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  • My ACTH stim test results input pls...

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    Old 09-09-2009, 06:49 PM   #1
    Masta
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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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