Morning Cortisol Level Of 9.2 - CRH Stim Test?
Jan 7, 2016
I was just given the ACTH stim test for a morning cortisol level of 9.2. There was a good response from my adrenals, but doesn't this just rule out primary adrenal insufficiency? My signs and symptoms are: worsening fatigue, loss of appetite, weight loss, headaches, pain & pressure in my sinuses ( but no drainage), slight visual changes in my left eye, poor libido, mood swings! My doc said my results were normal and does not intend to work up any further. Shouldn't we do a CRH stim test to rule out a possible pituitary problem?
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I was just wondering what comes after a cortisol stim test for diagnosing Addison's Disease ?
I had 2 Cortisol stim tests done one in the afternoon and one in the early morning .
Afternoon test read 2.8 out of 5-15
Morning test read 3.8 out of 5-25 Both low
Do i now have a Acth test done to see if its the adrenals glands or Pituitary or Hypothalamus Producing such low cortisol ?
I have abdominal cramping , hot flashes , constipation . tired , weak and major weight loss 35 + pounds in 8 months .
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I am concerned about my test I have had recently...my blood pressure is a little low and when I am sleeping it is dropping to 81/51. My cortisol is 357 at a 9.00 in the morning. I have been having some very bizarre symptoms.. I started with sudden dizziness and numbness in my arms 6 months ago they tested me for stroke tia but it was clear.. then the symptoms started to get worse fatigue, pains in my legs, back pain, feeling sick, dizziness just feeling generally unwell... does any on no what is normal for the cortisol level is at 9.00 in the morning.. I think they are testing me for addison disease.
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First off, I am a 30 year old female, and I've had an array of crazy symptoms for years and have gone undiagnosed (well, misdiagnosed with fibromyalgia and chronic fatigue syndrome). I've also been diagnosed with hypothyroidism, PCOS, Endometriosis, and autonomic dysfunction. My symptoms range from debilitating fatigue, hormonal symptoms, dizziness and fainting, and inability to keep a pregnancy. Over the years, I have had consistently low levels of cortisol, but now things are changing. My 8:00 am cortisol level is 2.1, and my 1:00pm is 21. It went from low to high in my results. They were suspecting secondary adrenal insufficiency before due to the consistently low levels, but with that new afternoon level, I am really confused. Also, I have extreme fatigue in the early morning (have to drag myself out of bed) but I get a giant boost of energy at night and have trouble getting to sleep. My NP thought the cortisol levels could explain that, and she gave me a prescription for Cortef in the morning and sent me to the Vitamin store to pick up Phosphorylated Serine and Adrenal Adaptogens to control the nighttime level. She didn't address why this could be happening, and I was worried about taking the Cortef with those high afternoon levels, so I recently switched to an endocrinologist who repeated the afternoon test. I've just looked at the results online and it is high again. I'm so confused.
These are the exact results shown on my endo's site:
MAY 19: 3p ACTH 19 NL; CORTISOL 21.1 ; 21 HYX AB NEG; RENIN 3.48 NL; ALDO 12 NL; NA 139 NL; DHEA-S 153 NL
I will say, I do have INTENSE dehydration and sodium loss that has caused me to become a neurological patient as well, and I down 2-3 32 oz Powerades a day and consume probably 10-15 times the normal sodium consumption levels as my neurologists have suggested in order to keep my from getting dizzy and passing out all the time, so that may explain why my sodium level looks fine. But that cortisol... how could it start the morning off low and end up high later in the day? Does anyone else have any experience with this?
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What was your cortisol level when you were diagnosed with Addison's? I'm guessing it was 0.
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I just got my blood drawn at 8 am for my cortisol levels were at 1.2 is this low?
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Is a 0.6 cortisol level dangerous?
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Does anyone know what this midnight cortisol level means? range Midnight <75 my level was 74.5
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I am being tested for Addison's Disease and just received the below test results. I don't see my endo until 12/4/13, and wondered what the results might indicate. Any thoughts?
Historically I presented with low Cortisol and High ACTH.
* After a Dexamethasone Suppression test my blood cortisol was less than 1mcg (whatever that means)
* 17 Alpha Hydroxyprogesterone was 849
* ACTH Stim test results:
Baseline- 10mcg
30 min.- 13mcg
60 min.- 15mcg
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I have so many Addison's symptoms, and in March my AM cortisol was 8.75, so low-normal. I was sure I would have a diagnosis after my ACTH stim test. Unfortunately, I've hit another dead end. Here are my results:
8am baseline reading - 12.82 ug/dl
30 Min after injection - 20.88
60 Min after injection - 24.44
I was stressed about the procedure to begin with. Then the nurse who drew my blood could not hit my vein and it was a very painful process as she continued hunting for it. It hurt so much I was almost in tears. This happened for the first two draws, and then I finally asked for a different nurse for the third draw. She hit my vein with no problems as most do since I have very prominent veins. I was so upset. Also, they had me walking back and forth between the lab and the waiting area after each blood draw.
Is it possible that my results were skewed by these factors?
I experienced an adrenaline rush shortly after being injected with the ACTH, and until about 5pm my heart was pounding pretty hard and I felt lightheaded. Is this normal?
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I am 38 Year Old male, Have been an athlete and or worked out since the age of 12 (super active). For the last 10 years or so I have been super fatigued/tired, don't recover well from exercise, terrible reactive hypoglycemia, muscle twitches, tan year round (i used to be white/pail as could be, now I carry at tan year round) short temper, sleep like crap. I can't seem to handle heat or a ton of direct sun. I will get sick for a day or 2 nauseous/fatigued/headache (it is not water usually i will drink 2 liters of water while out hiking for the afternoon.
I have taken 3 different Saliva cortisol test and all 3 looked the same, cortisol was in the tank upon waking and slowing rose throughout the day. The complete opposite of what it should look like. I finally talked my doctor into doing an ACTH Stim test. I have only got back the Cortisol results at this point, But they are very interesting??
From all that I have read on intercepting ACTH results your baseline Cortisol should double at 60 minutes. According to this test is should be >18 at 60 minutes I only rose 8!!! Please see results below.
Baseline Draw- 19.7, Standard > 5
30 Minute Draw- 26.4, Standard >7 Above Baseline Result, JUST UNDER BY .3
60 Minute Draw- 27.7, Standard >18 Above Baseline Result, 10 UNDER THE BARE MINIMUM IT SHOULD HAVE RISEN!!!
I am a little confused on how to interpret these results?? Like I said I should have the rest of the numbers in a few days.
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By way of background I have typical cushing's symptoms but my early labs including 24 hour urine were normal. So of course doctors have been dismissive. I had a brain MRI for tinnitus and convinced the radiologist to include the pituitary and a microadenoma was found. Now doctors are taking me seriously thank goodness. I had a an ACTH stimulation test a couple of days ago and these are the results posted online:
Base cortisol 42.0
30 min cortisol 26.0
60 min 49.2
Normal range for morning (test done at about 9 am): 6.2-19.4
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My Cortisol level after doing dexamethasone test is below normal at 1.2
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I had a blood test around 7 months ago which showed my blood sugar Hb1AC to be close to pre-diabetic levels, which freaked me out. My cholesterol was also a little high.
I cut down on sweet things (which I love!) a lot, and had my blood tested again a few weeks ago. good news is that the blood sugar levels have dropped, triglycerides low, liver function great. HOWEVER, my cholesterol has leapt to 6.6! So annoyed!
The nurse quizzed me on my diet and the only thing we can pinpoint is that I eat a lot of cheese, so have started eating low fat cheese or not eating as much in general. I generally eat what I consider to be a healthy diet, oily fish, veg, etc but not sure what to believe.
I read that a high fat diet is now the way to go with low carb, but whilst this seems to have helped with blood sugar, it has not done my cholesterol any good.
I have to go back in 3 months. Anyone else had this type of result?
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I'm a new member to the board but I have found it very useful reading as I have been trying to understand my own hormone imbalances. I was diagnosed with PCOS but I am not done ruling out everything else, yet.
I took the ACTH stim test (high dose) recently to test for NCAH. These were my levels:
Cortisol Levels:
Base: 11.9
30 M: 29.7
60 M: 32.6
17 OHP levels (luteal):
Base: 124
30 M: 112
60 M: 91
In all of my research, healthy women and women with PCOS get elevated levels of 17 OHP during the ACTH stim test. Mine, on the other hand, went down. At an earlier point, during my folicular phase, I took a base 17 OHP that showed me at 35. And another serum cortisol (AM) was at 10.9.
If anyone knows a reason why my 17 OHP would go down so much in response to ACTH, I would really like to know. Also, I've taken several hormone tests before this, so if there are other levels you think are relevant, I might be able to tell you.
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I had a Medtronic spine stim put in me in 2013! Every time I turned it on I got severe burning pain and it would swell up uncontrollably!! Finally on eighth week it exploded!! I ended up in hospital for six days!! After that I have that pain 24/7!! Can't do anything without suffering badly!! Saw all kinds of doctors and they said I needed to try another one!! Against my true feelings I was skeptical and ended up putting it in!! I couldn't even use it due to the severe crippling pain it caused!! Ended up taking it out and after three years of doctors they did an mri looking to see if it burned my spinal cord!! The do to told me that no burn on spinal cord and wants me to put in new nevro hf10 system which I am worried about doing!! The pain is still 24/7!! Pain meds all day long and I still suffer badly!! I am looking for some kind of answers!! I don't know how much longer I can take the pain!! Does anyone know of anyone else that had or has this problem?? I am at my end here!! This is ruining every part of my life!! Lost most of my friends as back so bad I can't go any where!! Not even to dinner,cookout or any kind of event!
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i had my period last june 9 2014, then on june 27 and 28 i had a light spotting.den, i felt something's wrong with me..there's a feeling or slight symptoms of a pregnant woman..a boobs are tender to touch and painful..my body feel hot like i was having a light fever..than july 1 i take a pregnancy test and shows positive but faint line.. then, july 2 to 8 i got again spotting.. and goes away.. july 14 i took another pregnancy test shows again positive faint line.. i went to my ob july 18 just to know her what's happening on me. i had that light spotting again..and in transvaginal ultrasound shows that there was a thickening of the lining tells me that i am positive. 5 to 6 weeks, but i have a cyst considered benign.nothing to worry about she said. she gave me medicine duphaston good for 10 days, and i'm going to come back for a follow up appt. on july 28. again the spotting continues sometimes light bleeding, sometimes full on my liners. another medicine duphaston gud for 5 days she gave me because on the ultrasound she saw only thickening of the linings and the baby wasn't developing. then, this day august 1 i came back for the final appt, i took a blood test and shows negative. transvaginal ultrasound shows again the lining on my ovary.
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I am male 30 years old Indian. Had a protected vaginal sex with one girl with unknown HIV status during 11th of August 2013 for 3 times after that I had a foreplay without protection keeping pennis on her vagina without Inserting / penetration into the vagina for 5 minutes but during that event my foreskin pulled back. I am totally convinced on my protected vaginal sex and bit worried on my unprotected foreplay and believing that some of the vaginal precum fluids may entered through my urethra. My anxiety starts since I got mild fever (38 degree) on September 9th 2013 exactly 28th day evening which exists for one night after putting antibiotic injection after two days I faced fatigue exists for 2 days and after 2 days I had mild sore throat with dry mouth exists for one day and after 3 days I faced diarrhea 2 times a day and exists for 3 days.. all these days I got small red spots rashes 10 - 20 no's which on my shoulders and mild night sweats which only on my neck and hand elbows 1 hour after I slept. But I never faced fever on these days expect the day -1. Never faced swollen glands and swollen lymph nodes up to now.
I am totally worried and got anxious and had a Standard HIV antibody rapid test for HIV -1 & 2 on my 53 th day ( i.e.: Oct 4th 2013 - 7.5 weeks from my possible exposure date) and it came as non-reactive,
I took western blot test on my 58th day again it came as negative..
But from Oct 5th I am getting small rashes on my hand and in shoulders and in legs and some of them in legs are itching...
1) Kindly advise me will my 7.5 weeks standard antibody negative & negative western blot test at first day of my 9th week (ie : 9/10/2013) will likely to change positive on my 12th week standard antibody (HIV 1 & 2) testing.
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I have a question I took a oral swab home test today 5 year post exposure condom broke. The exposure was anal sex. My question is i had a few sips of water prior to the test due to dry mouth is my negative result false or not conclusive?
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What happens when you don't pass the 1 hr glucose test, they just called me and told me I didn't pass it and have to go back again next week...
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About two months ago, I had mentioned to my personal trainer that I was feeling very tired with low blood pressure. This had been going on for a couple months, on and off every couple of weeks. He mentioned that it could be cortisol-related.
I went home and did a lot of researching about the issue and found that I matched a lot of the symptoms of low cortisol. I went in to see my doctor a couple days later. When I mentioned that I thought it was low cortisol, he said that the adrenal glands usually do the job and that it probably wasn't that. He tried to prescribe me anti-depressants which I declined, and then ran a few blood tests, along with an AM only cortisol test (it was about 11AM).
The test came back with a level of 17 mg/dL of cortisol taken at 11AM. However, he said my blood sugar was 54 which was very low. Also, my Vitamin D was below normal ranges. Some other counts were off, but nothing that really pointed to anything that could be causing what I was feeling.
I took a multivitamin for a few weeks. I had also been congested in the back of my throat for two months, so I went back to see the doctor if he could do anything about that. He determined it was a sinus infection, and prescribed Cefuroxime for two weeks to get rid of the congestion. I asked if that could help my fatigue to which he said it could help.
So I finished the two week round of antibiotics, and now it's two weeks later and I still feel horrible. Here's the main things that I am experiencing. I really don't feel depressed and feel like I enjoy life a lot.
- Inability to wake up for work. I wake up around 9AM, and feel like I haven't slept at all. I previously had to wake up around 5AM to get everything done in the morning
- Feeling of drowsiness through the morning, up until noon. Sometimes like today it will last all day.
- Extremely low blood pressure while standing. This starts around 2PM every day and lasts until around 5PM. I usually don't fall down and just black out, but recently I fell because after standing up and injured my knee.
- Fluctuations in appetite, I will eat a TON of food with out gaining any weight (5-6 meals a day), but I exercise a lot so this isn't super concerning. My weight is constant.
- Itchy red eyes when I wake up
- Exhaustion when sitting, feels like I should lay down but not low blood pressure
- Hypoglycemia, my blood sugar is really low in the mornings, and then again in the evenings before dinner. Between that it feels fine but I don't do regular testing on this to know for sure.
Also I am 20 years old male and a competitive cyclist. I eat very healthy foods (although a lot to keep up my activity). I live at a high altitude (7,400ft).
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