09eric09's Bloods (Need Feedback)

My biggest problem is dealing with exhaustion. My bloods show something is going on with adrenals, what would be my next step? A 4x Saliva cortisol? Before bloods I was sure adrenals would come back low, but they all ended up being high. Bloods indicate Cushing’s and my symptoms match (i.e. extreme fatigue, panic attacks, low bone density).

Total Testosterone - 4.2 (2.5 - 11.5 ng/ml)
Free Testosterone - 11.27 (9.00 - 47.00 pg/ml)

T3 Total - 104 (55 - 172 ng/dl)
T4 Free - 1.2 (0.1 - 1.6 ng/dl)
TSH - 1.490 (0.358 - 3.740 uiU/mL)

Cortisol - 24.8 (4.30 - 22.40 ug/dl) High
ACTH - 79 (0 - 46 pg/mL) High
DHEA - 8.960 (1.330 - 7.780 ng/mL) High

Urine Cortisol, Free 24HR - 27.4 (<=60.0 ug/d)

Prolactin - 17.0 (2.1 - 17.7 ng/mL) High

After doing some reading, I finally decided to get my adrenals tested, I just couldn’t take the exhaustion anymore. I was sure my cortisol was going to be low, but after a 24 hr urine, my cortisol is mid range. But, my ACTH was way over range, along with DHEA. What does this indicate? I’m sure there is something going on with my adrenals, but it seems it may be cushing’s, rather than adrenal insufficiency. Should I get a 4x saliva test?

Hi, I just came across your blood tests…

I need to know if you havemore blood tests, we may have a similar profile as I see your prolactin level is around the same as mine, and there is a change that then Progesterone and Estradiol will have similar results too. I think the cause for our problems is in the negative feedback loop of 5ar with DHT, Progesterone and IGF-1.

Here are my values: solvepfs.com/viewtopic.php?f=3&t=403

If you want to see things off range here’s what you need to test:

  • Cortisol in saliva 4x a day
  • RT3/T3 ratio
  • IGF-1
  • Progesterone
  • 17alpha Hidroxiprogesterone

Please come back at home

xptriado

Check the T3/rT3 ratio and post the result here; solvepfs.com/viewtopic.php?f=5&t=31

Check for congenital adrenal hyperplasia. The rare forms too. Preferably with an ACTH stimulation test, and calculation of precursor/product ratios.