Doctor insights on:
Adrenal function: As usually used, the term means having acth, the hormone that makes the adrenal glands produce the cortisol you need to live, injected. There should be a huge spike in your blood cortisol shortly after; if not, it is likely that you have adrenal insufficiency and will need to be treated for it. ...Read more
When one takes a drug, such as heroin or alcohol, repeatedly, 'tolerance' develops because more of the drug is needed to give the same effect on the body/brain; e.g. Liver enzymes r stimulated to metabolize the drug faster and faster. There may be a strong genetic predisposition to addiction, some studies suggesting that 1 of 10 people will become dependent on alcohol or some ...Read more
A pituitary check.: Acth is adrenocorticotrophic hormone. It is produced in the pituitary gland. It works to stimulate your adrenal glands to make cortisol each day. Acth production is related to your circadian rhythm (rises in the early morning) and other factors, like stress. Doctors may check the acth level to see how the pituitary gland is responding to abnormal levels of cortisol in the blood. ...Read more
Need more info: Hi. Have you been diagnosed with Cushing's? If not, it means nothing. Illness and physiologic stress can drive up ACTH, and ACTH shows diurnal variation. Without knowing the time of day it was drawn and your physiologic circumstances, it means nothing. And yet, the doc who ordered it was considering something, so really don't have enough info to say. Good luck! ...Read more
ACTH: Yes, the results should be available within 24 hours or less (after the blood is drawn). ...Read more
Baseline cortisol3.9 after acth stim injection 30min draw was 20.7 and 60 min draw was 17.3 ..is this normal to more than triple after acth stimulatio?
Increase is normal: This is the appropriate response to stimulation. Roughly at least a 15point increase is expected. ...Read more
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?
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. ...Read moreSee 1 more doctor answer
Not usually: Cosyntropin breaks down very quickly after it is given, so any symptoms are usually very short-lived (3-5 minutes). These symptoms may include flushing, feeling hot, lightheadedness, nausea, funny taste in the mouth, and feeling like you have to urinate. These symptoms can be alarming because they occur suddenly, but do go away quickly. Fortunately, most people have no symptoms at all. ...Read moreSee 1 more doctor answer
Life: Spot acth levels fluctuate tremendously just from the transient stresses of living, or even without. Even if elevated from disease, they'll fluctuate wildly. This is why we try to suppress them and if we can't, disease is likely. ...Read more
Test adrenal fxn.: This test is to check on whether or not your adrenal glands are working right. It is produced and secreted by the anterior pituitary gland. It is often produced in response to biological stress. Its action is to increase production and release of corticosteroids. A deficiency of acth results in secondary adrenal insufficiency and an excess of it results in cushing’s syndrome. ...Read more
Anything is: Possible, and such an important test should always be repeated for confirmation before you are placed on what will almost certainly be a life-long and potentially dangerous medication regimen. See a specialist. ...Read more
ACTH test: Test is indicated to measure adrenal reserve blood taken , given acth intravenously and blood obtained generally twice at 30 minute intervals test has no side effects and not uncofortale. ...Read more
Possibly: Patients with central adrenal insufficiency, acth deficiency, can have fatigue and lethargy. If you have already been diagnosed with this condition, you should talk to your doctor to see if your steroid dose needs to be increased. If you have not been diagnosed with adrenal insufficiency, within 2 years, it's unlikely that is your problem, as patients typically become ill from that condition. ...Read more
Acth level is less than 1.0 with normal cortisol (8). Does this indicate any issues with thyroprotein level of 3? Thanks
Acth stim test coming up. my sleep sched is different than most--i sleep 5am-2pm each day. so what time should they do my test?
Acth stim test done. Acth was 12 at baseline cortisol 1. At 30 minutes cortisol was 22.7 then 1hr at 29. Does this indicate secondary ai?
Adrenal insuff: The results of the acth stim test suggest that ai is not an issue. The cortisol level responded as expected to the stimulation. If at the start of the test, you were ill then it might suggest that you have a relative ai as your initial cortisol level was 1 (ok if your healthy and not stressed, but in an ill person the cortisol should be higher in response to stress). ...Read more
ACTH stim test...I've seen so many reference ranges I don't know how to interpret mine with 12.8 baseline, 20.4 @ 30 and 21.1 @ 60 minutes?
It is one of several pituitary hormones - acth for short (the others control the thyroid gland, gonad glands, and others) that controls adrenal gland function in primarily making the hormone called cortisol (not to be confused with "adrenaline"), though the adrenal gland also ...Read more