Doctor insights on:
Cortisol Blood Tests
Pancreatitis: Typical tests done include amylase and lipase. Amylase can be elevated due to other problems, so lipase is more specific. Any elevation indicates a problem. Lab values are specific to the lab used. Severe pancreatitis can elevate the lipase into the 1000's. Even a small elevation above normal can cause severe pain. ...Read more
How high?: It's important to know how high the tests were above the normal range (were they clinically significant?). Cortisol is produced by the adrenal glands which is under control by the pituitary. The problem could be either one. Your doctor who ordered the cortisol should be able to tell you the next step of workup. If the tests were indeed very high, you will need more testings before treatment. ...Read moreSee 1 more doctor answer
No: Tsh or thyroid stimulating hormone is only good for assessing thyroid function (either good, overactive or underactive). With that said, during that same blood draw, your blood could potentially be checked for testosterone to determine how much you have. This is best done in the morning. Remember that we really should treat the person (and symptoms), not just a number. Make sure benefit > risk. ...Read more
They do not: All blood tests are usually normal in patients with Essential Hypertension. They can be abnormal in patients with hypertension secondary to renal disease or other causes of hypertension 2/2 identifiable source. However any patient with newly diagnosed hypertension should get all the recommended blood tests to rule out diabetes, renal disease, hyperlipidemia, electrolyte abnormalities. ...Read more
No. For most blood: fasting is not needed & commonly misleading, though promoted. Optimal PSA value <1.0 ng/dL, though called normal up to 4.0 ng/mL. At 1.3 ng/ml (Avodart Trial; most thorough done to date) prostate size, by ultrasound, has doubled young healthy values. If PSA < 1.0, prostate cancer extremely rare. If elevated, consider https://www.accureference.com "Prostate Health Index" test for better guidance. ...Read more
If cortisol blood test came back normal, could salivary cortisol lab show diff? Dr is checking for adrenal fatigue.
It depends: This is serious business. The real question is, "Do you have Addison's disease?" A spot serum cortisol is often normal even in Addison's, making the diagnosis tricky. There are decision levels for the easy screens that your physician is aware of, but if there's any doubt, you'll probably get an ACTH stimulation test. Avoid "pop"/"fad" diagnoses like "HPA axis fatigue". Best wishes. ...Read more
Saliva cortisol tests are abnormally low. Serum cortisol tests are normal. Dr says i don't need an acth stim test due to serum results. Agree?
Yes: If your saliva cortisol tests are low, then you have adrenal insufficiency. Acth stim test will only help determine if the cause is in the adrenal glands, pituitary gland or hypothalamus. Without other hormonal abnormalities or abnormal levels of sodium or potassium, this test is generally not needed and treatment for the adrenal insufficiency can be done. ...Read moreSee 1 more doctor answer
Various lab test: Cmp: comprehensive metabolic panel: tests for a variety of different metabolites and studies activity of certain enzymes. The lipid panel is used to test cholesterol, high and low density lipids and lipoproteins. In general, theres are screening tests, and are not necessarily drawn for a specific reason. Without knowing your clinical information, it is tough to give guidance. ...Read more
Hormone test: Human chorionic gonadotrophic hormone is generally increased in pregnancy and serves as the basis of pregnancy tests. Quantitative HCG tests also provide information about the health of the placenta. High HCG levels are also seen in some tumors of the ovary and testes. ...Read moreSee 1 more doctor answer
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