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Doctor insights on: Secondary Adrenal Insufficiency Symptoms

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Dr. David Geffner
258 doctors shared insights

Addison's Disease (Definition)

Chronic adrenal insufficiency. You may consult this site for more information on this topic. http://www.mayoclinic.org/diseases-conditions/addisons-disease/home/ovc-20155636 For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any ...Read more


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What are the symptoms of adrenal insufficiency?

What are the symptoms of adrenal insufficiency?

Weakness + pigment: Adrenal insufficiency, addison disease, causes, weakness, electrolyte disturbances due to high potassium, increased pigmentation of the skin, especially palms. During stress, adrenal insufficiency may lead to shock. ...Read more

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Can you have both primary and secondary adrenal insufficiency?

Can you have both primary and secondary adrenal insufficiency?

Unlikely: Primary adrenal insufficiency means that the adrenal glands are unable to make cortisol. In secondary adrenal insufficiency, the adrenals are able to make cortisol, but do not receive enough stimulation from the pituitary to make normal levels. While it is theoretically possible for one person to have both conditions, neither condition is common, so it would be rare to have both. ...Read more

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Is it possible that if you have secondary adrenal insufficiency that it is caused from another disease or disorder?

Is it possible that if you have secondary adrenal insufficiency that it is caused from another disease or disorder?

Yes: Adrenal insufficiency can also occur when the hypothalamus or the pituitary gland does not make adequate amounts of the hormones that assist in regulating adrenal function.This is called secondary or tertiary adrenal insufficiency and is caused by lack of production of acth in the pituitary or lack of crh in the hypothalamus. ...Read more

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Will srni s help after an adrenal insufficiency is treated? Struggling with symptoms and bloodwork (cortisol) is on the low side of normal in the morn

Will srni s help after an adrenal insufficiency is treated? Struggling with symptoms and bloodwork (cortisol) is on the low side of normal in the morn

Proven?: Adrenal insufficiency diagnosis requires more than a morning cortisol. Is this addison's or is it more central, from the hypothalamus/pituitary? Other associated hormone deficiencies? Moods may be directly affected by hormone imbalances. A complete work up is essential. If adrenal insufficiency is being considered as a diagnosis an endocrinologist has to be involved. Feel better! ...Read more

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Can you please tell me effects or signs and symptoms of adrenal insufficiency?

Many: Muscle/joint pain, weakness, low blood pressure, salt cravings, loss of appetite, fatigue weight loss, irritability and depression are common signs of this condition, with fatigue usually being one of the earliest and most common. ...Read more

Dr. Ira Katz Dr. Katz
2 doctors agreed:
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On a ACTH stimulation 3 time point base number 8, 30 min =23.5, 60 min = 39.6 does this suggest secondary adrenal insufficiency?

Dr. Ira Katz Dr. Katz
2 doctors agreed:

Not Enough Info: The baseline of 8 mcg is a borderline morning value and normal in the evening. The time of the day, ACTH value, reason for the test, how long the condition has been present for are all important. If it is secondary adrenal insufficiency it is likely new in onset. This test does completely rule out primary adrenal insufficiency though. ...Read more

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What is the difference, both in symptoms and treatment , between addisons disease and adrenal insufficiency ?

What is the difference, both in symptoms and treatment , between addisons disease and adrenal insufficiency ?

Same thing: Addison's disease is the name given to adrenal insufficiency, a condition recognized by traditional medicine. Adrenal exhaustion & adrenal fatigue are terms coined by anti-aging to describe a lesser degree of insufficiency. Consider addison's disease or adrenal insufficiency as a failing grade or f. Adrenal exhaustion & adrenal fatigue would then be suboptimal c or d grade but still normal. ...Read more

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Please tell me, could adrenal insufficiency cause the pregnancy symptoms?

Would be rare: Adrenal insufficiency causes extreme fatigue, weight loss, salt craving and abdominal pain and sometimes vomiting . Pregnancy can causes vomiting and tiredness but should be associated with weight gain not loss and not abd pain. The 2 are rarely if ever confused. ...Read more

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Can adrenal insufficiency cause the pregnancy symptoms? Need expert opinions!

Pregnancy symptoms: Adrenal insufficiency can cause fatigue and many other symptoms. What particular symptoms of pregnancy are you wondering about? It would not typically cause nausea or vomiting. ...Read more

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Adrenal insufficiency symptoms but inconclusive lab results, what to do?

Big picture: If you have self-diagnosed "adrenal axis disorder" based on something you read on the internet, but your acth stimulation test did not allow the diagnosis of addisonism, you're in no danger. Your life situation and perspectives may be making you feel this way and perhaps they can be adjusted. True addisonism is rare but does still get missed ; repeat testing in a few months may be in order. ...Read more

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I'm having adrenal insufficiency symptoms but inconclusive lab results, what does this mean?

Symptoms: I agree with Dr Knecht that this is a very rare disease, but as a general rule if adrenal glands are not working you would have low BP-causing dizziness when you try and get up, fatigue, poor appetite, skin changes. But these same symptoms can also be seen in other states too. ...Read more

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Lo cortisol, all symptoms, no tumor, what can be cause for adrenal insufficiency that's not addisons?

Hard to test for: Hi. First of all, there's NO symptom associated with adrenal insufficiency that is SPECIFIC for adrenal insufficiency. If your endocrinologist suspects adrenal insufficiency, several tests can be used depending on clinical suspicion: insulin tolerance test and metyrapone test test the whole hypothalamic/pituitary/adrenal axis; ACTH 1-24 (Cosyntropin) can test only adrenal glands failure; useful 2 ...Read more

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Acth stim test for secondary adrenal insufficiency. What to expect? Feel better if positive? Feel worse if negative? And why?

Maybe 2: For secondary adrenal insufficiency we will sometimes do a lo/hi dose acth test using two doses to elicit a response from adrenals. The Insulin tolerance test is another good way to determine cortisol insufficiency as well as gh deficiency which can be seen with acth deficiency. If you're deficient in acth you'll get steroid replacement which will make you feel better. ...Read more

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Low cortisol. Low acth but normal stimulation test. Could I still have secondary adrenal insufficiency?

Yes: Without more information, I can not say for sure you have it, but this is essentially the def of secondary adrenal insufficiency. Secondary AI is a condition where the adrenal gland still has function, but is not being told to produce cortisol by the pituitary gland. There are other tests, but initial dx usually made by low baseline cortisol with ACTH injection causing nl cortisol by adrenal gland ...Read more

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I show symptoms of adrenal insufficiency. I did an acth plasma test which showed 25.00 and serum cortisol that showed 145ng?

ACTH stim: I don't understand the units of measure for either acth or cortisol. If there is any question of addison's disease i would expect a very elevated acth level. Secondary adrenal insufficiency concern might merit a low/hi dose acth stim test. If you have secondary adrenal insufficiency you may also need a MRI of your brain and pituitary in addition to looking into other pituitary hormone deficiency. ...Read more

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How can we fix adrenal insufficiency naturally?What are the typical symptoms of it?Can armor thyroid reveal adrenal insufficiency?

Depends on the cause: There are several conditions which can cause adrenal insufficiency. Treatment includes treating the cause in addition to steroid replacement. I am not aware of natural way of treating insufficiency. ...Read more

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Does serum cortisol 145 ng/ml done at 8am indicate anything? Does it show adrenal insufficiency if the patient has related symptoms?

Does serum cortisol 145 ng/ml done at 8am indicate anything? Does it show adrenal insufficiency if the patient has related symptoms?

Normal: Again, cortisol is very normal. If you aren't reassured please discuss your continued concern about your symptoms with your doctor. Clearly you have symptoms of something given your previous submissions. ...Read more

Dr. M. Hytham Beck
130 doctors shared insights

Addisonian Crisis (Definition)

Addisonian or acute adrenal crisis is a life-threatening condition that occurs when there is not enough cortisol, a hormone produced by the adrenal glands. It can manifest with fatigue, nausea, poor appetite, fever, joint pain, fatigue, coma, or seizure. Addison's disease is usually treated ...Read more


Dr. Cayce Jehaimi
377 doctors shared insights

Adrenal Insufficiency (Definition)

Adrenal insufficiency is either an absent or abnormally low production and/or secretion of hormones produced by the adrenal gland. Hormones produced by the adrenal glands include those involved with salt regulation, sugar metabolism, and sex hormones ...Read more