ok i made a mistake these labs were from april 20,2010.....which i guess makes my cholesteral raise even worse ha
but anyway, it says NONE next to ''collected''
but next to reported it says 12:45......those stupid techs didnt record a collected time -_-
The time of the test should be on the lab slip.
Usually when you are high, one feels a lot better - cortisol is an anti-inflammatory and covers a lot of symptoms - hence why it is given as a medication for a lot of stuff. Food does not effect it. Some docs may look at it as borderline but most will not.
it was an am test,so im assuming it was 8am? it was 2 years ago, and icant even remember what i ate last night anymore
but is that result really fine? with my history isnt a number that is that high in the normal range still suspicious? i mean the range goes from 4-22 and i was 20.7 almost 21!
not to mention i always feel SO bad in the morning.
i dont see thart doctor anymore...ive been going to a new primary for a few months whos great.
The first test is fine. What time was the test?
Cortisol goes up and down in normal people and it is a very time dependent test.
You can be normal then and high now - the doc should take the changes into consideration.
what do you know!!!!!!!!!!
i was just looking at some old labs from feb 2009....and there is an AM cortisol test...20.7(4-22.0)
and wow my cholesteral has gotten a lot worse due to bad eating.......
it was 60 back then and now its 193(maybe higher now) hdl went down ldl went up tryglicerides went up 20
but yeah is the above cortisol high or is it fine cause its in range...take into account my current tests are high
yeah i think ill take it as a positive that cortisol is low. high testosterone low end of normal cortisol and low prolactin makes a strong man
haha just messing around ;)
I found this:
"Levels of prolactin that are below normal are not usually treated but may be indicative of a more general hypopituitarism. Low levels may also be caused by drugs such as dopamine, levodopa, and ergot alkaloid derivatives."
But since you are male, it is really not going to effect you so much that I can figure out - re periods etc. but when my prolactin was high, it really effected my mind a lot.
Low cortisol is deadly.
ive eard that cortisol could e too low(which shocked me..i thought cortisol was bad) but this begged the question about the possibility of prolactin
is it possible for prolactin t0 be TOO low?
as a male im glad its low but is my level too low for a 21 yr old male
by horselip
, Nov 19, 2010 11:39AM
Two comments-
One a correction to something i said above low chloride can mean hyperthyroidism
and #2 You did not have a stim test right? What do you mean Rumpled about normal result on the dex test?
yeah thats what iwas wondering originally.
Hey! I"ll put that down on the app next time! Good one!
You only have one things worng- Your endocrine system :-)
Horsey
It is newly published, at least.
Yeah, I would be a great rat except they only want them with one thing wrong.
yeah, i dont consider that a new finding...jsut another finding that has been known by the community butt aken ages to figure out by the medicalsystem....im sure YOU knew this already -_-.
btw that's horrible that you were denied by nih.....i cant think of a peerson who could have had a more mutally beneficial case with them. youd make a great lab rat....lolo
This just came out:
"High Prevalence of Normal Tests Assessing Hypercortisolism in Subjects with Mild and Episodic Cushing's Syndrome Suggests that the Paradigm for Diagnosis and Exclusion of Cushing's Syndrome Requires Multiple Testing.
Summary
Many Endocrinologists believe that a single determination of eucortisolism or a single demonstration of appropriate suppression to dexamethasone excluded Cushing's syndrome, except in what was previously thought to be the rare patient with episodic or periodic Cushing's syndrome. We hypothesize that episodic Cushing's syndrome is relatively common and a single test assessing hypercortisolism may not be sufficient to accurately rule out or diagnose Cushing's syndrome and retrospectively examined the number of normal and abnormal tests assessing hypercortisolism performed on multiple occasions in 66 patients found to have mild and/or episodic Cushing's syndrome compared to a similar group of 54 patients evaluated for, but determined not to have Cushing's syndrome. We found that 65 of the 66 patients with Cushing's syndrome had at least one normal test of cortisol status and most patients had several normal tests. The probability of having Cushing's syndrome when one test was negative was 92% for 23:00 h salivary cortisol, 88% for 24-h UFC, 86% for 24-h 17OHS, and 54% for nighttime plasma cortisol. These results demonstrated that episodic hypercortisolism is highly prevalent in subjects with mild Cushing's syndrome and no single test was effective in conclusively diagnosing or excluding the condition. Rather, the paradigm for the diagnosis should be a careful history and physical examination and in those patients in whom mild Cushing's syndrome/disease is strongly suspected, multiple tests assessing hypercortisolism should be performed on subsequent occasions, especially when the patient is experiencing signs and symptoms of short-term hypercortisolism.
Affiliation
Division of Endocrinology, Metabolism, and Molecular Medicine, Charles Drew University of Medicine and Science, Los Angeles, CA, USA.
Journal Details
Name: Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme
ISSN: 1439-4286"
When I say I failed, I mean I also suppressed so I had a normal result (although some were abnormally low). Even on dex-CRH which is a NIH gold standard test. NIH may not take you based on the dex - they are proponents, sadly, of the test. I tried to get in there too. But if your doc sends in all your stuff, you may be able to get in.
when say you failed all dex tests does that mean you had a noral result..or an abnormal one? aka did you supress or not? im guessing you supressed.
i just wish i could get into the rare disease clinic. i think they have the best shot at helping me.....plus theyre in maryland so its not far.
i went to my primary doc today...who is the only doctor i love....
and she reccomended me to call the rare disease clinic at nih...she said the cortisol looks high to her....and she agrees small tumors can cause problems.
shes a very caring doc....but obviously as a primary there's not much she can do
If you suppress on dex, that is a normal result. So that may, in the doc's eyes, wipe out the abnormal UFC. If you do some research though, that test is kinda iffy to some docs, and golden to most - some use it as a test of location, some use it as a test of exclusion. Columbia obviously used it as a test of exclusion. I failed all dex tests (low dow, high dose, etc.) and still was Cushingoid - I know lots of people in that boat.
From what I see, it does not appear there is a stim test here.
As for the low chloride - I have that constantly. I was told it was not low enough to be a factor. This is from a website:"Decreased levels of blood chloride (called hypochloremia) occur with any disorder that causes low blood sodium. Hypochloremia also occurs with prolonged vomiting or gastric suction, emphysema or other chronic lung diseases (causing respiratory acidosis), and with loss of acid from the body (called metabolic alkalosis)."
I can make mistakes - I am far from perfect!
i didnt think i had a stim test, but figured sicne i dont know what all the tests mean, rumpled might have thought i did, and i trust her more than myself ha
Two comments-
One a correction to something i said above low chloride can mean hyperthyroidism
and #2 You did not have a stim test right? What do you mean Rumpled about normal result on the dex test?
Hi TD-
Here's my take:
-Your adenoma is probably not a secreter.
-The ACTH was borderline low
-The 24 hour urine cortisol was high
I think that this certainly justifies more testing of the adrenal axis in particular. Something does not seem right to me in this part of the testing
-Your Hematocrits and Hemoglobins are consistantly a little high. I would rec that Polycythemia family of conditions be ruled out.
-Lh and fsh are at the post puberty level and your testosterone in mid-range
So your sex hormones are probably good.
-Chloride 100 (102-109) Can be elevated with hyperthyrpoidism
-Glucose 65 (70-105) A little low, don't really know why but do you get hypoglycemia?
-Ferritin 55 (29-248) could be iron deficiency anemia, have to look at (MCV) the Red blood cell to see, *also I'm making a mental flag because you've been running these slightly high hematocrits and Hemoglobins.
Thyroid
-T4 free 1.21 (.7- 1.24)
tsh 1.13 (.32- 4.05)
Could actually be that you are hyperthyroid, could explain the low chloride and glucose
-You may be hyperthyroid but it does not look like it is pituitary in nature? I don't know enough about this but so other people think that other tests should be done?
-Somatomedin c 267 (127- 424) This is what is used to check your Growth Hormone levels
Horselip