Someone please help, in desperate

[SheriLynn1980]

I've been sick for about 6 months. Pcp mentioned pots but I think it's a endocrine issue. History of reactive hypoglycemia since 16 (34 now)  asthma and newfound allergies. Symptoms are : extreme fatigue, Vertigo, cold all the time, irritability, shaking, brain fog, losing periods of time, falling asleep (did this driving), not feeling rested, short of breath, weight gain, dizzy, bp fluctuates usually low reading like 100/68 but some higher, as high as 150/92, fast heart rate usually in 90 or 120 range resting.  Taking phenterimine helped me feel better.  Recently had labs,  b12 191 -  I've took a shot a week for a month now a shot a month, no difference. Glucose 93, sodium 144,potassium 3.8,wbc 5.8 rbc 4.27, a1c 5.2 free t3 3.4,free t4 1.12
Cortrosyn stim test
9.64 ug/dL at 8:30 am
24.12 ug/dL at 9:06
28.35 ug/dL at 9:43
No ranges are listed. My prolactin and acth hasn't come back yet. Please give insight, I'm having surgery Tuesday and desperately need answers.  Thank you

[rumpled]

Yes! To a stim test. I thought your tests were during the day and were not a stim test. My bad... *slaps head*


I mis-read your tests - but that is then a pretty normal stim.

Still, your symptoms like weight gain sounds more Cushing's than AI.

[SheriLynn1980]

The rise isn't a normal response to the cortisol  stimulation test?

[rumpled]

Looking at your cortisol level, you have a rise during the day which is the opposite of normal. That is more indicative of Cushing's than AI.  Symptoms overlap.

I would look more into elevated cortisol than low.