Acth stim test showed baseline of 17, rising to 33 43mins later. borderline and maybe a secondary adrenal issue, or just normal? symptoms for years.

If mean cortisol,,,,: If you're talking about cortisol levels rising from 17 to 33 ug/dL on under 60 min is a normal reaction after being stimulated with ACTH, however, the values are low which could signify a primary adrenal issue, like Addison's disease, or something less like an under functioning adrenal. This would likely require hormone replacement therapy if this was the case so see your Dr. for more details.