I received results from my physician and fully expected to receive the news that I have Addison's disease. (I am very ill and tan in between my fingers when I am too stressed, amongst many other symptoms such as vomiting and diarrhea extreme weakness and inability to cope with stress, even good stress at times.)
However, he said that my results were normal for morning cortisol. The lab ranges Males and Females 8-10 AM 4.6-20.6 mcg/dL
4-6 PM 1.8-13.6 mcg/dL
My result was 10.3 for am cortisol. This was a blood test. He did say I have hashimotos thyroiditis which I already suspected. He wants to treat me for this without support for the adrenals. This I know can be life threatening if I do have Addison's. Does anyone have any idea how accurate this type of lab test would be for Addison's?
You seriously need to educate your doctor on what optimal cortisol is. Your am level should be at the top of the range. Just because your am reading was "in range" doesn't mean that it is optimal or that it is "normal". You need to know what the other 4 time frames are. Have you taken a 24 hr cortisol saliva test? I'm betting with your low cortisol symptoms, that your other 3 readings are in the tank and at the bottom of the range to below range. If this doctor doesn't think saliva tests are accurate, then is it possible for you to get the other 3 blood drawn readings? Can you stay over night in a hospital to get the blood drawn?
Thank you. I went to him thinking he did believe in all of this and was more educated. He quotes Dr.Jeffries and Dr. Wilson and believes in adrenal fatigue. So, I'm clueless how he just seemed to be fine with my morning cortisol results.
I requested an ACTH stimulation test. So, we will see how that comes back. I guess my next step if that is fine is a saliva test, testing 4 times in a day?