A member asked:

Hypotension, muscle fatigue/spasms/"burning" when i stand (is that lactate?). tingling-vibrating limbs. er doc said 2 drink more. any blood tests?

A doctor has provided 1 answer

Dr. Donald Colantino answered

Tests: More history as well as complete metabolic blood testing will be needed. Possibilities include anemia, adrenal gland insufficiency,deficiencies of iron,calcium,magnesium,potassium, vit b12 and hypothyroidism.

Answered 11/9/2018

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A member asked:

Hypotension, muscle fatigue/spasms/"burning" when i stand (is that lactate?). tingling-vibrating limbs. er doc said 2 drink more. any blood tests?

A doctor has provided 1 answer

Dr. Donald Colantino answered

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Questions?

My cortisol + ACTH are both very low. I also have severe nausea, fatigue, and low blood pressure. My ACTH stim test showed that I do not have adrenal insufficiency. Could the low cortisol still be the cause of the nausea? If so, how do I raise it?