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Old 09-09-2009, 06:49 PM   #1
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My ACTH stim test results input pls...

would love some input on my ACTH stim test.

would i do ok with taking some Cortef and Florinef?

I fasted food and liquids from 8pm the night before the test and fasted salt 24hrs before the test. the test was done during the 1st week of my cycle.

08/26/09 ACTH stim test (low dose 0.001mcg Cortrosyn via I.V)
8:40am-Baseline Cortisol = 13.7 ug/dL
08:52am - ACTH stim injected
09:19am - 30 mins draw cortisol = 27.4 ug/dL
09:51am - 60 mins draw cortisol = 29.1 ug/dL
10:25am - 90 mins draw cortisol = 27.6 ug/dL

Baseline ACTH = 20 (6 to 58 pg/mL)

DHEAS = 199 (75 to 410 ug/dL)
17-OH Progesterone = 18 (15 to 70 ng/dL) Follicular phase
21- OH Antibodies = < 0.2 (0 to 1.0 U/mL)

Renin = 0.4 (0.5 to 4.0 ng/mL/hr) Upright Low
Aldosterone = 6.8 (4.0 to 31.0 ng/dL) Upright
Aldosterone/Renin Ratio = 17.0 ng/dL ( <=25.0) (Its says an Aldosterone Renin Ratio is greater than 25 suggestive of hyperaldosteronism)
Arginine Vasopressin Hormone (ADH) = 0.6 (0 to 4.7 pg/mL)

Ionized Calcium = 1.23 (1.16 to 1.32 mmol/L)
Phosphorus = 2.6 ( 2.5 to 4.6 mg/dL)
PTH, Intact = 43 (15 to 75 pg/mL)
Calcium for PTH = 8.7 (8.4 to 10.2 mg/dL)

ESR = 17 (0 to 20mm/h) (11/24/08: 27) High (10/07/08: 25) High
hs-CRP = 11.2 (0 to 2.5 mg/L) High (10/27/08: 11.2) High (10/14/08: 9.9) High

CMP
Sodium = 140 (137 to 146 mmol/L)
Potassium = 4.0 (3.5 to 5.0 mmol/L)
CI = 106 (98 to 109 mmol/L)
CO2 = 27 (19 to 30 mmol/L)
Anion Gap (Na Cl CO2) = 7 (3 to 16 mmol/L)
Glucose = 83 (65 to 99 mg/dL)
BUN = 12 (6 to 21 mg/dL)
Creatinine = 0.73 (0.52 to 0.99 md/dL)
GFR Est. by MDRD eq = >60 (mL/min/1.73m2)
Ca = 8.8 (8.4 to 10.2 mg/dL)
Prot = 7.5 (6.0 to 8.4 g/dL)
Alb = 3.9 (3.3 to 4.8 g/dL)
Bili Total = 0.4 (0.2 to 1.3 mg/dL)
Alk Phos = 80 (40 to 120 U/L)
ALT = 13 (9 to 52 U/L)
AST = 22 (16 to 50 U/L)

06/24/09 TAP Free Cortisol Rhythm Test Done by Diagnos-Techs (Saliva Cortisol)
6am-8am: 11 depressed (range 13-24nM)
11am-12pm: 11 elevated (range 5-10nM)
4pm-5pm : 6 normal (range 3-8nM)
10pm-12am: 7 elevated (range 1-4nM)
Cortisol burden: 35 (range 23-42)

 
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