Cortisol Test - Anyone have any info?

[MunchEase]

Hey guys,

Once again, thank you for all your help. I had 24 hour Cortisol urine done, and tested 429.5 (reference 80-380). Another night I did a 4 point salivary cortisol test and this is how it came back. With anyone with experience: does this point to a pituitary adenoma (or something else)?

Here were my blood results a few weeks ago.

Just looking for answers if anyone can help!

Thanks!

H

Testosterone: 10.1 nmol/L OR 291 ng/dl ———> (reference 8.0-29.0)
SBGH: 34 nmol/L ———> (reference 10-55)
Free Testosterone: 201 pmol/L OR 15.62 ng/dl ———> (reference 175-700)
DHEA: 12.3 umol/L ———> (reference 2.2-13.0)
TSH: 2.29 mIU/L ———> (reference 0.20-4.00)
Prolactin: 12 ug/L (reference 0-15)
Free T3: 5.9 pmol/L (reference 3.5-6.5)
Free T4: 18.9 pmol/L (reference 10.0-25.0)
Estradiol: 45 pmol/L (reference 0-160)
Cortisol AM: 500 nmol/L (reference 200-690)
Progesterone: 3.3 nmol/L (reference 0.0-3.0)
FSH: 15 IU/L (reference 1-18)
LH: 5 IU/L (reference 1-9)
Iron: 13 umol/L (reference 12-31)
Ferritin: 41 ug/L (reference 30-400)

 

[Vince Carter]

No easy way to say it but you did the test all wrong, your times, the data points, are all wrong. The four tubes should be taken at appx 0600, 1100, 1600, 2200...appx times but you did your first one at 1230, so it's useless. You'll need to retake it. Did you get no instructions with it/on it?

 

[MunchEase]

No easy way to say it but you did the test all wrong, your times, the data points, are all wrong. The four tubes should be taken at appx 0600, 1100, 1600, 2200...appx times but you did your first one at 1230, so it's useless. You'll need to retake it. Did you get no instructions with it/on it?

I assumed it was based on your sleep cycle - that the times they would list were based on the average human. But I work late nights/sleep in till noon so I figured it would be based on that - when you get up, lunch, dinner, and before bed.

Thanks again for always replying to my threads!

 

[Nelson Vergel]

Here is a great video that explains the cortisol test (Genova includes DHEA in it since they make recommendations based on cortisol/DHEA ratio)


https://www.gdx.net/learngdx/clinical-concerns/adrenal-fatigue

You are missing the most important data point: morning time.

 

[Vince Carter]

I suspected you were a shift worker, I still don't know how to interpret those results.