Hi! I'm at the end of my rope and have been posting just about anywhere I can find to get whatever info I can to take back to my doctor.
I just recently had testing done for hypothyroid/adrenal issues, and the doctor is telling me the testing came back fine (that I just need to take B12, but that's another story).
I initially had a low cortisol number, which led her to perform an ACTH stimulation test, which came out weird (suggesting perhaps secondary adrenal insufficiency), but she's pretty much ignoring that.
Here are my results. Can you help interpret them?
TSH .85 MIU/mL with a range of .5-6.0
FT3 296 pg/dL with a range of 200-490
Free T4 1.1 ng/dL with a range of .7-1.8
Cortisol 6.4 ug/dL with a range of 7.8-19.8
The next day, the ACTH stim test was performed.
Cortisol 10.72 ug/dL with a range of 7.8-19.8
Cortisol after 1 hour 29.89 ug/dL
ACTH, Plasma 34 pg/mL with a range of 5-27
So my questions are:
1) My TSH is very nearly out of range, but closer to the hyper side than hypo. My symptoms are hypo. I've read that a healthy person has TSH of at least 1. Why is my TSH going close to hyper range if my T3/T4 numbers are fine? Is there another test that should be done?
2) I've read that cortisol should double on the ACTH test from a baseline of 20-30 for a healthy person, and that a person with secondary adrenal insufficiency will triple or more from a baseline that's under 10. I had a baseline under range on Day 1 of 6.4, and was just 10.72 on Day 2, so it at least tripled when it went to 29.89. Wouldn't this indicate secondary adrenal insufficiency? And if so, why is nothing being done? What should be done?
I'm going back to the doctor in 2 weeks, and now that I have my test results, I want to be armed with as much info as possible. I'm TIRED OF BEING TIRED!
Last edited by cmjones311; 11-21-2011 at 01:45 PM.
I hope youre feeling better! What did your doctor say when you went back? I am in a similiar situation baseline coritsol of 11.3 and I stimmed to 26.9 but LOTS of weak addrenal symptoms. I was just wondering what your doctor has concluded?
I can't interpret your results, but most doctors seem to only care that your results are barely normal as opposed to in the middle of the range or how you actually feel. Some tests actually have ranges for age such as testosterone but most docs don't consider your age. I am in the same boat and the doctor(s) gives me a myriad of other reasons why I have my symptoms. I think you, I, we need to keep pushing for an answer, trial and error with higher drug doses, and get other opinions. Try to get a referral to a doctor that is known to not be afraid to try higher medicine doses to bring you a little over the mid point. I will be asking my docs for a referral on this topic at my next visit.