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Addison's Disease Message Board


Addison's Disease Board Index


[QUOTE=jennyVee]Ok I have a question, I called a few labs and asked about teh acth stim test and they do the injection part of it, now with the cortisol test would that be enough to know if I have an adrenal problem? or is this acth test more accurate, I am about to give up on getting it done, the girl at the lab says she did the acth plasma, in any case let me know what you think, if not I will justw ait for the results of this test and see what happens next, meanwhile i will find out where I can get the acth stim test done.[/QUOTE]

They draw the ACTH before they begin the test, because this helps determine if the adrenal insufficiency is primary or secondary. If the ACTH is very high--meaning your pituitary is sending signals to your adrenal glands to make cortisol and they aren't!--then that's primary adrenal insufficiency. If the ACTH is very low (like mine) then the pituitary is not sending signals to the adrenal glands to make cortisol, and that's secondary adrenal insufficiency.

Clear as mud?

But what Sadie Mae said. Sounds like your test may need to be repeated by a more competent lab.... A lot of endocrinologists do their testing right in their offices nowadays. And, FWIW, I've never had a urine test with my stim testing, and I've had it twice....

Good luck to you!

~Deb





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