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Cortisol response to ACTH

A 42-year-old member asked:
Dr. Joseph Woods
27 years experience in Pathology
Test adrenal fxn.: This test is to check on whether or not your adrenal glands are working right. The acth action is to increase production and release of corticosteroi ... Read More
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A 50-year-old female asked:
Dr. David Sneid
40 years experience in Endocrinology
Definitely: If the tumor has destroyed the pituitary's ability to respond appropriately to hypothalamic cortisol releasing hormone, it can even lead to secondary ... Read More
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A 67-year-old female asked:
Dr. David Sneid
40 years experience in Endocrinology
If the test: was done properly in the morning, these results would be considered normal.
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A 32-year-old female asked:
Dr. Donald Colantino
60 years experience in Internal Medicine
Endocrinologist: If there is elevation of circulating cortisol by exogenous or endogenous factors, the acth level will be suppressed by a biological feedback mechanis ... Read More
A 55-year-old member asked:
Dr. Thomas Knecht
30 years experience in Endocrinology
Poor correlation: Hi. Oral cortisol (aka hydrocortisone) does not reliably affect ACTH secretion nor aldosterone levels. That is somewhat unfortunate for those of us tr ... Read More
A 44-year-old female asked:
Dr. Mohammad Shahzad
Specializes in Internal Medicine
Adrenal gland: yes
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A 27-year-old male asked:
Dr. Alan Feldman
40 years experience in Endocrinology
Yes: Although acth predominantly controls the secretion of cortisol from the adrenal glands, it also has a minor role in controlling aldosterone. The majo ... Read More
A 47-year-old female asked:
Dr. David Sneid
40 years experience in Endocrinology
Generally not: Necessary, but check w/your specific lab to make sure of their requirements.
A 56-year-old female asked:
Dr. Eric Fete
Dr. Eric Fete answered
21 years experience in Emergency Medicine
More testing: if you failed the test you could indeed have a GH deficiency. You need to get a full lab evaluation to determine the cause. See an Age Management Ph ... Read More
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A 27-year-old female asked:
Dr. Dan Fisher
26 years experience in Internal Medicine
In general, no.: Too difficult to answer in 400 words, but confirmation of addison's requires a sequence of testing which must be performed and collected under standar ... Read More
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A 50-year-old member asked:
Dr. Thomas Namey
47 years experience in Rheumatology
High in Cushing's: Elevated. Melanocortin secretion is also high and gives rise to frequent hyperpigmentation.
A 46-year-old member asked:
Dr. Robert Lang
51 years experience in Endocrinology
Yes: The hypothalamus will stimulate the adrenals when there is any physical, mental or emotional stress. If the myasthenia is symptomatic, that is a stres ... Read More
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A 32-year-old female asked:
Dr. Martin Morell
28 years experience in Rheumatology
That: Is a tricky one because there is not enough evidence of low cortisol causing low levels of serotonin. Depression, chronic and severe, is associat ... Read More
A female asked:
Dr. Jacob Petrosky
8 years experience in General Surgery
Most helpful test: The 24 urine cortisol testing is one of the most sensitive tests and gives a better picture over the course of the day instead of just getting a sampl ... Read More
A 45-year-old member asked:
Dr. Adrian Baudy IV
11 years experience in Nephrology and Dialysis
YES: The major stimuli to ADH (vasopressin) secretion are hyperosmolality and effective circulating volume depletion (hypotension).
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A 24-year-old male asked:
Dr. Michael Kleerekoper
50 years experience in Endocrinology
Cortisol shots: Cortisol shots will increase your blood cortisol level and look after your adrenal glands. Please go online and look for "cortisol shots" - you will ... Read More
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A 25-year-old male asked:
Dr. Philip Kern
42 years experience in Endocrinology
Neurotransmitters: Neurotransmitters are not easily classified into inhibitory and stimulatory. It depends on where they are acting.
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A 37-year-old member asked:
Dr. Clarence Grim
56 years experience in Endocrinology
Stress cortisol: 34 person of unknown age and gender and medical hx. Asks: How does stress relate to cortisol levels? ANS: very complex control system. Usually increas ... Read More
A 39-year-old female asked:
Dr. David Sneid
40 years experience in Endocrinology
Stimulate adrenals: Have your doctor do an adrenal stimulation test to check your adrenal response. Acth levels are often inaccurate and frequently not diagnostic. If you ... Read More
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A 54-year-old member asked:
Dr. Luis Gonzalez-mendoza
41 years experience in Pediatric Endocrinology
Clarification: Are you talking about an Insulin tolerance test, in which you give somebody Insulin and measure response of other hormones or about how your Insulin r ... Read More
A 53-year-old member asked:
Dr. Mark Reynolds
32 years experience in Psychiatry
Yes......: The short answer is yes. The longer and still very inadequate answer is yes, but the effect can vary based on the type of stress, the chronicity of th ... Read More
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A 29-year-old female asked:
Dr. Philip Kern
42 years experience in Endocrinology
Need evaluation: Why were these tests done? Adrenal insuff usually involves fatigue, changes in na k, not just skin darkning. Without knowing the actual numbers, it ... Read More

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

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