I have paid for a couple of private Thyroid related tests from Genova now, as GP and Endo have been pretty useless. The first one was done through Dr P, the second - an Adrenal Saliva Test and Reverse T3 - which was done through Thyroid UK. Thyroid UK emailed me the results which showed the Cortisol Saliva test 7am-9am was 18.35 (7.45-32.56), so OK, but 11am-1pm was 15.52 (2.76-11.31) High, 3pm-5pm - 12.05 (1.38-7.45) High, 10pm-12am 3.89 (0.83-3.86) High. With my hyper adrenal symptoms (including adrenal hump on back of neck) and the advice from Genova for doctor was to check for Cushings. My NHS endo looked at the results and pointed out the Commentary/disclaimer: "Commentary is provided to the practitioner for educational purposes, and should not be interpreted as diagnostic or treatment recommendations. Diagnosis and treatment decisions are the responsibility of the practitioner." He said that if the company was confident in a diagnosis they would not put this and basically refused to do CT scan etc to check for Pituitary/Adrenal tumors, which is the first step to check for Cushings. He said the hump was probably arthritis!! I have telephoned Genova and they said to contact Thyroid UK and book an appointment with their private doctor, £95 for half hour telephone call to interpret the results. I don't see why I should spend more money when I wont be able to get the Endo to act on any interpretations. I did explain to the Endo it was a suggestion by the company and they were not some quack internet firm, but through Thyroid UK.