Thyroid Cancer / Nodules & Hyperthyroidism Expert Forum
high acth and cortisol
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Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.

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high acth and cortisol

Hello!  I'm a 26 year old, otherwise healthy female.  I recently had blood work done because of neck and back pain I've been experiencing.  My blood tests indicated high ACTH and cortisol.  I've taken two 24 hour urine tests for cortisol that came out normal.  My doctor ruled out Cushing's disease.  He wants me to get cortisol and acth tested again.  Is that really necessary if both cortisol tests were normal?
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24h urine tests are more sensitive than random blood tests -- would ask your endocrinologist why more blood testing is necessary.  Sometimes stress can cause high blood ACTH and cortisol.
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