Re: Tell me I'm on the right path...advice?
The adrenal testing is just one drop off. You are given 4 vials that you spit into. You have to clean your mouth and wait an hour before each sample collection. They often fail to tell you that one. You want to collect these samples at 8 am, 12 pm, btwn 6-8pm, and at 12 am. You will record your collection times on a sheet or slot on the vial. Store collected samples in your fridge. At least kids will not mistake the vials for lemonade unlike the 24 HR urine cortisol collection... My son was 4... Back on track now. When all samples are collected drop them off to your MD or respective lab service. I just carry mine in a xiploc with a disposable cold pack to the office.
It is a 24 hour blood cortisol draw that they make you come in and put out blood at the key times I listed above. Cortisol levels and production change through out the day. We should be highest at 8 am and lowest at 12 am. These rhythms tend to get messed up in long term undertreated hypoT patients. Resulting in adrenal fatigue or flat out Hypoadrenalism. I am hypoadrenal and have to take 20 mg of hydrocortisone tablets on a normal day. During stressfull periods my MD supplements me with OTC DHEA and sometimes an added 5 mg tablet of HC.
It is amazing how complex our bodily functions are... Flashes of potty training memories with that phrasing... But back to the point the thyroid is involved in two major endocrine loops and even more minor ones. One is the hypothalamus-pituitary-thyroid loop often referred to as HPT and the other is the Adrenal-HPT LOOP. it is very important to keep an eye on the communication between these glands it helps isolate the source of issues when issues arise.
I wish you the best.
If we learn by our mistakes, I am working on one hell of an education.