and creatine-
unsure for which one it applies. (I'm assuming it is for the cortisol)

Which makes me also question the 3rd line indicating creatine.
(I'm assuming this is the one for creatine, but I just want to be certain).

Also please indicate which cortisol result is A.M and which is midnight.

These are the usual ones for diagnostic work if only covered for 2 x cortilsol
but please specify, if different.

Ideally  the 4 x cortisol  saliva testing -am/noon/evening/night
is the way to determine circadian profile, so a more effective & workable treatment plan can be implemented.

And finally, what is your question?
What kind of suggestion are you referring to?

I'm asking all this because I want to be clear, before I can make any
comments.

Could you also include some kind of background/history/symptoms etc.?

Lab results alone do not constitute diagnosis, nor necessarily reveal accurately certain functions or correlations to certain  imbalances, as they are based on mathematical &.statistical models.

Take care.
Niko