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A member asked:
After being on hc of 20-30mg for 7 yrs for partial ai, and acth remains in normal range on hc (not suppres'd) and is > 65 after 1 day off hc, can mayo determine if partial ai is primary or secondary?
3 doctors weighed in across 2 answers
I am sure Mayo Can: Mayo clinic is one of the most reputable medical centers in us. I am sure they can explain and answer all your questions and concerns. Important thing is to keep your regular check ups ANS ask the questions.
Answered 9/29/2016
5.1k views
Yes: If you really need hydrocortisone, then it would be dangerous do delete it totally. Speak w/your doctors and follow their recommendations. Your acth is higher than would be expected if you're taking hc regularly. Cortisol level may reflect hc still in your system or your endogenous production. Very complicated case that needs one-on-one analysis, not the internet.
Answered 12/9/2013
5.1k views
Related Questions
A member asked:
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.
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A member asked:
What is an acth stimulation test for? What does it diagnose? I took one and it was a simple blood test. Is that normal?
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Normal ACTH stimulation test could I still have secondary adrenal insufficiency? I have low blood pressure and low blood sugar
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Could a pituitary tumor cause temporary one sided facial drooping without paralysis? Low TSH (normal T3 (liothyronine) & T4) Low ACTH. Waiting on more test results.
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A member asked:
If patient w/ partial ai and pit tumor, while taking 20-30 mg hydrocortisone has cortisol of 45 and acth of 12, and when off hydrocortisone has cortisol of 10 and acth of 65, what would you conclude?
4 doctors weighed in across 2 answers
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