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Addison's Disease Message Board

Addison's Disease Board Index

01/08/09 I had an 8am fasting cortisol done and my numbers are:

[B]Cortisol:[/B] 14.1 ug/dL (range: 4.3-22.4 ug/dL)

[B]TSH:[/B] 2.21 uIU/ml (range: 0.23-3.07 uIU/ml)

[B]Free T4:[/B] 1.01 ng/dl (range: 0.58-1.64 ng/dl)

[B]Insulin:[/B] 15.5 uIU/ml (range: 1.9-23.0 uIU/ml) ( I was told I should be under 10)

[B]Vitamin D 1, 25 Dihydroxy:[/B] 18.6 pg/mL (range: 15.9-55.6) (I was told I should be above 35)

On 01/06/09 (3rd day of menstrual cycle)
DHEA Serum (not sulfate) 13.9 ng/mL (range 1.9-7.6 ng/mL)

I didnít take my morning dose of synthyroid 50mgs before the blood test. I couldnít sleep the night of the 8am cortisol test.

I know I fall between ďthe so call normal rangesĒ. I do have symptoms of AI. Iím wondering if my cortisol level needs looked at further.

I have tried searching the net but all the pg/mL, uIU/ml, ng/dl etc are confusing. I cannot find numbers/unit to compare to. What are the optimal lab rabs for the labs that were taken?
masta--I also had the ACTH stim test. I will post my "normal range" results for you. I noticed that out lab ranges AND results are close to the same. I think this means we are normal. But I was wondering about adrenal fatigue and how that may look on this type of test. Is this your question as well?

Cortisol X3: 8:00 a.m.

0 min--14.3 range 4.0-22.0 mcg/dl (There are no further ranges given on my test)

30 min--26.1

60 min--27.5

I was told this is normal. These results were never explained to me because I was speaking to the MA and have not had a follow up. Wish I knew more. Best of luck to you. If you find out anymore info. please share! FLFLOWERGIRL:)
masta--I did some more looking around and this is what I found out. My main concern was adrenal fatigue, but I left out the most important part, ~~related to thyroid~ function. I didn't know there was a difference with adrenal issues. I read that your cortisol levels will double if your adrenals aren't diseased. I suppose that my test results would be considered borderline for doubling at 14.3 baseline and 27.5 as end results, it's almost double. I wonder if that tells anything, or not? They also say; ACTH has not been found to be a good test for the kind of adrenal fatigue related to a thyroid, which is sluggishness, not disease. I find this very interesting. It doesn't say where to go from here. Perhaps it is the salvia cortisol testing for thyroid related issue regarding the adrenals. Do you think this is correct? Anyone know? Best of luck to you. FLFLOWERGIRL:)

I think I have adrenal fatigue. I also suffer from hypothyroidism. I was diagnosed 2 months ago and placed on medication. I don’t feel any better on the meds and I’m wondering if its because I may have an adrenal problem. I do have all the symptoms of adrenal fatigue. I go back to the doctors early Feb 09 to discuss my results.

My main concern is if I do have adrenal fatigue then my thyroid medication won’t work to its full potential if my adrenals are fatigued and need help.

I have never had an ACTH test. I have just had an 8am blood draw for a cortisol level.

I have read up that adrenal issues may co-exist with thyroid issues.

I have read the best way to test your adrenals is by doing a series of salvia testing over a 24hr period. Every morning your cortisol should be at its highest and dwindle throughout the day. The salvia tests are done every 4 hours approx and there are approx 4-5 tests done in 1 day. That gives the doctors a better idea of what your levels are doing. Some people have low cortisol in the morning and they peak at night and have insomnia.

Bonaroo: I know every lab has their own range and they are different. We also have to keep in mind the units at which the blood tests are measured are different too. I have no idea on converting mcg/dl to ug/dL or ng/dl. I sure wish every lab used uIU/ml (I think that’s international units)

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