Endocronologist tests?

[vbc2000]

Hi Forum Friends :)
So I'm going back to my Endocronologist Thursday to see if he can help with this puzzle.  He's phenomenal and is the one who sent me to the Cardiologist because my symptoms weren't explained anymore from my hypoglycemia and he noticed I had low BP.  No other doc put that together!  Anyway, I've read here about some tests I wanted to have him do as well as just ask him if he had any other helpful info.  The tests I was going to ask about are:

Saliva test to see about any hormonal inbalances
Thyroid testing
Adrenal functioning testing

I know I'm also pre-menopausal so maybe I ask about that testing too.  My gyno didn't think it was warranted at this time but since I'm there...  

I've been reading about what hormones go wonky with NCS and I believe it is a dumping of excess adreneline that is at play?  Is that correct?  My head is spinning with all this.

Do any of you know what other testing might be beneficial, that an Endocronologist would do?  Thanks!
Stephanie

[LivingInHope]

A standing norepinephrine plasma test is what they look for in POTS.

[kismet_33301]

I've been hypo thyroid for years and I would agree always get the panel (not just TSH) as well as consider antibodies.

As others have said depending on your symptoms I could consider angiotensin II -  BUT - have you tested your blood pressure sitting & standing? A drop in pressure standing can confirm a suspicion for Addison's before you do all those expensive tests. My BD is basically the same standing (barely drops a couple points if at all although my heart rate goes up) so they sent me for a host of adrenal blood tests which costed a lot of money and didn't get me any closer to an answer. They did not however test Angiotensin II which acts as an endocrine, autocrine/paracrine, and intracrine hormone so it can have a relationship with thyroid hormones and estrogen. I don't understand the specifics of the relationship, I have just read it exists so I am investigating more myself.

[vbc2000]

Thanks Marie.  

[mtgardner]

Be sure when you ask for thyroid testing you also get the antibody tests as well as both free T3 and free T4 and TSH.

It sounds like you have found a good resource in this endocrinologist.  It is such a relief when you get someone who you can work with who seems extra diligent.

Hope all these tests go well.  Marie

[vbc2000]

Hi There :)
Thanks for writing.  I am going for the tests on 11/22 including the Cortisol test.  My visit went ok...he's not convinced that he has any other piece to this puzzle but he was willing to try to help...which is all I can ask for.  I'll let you know how it went!
Stephanie

[Heiferly]

Sorry I didn't get to answer this in a timely manner.  :-(

The only thing off the top of my head that I would have added to enzymelover's list would have been cortisol/ACTH testing.

http://www.medhelp.org/medical-information/show/616/Cortisol-level
http://www.medhelp.org/medical-information/show/614/ACTH?page=0
http://www.labtestsonline.org/understanding/analytes/cortisol/test.html
http://www.labtestsonline.org/understanding/analytes/acth/test.html

[enzymelover]

Hi! Depending on your symptoms, you might ask for aldosterone, renin, angiotensin II, and dopamine, epinephrine and norepinephrine. All of these can be done by an endo and all are implicated in various AD symptoms.
Be sure the endo tests all thyroid hormones, not just TSH and T4.

Good luck on Thursday!