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Addison's Disease Message Board

Addison's Disease Board Index

ACTH / Secondary Q
Apr 3, 2011
Male 35yrs Old.
Symptoms are Low blood pressure at times, causing Synope. Positive tilt-table test.

In the morning I feel ok but in the evening I get lightheaded, foggy and jittery, facial flushing and head hair is turning White, light vertical ridges on fingernails. Severe Constipation. When Stressed, i get dizzy and cant Focus Mentally or visually.
Below are some Labs. etc.
Question is, can this be secondary given the Low ACTH. Should i have this test repeated and what other test should i Request? Is Metyrapone still used to test the HPA, and Pituitary Reserve?
Please advise


blood & Pulse taken every 2 min laying down

101/51 p68

109/44 p66

103/47 p64

106/53 p70

93/70 p70

102/44 p68

same as above except upright

106/63 p73

100/60 p88

111/60 p89

107/58 p85

no reading pulse 30 ( passed out)

high Dose SST 5/23/06


base cort 13.5

30min 24.1

60min 31.9

90min 38.3

8:56am 11/11/05

Total cortisol 20.4 MCG/dl Ref 4.0-22.0

10:40am 5/27/2006

ACTH 15 PG/ML Ref Range 7-50PG/ML

8:04am 3/16/11

Cortisol 20.7 Ref Range 6.7- 22.6

ACTH 27 PG/mL Ref Range 7-50 shouldnt this be higher like in the top 1/3? = 42

RBC Mag 5.5 Ref range 4.0-6.4 Mg/dl

TSH 1.44 UIU/Ml Ref Range 0.34-5.60

Via ZRT Labs

Estradiol (saliva) 1.5 pg/ml 0.5-2.2
Progesterone (saliva) 12 pg/ml 12-100
Testosterone (saliva) 253H pg/ml 44-148 (Age Dependent)
DHEAS (saliva) 9.9 ng/ml 2-23 (Age Dependent)
Cortisol Morning (saliva) 2.1L ng/ml 3.7-9.5
Cortisol Noon (saliva) 3.1H ng/ml 1.2-3.0
Cortisol Evening (saliva) 2.0H ng/ml 0.6-1.9
Cortisol Night (saliva) 0.3L ng/ml 0.4-1.0
Free T4 (blood spot) 1.6 ng/dL 0.7-2.5
Free T3 (blood spot) 3.8 pg/ml 2.5-6.5
TSH (blood spot) 1.3 uU/ml 0.5-3.0
TPO (blood spot)* 16 IU/ml 0-150 (70-150 borderline

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