Experiences with

Adrenocorticotropic hormone (ACTH)

My GP has sent me for an ACTH blood test. Is this the correct test or should he have asked for ACTH Stimulation test? Will the ACTH test be sufficient? I am almost at 3.5mg Pred. To be fair, I asked if I needed an ACTH test - I didn't realise there were two.

I don't understand page 1 that states ACTH Roche Method * 15. I have searched the Internet and cannot see anything about * 15 in ACTH results. I understand that the ACTH test is solely testing for Addisons, (I think?)

I am wondering how and if GnRH medications like Zoladex impact the ACTH production and if the activity of the adrenal production of adrenal androgens feeds the prostate cancer cells independently of the LH / testosterone route.

I am particularly interested to know what ACTH *15 (Roche Method) indicates? Thank you Jane :)

He anticipated that I would have produced much more cortisol from an ACTH injection than 394, hence this new diagnosis.

cortisol samples before and after the ACTH injection.

the past 3 days have swollen up like a balloon and fat gain on legs it’s insane I saw my gastro doctor and he approved 30mcg saying he doesn’t see why not being on that as it’s 5.2 I have no received the letter from endocrinologist Questions - I am having cortisol checked in morning - and acth

I had a ACTH Stimulation Test this morning and just got the results back from my Endo. She said even better than she expected. So now I can start tapering off of hydrocortisone at 1/2 tablet weekly. Currently I am on two 5mg tablets in morning and Two 5mg tablets in evening.

TSH 0.93 (0.23-5.6) FT4 12 (9-28) FT3 4.4 (3.1-6.8) ACTH 19.8 (7.2-63.3) Cortisol pre SST 216 Cortisol post SST 611 Renin 14 (5.4-60) (this was asterisked)* Aldosterone Liaison 159 (100-800) also * Potassium 4.1 also* Creatinine 60* also* Urea 5.0 also* LH 42.2 (2.4-12.6) also* Testosterone

Other causes of ocult acrivation via ACTH were excluded (ex exogenous tumor acth production/SCLC) Long story short, that ACTH stayed about 10%-25% over the max threshold for 6 years, while adding between 20 and 30 mg of liothyronine to 100-150 levothyroxine.

I asked the Rheumy if she could test for adrenal insufficiency and she mentioned the ACTH stim test, so I asked her if she could order one for me and she said no, I have to have my general practitioner do that and that she's never ordered one before.

I suspect there is a pituitary problem as I felt marvellous about 20-30 mins after I was injected with ACTH.

It's been a struggle to get down and am still much fatigued , so based on blood test results below my doc ordered the cortisol/ACTH stim blood test. Results: 6 mos ago am on 5 mg Pred adrenocorticopnophic (sp?)result was 6.6, and Cortisol was 5 ug.

Cortisol was just below range, which should trigger an endo referral for a synacthen/ACTH test, but not bad at all considering the saliva results. I'm curious about the albumin though, which is just scraping into range - does that mean anything?

I also wonder if there might be a cortisol issue too, although my last morning cortisol was 315 nmol/L [133-537] with a corresponding ACTH of 24 ng/L [0-46].

I asked my endo’s secretary to send a copy of above test results as I was advised by someone on here that it should have an ACTH test. I received the results this morning and ACTH wasn’t tested. My baseline cortisol was 342nmol - does that mean that my ACTH is ok? Any help appreciated.

I have had the cortisol and ACTH blood test....waiting for rheumo to inform me if they are OK. Is there anyone out there who has experienced these same very debilitating sessions and if so did you find anything that helped cope with them?

Do I need ACTH meds or cortisol? Or something else? Any help gratefully received.

TSH - 0.93 (0.23-5.6) ft4 - 12 (9-28) ft3 - 4.4 (3.1-6.8) acth - 19.8 (7.2-63.3) Testosterone 0.2 (0.3-1.7) Blood Cortisol -10.30am SST- 216 rising to 611 after synacthen injection I've consulted 2 endos within the past couple of months, I've outlined very clearly the symptoms I have and how they

Can anyone tell me whether a Synacthen test is the same as an ACTH? Just had a conversation with Spire Hospitals and they said they were not the same....