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Addison's Disease Message Board

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I have been dealing with chronic fatigue and symptoms of low cortisol for a while. ( hypoglycemia, fatigue, intolerance to stress, blood pressure issues, anxiety, etc.)

I had an AM cortisol of 4.1 ug/dl and a low normal ACTH value prompting my endo to do the stim test.

I am thoroughly confused as the results seem to conflict my original cortisol test. I will note that I didn't sleep at all before the test, not even a minute, and was highly stressed out.

Baseline cortisol: 21.4 range: 2.3 -19.4 ug/dl
30 mins: 33.0
60 mins: 35.1

So are my adrenals ok? or did the fact that I didn't sleep and was running on pure adrenaline that day mean the test is invalid. Very confused.
According to the usual interpretation, your results indicate adrenal insufficiency because the ACTH should get your cortisol up to at least double your baseline level at 60 min. and yours is less than that. The stress of the test may have caused your baseline to be higher than the previous baseline, which was low. That right there indicates a problem. I would take your results to a different endocrinologist if this one doesn't believe there is anything wrong. ???

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