Re: hyperthyroid or adrenal fatigue? (caution-long post)
You have to call and check. Mine was like 80 dollars. Not bad at all. They did it locally at the request of my MD. You have to be wary of ordering and mailing out a saliva test for cortisol. Your samples are best if they stay refrigerated and cold.. that doesn't happen in shipping and storage all the time.
As to compromised/biased. There is always the chance of lab error. You may have a tech that didn't prepare the blood sample adequately etc. All in all you can run with it. Your result is high. This suggests hyperadrenal activity. One hyperadrenal condition is Cushing's. However in Cushings the cortisol levels tend to be a bit higher.. same with a producing adrenal tumor. If the ACTH was high you could be sure that your pituitary gland was hyperactive causing the issues. Have you had a recent MRI or pituitary targeted CT scan? I am not sure how that would compare cost wise to the ACTH blood test. I find it hard to believe the ACTH test costs 1200 dollars. Mine ran just over 100 leaving me to pay 12 dollars of it. That seems like an inflated rate or a specialized ACTH test. I wish I had better news for you and more answers. Unfortunately it takes a lot of money and testing to get to the bottom of endocrine issues.
If we learn by our mistakes, I am working on one hell of an education.