A member asked:

Does short synathcen acth test rule out secondary adrenal insufficiency? my 9am cortisol was 8.7, after 30 mins stimulation it was 23.1 and after 60 it was 25.2. if no what other tests are needed? if yes, is the cortisol a concern? thanks?

Q: does short synathcen acth test rule out secondary adrenal insufficiency? my 9am cortisol was 8.7, after 30 mins stimulation it was 23.1 and after 60 it was 25.2. if no what other tests are needed? if yes, is the cortisol a concern? thanks?

: Check local lab for normal values for folks like you done in that lab. Discuss with your Dr.

A doctor has provided 1 answer

Dr. Clarence Grim answered

Specializes in Endocrinology

Check local lab for normal values for folks like you done in that lab. Discuss with your Dr.

Answered 2/14/2022

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A member asked:

Does short synathcen acth test rule out secondary adrenal insufficiency? my 9am cortisol was 8.7, after 30 mins stimulation it was 23.1 and after 60 it was 25.2. if no what other tests are needed? if yes, is the cortisol a concern? thanks?

A doctor has provided 1 answer

Dr. Clarence Grim 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?