My Salivary Cortisol results are not what I expected they are high! total daily Cortisol is 116.6 nmol/L. Unsure what I should do next.

[Ivorheadache]

I have Hashimoto's but am now reading about causal factors for high levels of cortisol and feeling confused. I went to see an endo earlier this year suspecting Adrenal problems but my short synthen test was within normal range so no further contact. I am surprised to find quite a few of my symptoms are indicators for cushing's syndrome or I may just need to eat more regularly and chill out! I would really appreciate your views/guidance.

My Cortisol results were

Sample

1 87.0 (12 - 22) nmol/L

2 19.1 (5.0 - 9.0)

3 6.7 (3.0 - 7.0)

4 3.8 (1.0 - 3.0)

DHEA levels

AM 0.34 (0.20-0.70)

PM 0.19

DHEA : Cortisol Ratio 0.23 (0.6-3.0)

[HIFL]

Are you taking any thyroid hormone? What dose? Any thyroid labs? Thyroid and cortisol levels are closely inter-related.

[Ivorheadache in reply to HIFL]

I take 2 grains of Armour daily. lastest results 15/10/14

TSH 0.01 (0.35-3.5)

T4 13 (8-21)

T3 5.1 (3.8-6)

[HIFL in reply to Ivorheadache]

Do you have symptoms of Cushing's like high blood sugar, abdominal weight gain but thin arms and legs?

[Ivorheadache in reply to HIFL]

Unfortunately yes! I used to have low blood pressure and also have lots of fat stored on my trunk with slim legs. A consultant surgeon also told me to demand investigation into why my muscles were so weak but nothing was discovered by other consultants. I also have perminantly red facial cheeks, I was tested for lupus because of it but negative. Now I have seen this can be part of Cushings.

[HIFL in reply to Ivorheadache]

When I was extremely hypo, I had a lot of Addison's symptoms, so I went the other way. I believe bringing thyroid levels up brought my cortisol levels up. But you're already on NDT, so don't know what to tell you. Hope you find an endo that knows something!

[Ivorheadache in reply to HIFL]

Thank you I hope so too!

[Lifeback]

Hi i just had this test done and same came back for me cortisol ok yet i asked endo why do i still feel unwell they were looking for Addisons Disease got to go back in 4 months i feel that they havent really looked at cushings so am going to put it forward when i go. Just looked at Cushings you have to have a 24 hour urine test

[Lifeback in reply to Lifeback]

sorry meant to say i have hashis as well on 75 levo mon-fri 50 weekend

[Ivorheadache in reply to Lifeback]

I was on Levo but my GP kept altering the dose because I was at top of T4 range cut from 150mcg to 125 and 100mcg alternate days he didn't listen to me only cared about test results so with the confidence I gained from the users of this site I changed to NDT 9 months ago.